"Good" insurance is still part of a pathological system. The system itself needs fixed.
See what I said about the Japanese model. It's basically the American model + strict price controls. That appears to work very well.
See what I said about the Japanese model. It's basically the American model + strict price controls. That appears to work very well.
Okay, but how? I have 'good' insurance and it still blows.
My most recent example -- I had a Holter monitor for a day and I paid 50% more for the 24 hour usage of that monitor than I can buy it for brand new. And then I paid $350 for a technician to tell my cardiologist how many events were recorded (being as optimistic as possible, that most likely involved verifying that the machine counted correctly).
Contrast that to a couple weeks prior in Hyderabad India, I went to the local CARE Hospital, which is actually a precent decent place -- the equipment was state of the art, and I did not interact with technicians, but actual doctors. Had an echocardiogram done by an actual doctor, consulted with another cardiologist, as well as an electrophysiologist. Total cost? 4400 INR. Do that math on that one.
I definitely expect the costs to be lower in India for obvious reasons, but the dichotomy is nuts.