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It would be over $300,000 today.My wife's bill was $140,000 in 1989.
Any thoughts on why Maryland Hospital prices are so low compared to the rest of the USA ?
Its rates are regulated.
The Health Services Cost Review Commission's (HSCRCs) enabling statute was enacted in 1971. After a three-year phase-in period, the Commission began setting hospital rates in July 1974. At that time, its authority extended only to the rates hospitals charged to the non-governmental purchasers of care. In 1977, however, Maryland was the first of five states granted a waiver by the federal government exempting the State from national Medicare and Medicaid reimbursement principles. Since that time, all payers pay Maryland hospitals on the basis of the rates established by the HSCRC.
Any thoughts on why Maryland Hospital prices are so low compared to the rest of the USA ?
Its rates are regulated.
The Health Services Cost Review Commission's (HSCRCs) enabling statute was enacted in 1971. After a three-year phase-in period, the Commission began setting hospital rates in July 1974. At that time, its authority extended only to the rates hospitals charged to the non-governmental purchasers of care. In 1977, however, Maryland was the first of five states granted a waiver by the federal government exempting the State from national Medicare and Medicaid reimbursement principles. Since that time, all payers pay Maryland hospitals on the basis of the rates established by the HSCRC.
Well , unless someone can speak against the healthcare level provided by Maryland hospitals, it would be a good idea if the rest of the states follow a similar course of action.
For the first time in history healthcare has become the biggest spending category of the American govermment and will continue to be so in the forseeable future.
You're in the minority today.It would be over $300,000 today.My wife's bill was $140,000 in 1989.
3.3% infation? That's in the ballpark.
Didn't much matter. When thd accountant slid the promissary note across the desk and asked for me to sign it, I said, ""Promissary Note'? That means 'I promise'. I'm sorry, I can't guarantee I can keep that promise. I don't make promises I can't keep."
Sometimes, when really bad s$@t happens, it helps to be truely honest.
It would have to be one heck of a bend.Its rates are regulated.
Well , unless someone can speak against the healthcare level provided by Maryland hospitals, it would be a good idea if the rest of the states follow a similar course of action.
For the first time in history healthcare has become the biggest spending category of the American govermment and will continue to be so in the forseeable future.
Which would be exactly and specifically the motivation behind the ACA and thd push to control costs. There are two way, eliminate Medicare and Medicaid or implement some sort of system that "bends the cost curve", as they say.
Which would be exactly and specifically the motivation behind the ACA and thd push to control costs. There are two way, eliminate Medicare and Medicaid or implement some sort of system that "bends the cost curve", as they say.
It would have to be one heck of a bend.Well , unless someone can speak against the healthcare level provided by Maryland hospitals, it would be a good idea if the rest of the states follow a similar course of action.
For the first time in history healthcare has become the biggest spending category of the American govermment and will continue to be so in the forseeable future.
Which would be exactly and specifically the motivation behind the ACA and thd push to control costs. There are two way, eliminate Medicare and Medicaid or implement some sort of system that "bends the cost curve", as they say.
I don't know if there is anyway to really control healthcare costs. Government can regulate some prices and insurance companies can use their buying power to force lower contract prices with providers. However healthcare providers will always find a way to sell more diagnostic tests and procedures because they can almost always be justified.Which would be exactly and specifically the motivation behind the ACA and thd push to control costs. There are two way, eliminate Medicare and Medicaid or implement some sort of system that "bends the cost curve", as they say.
Ugggh. That's a nasty solution.
I could agree reducing the coverage of Medicaid ( for lower income families ) .
Ending Medicare sounds too nasty for me
I wouldn't go that way before taking a good look at the healthcare situation in Maryland.
Many people are against a regulated healthcare market, but if it provides a good service level and the prices are as low as the Washington post claims then I can't find any good reason not to go that way.
Disparity in medical billing - The Washington Post
Well , unless someone can speak against the healthcare level provided by Maryland hospitals, it would be a good idea if the rest of the states follow a similar course of action.
I don't know if there is anyway to really control healthcare costs. Government can regulate some prices and insurance companies can use their buying power to force lower contract prices with providers. However healthcare providers will always find a way to sell more diagnostic tests and procedures because they can almost always be justified.
I don't know if there is anyway to really control healthcare costs. Government can regulate some prices and insurance companies can use their buying power to force lower contract prices with providers. However healthcare providers will always find a way to sell more diagnostic tests and procedures because they can almost always be justified.Which would be exactly and specifically the motivation behind the ACA and thd push to control costs. There are two way, eliminate Medicare and Medicaid or implement some sort of system that "bends the cost curve", as they say.
Ugggh. That's a nasty solution.
I could agree reducing the coverage of Medicaid ( for lower income families ) .
Ending Medicare sounds too nasty for me
I wouldn't go that way before taking a good look at the healthcare situation in Maryland.
Many people are against a regulated healthcare market, but if it provides a good service level and the prices are as low as the Washington post claims then I can't find any good reason not to go that way.
Disparity in medical billing - The Washington Post
About 60 percent of community hospitals are nonprofit, all communityI don't know if there is anyway to really control healthcare costs. Government can regulate some prices and insurance companies can use their buying power to force lower contract prices with providers. However healthcare providers will always find a way to sell more diagnostic tests and procedures because they can almost always be justified.Ugggh. That's a nasty solution.
I could agree reducing the coverage of Medicaid ( for lower income families ) .
Ending Medicare sounds too nasty for me
I wouldn't go that way before taking a good look at the healthcare situation in Maryland.
Many people are against a regulated healthcare market, but if it provides a good service level and the prices are as low as the Washington post claims then I can't find any good reason not to go that way.
Disparity in medical billing - The Washington Post
Non-profit
About 60 percent of community hospitals are nonprofit, all communityI don't know if there is anyway to really control healthcare costs. *Government can regulate some prices and insurance companies can use their buying power to force lower contract prices with providers. However healthcare providers will always find a way to sell more diagnostic tests and procedures because they can almost always be justified.
Non-profit
health centers are nonprofit, almost 30 percent of nursing homes are nonprofit, and about 17 percent of home health care agencies are estimated to be nonprofit.
Being nonprofit doesn't mean you don't make money; you just have to keep in the business.
We rely on the free market to determine a fair price for most goods and services but it can't work for healthcare because there are too many people who would be priced out of the market, so we to rely on government and insurance companies to pay the bills of those who can't pay and the whole free market pricing is distorted. Anytime you have services that people must have to survive, then government has to step in and when government steps in, free market pricing steps out.About 60 percent of community hospitals are nonprofit, all communityNon-profit
health centers are nonprofit, almost 30 percent of nursing homes are nonprofit, and about 17 percent of home health care agencies are estimated to be nonprofit.
Being nonprofit doesn't mean you don't make money; you just have to keep in the business.
*Yeah, it doesn't mean the CEO salary can't be one bazillion dollars.
It's all that came to mind. *I don't see that there really is a good solution given our market business structure. *I have heard of anything.*
It's a huge market and it includes; universities, publishers, student loan financing, device manufacturers, pharmaceuticals, distribution, everyone gets a cut.
Take the entire supply chain. Multiply each business cost by whatever the big markup is, and the cost just increases exponentially down the chain.
We rely on the free market to determine a fair price for most goods and services but it can't work for healthcare because there are too many people who would be priced out of the market, so we to rely on government and insurance companies to pay the bills of those who can't pay and the whole free market pricing is distorted. *Anytime you have services that people must have to survive, then government has to step in and when government steps in, free market pricing steps out.About 60 percent of community hospitals are nonprofit, all community
health centers are nonprofit, almost 30 percent of nursing homes are nonprofit, and about 17 percent of home health care agencies are estimated to be nonprofit.
Being nonprofit doesn't mean you don't make money; you just have to keep in the business.
*Yeah, it doesn't mean the CEO salary can't be one bazillion dollars.
It's all that came to mind. *I don't see that there really is a good solution given our market business structure. *I have heard of anything.*
It's a huge market and it includes; universities, publishers, student loan financing, device manufacturers, pharmaceuticals, distribution, everyone gets a cut.
Take the entire supply chain. *Multiply each business cost by whatever the big markup is, and the cost just increases exponentially down the chain.
I want everyone to thing about this very carefully. This has nothing to do with your political beliefs or what type of healthcare system you think we should have. This is strictly about understanding the devastating amount of money we spend on healthcare in the US.
In the US, we are paying right around $9000 per year per person for healthcare. That is $9000 per year for every single person living in the US, regardless of age and regardless of citizenship. It equates to over 17% of GDP. Here is what you need to understand about this number. Because it counts for every single person, for every year they are alive, the lifetime cost for healthcare in the US for the average person who lives to be 78 years of age is $702,000. This is the amount we are currently spending in today's dollars for a lifetime of healthcare for one person.
Now, that amount is broken down and divided between employers, individuals, taxes for Medicare and Medicaid, and numerous other programs. But the bottom line is that we are spending over $700,000 per person. Now consider an average middle class income of $50,000 per year. If a person earned an average of $50,000 per year for a full 43 years, working from age 22 until retirement at age 65, they would earn $2,150,000. Now that is for someone earning $50,000 per year. We know that many people never earn anywhere near that. But even at that level, we are saying that 1/3 of all income earned would go to cover ones healthcare expenses. Because the cost of healthcare is spread over 78 years, it only works out to $9000 per year, but it must be paid for during one's working years, so the total really works out to over $16,000 per year per person.
These numbers are mind boggling, and they really do not make any sense, but this is what we are paying. How did we let this happen? And what can we do to change this? This type of spending on healthcare is unsustainable, and it is only projected to increase. Healthcare costs are bankrupting this country. It doesn't matter if it's with or without Obamacare; healthcare costs are completely out of control, and the truth is that business cannot afford it, with or without Obamacare. American companies cannot compete in the global market where their competitors do not have these costs for employee healthcare.
When looking at these numbers and their effect on American business, I can tell you that we will almost certainly end up with a one payer system at some point.
I want everyone to thing about this very carefully. *This has nothing to do with your political beliefs or what type of healthcare system you think we should have. This is strictly about understanding the devastating amount of money we spend on healthcare in the US. *
In the US, we are paying right around $9000 per year per person for healthcare. *That is $9000 per year for every single person living in the US, regardless of age and regardless of citizenship. *It equates to over 17% of GDP. *Here is what you need to understand about this number. *Because it counts for every single person, for every year they are alive, the lifetime cost for healthcare in the US for the average person who lives to be 78 years of age is $702,000. *This is the amount we are currently spending in today's dollars for a lifetime of healthcare for one person. *
Now, that amount is broken down and divided between employers, individuals, taxes for Medicare and Medicaid, and numerous other programs. *But the bottom line is that we are spending over $700,000 per person. *Now consider an average middle class income of $50,000 per year. *If a person earned an average of $50,000 per year for a full 43 years, working from age 22 until retirement at age 65, they would earn $2,150,000. *Now that is for someone earning $50,000 per year. *We know that many people never earn anywhere near that. *But even at that level, we are saying that 1/3 of all income earned would go to cover ones healthcare expenses. Because the cost of healthcare is spread over 78 years, it only works out to $9000 per year, but it must be paid for during one's working years, so the total really works out to over $16,000 per year per person. *
These numbers are mind boggling, and they really do not make any sense, but this is what we are paying. *How did we let this happen? *And what can we do to change this? *This type of spending on healthcare is unsustainable, and it is only projected to increase. *Healthcare costs are bankrupting this country. *It doesn't matter if it's with or without Obamacare; healthcare costs are completely out of control, and the truth is that business cannot afford it, with or without Obamacare. * American companies cannot compete in the global market where their competitors do not have these costs for employee healthcare. *
When looking at these numbers and their effect on American business, I can tell you that we will almost certainly end up with a one payer system at some point.
There is so much waste in the system. *No accountability.
Like my physician friend told me...after I commented about dizzy spells and then watched a Youtube showing the Epley manuver....I used self help and it completely cured my dizziness, yet he suggested I go get an MRI to make sure there isn't a tumor....
How many times does this overdiagnosis happen, when someone else pays for it?
I want everyone to thing about this very carefully. *This has nothing to do with your political beliefs or what type of healthcare system you think we should have. This is strictly about understanding the devastating amount of money we spend on healthcare in the US. *
...
When looking at these numbers and their effect on American business, I can tell you that we will almost certainly end up with a one payer system at some point.
I want everyone to thing about this very carefully. *This has nothing to do with your political beliefs or what type of healthcare system you think we should have. This is strictly about understanding the devastating amount of money we spend on healthcare in the US. *
In the US, we are paying right around $9000 per year per person for healthcare. *That is $9000 per year for every single person living in the US, regardless of age and regardless of citizenship. *It equates to over 17% of GDP. *Here is what you need to understand about this number. *Because it counts for every single person, for every year they are alive, the lifetime cost for healthcare in the US for the average person who lives to be 78 years of age is $702,000. *This is the amount we are currently spending in today's dollars for a lifetime of healthcare for one person. *
...
When looking at these numbers and their effect on American business, I can tell you that we will almost certainly end up with a one payer system at some point.
