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Not propping anything up. The VA covers people who require specialized care for things that normal people don't usually have to deal with. It is what it is. The VA is massively underfunded in terms of healthcare. You can find their healthcare budget online at $65B. 10 million enrolled...

That study included therapy failure as a "drug mistakes". Not sure how anyone would assume that's rational. You get a multi-resistant pneumonia and die, how was any of that a mistake?

And providers inevitably give it to them. Thank you for pointing that out. It's a perfect example of waste. As far the MRI issue, if the issue was made based on whether or not it was cost-effective to require prior authorization then it doesn't matter if the MRI was warranted or if it wasn't...

Yet in spite of all that technology and world class ability, we have worse outcomes in key measure. We're paying for the Audi and getting something slightly better than a Corolla. Because those are the most comparable countries in terms of standard of living. It wouldn't make sense to...

Which entails what, asking the provider to justify his decision? Okay, easy enough. All you have to do is document a sufficient level of uncertainty for a diagnosis and who can question that? As for proving medical necessity, I doubt that. They may retain the right to "ask" for rationale...

I'm not saying they run off in the middle of the procedure. They finish the procedure and move on to the next one that's ready and waiting for them. I'm saying they have the ability to schedule more patients on a given a day and because they can make a shit ton, that's what they do. I don't...

He'll never be able to list that thing and successfully sell it. People are going to keep putting the bid into a realm where nobody can pay just to prevent the sale from ever occurring.

1. That's flat out bullshit because there are other payment models. If FFS was the ONLY way, other models wouldn't exist here in the US now would they? 2. You should probably either check your emotions at the door or stay on the sidelines. This is big boy talk. No need for emotionally...

And just so we're clear here, a large part of why fees are slashed is because the FFS model allows doctors to be reimbursed for everything they do regardless of whether or not it was medically appropriate. Doctors bill excessively. Some shit necessary, but a lot is not. Insurance companies...

Your doc did over 250 surgeries last year because he can make a fucking killing. Local newspaper publishes the top salaries for the 2 main healthcare systems in the area. Orthopedic surgeon came in at #2 on the list and pulled over $1.1M. These guys have control over multiple ORs at a time...

Fee for service is a shitty model that won't last regardless of whether or not the United States goes to a single payer system. It's largely part of the problem with runaway costs. It incentives volume rather than outcomes, which means that malpractice is a product of FFS by pushing people out...

Physician costs are but a fraction of the overall cost of healthcare. Administration takes up a much bigger percentage of the pie. I even went through the trouble of turning off Adblocker so you better read this shit...

So let them take some of that weight of providing security. That still doesn't address the fact that they pay less for healthcare. They wouldn't pay any more if they had to divert funds to national defense. A private healthcare system doesn't mean that non-contributing members actually...

Absolutely it would. Here's a study of 13 comparable counties. US is the only private health insurance system on the list. U.S. Health Care from a Global Perspective - The Commonwealth Fund Nearly every other country pays less. I think only two of them have higher spending per capita but...

I'd like to read those articles, but Forbes won't let you view their site with an ad blocker enabled. It looks like they now want you to sign up for something if you us an ad blocker. I have no interest in disabling my ad blocker or signing up for anything. 2 things that cause me to close a...

I guess the US Attorney General who is being called in to assist with the Hillary email debacle also played a part in extraditing the guy who hacked Hillary's server. I don't think she'll ever be convicted of a crime but she could take a big enough hit to preclude her from being elected, and if...

He said it last September in an interview he did with 60 Minutes. https://www.youtube.com/watch?v=6inQmf96SYQ Everyone is going to be covered. The government is going to pay for it. On the list of prerequisites for a single payer healthcare system, this pretty much hits them all.

Who gives a shit?

Last I heard his plan was to remove restrictions from marketing to certain areas, and do a bunch of other stuff that didn't include going to single payer. Of course a year ago he said he would go with single payer so who knows. Be interesting to see if his platform turns out to be more...

Trump moving left. Now in favor of raising the minimum wage. Won't be too long and I think he's going to go back to Universal Healthcare.