A US National Health Care System? Message Board

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Politics : A US National Health Care System?

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To: TimF who wrote (24032)	7/3/2012 2:01:18 PM
From: skinowski	2 Recommendations of 42652

There is, no doubt, overtesting and overtreatment taking place, which is to a significant extent related to the fear of litigation.... But I'm beginning to suspect that the main reason for recent escalations of costs is related to structural changes-- medical care is being increasingly shifting towards hospital based models. Hospitals keep opening outpatient clinics - and keep purchasing existing practices. When a doctor sells his practice to a hospital system, he continues working the same way as before - but as an employee. He no longer has any say about charges - and those charges escalate. Everyone is complaining about the $900 emergency room professional fees. (Not to mention the several thousand dollar hospital ER fees). Why are they so high? Dunno. The doc gets paid maybe some $130 per hour, and sees typically several patients an hour. It all started with the relatively more generous Medicare payments to hospitals (part A) compared to docs (part B). Just another misallocation by committee.

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