You are completely stuck in first order thinking. What would happen to costs if providers were operating in the red? Are the costs fixed or would they adjust?
zing?
I know. But it is still an economic activity governed by things like supply and demand.
What other Job can a doctor or nurse do for 87% of their current pay?
Sure do. I'm starting to think you don't know how healthcare charges and payments work.
Of course not. We're in 2019.
You've got google. I'll give you one hint though. Medicaid patients have zero skin in the game and don't like the tiny copay and wait times to visit a primary care physician. ERs are more convenient and less costly to the beneficiary.
I was, yes.
What about them?
I don't think you do. How would you calculate the average fee for say a hip replacement?
Pretty hard to be so sure then huh?
Famously convenient ERs.
Naturally, healthcare providers would find ways to lower costs. The question is can 13+% be eliminated without sacrificing service or quality.
Of course it is, but in healthcare, the ability to expand supply isn't as easy as cranking out an 100 widgets per day. What do you think "free" Berniecare will do to demand? And what do you think will happen when demand outstrips supply? You can't make a new physician in 12 hours.
Nurses? A bunch. $45,000 a year starting pay isn't making any of them rich. Physicians? It depends. Specialists like neurosurgeons and interventional cardiologists, not sure, but people aren't going to go through 10-11 years of school for much less than they make now. Primary care physicians? A bunch. They aren't getting rich either.
Yes, the place that gives out healthcare regardless of your ability to pay and doesn't require an appointment. You can even call an expensive ambulance that doesn't make you pay up front like Uber does to bypass the waiting room if you're smart.
For the answer to that question we only have the rest of the developed world to look to.
You have to think of the demand curve as experience by providers. The quantity of demand at a prices over medicare remimbursement rates will be 0. People will have to wait and care will have to be ration, but the rationing will be based on need rather than ability to pay now.
Every doctor began those 10-11 years of school when doctor pay was 13% less than they make now. What is a pediatrician going to do to make $150K+ a year? Paycuts may have to be concentrated at the high end of the spectrum though.
Where have I heard that before?
We may have to tweak that policy under berniecare
You clearly have zero clue about economics outside of your healthcare industry talking points. Good luck with your pay cut!
No, it's not "Jesus." It's the Emergency Medical Treatment and Active Labor Act. It was passed in 1986. Go to the nearest ER, tell them you have a sore throat, or chest pain, or back pain, or belly pain, or you have a migraine headache, or whatever complaint you can dream up. When they ask you for your insurance, tell them you don't have any. When they ask for any kind of payment, tell them you don't have any money. Report back and tell me what happened next. You and I both know the answer. They'll provide care to you anyhow.
Now imagine a world where all healthcare was free at the point of service and ERs could tell you to make a doctors appointment for your sore throat.
I know. That's one of many things about healthcare you don't seem to have much knowledge about. But hey, 2009 Netherlands!
Air conditioners, elevators, pens, staples, paper can't have their costs cut? Why? Are those somehow fixed costs?
Imagine being so far up your own ass that you think other people don't know what EMTALA is.
Their prices aren't as sensitive to healthcare spending as say a sharps container is.
The one you just mentioned about skipping to the front of ER line if you come in an ambulance.
That's a "loophole?" Not really. It's one way to get into the ER.
Yeah imagine being so far up your own ass that in the context of a discussion of Berniecare that "healthcare regardless of your ability to pay" "Where have I heard that before?" is an opportunity to show off your EMTALA knowledge.
The two are directly related. That's exactly what EMTALA says.
Still??? You still think "where have I heard that before" is disputing that you can get care at ERs free at the point of service?
Good luck recruiting them into the field with a pay cut. Getting doctors into the primary care field isn't currently a challenge with the current pay.
Yes. If you have an alternative meaning of "where have I heard that before," please clarify it.
I misread your original post. How are we going to cut costs of non-durable medical supplies and pharmaceuticals? Cap the price? Cut pay at manufacturing facilities? Eliminate patents? Decrease FDA oversight?
He's clearly lying. Nobody has left medicine because of government regulations. They're always begging for more unfunded mandates that do nothing to actually affect the quality of care.
I hate it when you make me connect the dots. You said people choose ERs because they provide "healthcare regardless of your ability to pay." I said "where have I heard that before," because the place I have heard that before is Bernie Sanders stump speeches on healthcare. The point I was making was that ERs will no longer have the advantage of being the only "free" source of care under berniecare.
