The BG Health Care Thread: Decreasing the Surplus Population

[archibaldcrane]

while cost-mandated medication shifts during treatment are deeply suboptimal the claim Obamacare coverage costs the patient more than being uninsured seems patently absurd, but if you have some scholarly evidence for it i'd like to peruse

If the cash price is cheaper then simply pay the cash price.

[kuronosan]

If the cash price is cheaper then simply pay the cash price.

Generally this would be true, unless the cash price is $400 for a prescription and most insurance plans reduce it to $40. Some antidepressants I prescribe cost that much with coupons, and insurance companies will tell me (after changing their formulary or doing a prescription review) that I haven't tried other medications for a patient who has been on this medicine for years or has already tried alternatives.

Some pharmacy benefit management companies, like Caremark, will just send automatic letters because of AI and algorithms flagging a patient order and not even read how stupid it is, I've had to call in and describe why a patient should be allowed to have Zoloft covered instead of sertraline (they're the same drug) and then if I have to change the medicine I have to start the process all over again.

And guess what happens when the same company says they won't cover sertraline and now will cover Zoloft and the patient can't have generic Zoloft anymore? I have to start again.

And insurance-wise, the cost difference for some of these medications can get out of control.

[archibaldcrane]

Regardless, minimum insurance quality significantly increased with the ACA passage, and combining that with more covered is a clear W

[kuronosan]

I can agree with that in some ways.

[Outlaw]

My Doctor put me on a different blood pressure medication a long time ago. When I went to the pharmacy to pick it up the pharmacist did a double take when he saw how little my cost was. He turned the screen around to show me how much the meds actually cost and told me, "Man.. you are getting this for a steal!" I'm not sure the cost now but back then it was ludicrous.

I luvs my insurance.

[Byrthnoth]

Our healthcare system still sucks and we should have a single payer one with price controls for both medicine and care, but the addition of Obamacare did not make it worse.

[Outlaw]

I completely agree. I should balance my previous post by saying it's not always been milk and honey for me. Years ago when my Crohns had really gotten bad my GI doc wanted me on a infusion treatment that was relatively new at the time to keep me out of the hospital. We had to battle insurance to let me have it. I'm pretty sure the insurance company would have rather have me dead then. >.>

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[Andalusian girls]

said it before but what evidence is out there shows multi-payer universal healthcare systems outperform single-payer ones. think the American mindset has conflated single-payer with universal coverage but in truth there are precious few single-payer systems still extant in the world. France, Germany, Sweden, South Korea, whatever paragon of universal healthcare you want to point to incorporates private insurance in some capacity.

healthcare dialogue has gotten real coarse in this country but the goal ought be universal coverage with cost controls not a single-payer system. the latter is almost non-existent internationally and delivers demonstrably worse results, the former is a fundamental human right.

[Byrthnoth]

Sure sure, universal coverage rather than single payer. It seems fine that people can buy supplemental coverage as long as the government is ultimately backstopping the system. Tells you where the public option problems are, etc.

[Jaybar]

Well when the wealth is distributed so disproportionately in America even BG can read that chart does multi-payer make sense? Assume it would be a %income/worth and it might look more like single payer anyway. I don't care as long as everyone gets Healthcare.

But I'm just a simple man.

[kuronosan]

Just be something you love and understand.

[6souls]

https://arstechnica.com/science/2023...st-in-case/#p3

Missouri is advancing a bill that outlaws microchips from being added to vaccines.

[Qalbert]

that will definitely work because if there's one thing fictional evil conspirators love it's following the law

[archibaldcrane]

https://twitter.com/mjs_DC/status/16...gM6WISMtQ&s=19
https://twitter.com/mjs_DC/status/16...FVm16LAzw&s=19

[Lokus]

Just don't get sick.

[Yabby]

Calling it now, 10 years from now Mark Cuban is going to start his own hospital without insurance... because it is going to be cheaper.

[Milkster]

America is so ghetto as supposedly the leader of the free world.

[Emphasis]

The pro-life party at it again. What are the chances this is upheld?

[Byrthnoth]

So this is going to get blocked (probably), appealed to the supreme court, and then it'll become the law of the land next year in June because we live in a dystopia, right?

Health Care companies also won't be able to rewrite the policies for the current plan year at the drop of a hat, so we're looking at maybe 2 years of these things being covered, right?

[TsingTao]

What a fucking joke. Time to move back to Ireland, they have potatoes again I'll be fine.