Thank you, Roundtable, for reading my question! Greatly enjoyed hearing y'all's perspectives. Matt's intro had me spitting out my coffee with laughter. I didn't mean to imply that *only* libertarians are prone to believing conspiracy theories, but your answers still gave me a lot to think about. Love the pod, keep up the great work!
Geez, people, it's not the insurance companies, it's not the doctors, it's the mass of government legislation and regulation that has changed the incentives in the health care industry. if you want to point fingers, they need to point first to the politicians and bureaucrats who created and enforce these regulations. They were intended to make health care in the U.S. better, and quite obviously, they have made health care worse, instead. And then there are the people who do want to blame insurance companies, but never blame the laws and regulations that the insurance companies have to work under. It's *never* the government's fault, according to these Stockholm Syndrome victims. Just look at the other commenters on this video who aren't blaming the government and the regulations, but instead call it market failure, or the problem with a for-profit system or whatever! We're libertarians--government is the biggest part of the problem. Get government out of health care and health insurance. Easier said than done, of course, but there's no better solution. Conspiracies? I think as a libertarian, you have to wonder if there's some nugget of truth at the bottom of various conspiracies. But you don't automatically believe them without some evidence to support the idea. Some of them are true, like the MKUltra thing that Nick mentioned, Japanese-American internment during WWII, or the Tuskegee syphilis experiments. But not ALL of them are true, certainly. In any case, the open conspiracies right under our noses that everyone sees but doesn't think about are concerning enough without engaging in secret conspiracies. Things like the creation and function of the Federal Reserve Bank, or the electoral restrictions on third parties and independent candidates. The increasing government control of our lives with things like zoning, licensing and other restrictions and regulations. Most of those aren't hidden, but are in plain view for everyone to see, with many people cheering them on. If those aren't conspiratorial, I don't know what is. I like the Remy clip at the end. I need to look up that video and re-watch it. Or for that matter most of the Remy videos, they're usually quite good.
I’m only half way through, but I’m in public now and can’t listen to the rest. Two point - 1. To say that this murder should lead to a health care discussion is disgusting. 2. The discussion is insane. Doctors salaries are rarely controlled by doctors. You may think 450k sounds like a lot, but you are paying for 8 years or higher education, 5 years of minimum wage labor (residents work 80 hours a week and make less than nurses who work half that) and starting your first real job at 31. You then have to save like crazy and spend $5k/month on student loans - in after tax dollars because you will make too much to write that off, so think $9k/month - and to make that you are still working 80 hours a week - nights, weekends, holidays and have one of the highest suicide rates in medicine because no matter how perfect you are, you will loose patients and have bad outcomes. Is it still a good deal, generally yes. Have doctors ever been told to take half - yeah, we call it Medicaid, which pays half of Medicare and that only pays 80% of commercial insurance. Also, you and I can agree on getting rid of the AMA. Whatever they are doing, I can’t tell. By the way, not anesthesia. I’m OB and it’s far worse on our side. As for us limiting providers, what to you thing AA, CRNA, NPs, PAs and CNMs are? Those programs are often heavy on book learning and light on clinicals. It does affect how they should be allowed to practice. After 4-5 years of seasoning, they are fantastic - it just isn’t required like residency is for doctors. You want my number one suggestion for improving cost, require everyone to post what they charge for things. You wouldn’t go for an oil change without asking what it will cost, why should you not be able to compare prices up front. Also, PBMs are a monopoly and a rip off. How about putting justice on that instead of the green text message bubble that lets me know my texting companion isn’t as good as me.
RE: health insurance Why don't they mention that not all health insurance plans are the same. Some cover more than others. The discussion never mentions this. You buy cut rate insurance you get cut rate coverage. Even if you're plan is from your employer my experience is that you do have some choice in your health insurance plan.
Nick I'd correct you to say hospitals are the bigger issue than individual doctors. If you look at the amount of MD's/DO's in private practice v those in a hospital system private practice docs are vastly outnumbered. Also the doc boards etc. Aren't representing of majority of docs. I'd also say one issue is incentive structures. Right now the way the system is setup is not to put a focus on primary docs or even OB docs. It's on specialist, thats where the real money is. We need to revise the system with a focus on primary docs to address and focus on the health issues facing people
You can color me shocked if Syria turns out to have any kind of peaceful settlement after the fall of a government in this fashion. it would not be typical. I'll allow myself to be 1% optimistic.
Just donated to the Reason web-a-thon despite Nick saying that I make too much money as a physician and am part of the problem with the US healthcare system. Nick, I don't make as much as those horrible anesthesiologists you mention, but I'm guessing they also spent 12 years of their young life in school racking up student and sleep debts so that they could try to intervene in peoples' times of health crisis. In that, according to the National Bureau of Economic Research, physician earnings account for only 8.6% of healthcare spending, I think we should look elsewhere first to limit healthcare costs. You mention the crisis of not enough physicians. Lowering their pay is not likely to help that situation. Nor will it substantially lower the cost of healthcare.
Are you talking about GPs or specialists? If it's the latter then yes, it can take months; however, if it's the former it's not difficult to get appointments on the same day. Also, it's important to think about why this has become a problem, because it hasn't always been the case. The NHS has been underfunded for quite a while now, and it was severely hampered by the austerity policies of the coalition government of 2010-2015. Add to that the shortage of staff and the enormous strain felt during the pandemic and it's not surprising that the wait has increased in the UK. More funding, better spent, would change this.
@@thefuturist8864 If you can get a same-day GP appointment then you're very lucky, I certainly can't. According to NHS statistics, in October 2024 only about 38% of GP appointments took place on the same day. The NHS was underfunded in the past relative to comparable countries, as is typical of state-funded institutions. However, this has not been true since Blair/Brown's second term in office. Whilst NHS spending fell relative to GDP during the Coalition years, it still grew in real terms. In 2022 the UK spent 11.3% of GDP on healthcare. That is a greater proportion than both Switzerland and The Netherlands which both achieve vastly superior results. The government will keep pouring more money into the NHS but previous examples of this have seen its productivity go down, not up. The underlying problem is that the NHS is and always has been a dreadful system that no amount of money can improve. Unfortunately, the UK electorate will never admit this and no government could denationalise it without committing political suicide.
It's OK for care to be rationed. Humans have a problem with the rationing being related to profits. The French system is good because all the money is managed by the state while the providers are made to compete in the marketplace.
@macsnafu silly me. I'm on a libertarian channel. Yes, if we're going to have a government at all (deal with it, AnCaps and Libertarians) then it should manage the resource pool of socialised care. It's been demonstrated to work correctly in several European countries.
@@TessaTickle Yes, very silly of you, unless you're just here to troll us! Lots of systems "work", but clearly some work better than others. RUclips comments is a terrible place for proof and links and such, but I certainly think we can do better than the overregulated, mixed system the US has now without coercively politicizing the system as most of Europe has done. Unfortunately, many people have to learn the hard way. I guess you're one of them.
@@TessaTickle Yes, indeed. Silly you, unless you're just here to troll us! A lot of things 'work' to some degree or other, that's definitely been demonstrable proven. But some things work better than others. I'm not sure how you have "socialized care" without government, but whatever. The U.S. heavily regulated, mixed system is just weird. It's like the politicians are trying to force us to have the worst of both systems. A conspiracist might even think it's a deliberate plot to force us to accept nationalized health care. But I think we can do a lot better than to completely turn over our health care to politicians and bureaucrats. I mean, they did such a wonderful job with delivering the mail, educating our children, and conducting wars, among other things; why *shouldn't* they do a great job at delivering health care? 😕
@@macsnafu LOL. The French, despite years of holding onto their shitty system, reformed it in the mid 2000s and now it works brilliantly. Look into how they did it.
Among the many problems of the insurance-- you are paying for a service, so when your doctor orders something and the insurance won't pay for it, you basically are not receiving the service you paid for. Consumers wouldn't tolerate that happening through any other private company. The insurers aren't clear about that they are rationing your care. I don't know who exactly is to blame, but it's certainly a market failure in that respect.
Agree. We have to stipulate that a president isn't allowed to pardon everything a person might do in the future? I can see the founding fathers saying, "We're not going to include that in the Constitution. Who would ever think that would be OK?"
The people celebrating Brian Thompson's death have a wide range of political views, which is why even Ben Shapiro is getting dunked on by his audience. Call me a cynic, but I do not expect his audience to vote in a way that would get rid of the private insurance death panels. Instead, they will very likely revert to their "keep your government hands off my Medicare" instincts.
I wouldn't call it cynical I'd call it a strawman it's like saying the people who say racist stuff in The Young Turks comments are authentic fans or that the trump shooter was a Republican or BLM is a grass roots organization it's not true on the face of it let alone underneath and it's fiction is so glaring idk why people pretend or J6 was almost the end of democracy the only reason people say it is to convince other people they aren't just fascists "30 cops died on J6" "actually it was 5 cops" "actually it was 1 cops" "okay they had alternate electors" it's all State talking points everyone knows aren't true except people who are completely uninformed or dishonest
US Vets can opt in to the VA Healthcare system. Only 1 in 3 do. If, IF, that ever gets up to 9 in 10 vets opting in, you can talk to me about universal healthcare in the US because you will have made a program that works.
I think Katherine and Peter are right. Doctors are overpaid but also overworked (and many times overqualified for their day-to-day). Ironically, letting the free market increase supply of doctors would probably give a tradeoff, less money but less hours, that would be welcomed by many of them. People are clearly following the incentives.
I might tweak your comment at bit by saying SOME doctors are overpaid. But I think most are fairly compensated for the costs of entering the field and the high costs of practicing medicine. It is hard to place a price on the services of the person who dedicated at least 12 years of their life to training and then is responsible for human lives. To be paid less would mean changing the cost of training, the cost of practice (in dollars, hours, and stress), the legal environment, as well as the expectation of having to be available 24/7.
@@mdduff01 I think this is fair. To expand a bit, the artificial scarcity allows the medical schools take advantage of the high salaries by inflating the costs of medical school (mostly to pad their endowments). And because of the artificial scarcity in the higher paying specializations, the education has unnecessary qualifications inflation. This comes at a high opportunity cost to those delaying their post-residency salary. But this all results in fewer doctors with higher salaries who are overworked.
We do have real markets in healthcare. Dentists have to compete. Imaging centers have to compete for cash payers. When you are a cash payer and may or may not get reimbursed by a health sharing ministry, your approach to obtaining healthcare services changes. You are upfront and blunt about asking for cash prices. You call multiple facilities to get their cash price. It's kind of like buying a large appliance and calling appliance stores. Did this for my kid's wisdom teeth and had a very good experience. Go figure.
I ran employer health plans for 25 years. UHC has long had a reputation of high denials and a generally difficult claims process. As a health plan administrator I would never contract with them specifically for that reason. Another little known fact is that they also own a PBM - OptumRX. Again, I would always stay away from them as well.
This 'play nice' strategy was also voiced by the Taliban. We all know how that turned out. I believe that is exactly what is happening here. The rebels/terrorists know this is a crucial period. Why stir the ire of the US, Europe, Israel and anyone else who give hoot about human rights when you don't have control of the country?
Anyone remember when Chris Matthews was fired for saying protestors would be calling for the deaths of CEOs in the streets i mean besides the Associated Press NPR WaPo the NYT and PBS i mean those few mostly online 6 people sort of defending these sorts of actions
My perspective on conspiracy theories is that I should always be a skeptic, particularly when it comes to the govt. Time and again the govt may give some answer on an issue but either without evidence and/or not addressing contravening evidence. The govt has been caught too many times in monumental lies to really ever trust them. Our founders knew this and encouraged us to be an active populace. If we are not all caretakers of our democracy, we will (have?) surely lose it.
I keep getting thrown around that they deny at rates higher than anyone else let me just remind you that someone has to be the one that denies at higher rates than anyone else. It's reasonable.
Car insurance and health insurance are two totally different things, in almost no way are they alike. Health insurance is more like a discount card, acc to a guest on Peter Attia recently. Something you all should watch and learn from.
I'm far from socialist, but I have also had to use United Healthcare insurance and was screwed by them so I am also cheering the message sent. When the courts and laws are effed up like they are now, sometimes direct justice is the only justice achievable.
When it comes to dismissing conspiracy theories, it's useless to lump them all together as if they are simply all crazy and negate specific cases where official narratives are demonstrably false. Some theories have no basis at all, of course, but increasingly the ability of the state to maintain narratives that once would not have been questioned very much has greatly lessened and that alone, for the sake of all liberty-loving people, is a good thing.
There has always been a selective compassion among the political left (often *highly* selective), and while we've mainly seen it directed against white people and males over the past 10-12 years there has still been a low hum of antipathy towards anyone who happens to have wealth. It's a fair point to say that a CEO of a healthcare company could perhaps try to bring in changes that would enable more people to access better healthcare, but it's also a fair response to say that any such company that has shareholders will always have a duty to them before anything else and that something more fundamental would need to change in order for healthcare to be more easily accessed. Killing him means that he can never be held accountable for the decisions he made during his time as CEO, and sends a message that an individual's sense of justice should be prioritised over the general safety of all.
Payments to physicians decrease as a total share of Healthcare spending every single year. Currently, payments to physicians makes up 6% of Healthcare expenditures (down from 15% in the 90s). Nick's comments are factually inaccurate and not effective at decreasing Healthcare costs.
Canadian here- you paint a picture of rationed care...hmmmm...sure- you might wait a while in the Emergency Room, but I dont wait at all for my ongoing cancer care. My healthcare is exceptional. I won the geography lottery by being born in Canada.
I would rather have the Canadian healthcare system than the American one. But Canada does have uniquely long wait times among countries with universal healthcare. I would prefer almost any other country with universal healthcare to Canada.
When the people operating the trolley and the trolley switch are out for the money alone, the people on the tracks and in the trolley are going to be pissed.
For instance, I am in a current dispute between my medical institution and my insurance company. Who are both sending letters back and forth in the mail! These are in-network partners and their dispute resolution system is designed to stymie the process.
If you enjoy The Reason Roundtable, please consider donating to Reason during our annual webathon: reason.pub/3B20W2C
Thank you, Roundtable, for reading my question! Greatly enjoyed hearing y'all's perspectives. Matt's intro had me spitting out my coffee with laughter. I didn't mean to imply that *only* libertarians are prone to believing conspiracy theories, but your answers still gave me a lot to think about. Love the pod, keep up the great work!
Geez, people, it's not the insurance companies, it's not the doctors, it's the mass of government legislation and regulation that has changed the incentives in the health care industry. if you want to point fingers, they need to point first to the politicians and bureaucrats who created and enforce these regulations. They were intended to make health care in the U.S. better, and quite obviously, they have made health care worse, instead.
And then there are the people who do want to blame insurance companies, but never blame the laws and regulations that the insurance companies have to work under. It's *never* the government's fault, according to these Stockholm Syndrome victims.
Just look at the other commenters on this video who aren't blaming the government and the regulations, but instead call it market failure, or the problem with a for-profit system or whatever!
We're libertarians--government is the biggest part of the problem. Get government out of health care and health insurance. Easier said than done, of course, but there's no better solution.
Conspiracies? I think as a libertarian, you have to wonder if there's some nugget of truth at the bottom of various conspiracies. But you don't automatically believe them without some evidence to support the idea. Some of them are true, like the MKUltra thing that Nick mentioned, Japanese-American internment during WWII, or the Tuskegee syphilis experiments. But not ALL of them are true, certainly. In any case, the open conspiracies right under our noses that everyone sees but doesn't think about are concerning enough without engaging in secret conspiracies. Things like the creation and function of the Federal Reserve Bank, or the electoral restrictions on third parties and independent candidates. The increasing government control of our lives with things like zoning, licensing and other restrictions and regulations. Most of those aren't hidden, but are in plain view for everyone to see, with many people cheering them on. If those aren't conspiratorial, I don't know what is.
I like the Remy clip at the end. I need to look up that video and re-watch it. Or for that matter most of the Remy videos, they're usually quite good.
I’m only half way through, but I’m in public now and can’t listen to the rest. Two point - 1. To say that this murder should lead to a health care discussion is disgusting.
2. The discussion is insane. Doctors salaries are rarely controlled by doctors. You may think 450k sounds like a lot, but you are paying for 8 years or higher education, 5 years of minimum wage labor (residents work 80 hours a week and make less than nurses who work half that) and starting your first real job at 31. You then have to save like crazy and spend $5k/month on student loans - in after tax dollars because you will make too much to write that off, so think $9k/month - and to make that you are still working 80 hours a week - nights, weekends, holidays and have one of the highest suicide rates in medicine because no matter how perfect you are, you will loose patients and have bad outcomes. Is it still a good deal, generally yes. Have doctors ever been told to take half - yeah, we call it Medicaid, which pays half of Medicare and that only pays 80% of commercial insurance. Also, you and I can agree on getting rid of the AMA. Whatever they are doing, I can’t tell. By the way, not anesthesia. I’m OB and it’s far worse on our side. As for us limiting providers, what to you thing AA, CRNA, NPs, PAs and CNMs are? Those programs are often heavy on book learning and light on clinicals. It does affect how they should be allowed to practice. After 4-5 years of seasoning, they are fantastic - it just isn’t required like residency is for doctors. You want my number one suggestion for improving cost, require everyone to post what they charge for things. You wouldn’t go for an oil change without asking what it will cost, why should you not be able to compare prices up front. Also, PBMs are a monopoly and a rip off. How about putting justice on that instead of the green text message bubble that lets me know my texting companion isn’t as good as me.
RE: health insurance
Why don't they mention that not all health insurance plans are the same. Some cover more than others. The discussion never mentions this. You buy cut rate insurance you get cut rate coverage. Even if you're plan is from your employer my experience is that you do have some choice in your health insurance plan.
Nick I'd correct you to say hospitals are the bigger issue than individual doctors. If you look at the amount of MD's/DO's in private practice v those in a hospital system private practice docs are vastly outnumbered.
Also the doc boards etc. Aren't representing of majority of docs.
I'd also say one issue is incentive structures. Right now the way the system is setup is not to put a focus on primary docs or even OB docs. It's on specialist, thats where the real money is. We need to revise the system with a focus on primary docs to address and focus on the health issues facing people
You can color me shocked if Syria turns out to have any kind of peaceful settlement after the fall of a government in this fashion. it would not be typical. I'll allow myself to be 1% optimistic.
Next time someone tells you the Soviet nightmare wasn't "real socialism" and has no bearing on the modern American socialist movement, remember this.
Just donated to the Reason web-a-thon despite Nick saying that I make too much money as a physician and am part of the problem with the US healthcare system. Nick, I don't make as much as those horrible anesthesiologists you mention, but I'm guessing they also spent 12 years of their young life in school racking up student and sleep debts so that they could try to intervene in peoples' times of health crisis. In that, according to the National Bureau of Economic Research, physician earnings account for only 8.6% of healthcare spending, I think we should look elsewhere first to limit healthcare costs. You mention the crisis of not enough physicians. Lowering their pay is not likely to help that situation. Nor will it substantially lower the cost of healthcare.
Thanks for your donation!
Does the bureau list any much larger percentages? I'm curious. Or u could just post a link.
Correction: Peter Suderman said that in the UK the wait to see a doctor is several 'weeks'. That should have been 'months'.
Are you talking about GPs or specialists? If it's the latter then yes, it can take months; however, if it's the former it's not difficult to get appointments on the same day. Also, it's important to think about why this has become a problem, because it hasn't always been the case. The NHS has been underfunded for quite a while now, and it was severely hampered by the austerity policies of the coalition government of 2010-2015. Add to that the shortage of staff and the enormous strain felt during the pandemic and it's not surprising that the wait has increased in the UK. More funding, better spent, would change this.
@@thefuturist8864 If you can get a same-day GP appointment then you're very lucky, I certainly can't. According to NHS statistics, in October 2024 only about 38% of GP appointments took place on the same day. The NHS was underfunded in the past relative to comparable countries, as is typical of state-funded institutions. However, this has not been true since Blair/Brown's second term in office. Whilst NHS spending fell relative to GDP during the Coalition years, it still grew in real terms. In 2022 the UK spent 11.3% of GDP on healthcare. That is a greater proportion than both Switzerland and The Netherlands which both achieve vastly superior results. The government will keep pouring more money into the NHS but previous examples of this have seen its productivity go down, not up. The underlying problem is that the NHS is and always has been a dreadful system that no amount of money can improve. Unfortunately, the UK electorate will never admit this and no government could denationalise it without committing political suicide.
It's OK for care to be rationed. Humans have a problem with the rationing being related to profits. The French system is good because all the money is managed by the state while the providers are made to compete in the marketplace.
So health care should be rationed based on political whims and desires instead of profits? I don't think that works better!
@macsnafu silly me. I'm on a libertarian channel.
Yes, if we're going to have a government at all (deal with it, AnCaps and Libertarians) then it should manage the resource pool of socialised care. It's been demonstrated to work correctly in several European countries.
@@TessaTickle Yes, very silly of you, unless you're just here to troll us! Lots of systems "work", but clearly some work better than others. RUclips comments is a terrible place for proof and links and such, but I certainly think we can do better than the overregulated, mixed system the US has now without coercively politicizing the system as most of Europe has done. Unfortunately, many people have to learn the hard way. I guess you're one of them.
@@TessaTickle Yes, indeed. Silly you, unless you're just here to troll us! A lot of things 'work' to some degree or other, that's definitely been demonstrable proven. But some things work better than others. I'm not sure how you have "socialized care" without government, but whatever.
The U.S. heavily regulated, mixed system is just weird. It's like the politicians are trying to force us to have the worst of both systems. A conspiracist might even think it's a deliberate plot to force us to accept nationalized health care. But I think we can do a lot better than to completely turn over our health care to politicians and bureaucrats. I mean, they did such a wonderful job with delivering the mail, educating our children, and conducting wars, among other things; why *shouldn't* they do a great job at delivering health care? 😕
@@macsnafu LOL. The French, despite years of holding onto their shitty system, reformed it in the mid 2000s and now it works brilliantly. Look into how they did it.
Among the many problems of the insurance-- you are paying for a service, so when your doctor orders something and the insurance won't pay for it, you basically are not receiving the service you paid for. Consumers wouldn't tolerate that happening through any other private company. The insurers aren't clear about that they are rationing your care. I don't know who exactly is to blame, but it's certainly a market failure in that respect.
There needs to a constitutional amendment preventing pre-emptive pardons. Its ridiculous and breeds corruption.
Agree. We have to stipulate that a president isn't allowed to pardon everything a person might do in the future? I can see the founding fathers saying, "We're not going to include that in the Constitution. Who would ever think that would be OK?"
I’m here with the hopes that my comment is read by KMW.
What's up? Thanks for watching!
@@kmwreason Just wanted to call if you were bluffing. Thanks for the content and keep up the honesty.
The people celebrating Brian Thompson's death have a wide range of political views, which is why even Ben Shapiro is getting dunked on by his audience. Call me a cynic, but I do not expect his audience to vote in a way that would get rid of the private insurance death panels. Instead, they will very likely revert to their "keep your government hands off my Medicare" instincts.
I wouldn't call it cynical I'd call it a strawman it's like saying the people who say racist stuff in The Young Turks comments are authentic fans or that the trump shooter was a Republican or BLM is a grass roots organization it's not true on the face of it let alone underneath and it's fiction is so glaring idk why people pretend or J6 was almost the end of democracy the only reason people say it is to convince other people they aren't just fascists "30 cops died on J6" "actually it was 5 cops" "actually it was 1 cops" "okay they had alternate electors" it's all State talking points everyone knows aren't true except people who are completely uninformed or dishonest
Agree. Tragically, this is the default.
US Vets can opt in to the VA Healthcare system. Only 1 in 3 do. If, IF, that ever gets up to 9 in 10 vets opting in, you can talk to me about universal healthcare in the US because you will have made a program that works.
I think Katherine and Peter are right. Doctors are overpaid but also overworked (and many times overqualified for their day-to-day). Ironically, letting the free market increase supply of doctors would probably give a tradeoff, less money but less hours, that would be welcomed by many of them. People are clearly following the incentives.
I might tweak your comment at bit by saying SOME doctors are overpaid. But I think most are fairly compensated for the costs of entering the field and the high costs of practicing medicine. It is hard to place a price on the services of the person who dedicated at least 12 years of their life to training and then is responsible for human lives. To be paid less would mean changing the cost of training, the cost of practice (in dollars, hours, and stress), the legal environment, as well as the expectation of having to be available 24/7.
@@mdduff01 I think this is fair. To expand a bit, the artificial scarcity allows the medical schools take advantage of the high salaries by inflating the costs of medical school (mostly to pad their endowments). And because of the artificial scarcity in the higher paying specializations, the education has unnecessary qualifications inflation. This comes at a high opportunity cost to those delaying their post-residency salary.
But this all results in fewer doctors with higher salaries who are overworked.
We do have real markets in healthcare. Dentists have to compete. Imaging centers have to compete for cash payers. When you are a cash payer and may or may not get reimbursed by a health sharing ministry, your approach to obtaining healthcare services changes. You are upfront and blunt about asking for cash prices. You call multiple facilities to get their cash price. It's kind of like buying a large appliance and calling appliance stores. Did this for my kid's wisdom teeth and had a very good experience. Go figure.
I'm in Switzerland right now. Very protectionist and there is insurance required for everything.
I ran employer health plans for 25 years. UHC has long had a reputation of high denials and a generally difficult claims process. As a health plan administrator I would never contract with them specifically for that reason. Another little known fact is that they also own a PBM - OptumRX. Again, I would always stay away from them as well.
This 'play nice' strategy was also voiced by the Taliban. We all know how that turned out. I believe that is exactly what is happening here. The rebels/terrorists know this is a crucial period. Why stir the ire of the US, Europe, Israel and anyone else who give hoot about human rights when you don't have control of the country?
Anyone remember when Chris Matthews was fired for saying protestors would be calling for the deaths of CEOs in the streets i mean besides the Associated Press NPR WaPo the NYT and PBS i mean those few mostly online 6 people sort of defending these sorts of actions
My perspective on conspiracy theories is that I should always be a skeptic, particularly when it comes to the govt. Time and again the govt may give some answer on an issue but either without evidence and/or not addressing contravening evidence. The govt has been caught too many times in monumental lies to really ever trust them. Our founders knew this and encouraged us to be an active populace. If we are not all caretakers of our democracy, we will (have?) surely lose it.
I keep getting thrown around that they deny at rates higher than anyone else let me just remind you that someone has to be the one that denies at higher rates than anyone else. It's reasonable.
Car insurance and health insurance are two totally different things, in almost no way are they alike. Health insurance is more like a discount card, acc to a guest on Peter Attia recently. Something you all should watch and learn from.
+1 to Nick for the lemonparty reference!
Don't encourage him!
@@kmanguward Would "citrus fiesta" be acceptable as an alternative? 🙂
@@sjfriedl it's weirdly worse, I fear
This if for Katherine MW: I wanna work for y’all! I’ll do whatever. 😅
I'm far from socialist, but I have also had to use United Healthcare insurance and was screwed by them so I am also cheering the message sent. When the courts and laws are effed up like they are now, sometimes direct justice is the only justice achievable.
When it comes to dismissing conspiracy theories, it's useless to lump them all together as if they are simply all crazy and negate specific cases where official narratives are demonstrably false. Some theories have no basis at all, of course, but increasingly the ability of the state to maintain narratives that once would not have been questioned very much has greatly lessened and that alone, for the sake of all liberty-loving people, is a good thing.
So yeah a good debate so to speak would be Nick and Walter and Matt + the Due Dissonance guys plus Katherine
There has always been a selective compassion among the political left (often *highly* selective), and while we've mainly seen it directed against white people and males over the past 10-12 years there has still been a low hum of antipathy towards anyone who happens to have wealth. It's a fair point to say that a CEO of a healthcare company could perhaps try to bring in changes that would enable more people to access better healthcare, but it's also a fair response to say that any such company that has shareholders will always have a duty to them before anything else and that something more fundamental would need to change in order for healthcare to be more easily accessed. Killing him means that he can never be held accountable for the decisions he made during his time as CEO, and sends a message that an individual's sense of justice should be prioritised over the general safety of all.
Thanks for the thoughtful comment. Selective compassion is indeed endemic, and not just on the left.
Payments to physicians decrease as a total share of Healthcare spending every single year. Currently, payments to physicians makes up 6% of Healthcare expenditures (down from 15% in the 90s). Nick's comments are factually inaccurate and not effective at decreasing Healthcare costs.
These ‘commenters’ are insufferable.
Here goes Nicks obliquely..
Canadian here- you paint a picture of rationed care...hmmmm...sure- you might wait a while in the Emergency Room, but I dont wait at all for my ongoing cancer care. My healthcare is exceptional. I won the geography lottery by being born in Canada.
I would rather have the Canadian healthcare system than the American one. But Canada does have uniquely long wait times among countries with universal healthcare. I would prefer almost any other country with universal healthcare to Canada.
There's a fair amount of lying by Americans about HC in Canada.
@@patriciahoke4722 Doctors continually immigrate to the US since the capitalist system can not educate enough Doctors.
Lmao “socialists” Dude you are so out of touch
You guys sound very naive to think this was a big surprise of course Israel and the United States and probably Russia knew this was going to happen.
When the people operating the trolley and the trolley switch are out for the money alone, the people on the tracks and in the trolley are going to be pissed.
For instance, I am in a current dispute between my medical institution and my insurance company. Who are both sending letters back and forth in the mail!
These are in-network partners and their dispute resolution system is designed to stymie the process.