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Bob's health care plan
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Mar 30, 2019 11:10:24   #
DaveO Loc: Northeast CT
 
boberic wrote:
There is no right to any of those things either. They are part of a law passed by congress. And they are not mandatory.


There! That settles it! We had better not pass any more laws...we can't afford them.

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Mar 30, 2019 11:24:06   #
mjmoore17 Loc: Philadelphia, PA area
 
boberic wrote:
A right to healthcare? wherE exactly in the constitution is that mentioned? And there is no right to own a car. About a yeAr ago I had a rectal bleed,.Was in critical conddition. 11 units of blood and hypovolemic shock. Fortunitately the bleed stopped. And I recovered. I wonder what a governmental health insurance woukld do about covering those very expensive resources on a 74 year old.


Better than private insurance. Was it pre-approved? If not could be denied for payment. Oh, it was an emergency so no denial. I have seen payment denials for cardiac arrests and gunshot wounds from insurance carriers. Patient billed the whole package.

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Mar 30, 2019 11:25:45   #
John_F Loc: Minneapolis, MN
 
My copy of your post first appeared in the Attic. At the head of the Digests are Upcoming posts which some readers seem to mistake for a ‘pictures’ forum.


boberic wrote:
Sorry. Thought I was in Chit Chat. Not the worst mistake I ever made. I hope Admin moves it there

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Mar 30, 2019 11:25:52   #
jeep_daddy Loc: Prescott AZ
 
You could have run a spell check on your message before posting and it would have been easier to read.

I agree with most except increasing the age of medicare recipients. If anything they should lower it.

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Mar 30, 2019 12:11:26   #
Architect1776 Loc: In my mind
 
boberic wrote:
Assuming Obamacare is illiminated, here is my plan for health care. In no particular order-Allow interstate competition among Insurance Companies.- create a tax exempt an individual health care fund. Promote Catistrophic health care plans, especially for the young and healthy. Insure pre-existing conditions, bu with highe rdeductables and premiums. Allow groups to form soas to get group rates. Portability form employEr health inSurance plans. No penaalties for those who opt for no insurance. Raise manditory retirement age ,so as to delay medicare untill 68 or 70. Allow thosed insurance groups to negotiate with drug companies for better prices. Alloe groups to consolidate to form larger groups with better bargaining power. Reduced MD office parer work requirements. These are a few suggestions.
Assuming Obamacare is illiminated, here is my plan... (show quote)


Sounds good.
I would do away with insurance for check ups and only have it for catastrophic injury etc.
You have a runny nose just deal with it.

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Mar 30, 2019 12:50:07   #
dennis2146 Loc: Eastern Idaho
 
Bill_de wrote:
And this has what to do with photography?

--


I am looking at it in the Attic.

Dennis

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Mar 30, 2019 12:53:07   #
Frank T Loc: New York, NY
 
boberic wrote:
So we force people to buy insurance? How would you do this?


Forcing people is easy.
If you buy an insurance policy, we make the premiums tax deductible for those making less than $10 Million a year.
If you don't buy an insurance policy we double the percentage rate that you pay income tax on, before any deductions.

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Mar 30, 2019 12:59:56   #
thom w Loc: San Jose, CA
 
Architect1776 wrote:
Sounds good.
I would do away with insurance for check ups and only have it for catastrophic injury etc.
You have a runny nose just deal with it.


That’s the surest way to run the cost sky high. Most ailments are much cheaper to treat if caught early. Where did you get the notion that that was a good idea?

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Mar 30, 2019 13:15:40   #
mjmoore17 Loc: Philadelphia, PA area
 
Architect1776 wrote:
Sounds good.
I would do away with insurance for check ups and only have it for catastrophic injury etc.
You have a runny nose just deal with it.


Do you know what the average charge is for a runny nose in a hospital Emergency room. $120 for the physician bill and $320 for hospital room. Since runny nose could be an upper respiratory infection, let’s add $120 for chest X-ray, $35 for pulse oximetry and in most facilities another $75 for unnecessary urinalysis.
Why ED, because there are millions of people who do not have access to a general practitioner. I live in a small rural town in Pennsylvania, it took 4 months to get my first appointment. This was in a healthcare starter that I was already a member of.
But let’s make it universal, no insurance coverage for anyone that is not a catastrophic illness.

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Mar 30, 2019 16:27:53   #
Architect1776 Loc: In my mind
 
mjmoore17 wrote:
Do you know what the average charge is for a runny nose in a hospital Emergency room. $120 for the physician bill and $320 for hospital room. Since runny nose could be an upper respiratory infection, let’s add $120 for chest X-ray, $35 for pulse oximetry and in most facilities another $75 for unnecessary urinalysis.
Why ED, because there are millions of people who do not have access to a general practitioner. I live in a small rural town in Pennsylvania, it took 4 months to get my first appointment. This was in a healthcare starter that I was already a member of.
But let’s make it universal, no insurance coverage for anyone that is not a catastrophic illness.
Do you know what the average charge is for a runny... (show quote)


Growing up there was none of this runny nose insurance. A doctor visit was dirt cheap and they even visited the home.
Look at the insurance bill. Doctor charges $500.00 to look at a snotty nose, $35.00 copay (This more than covers the 5 minutes the doctor spends in time) then the large staff have to process reams of forms and compliance documents, make submittals to the insurance company and all the expenses processing the forms etc. The insurance disallows $300.00 of the bill and pay the doc $200.00. The $300.00 is then written off as a loss and all are happy. I asked a doctor friend what a cash visit for me would be. She said $35.00. She said it was quicker and easier and no forms. So this is what I did seeing as the choice was to go to the Carl T. Hayden hospital and die or see a real doctor.

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Mar 30, 2019 16:42:45   #
mjmoore17 Loc: Philadelphia, PA area
 
Architect1776 wrote:
Growing up there was none of this runny nose insurance. A doctor visit was dirt cheap and they even visited the home.
Look at the insurance bill. Doctor charges $500.00 to look at a snotty nose, $35.00 copay (This more than covers the 5 minutes the doctor spends in time) then the large staff have to process reams of forms and compliance documents, make submittals to the insurance company and all the expenses processing the forms etc. The insurance disallows $300.00 of the bill and pay the doc $200.00. The $300.00 is then written off as a loss and all are happy. I asked a doctor friend what a cash visit for me would be. She said $35.00. She said it was quicker and easier and no forms. So this is what I did seeing as the choice was to go to the Carl T. Hayden hospital and die or see a real doctor.
Growing up there was none of this runny nose insur... (show quote)


If your doctor is writing off balances of self-pay bills then they are breaking the law. Insurance uses what is called “usual and customary”. This is based on billed charges. If the physician routinely writes off any self-pay amount, it means their “usual and customary” is false and that is illegal. It is why physicians cannot routinely write-off balances for employees or hospital employees.
Physicians can write-off balances on individual patients but not as a routine for any specific group of patients.

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Mar 30, 2019 16:46:02   #
Architect1776 Loc: In my mind
 
mjmoore17 wrote:
If your doctor is writing off balances of self-pay bills then they are breaking the law. Insurance uses what is called “usual and customary”. This is based I’m billed charges. If the physician routinely writes off any self-pay amount, it means their “usual and customary” is false and that is illegal. It is why physicians cannot routinely write-off balances for employees or hospital employees.
Physicians can write-off balances on individual patients but not as a routine for any specific group of patients.
If your doctor is writing off balances of self-pay... (show quote)

Yeah right
The law

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Mar 30, 2019 16:54:31   #
mjmoore17 Loc: Philadelphia, PA area
 
Architect1776 wrote:
Yeah right
The law


It is called “fraud”. It has costs some providers hundreds of thousands of dollars. Read a book, preferably a healthcare law journal. Or ask an expert, someone with a title like “National Director of Reimbursement, Legislative and Governmental Affairs”. Oh, wait, that is me.

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Mar 30, 2019 17:00:49   #
Architect1776 Loc: In my mind
 
mjmoore17 wrote:
It is called “fraud”. It has costs some providers hundreds of thousands of dollars. Read a book, preferably a healthcare law journal. Or ask an expert, someone with a title like “National Director of Reimbursement, Legislative and Governmental Affairs”. Oh, wait, that is me.


And you are delusional that there is no fraud. It is the worst kept secret in the world. Especially any thing the government does regarding health care, welfare or all other social programs are based on fraud and it is rampant and the feds are the source of that fraud and encourage it from false claims to payments and kick backs.

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Mar 30, 2019 17:06:09   #
mjmoore17 Loc: Philadelphia, PA area
 
Architect1776 wrote:
And you are delusional that there is no fraud. It is the worst kept secret in the world. Especially any thing the government does regarding health care, welfare or all other social programs are based on fraud and it is rampant and the feds are the source of that fraud and encourage it from false claims to payments and kick backs.


You are questioning fraud. Fraud is rampant and I have helped in the prosecution of more than one provider and several healthcare systems to fight that fraud. None of it had anything to do with the feds and most had to do with insurance company fraud.
I have never hinted that there is no fraud.

When you use deflection, it works better if it is on topic not made up.

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