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514 points sarimkx | 2 comments | | HN request time: 0.498s | source
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codegeek ◴[] No.39372983[source]
"ELIMINATING MIDDLEMEN IN HEALTHCARE"

I honestly am game for this even though I have zero experience in healthcare but as a consumer, where do I start how bad it is. I would do anything to change our shitty healthcare system where there are so many middlemen b/w me and my doctor.

Recent event: Went to ER because my toddler son spilled hot coffee on him (thankfully he is ok and wasn't as terrible as it could have been). There was a pediatrician on call who looked at him for like 2 mins and then left. A nurse came in and most of her questions were about "insurance details".

Then they didn't tell me what the heck was going on and after pressing, they said "we are getting stuff for him. wait". Then after almost 1.5 hours of waiting where my son is wailing, they got some bandage (I kid you not) with some Over the counter stuff (bacytracin) and applied it on the burn. Then we went home.

Bill = $2000 after Insurance coverage. Our premium for family is $1800+/month btw . Then there is the deductible. Supposedly, the insurance company only partially approved the claim. Whatever the f that means.

If you don't see a problem with this whole cycle of experience, I don't know what else to say. And no, don't tell me to get better insurance. I want to get rid of all these middlemen mafia.

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KittenInABox ◴[] No.39373087[source]
This is almost certainly not a healthcare issue, but a political/lobbying issue. Solutions will happen in the political/lobbying space. We will need to fix shit like:

* very fast, arbitrary disapprovals of healthcare-- requiring 6 weeks of physical therapy before ordering a test of what is almost certainly a torn ligament or other thing is stupid and directly harms patient outcomes;

* enforcement of mental healthcare equality-- hospitals should have equal beds, equal availability, equal pay for workers, and insurance companies should also be paying equally for mental and body health;

* forcing the hands of drug price fixers-- that's right, it's not just insurance, or pharmaceuticals, it's a shitty middleman between them all that rolls up and sets prices on both sides, things like e.g. medicare negotiating drug prices directly will disrupt these fuckos

* DOCTOR OWNED HOSPITALS MUST COME BACK-- no more vulture finance that literally made this illegal

* hospital geographic monopolies must be eliminated-- that's right, hospitals can ban competition! No more of this!

* SAFE STAFFING RATIOS

* releasing the budget on residency-- that's right, the government sets how much money they are willing to put towards new doctors!

* jail time for negligent insurance decisions-- we know that insurance companies will slow-walk bureaucracy lifesaving healthcare to desperately ill, disabled people in the hopes they will die before the approval goes through

replies(1): >>39373101 #
1. codegeek ◴[] No.39373101[source]
I agree that it is more of a political issue at this point because the middlemen are way too powerful and would fight tooth and nail to keep raking in the moolah.
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2. KittenInABox ◴[] No.39373167[source]
Yes, I think some kind of technology that explicitly targets/disrupts the way lobbying works would be huge. I just don't think this is healthcare-specific unfortunately.