undefined | Better HN

0 pointsomnimus11mo ago0 comments

The insurer margins can be whatever small but when the same company also owns the hospital and drug distribution it doesnt matter.

Somebody in the process makes extreme margins.

Also americans cant be at same time avoiding going to hospital because of costs and “still get far more services than most of their counterparts in other countries”

Believe it or not there are countries where there is mandatory health insurance (your employer or you or state have to pay it) and doctors dont look at costs because they dont really know them. They for sure try to not be wasteful but nobody is second guessing obviously best treatment because it costs 40% more.

0 comments

5 comments · 2 top-level

kgwgk11mo ago· 2 in thread

> doctors dont look at costs because they dont really know them

They know enough to prescribe only the pre-approved drugs and they know that things will happen at due time when the already budgeted people and equipment are available.

omnimusOP11mo ago

Sure they prescribe pre-approved drugs. They even prefer some brands which they know or are “sponsored by”. But afaik they dont care if they prescribe something expensive because it doesnt cost them anything.

kgwgk11mo ago

https://www.england.nhs.uk/medicines-2/items-which-should-no...

Items which should not be routinely prescribed in primary care

This policy guidance includes medicines:

[…]

that are clinically effective but not the most cost-effective intervention available

that are clinically effective but deemed a low priority for NHS funding.

Prescribers are advised that no new patients should be started on these items, that they should be deprescribed for current patients and that, where possible, suitable alternatives should be identified for patients.

kraffwork11mo ago· 1 in thread

You are just making things up to fit what you already believe. We have a few huge publicly traded companies in this space that file with the SEC but reality is not what you are interested in.

omnimusOP11mo ago

What i am making up? That US healthcare has high margins?

“ study from Yale School of Medicine (YSM) found that large U.S. health care corporations spent 95% of their net income — totaling $2.6 trillion — on shareholder payouts over the past two decades, raising questions about industry priorities and their impact on patient care and affordability”

j / k navigate · click thread line to collapse