The simple answer is that no one cares about poor people. And both sides make money off poverty.
I canāt tell you how many times Iāve heard people joke āThe neighborhood just got a little too dark,ā at their country club.
The comon belief that āIt canāt happen here.ā.
For impoverished people it means good things canāt happen where they live.
And thereās a lot of evidence all around them to substantiate that belief.
So Iām at the doctor for a routine check-up and itās 20 minutes past my appointment time. Still waiting. They have a sign that says if Iām 20 minutes late theyāll cancel my appointment and charge me $50. Itās aggravating. And adding insult to injury, they specifically note theyāll bill me directly, insurance wonāt pay for it. Is this when I shoot an insurance executive?
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You showed up on time? You had a twenty minute cushion.
You could just leave.
Just did, lol.
Shouldnāt you get paid $50 if they were 20 minutes late?
Thatās what Iām saying.
Thanks a lot, Brian Thompson.
They expect you to respect and value their time, but take little, if any, regards to your time.
I was checked in, in a patientās room, and had my vitals taken. And then I had waited there for 45 minutes. I had another commitment later that day. No one came to give me an explanation for the extended wait. I just got up and left. Someone from the doctorās office called me after I got in my car and on my way. They asked why I left. I canāt recall my explanation, but I rescheduled another appointment.
If Luigi wasnāt getting his shit pushed in he could ask to see the manager
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Itās gotten to the point where I just donāt try to work a day when thereās a doctors appointment for me or my kids. Itās going to eat up the whole day anyway. And while I have a great doctor (who you can tell really cares) he has his phone on speaker in the background during my appointment because itās a mandatory zoom call to keep his insurance active to participate in the system.
Youāre all pussies with doctors that bully you. How about telling them you have other commitments and will leave if you arenāt taken care of in X minutes. With that said, Iāve never had a doctor or dentist make me wait that long. But I donāt give off limp wristed vibes.
I told them to have the doctor call me if he saw anything alarming in my labs.
He wonāt. Quest sends results directly to patients and I looked at them.
Honestly not even sure why I have to go to the doctor. I do it to keep a TRT prescription active, but itās the same shit every time. He literally reads the labs to me and schedules my next appointment.
Then they charge me my copay and bill insurance the other $200 or whatever for the 5 minute consult that really didnāt do anything and scurry to the next room.
Itās almost like the healthcare industry is abusive for profit, or something.
You are a limp wrist vibe.
Youāre the one who needs TRT.
Itās true. But I like humming above natural and got there via the āquality of lifeā questionnaire vs blood work so thereās that.
Youāre still a limp wrist vibe either way. Sorry.
And a lot of inmates are cheering for him. Most of those inmates themselves or relatives have probably been a victim of this lousy āhealthcareā in this cess-pool of a country.
The way it was explained to me, the insurance has a designated payout per purpose of office visit.
My one buddy explained it to me minute by minute, and I checked on my next cardiology visit. He and the Dr. nailed it, down to the second.
Its like that because since the price is fixed, the money is in number of visits. Its also not just about the Dr.'s paycheck. Thats covering the entire run rate of the office.
Yes, insurance negotiates rates with the network providers, which is then spun as cost control, and it is, but itās controlling the cost of care itself which behooves insurance bottom lines. And ultimately benefits us, as healthcare consumers.
In most cases doctors are employees of healthcare systems who set costs, and their profit margins could be an interesting avenue to explore in the dialogue of ātoo much profitā vs delivered care and health outcomes.
It doesnāt change the equation, it just illustrates the dynamic.
I remember reading something about Trump discussing a policy forcing hospitals to publicly post service costs, and include all incidentals and bullshit fees. IMO this would force hospitals and other medical systems to operate in free market pressure, where educated consumers can pick the best option.
This doesnāt address insurance, but as healthcare costs themselves are driven down, pressure on the money in/money out ratio will alleviate as well, and insurance, like any business will use rate adjustments (consumer pricing) to stay competitive against one another.
But it all starts with cost leaders and always will.