Healthcare USA #1

Prescient:

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Society is going to need a new word for the feeling of relief that ones 11 year old post isnā€™t regrettable.

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Iā€™m going to propose a rule for a word that doesnā€™t exist yet. If said post was in OOT, add the prefix super.

I have a feeling the Germans already have 17 words for that

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One word, 17 syllables, extremely specific. Probably used to be about the feeling of relief you get after eating poop when you donā€™t get sick.

After we started using him we found out our pediatrician had invented some cushion designed to help babies sort out their flat heads. I vaguely knew it was an area filled with BS so was a little worried, but he seemed good so whatever.

Then, a few months later we were the usual paranoid parents and wondering if our kidā€™s head needed attention, so we asked about it. He basically told us we were crazy and that, in any case, they get better on their own anyway. Heā€™s a good doctor but a terrible capitalist.

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https://mobile.twitter.com/wendellpotter/status/1224774419849129984

U should regret listening to Adam Carolla if u donā€™t already

Quit a long time ago, not too long after he started his ā€˜networkā€™. He was legit funny before.

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https://twitter.com/doctorow/status/1226523594022440962

https://twitter.com/doctorow/status/1226523594609397767

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I thought of an analogy for the health crisis in the US.

Your house is on fire. There are fire extinguishers. Youā€™re not sure how to use them.

Bernie shows you how to use them and says: ā€œuse them right now!ā€

Moderate Dems/Media say: ā€œI want to help you, I really do. I can see youā€™re about to die from any myriad of calamities. But do you really think you know how to use the extinguisher? Have you done this before? What might go wrong if you try? Iā€™ll help you, but letā€™s just test the extinguisher at first to see what happens.ā€

GOP says: ā€œBurn, Motherfucker, Burn.ā€

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Sometimes hospitals send out bills before being reconciled with insurance. Other than noting they have insurance it has no insurance adjustments or insurance payments on there.

I am sure insurance will pay 13k and leave a remainder of 10k to pay off, becauseā€¦

Or I could be wrong but I have never paid any hospital off a statement like that.

As some people know, Iā€™ve been on the wrong end of the stethoscope since early January. Iā€™ve been getting a blizzard of bills, probably two or three daily from literally 4 docs, two hospitals, and my insurer. So far, from what I can tell everything is lining up with the exception of some sort of pharmacy screwup for some chemo med that Iā€™m supposed to start in two weeks and itā€™s not clear when Iā€™m going to get it - but everyone seems to think itā€™s going to work out. Weā€™ll see.

But I have an office manager who is a genius at this stuff bird-dogging it, and I can talk any of my local docs for questions pretty much 24/7 since theyā€™re also friends - Iā€™d be terrified if I was someone who just had this stuff dropped on their lap with no help. And the bills are completely incomprehensible to me, and Iā€™m a doc - weā€™ve cracked well over 100K in billings (probably with comfortably another 1-200K to go) and there could be probably 20% or so (either way) that Iā€™d have no idea is accurate, either care or cost wise. Happily, so far the grand total out of pocket once I hit my deductible has been $42.00 - which I sent to a specialist office because I think I got registered under an assumed name because Iā€™m ā€œspecialā€ - which I had specifically asked them NOT to do because I figured this would happen. On the one hand itā€™s $42.00. OTOH, its beer and pizza, and I like beer and pizza.

So, itā€™s interesting.

MM MD

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How many of those doctors/bills could you have realistically ensured weā€™re in network, under the circumstances?

If that was for me (if not I apologize) so far 100%. But Reno is basically a one hospital town, and my groupā€™s insurance is covered by the hospitalā€™s captive HMO/PPO - and that HMO/PPO is affiliated with Stanford, and Iā€™m in a clinical trial - so (so far) Iā€™m happily in a safe bubble of coverage - and I hit Medicare in October which is kind of the ā€œget out of jail cardā€ My one worry is that (hopefully) Iā€™m going to be on maintenance chemo for quite a while, + I get to wear a slick stocking cap I wear 18 hours a day for a indeterminate time that somehow magically treats me with electrical waves (and there, to a lowly ER doc itā€™s equivalent to black magic) - AFAIK Medicare is on board, but if not I may need to COBRA for an additional 18 mos, which Iā€™d have to be out of pocket for something like 20K or so. Doable for me, not for a lot of people - which is wrong.

And to me this is the WORST part of this stuff. I know that a lot of people are on the M4A train which is a discussion for another time - but there are all sorts of ways to improve things where a patient who needs help is SO dependent on getting stuff done that is opaque or impossible to understand - and if you canā€™t/are unable to get the system to get the help you need, itā€™s a fucking nightmare.

MM MD

https://mobile.twitter.com/ABC/status/1226779141661503488

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This is for a drug my previous insurance would not cover but my current one does:

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This is a girl I know from HS. She had premature twins a few months ago. God bless capitalism!

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ā€œInsurance covered it! Whew, all good!ā€

  • jman220
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