OT: Why does an appendectomy cost $13,000 in the U.S. but only $254 in India?

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IamCurious
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   Posted 3/2/2012 3:50 PM (GMT -6)   
Also Why an MRI costs $1,080 in America and $280 in France?

FYI from the Washington Post:
www.washingtonpost.com/business/high-health-care-costs-its-all-in-the-pricing/2012/02/28/gIQAtbhimR_story.html?hpid=z3
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Post Edited (BabeintheWoods) : 3/3/2012 4:55:08 PM (GMT-7)


killcolitis
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   Posted 3/2/2012 4:03 PM (GMT -6)   
I think the answer's pretty obvious re: India vs the US but here's another example; my daughter's GI wanted to try rifaximin which is an abx not available in Canada. Luckily it's available in Italy, where we have family. One month's supply cost approx 30 Euros. In the US, I believe it costs over $1000 to fill the same script. ***?

suebear
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   Posted 3/2/2012 7:16 PM (GMT -6)   
The answer is obvious, think about it.

Sue
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AZYooper
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   Posted 3/3/2012 9:53 AM (GMT -6)   
I saw that article this morning. Interesting that so few have gotten the news.
Insurance companies make a percentage of the premium as profit and have no incentive to control long term cost in fact want the cost to go up..just like health providers. Without a third party(gov't) forcing fair negotiation, we get ripped off.
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pb4
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   Posted 3/3/2012 1:36 PM (GMT -6)   
In Canada it would cost the patient 0 dollars for an appendectomy since each province has a health care system that covers surgeries of that nature.
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deltaforce
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   Posted 3/3/2012 8:19 PM (GMT -6)   
Those who think the answer is obvious, please enlighten me with your thoughts. Majority of the Americans are 'happy' in their little ponds and make their opinions on what the media says, which most of the time is truly biased on trumping how best US is. Please travel around the world and see how other 'developing' countries are better in providing healthcare.

Frankly, I got the best healthcare in Sweden, next India, then Ireland and US stands last, where I pay most.

I am not an expert to comment on who is the one to responsible. Greed is so deep in this country that makes me really really sick.
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Mr. Natural
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Date Joined Oct 2011
Total Posts : 67
   Posted 3/4/2012 11:32 AM (GMT -6)   
AZYooper has the best explanation so far as to why medical costs are out of control in the U.S. of A. As they say, follow the money and all will be revealed. Despite the well advertised adversarial relationship between insurance carriers and the health care community, the two are clearly partners with a solid plan to maximise profits.

I grew up in a family with no health insurance and remained profoundly ignorant about it until I was in my mid-20's. Medical care 50 years ago wasn't cheap, but people with modest means could generally afford it. My parents had to sell livestock to pay the hospital bill when I was born, but even this didn't 'break the bank' for a poor farming family.

I too have visited a medical provider overseas (Singapore) and was surprised at how inexpensive things were, including prescription drugs. My overall cost to see a physician and receive 3 prescription medications was so low (about $40 US) that it made no sense to claim a reimbursement from my insurance carrier.

I'm fortunate enough to have a good retiree health plan but don't expect it to be a permanent safety net. To the extent possible, we all need to get the best personal control we can over our health and leave big pharma and corporate managed medicine behind.
Male in his 50's. Diagnosed with UC July 2011.
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killcolitis
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Date Joined Dec 2009
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   Posted 3/4/2012 12:19 PM (GMT -6)   
I've lived and had medical care in India, Canada, Italy, Japan, the UK, and the US (where one of my children was born) and I have to say I have planted my family back in Canada because despite some annoyances, the system here is by far the best in terms of access, affordability and quality. I do believe that is because there is no two tier system here (as there is in Italy, the UK etc). And yes, you can get great medical care in India and many "medical tourists" do but again it's a private system and I have had personal experiences of a Dr (American practicing in India btw, what does that say?) pushing needless invasive procedures and doing serious harm to crank up the bill. In italy you have absurd waiting lists which can be bypassed by going private. In the UK, it's the same and the NHS is basically a lottery (if you're lucky, great care, if not, a hopeless shambles). I don't think that I would have complete trust in the intentions of my drs in any private system. Recently I became quite concerned when I realized my daughter's GI was a paid consultant for centocaur (remicade). I found out before we had the remicade talk and I was very nervous, assuming she was going to shove it down our throat. In reality, it was the exact opposite. She seems as scared of it as we are (which makes me very nervous about it if the day ever comes that we need it) but I was surprised. I guess she can be honest as she as nothing to gain or lose from using remicade. I would always be second guessing my doc in a private system even if they were being completely honest, there's just too much money at stake.

Judy2
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Date Joined Mar 2003
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   Posted 3/4/2012 5:59 PM (GMT -6)   
Three words: medical liability lawsuits. Everyone from the researchers who discover treatments to the nurses who administer them under doctor orders has to pay huge malpractice insurance premiums because of them. Guess who ends up having to cover that expense?
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notsosicklygirl
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   Posted 3/4/2012 7:02 PM (GMT -6)   
Isn't the exchange rate pretty drastic between India and the US? I know I've seen some people in India and other areas doing work for as little as 1.5$ per hour on oDesk and similar sites. I can't afford to offer my services at those rates and therefore I am not able to be competitive on those websites.
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