Private insurance companies have earned the public’s distrust. They routinely put profitability above their policyholders’ well-being. And a system of private health insurance provision also has higher administrative costs than a single-payer system, in which the government is the sole insurer.

But the avarice and inefficiencies of private insurers are not the sole — or even primary — reasons why vital medical services are often unaffordable and inaccessible in the United States. The bigger issue is that America’s health care providers — hospitals, physicians, and drug companies — charge much higher rates than their peers in other wealthy nations.

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76 points
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Anaesthesiologist take over your breathing and control your physiology when undergoing surgery. I want them handsomely compensated.

Edit: also let’s be honest here. Anthem isn’t going to take the savings from paying physicians less and pass them onto you the consumer. They’ll take the savings and issue a stock buyback.

2nd Edit: Turns out that the ACA has a provision preventing the pocketing of premiums. Thanks FlowVoid for pointing this out and unironically thanks obama. My first point still stands though.

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5 points

Sorry, they don’t get handsome compensation. Not when they have to pay back those student loans.

The era of the rich doctor is over. Medical group and hospital CEOs are the ones getting rich these days.

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29 points

Anaesthesiologists are not having trouble paying back student loans. It’s one of the highest paid specialties.

This article is BS as was Anthem’s policy. But, anaesthesiologists are doing just fine. If you want to feel bad for an MD, try pediatric oncologists or another specialty that isn’t in high demand.

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-9 points

I don’t know why you think anyone isn’t having trouble paying back student loans at this point.

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-2 points

My cousin is one, he is not wealthy. He is solid middle class, not sure it’s about putting workers against workers here

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20 points
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They’ll take the savings and issue a stock buyback.

They can’t do that.

The ACA requires large health insurers to spend 85% of their income on health care providers. If they don’t (eg because they start paying less to anesthesiologists) then the savings must be used to reduce premiums or give rebates to customers.

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2 points
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Hmm I didn’t know this. But is there anything stopping health insurers from spending the money on businesses they own (i.e. their own clinics, pharmacies etc)? If not I still fear they’ll run off with the savings.

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4 points
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United Health actually bought a bunch of health care providers, so they basically own a good chunk of the entire ‘vertical’ and somehow still ended up denying record amounts of claims.

What I don’t understand is why Americans are still looking to the federal government to solve the issue, instead of getting together and building a non profit co-op to deal with health care. Do the insurance part, gain market share by being the ones that actually don’t deny valid claims, start/take over hospitals, start making your own generic medicine, etc. If you don’t have to make a profit and appease shareholders you can take over the entire market. Local/state governments could provide some of the seed capital for this and make it the ‘public option’ in that state.

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2 points

Well, when you deny a claim from a clinic you own then it’s very likely your “savings” are losses for your clinic.

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