BigMike wrote:
I think YOU misread. C*******m has never worked and can't work because of human nature. C*******m requires a selflessness and lack of personal ambition that can't happen in a fallen world. The early Christian church tried it. Its mentioned in the book of Acts, but after that its not mentioned again. I don't know if it continued for a generation or more than one, but I can infer it didn't last long. Human nature won out over idealism.
We pay more than practically everyone for our medical care. Where do you think we should begin? I ask that question from the premise that major immediate changes would cause an unacceptable disruption and healthcare reform would be best done in steps.
I think YOU misread. C*******m has never worked an... (
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In case you guessed, I am a lawyer.
I once represented a shipowner, and their crew was detained in the United States on an environmental pollution charge.
While in the U.S., one of the crewmen got alcohol poisoning, and we took him to the hospital. He stayed for three days, then we re-patriated him to his home country.
A month later, I called the hospital and asked where the bill was, because we had not received it. So they faxed it to me, and it was $35,000.00.
$35,000.00!!!!!!!!
So I called up and said, basically, what the hell? He was there for three days! A room at the Hilton would have been a couple hundred dollars.
And they told me that, since he did not speak english, they assumed he had no insurance, so they were going to send the bill to our state's Department of Public Welfare (DPW).
The DPW would then pay what it pays - maybe 50%? - leaving the hospital $17,500.00 "in the hole."
So, the hospital would make $17,500.00 off of the government for basically letting this guy sit in a hospital room detoxing, and then would WRITE OFF the other $17,500.00 as a loss for the purposes of their taxes!!!
Consider those numbers for a second.
Basically, the hospital is running up the fee because they know they will get half of wh**ever they claim the stay cost from the government, and write off the other half as a loss.
Imagine for a moment that we had laws that said that a hospital gets to charge one rate to all comers, and cannot write off losses on billed rates.
Shouldn't this guy's stay have cost, at the most, a couple thousand dollars? He was there for three days, had no surgery, needed no medication other than maybe some paink**lers. Shouldn't that be a flat rate?
Start there. Go from there.
Medical costs in our country have gone through the roof because the people charging other people for medical services can do so without consequence because of the insurance industry and government provided benefits.
Put the clamp on that, and suddenly we don't have an issue.
(And, by the way, substitute "colleges" for "hospitals" and "student loans" for "insurance", and the story is also true for secondary education.).