Are frequent flyers in the ER really the big cost sink that we think it is?

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Jun 29, 2020
11:15:53am

mudpupper All-American

Before we ever go single payer, I would like to know where all the current costs are going.

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mudpupper

Bio page: mudpupper
Joined: May 13, 2003
Last login: May 2, 2024
Total posts: 43,062 (146 FO)

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Messages

Author

Time

My (probably unpopular opinion) is that we need to either treat healthcare as a public good or not. If we want to

Slim Broscience major

6/29/20 10:24am

You're not wrong. But as we continue in a more "bleeding heart" direction we'll be looking at single payer before turnin

Grit for Brains

6/29/20 10:28am

I agree that is the more likely scenario

Slim

6/29/20 10:29am

<< Deleted >>

rivercitycoug

6/29/20 10:30am

I’m a doctor and would agree to salary decrease if it meant a revolution in med school training and cost as well as a

Slim

6/29/20 10:32am

500k for school?

Huge Manatee

6/29/20 10:38am

They are making a killing

Slim

6/29/20 10:40am

<< Deleted >>

rivercitycoug

6/29/20 11:20am

Arizonians

Slim

6/29/20 2:37pm

I think average debt for graduating MDs is something like 220k

valleus

6/29/20 10:50am

Looks like you’re right. Where I went was expensive.

Slim

6/29/20 10:52am

It is still outrageous. Cut med school costs makes it easier to cut md salaries.

valleus

6/29/20 10:55am

If the govt would forgive my loans I'd be interested.

SJS

6/29/20 11:02am

At least 1/3 of that 17% GDP is wasted dollars in healthcare. Whether it is because of fraud, unnecessary procedures,

specsauce

6/29/20 10:38am

Canadian Docs on avg make more than us. So it can be done

cougfanz

6/29/20 10:52am

<< Deleted >>

rivercitycoug

6/29/20 11:19am

I’ll look. Maybe I’m full of nonsense. Just relaying

cougfanz

6/29/20 11:44am

<< Deleted >>

rivercitycoug

6/29/20 11:53am

Not super recent but this article in the National Post states otherwise.

JohnnyComeLately

6/30/20 10:16am

I wish it were easier for healthcare providers to fire patients, within reason.

KingDave

6/29/20 10:34am

I have gotten onboard with the idea that there could and should be a government run healthcare network with orgs run

specsauce

6/29/20 10:35am

Would that be similar to what is done with VA hospitals, but for Medicare.

Pepe

6/29/20 10:40am

specsauce

6/29/20 11:29am

I've always thought there could be a two system setup

Pro Logic

6/29/20 10:39am

That's a common setup. I'm not sure why we've convinced ourselves it's binary.

vagabonder

6/29/20 10:44am

That’s what I’m in favor of. Model it after Germany

cougfanz

6/29/20 10:51am

I not sure the public would go along with this as those that can afford private

vegasnative

6/29/20 10:52am

We pay significantly more per capita than developed nations with public systems,

vagabonder

6/29/20 10:55am

Right, but there is a huge difference between building a quality system from the

vegasnative

6/29/20 11:09am

So, separate and unequal?

SpiffCoug

6/29/20 10:53am

such is life

maxpowers

6/29/20 10:57am

I would like a hybrid set up, with the government entity being highly focused on

kotacoug

6/29/20 11:34am

We will not have an NHS model. Hopefully it will be Medicare for all, with the

valleus

6/29/20 10:49am

While end of life care does contribute to a

akamai

6/29/20 4:31pm

It would likely be based on prognosis, not age.

Delicate Genius

6/30/20 10:37am

That would be the ideal, but when does a government based system work based on

akamai

6/30/20 10:44am

Medicare for all? Pass.

crazY

6/30/20 11:22am

Are frequent flyers in the ER really the big cost sink that we think it is?

mudpupper

6/29/20 11:15am

There have been OIG studies done on Medicaid that show that 1/2 to 2/3 of the visits to the ER are unnecessary. The

specsauce

6/29/20 2:37pm

That’s true, but still not a large cost driver compared to end of life care

valleus

6/29/20 2:49pm

Of course end of life care is expensive. We need to be looking at all areas where costs can be reigned in. I think we

specsauce

6/30/20 8:30am

The problem is that discussions about end of life often lead

akamai

6/30/20 8:47am

Agree, but also make cost/pricing available and up front.

swimbro

6/30/20 11:38am

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