Tuesday, February 21, 2017

The Real Truth Behind Health Care Costs

There are almost as many "health care replacement plans" as there are people in Congress. And not one of them attacks the real problem. The problem is not insurance - it's health care PRICING.

Health care lobbyists have succeeded in bullying our lawmakers into allowing "secret pricing" that can vary from place to place, and even person to person. Unlike any other product, where every consumer pays the same price in any given store, health care providers can charge almost anything they want, according to what they think they can get someone to pay.

As an example, when I scheduled a colonoscopy at Exeter NH hospital, I asked the cost. At first they did not even want to tell me the cost. When I threatened to go elsewhere, I was told it would cost "about $1500". When I told them I did not have insurance, the cost suddenly collapsed to $650. The way I see it, if I could get it for $650, then everyone should be charged the same.

As another example, I went to GoodRx.com to get pricing for a prescription. As you can see by this screenshot, the exact same prescription was a different price in several different pharmacies. And worse yet, the NON-DISCOUNT price was much higher. In other words, John Doe would pay up to $75, while I could get the same prescription for $26.85. Again, if one person pays $26.85, that should be the price for everyone, without having to get some "coupon".

Because of secret pricing, and variable pricing, health insurance is far more expensive than it needs to be, and deductibles are far greater than necessary.

The way I see it, the entire health care debacle could be easily solved and made affordable by government intervention to standardize pricing (after negotiating the best deal) and allowing people to shop around for the various parts of insurance they want, even across state lines. And if tort reform is included, that would bring costs down even more - we've all seen the thousands of "lawyer" ads suing for every drug ever created, driving up prices. And by setting caps on malpractice, doctors could charge less.

Every person who wants to see the best health care at the lowest costs should contact their representatives and senators and send them a link to this post, or, at the very least, demand they buck the lobbyistys and standardize health care costs for every drug, every service, every procedure.

Then perhaps we will finally have the best health care system in the world.

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