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142 points helloworld | 1 comments | | HN request time: 0.208s | source
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seibelj ◴[] No.12306806[source]
Can anyone succinctly explain the benefits of having a market for private health insurance companies, rather than a single provider of health insurance (government, aka "public option")? Can a capitalist case be made for their existence? Does the lack of a large private insurance market in countries with government-provided health insurance cause lots of inefficiencies and waste?
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lettergram ◴[] No.12306896[source]
The main issue with healthcare in the u.s. actually has to do with Medicare, Medicaid, and social security.

All of the state options pay only ~10% of what they are billed no matter how large the bill (there is also usually a cap). This forces hospitals to charge exorbitant prices. Private insurance options pay larger percentages: 12 - 50%. People without insurance usually will pay either 100% or 0%, with some people negotiating in between.

Honestly, the easiest way to fix it is to get rid of Medicare, Medicaid, and social security or force everyone to pay 100% as opposed to negotiating lower rates.

Fyi I worked in a medical billing office for 5 years. We did payment processing for about 30% of all hospitals on the east coast and Midwest

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snsr ◴[] No.12306925[source]
> Honestly, the easiest way to fix it is to get rid of Medicare, Medicaid, and social security or force everyone to pay 100% as opposed to negotiating lower rates.

Bullshit. This isn't an easy problem, and you're casually dismissing systems that support millions of people.

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1. lbotos ◴[] No.12307758[source]
I think the point was if everyone had to pay "full price" the full price would be lower, but right now the prices are inflated so 10% of the price is what they actually hoped to make.