I'd say market price for that descript
ion was much more than $0.02! I'd go with at least the 3.5x Medicare multiplier. Thanks!
I am generally a capitalist, but am willing to see some of the pitfalls in the system.
Today, I can go to several grocery stores and check prices on bread. I can buy the cheapest and not like the taste, and a week later try a more expensive one and enjoy its flavor. I can go to the store I like and pick a favorite and even read customer reviews about
XYZ bakery and get ratings for taste, service, and price. I can do this for autos, or power tools, or books. I will not buy a Ferrari this year because it is too expensive for my budget and I don't need it. I can drive 200 mph on a less expensive motorcycle. The costs and product capabilities provided are clear and market rules dominate.
I only had one rotten walnut to give for my country and it needed to come out. There was no advertised pricing from any of the surgeons I investigated. There was no rating system that I as a consumer could check. I was told the comparision was too complicated with too many factors so a rating system is not possible.
I say give me the data and let me decide if it is too complicated. If Dr A takes only Gleason 6 or lower patients with PSA less than 4, I am capable of understanding that his success rates are artificially high. No such
open rating system is available to me as a consumer. I used word of mouth and spoke with OR staff to rule out "the Sanguinator" and pick the nice guy who treats patients with respect. I had no results to compare, no pricing info. What if the three surgeons in my area got together and decided to charge $100k? Would I do it? If I have no choice - yes!
Without those bits and controls, 100% Market pricing can't work either.
I don't have a good solution. No one does, which is why every administration since, who knows when, has said they will fix it. I do see that much time, energy, dollars are spent just working on the insurance reimbursements. I see that the CEO of Excellent Purple Cross is making $3.5M per year. The Advantage Yellow Cross is advertising on my TV every night, and Most Value Provider has given so much to the local sports team they have renamed the stadium MVP.
None of this helps the guy on the table with the rotten walnut.
I lived in Japan for 9 years and was amazed at the care and services provided to everyone.
I saw the Michael Moore (personally I can't stand the guy) movie "Sicko" and came away with a lot of questions. Even though (IMO) he is an obnoxious alarmist, he made some very good points for some form of nationalization.
I would like to see a system that holds people accountable for their own actions. You smoke? You pay 50% more if you get lung cancer. Your BMI is >35? Sorry, Pal, it's going to cost you 50% more to get that surgery done. Drug use? "Sorry, we don't provide all services to patients with serum levels above X. Come back in 30 days."
Just my 2 cents.
I just did a quick salary check on the net to verify my numbers. In 2008 the average pay for the top 10 at "Excellent" was more than $1 million. Top dog was paid 2.78M in '08. There were 62 execs with salaries of more than $200,000. I wonder if they got free health care, too.
How much of my health insurance premiums went to pay just their salaries? This is not a large community.
With that kind of pay and benefits they can each have two RPs.
Post Edited (Worried Guy) : 11/5/2009 11:32:30 AM (GMT-7)