C-SPAN-2
video 1/27/17 to Congressional Staffers
Peter Van
Doren tells us about health-care costs in the US, what works and what doesn’t
work. He admits that “stylized facts” are really assumptions.
Healthcare
expenditures rise with age $3500 under age 19 and over $32,400 over age 84. The
overall average is $10,000 a year. Of
325 million Americans, We spend $millions on a few really sick people.
Most
people aren’t sick.160 million Americans or 50% of the population spends close
to nothing on healthcare. They spend $264 per year. The sickest 1% or 3 million
people spend $107,000 a year or 25% of all health expenditures. The top
5% or 15 million spend 50% of all health expenditures.
The
rationale of Obamacare is to force the healthy people to pay for the sick
people. “Community rating” is force. The uninsured are not costing us and are
not a net burden. So, making everybody insured is just a scam to make us pay
for the really sick people.
The Poly
Paper says that the low cost premium should be based on age if you’re not sick. Very sick people live about 4 years.
John
Cochran, 2009, University of Chicago Economist says that sick people need
health status transition insurance.
Guaranteed
Renewable Health Insurance Contracts did exist. Individual insurance that
contains health status transition insurance could replace Employer sponsored
insurance.
Health
mass screening doesn’t really work, they just cost money. Annual physicals
aren’t needed. If they find things, don’t take the treatment. For every biopsy,
2% of patients die in a year whether treated or not. Manual self-exams should
replace mammography. Non-Prophets make money by scaring people into having lots
of screening. Medicaid is unnecessary. If you are over 300 lbs. you won’t live
long and you can fix this yourself.
The
uninsured don’t cost us money. Watch out for prices hospitals charge. Hospitals
charge more for treating 2/3s of the uninsured. Also, we need to cost-reduce
treatments.
Comments
This
video is a must see for everybody. It answers most of the questions I’ve had
about our fractured medical industry.
I think
the reason Republicans are pushing medical savings accounts is to cover people
when they are really old and really sick. It’s a form of self-insured health
status transition insurance.
Patients
need to begin demanding cost estimates before they enter the hospital and
insist that the bills show the same charge that was quoted.
Patients
need to understand the costs and benefits of treatments to get ready for
honesty in medicine.
Norb
Leahy, Dunwoody GA Tea Party Leader
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