by Tyler_JC » Mon 14 Dec 2009, 01:29:25
$this->bbcode_second_pass_quote('Sixstrings', '
')Tyler, even before the financial crisis hit, medical debts accounted for 60% of bankruptcies. You seem to shrug this off, since it doesn't apply to the "vast majority" of Americans. Well no duh, the "vast majority" aren't critically ill all at the same time you know.. most of us are lucky and it won't happen until we're elderly and covered by Medicare.
So you have no sympathy whatsoever for those who are unlucky enough to get ill before 65? I guess these pathetic, uninsured waitresses just need to "pull themselves up by the bootstraps," they need to stop "running up" all those medical bills, they just need to "pay the true cost" of their cancer treatment and everything would be fine.
Here are a few facts:
$this->bbcode_second_pass_quote('', 'I')nsurance coverage varies widely by age. In general, almost everyone aged 65 or older has health insurance, mostly through the federal Medicare program. About 90 percent of children nationwide are covered. The national insured rate drops under 80 percent for working-age adults, those between 18 and 64.
http://www.ocregister.com/articles/health-212007-insurance-cities.htmlSo Tyler, are you arguing that the 10% of American children who are uninsured don't matter? And I guess the 20% of uninsured working people don't matter either? Oh, I misunderstood.. your point is these uninsured folks just need to "pay the true cost" of their medical care and then they could afford those surgeries and MRI's and chemotherapy.
Didn't Aaron post his own financial nightmare story on this forum? As I recall, his surgery saddled with him with something like an $800,000 debt that he has no idea how he'll be able to pay. I guess that's no big deal either, he's not in the "vast majority" so it doesn't matter.
To the Brits reading this, are you convinced? Would you trade your four pound hospital bill (parking) for Tyler's utopia of everyone saving up so they can "pay the true cost" of all their treatment?
(I don't like bringing others' personal stories into an argument, but I just can't see how you still think this way after Aaron shared his own experience with the forum)
1. The medical debt/bankruptcy thing is overblown. In 90% of bankruptcies, there was less than $5,000 in medical debt. Mind you, "medical debt" includes unpaid plastic surgery bills. That 60% figure you quote is based on the assumption that
any bankruptcy that includes
any medical debt means that medical debt caused the bankruptcy. That's just not true. There are some uninsured/underinsured people who get hit with huge medical bills they can't pay, leading to bankruptcy. But they don't number in the millions as the media reports. Medical debt is heavily concentrated in a few particularly sick individuals who fall between the cracks of Medicaid, Medicare, and COBRA. That's what we should be fixing.
SourceYou can argue that any medical bankruptcy is unacceptable in a rich society like the United States but you can't argue that medical debt accounts for most of the bankruptcies in this country.
2. When I talk about the true cost I don't mean having the patient pay 100%. I'm talking about having people pay at least something for their treatments.
Too many health insurance plans treat health care like an amusement park. You pay X amount to enter the park and then get to use as many rides as you want. Not only are the patients clueless about the real costs of their treatments but the doctors themselves often have no idea what it costs. One of the fundamental underpinnings of a free market is that both buyers and sellers have good information about prices. This isn't happening in the modern American health care system and it leads to a lot of wasteful spending.
How many billions of dollars are wasted on treatments with little prospect of improving the quality of life of a patient?
Just as an example, there are 25,000 Americans in persistent vegetative states who are being kept alive at a cost of $200,000/year. That's $5 billion that's effectively being thrown down the drain. If the patient's family had to pay even 1% of the cost of that treatment, more people would pull the plug.
A "single payer" system must either ration care or pass on the costs of excessive medical treatment to taxpayers. There's no free lunch.
3. The biggest problem with health insurance is that it comes attached to employment. This is an artifact of WW2 price controls. Why should anyone expect their employer to provide health insurance? Does your employer pay for your home insurance? Your car insurance?
Sick employees get fired and suddenly find themselves with no income and no insurance. That's a big cause of the medical bankruptcy problem and is something that should be addressed with COBRA reform.
But to get back to the OP, a quarter of people earning between $100,000 and $150,000 a year have effectively no savings. There's just no excuse for that. These comparatively rich people should not be so financially strapped that a $5,000 medical bill will send them into bankruptcy.