[HN Gopher] $1,944 for a coronavirus test? Readers helped us spo...
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       $1,944 for a coronavirus test? Readers helped us spot an unusual
       trend
        
       Author : prostoalex
       Score  : 103 points
       Date   : 2021-02-04 15:59 UTC (7 hours ago)
        
 (HTM) web link (www.nytimes.com)
 (TXT) w3m dump (www.nytimes.com)
        
       | criddell wrote:
       | There was a similar story last September. Here's the lede:
       | 
       | > Physicians Premier ER charged Dr. Zachary Sussman's insurance
       | $10,984 for his COVID-19 antibody test even though Sussman worked
       | for the chain and knows the testing materials only cost about $8.
       | Even more surprising: The insurer paid in full.
       | 
       | https://www.texastribune.org/2020/09/05/austin-texas-coronav...
        
         | elliekelly wrote:
         | I don't understand why insurance companies pay ridiculous bills
         | like this but will fight tooth and nail to avoid paying for
         | obviously necessary procedures.
        
           | smnrchrds wrote:
           | In the US, insurance company profit margins are capped by
           | law. The insurance companies have to spend at least a certain
           | percentage of their premiums on claims. If they spend less
           | than that, they have to partially refund premiums [0]. So
           | insurance companies are unable to increase their profit
           | percentage by law. The only way for them to increase their
           | profits is if they keep the same percentage by increase the
           | size of the pie. Higher across-the-board healthcare cost
           | benefits insurance companies as much as healthcare providers
           | --if the healthcare costs double, they get to keep 20% of 2X
           | instead of 20% of X.
           | 
           | [0] https://www.nytimes.com/2020/08/05/health/covid-
           | insurance-pr...
        
             | garmaine wrote:
             | That is beyond fucked up.
        
         | hammock wrote:
         | Do you think we should add some laws or something to protect
         | insurance companies' profits, which are suffering from this
         | type of fraud?
        
           | themaninthedark wrote:
           | Do you think this is affecting insurance companies' profits?
           | 
           | >Insurers that sell individual and small group health
           | coverage must spend at least 80% of premiums on medical
           | claims and quality improvements for members. No more than 20%
           | of premium revenue can be spent on total administrative
           | costs, including profits and salaries. For insurers that sell
           | large group coverage, the minimum MLR threshold is 85%.
           | 
           | >Insurers that fail to meet these guidelines (ie, they spend
           | more than the allowed percentage on administrative costs, for
           | whatever reason) are required to send rebates to the
           | individuals and employers groups who had coverage under those
           | policies. From 2012 to 2019, under the MLR rule
           | implementation, insurers rebated $5.3 billion to consumers.
           | 
           | https://www.verywellhealth.com/health-insurance-companies-
           | un...
           | 
           | Insurance Companies probably see these extra costs as a good
           | way to meet their spend targets.
           | 
           | I was not able to find any source but have heard that the
           | government is giving healthcare providers monetary assistance
           | for Covid-19.
           | 
           | Looking at those two factors and no-one has any reason to try
           | and control cost.
        
           | gabereiser wrote:
           | Any laws introduced would only tangle the mess called
           | Healthcare even further. Government doesn't know how to
           | administer healthcare (at least in the US) so it defers it to
           | the private sector. Putting caps in place was already done,
           | the issue is pricing transparency is not a thing. The
           | insurance company pill just pay it and amortize it on the
           | claimants group (or however they account for losses).
           | 
           | I wish we could fix this broken system. The only way to fix
           | it now is open-heart surgery while driving.
        
             | fragmede wrote:
             | If the issue is pricing transparency, and that it's "not a
             | thing", we could maybe make laws requiring pricing
             | transparency?
        
               | gabereiser wrote:
               | My memory of ACA may be hazy but I do remember talks of
               | having that as part of the ACA law. Not sure if it made
               | it in (probably not due to lobbyists).
               | 
               | I think if insurance carriers had the ability to verify
               | the charges before paying we would see naturalized reform
               | from sheer market power. No one will pay for a $5k thing
               | if the site says it's $350.
        
           | criddell wrote:
           | Was this fraud?
        
           | joshuaissac wrote:
           | Fraud is already illegal, so we just need better enforcement
           | mechanisms. For now, insurance companies are turning a blind
           | eye, but once they are out of the spotlight, they would be
           | less hesitant to resume denying claims involving fraud, and
           | the user would be stuck with the bill.
        
             | [deleted]
        
       | ExcavateGrandMa wrote:
       | The great WorldWide Hold Up :D
       | 
       | "Democracies dies in darkness"
        
       | EamonnMR wrote:
       | It would be really interesting to see a crowdsourced index of
       | real cost and insurer-paid cost for procedures across the US.
       | Maybe a service that pays patients some nominal sum to share the
       | data, then aggregates it and presents it to patients,
       | journalists, etc.
        
         | threwaway4392 wrote:
         | Here is another incentive:
         | 
         | When users share their bills and EOB, provide them with an
         | automated analysis of their bills: what seems weird, which
         | billed items were far above average prices, etc.
         | 
         | This information can be precious when negotiating with the
         | doctor's office, when Yelp/google-maps reviews, or when
         | contacting your politicians about the absurdity of health care
         | costs.
        
           | dizzant wrote:
           | This is an excellent idea. Also, sell aggregated data on cost
           | of care in local areas to doctors and insurance companies, so
           | they can make clear business decision on how to compete
           | against the local market.
        
             | [deleted]
        
           | EamonnMR wrote:
           | Though that creates an incentive for the company to not share
           | its own data.
        
       | gok wrote:
       | tldr: One doctor is defrauding thousands of people by charging
       | $2000 for a test that costs him nothing, and presumably making
       | millions doing so.
        
         | jacurtis wrote:
         | I recently had COVID, so I have just gone through all of the
         | stuff in this article.
         | 
         | You would be surprised how many "COVID Testing Sites" are
         | scams. Pure scams.
         | 
         | Many of them are not even able to bill your insurance, probably
         | because Insurance companies would refuse to pay the fees they
         | are charging for. So you will be paying out of pocket for them.
         | 
         | I actually did shop this around, trying to find a legit one.
         | Several of the ones I called charged $400 for a "screening
         | visit" which is basically the person that comes to your car
         | window and asks if you have any COVID symptoms. If you say "yes
         | I have a cough" or you list any other symptom of COVID (which
         | is almost anything) then they will determine that you should
         | get a COVID test. This screening visit is laughable. Many of
         | the people screening you aren't even licensed medical
         | professionals in any way. Even more disgusting, half of them
         | are volunteers. They think they are helping the community and
         | have volunteered. They simply listen for a single symptom and
         | when they hear it then they give you the test. This screening
         | cost ranges from $200 - $600 in my area. But the average was
         | $400. Then they administer the test which can be charged $99 -
         | $299. Many of these "drive up testing sites" that you see
         | advertised are legit scams. They want people to see the sign,
         | pull up in their car, get the test without asking any
         | questions, and they will get a surprise bill of $500 - $1000+
         | in a few months. The other charge that you often get is a test
         | results charge. Some of these testing sites are charging you
         | for the phone call they make to tell you the test results.
         | 
         | So be very wary if you are getting COVID tested. THere are a
         | lot of places out there doing COVID testing that are PURE
         | SCAMS!
         | 
         | Good news: there are some legit ones. But you need to really do
         | your research ahead of time. I eventually went and got tested
         | at a testing site that is operated by my state. They are
         | authorized to bill the CARE Act which was the emergency bill
         | that allows for free COVID testing and COVID care. They were
         | also authroized to bill your insurance. They bill insurance a
         | flat $99 fee. And if your insurance doesn't cover it then the
         | CARE Act can cover the rest.
         | 
         | So please be careful out there. If you are getting COVID
         | testing, make sure to do some research and go to a legit
         | testing site. Call them and see if they can bill the CARE Act.
         | Even if you have insurance, you want to go to these sites
         | because they are the "official ones". If they are doing it
         | legit enough that the CARE Act covers them, then the insurance
         | companies will also cover tests from that same place. Make sure
         | there are no additional costs for screening or delivering
         | results. If they have any of those costs or are NOT covered by
         | the CARE Act, then run. Those places are likely profiting off
         | the pandemic and will surprise you with expensive bills that
         | your insurance will refuse to cover.
        
         | hammock wrote:
         | Not patients. Insurance.
         | 
         | > she was "shocked" to see a drive-through coronavirus testing
         | site bill her insurance $1,944
        
           | jacurtis wrote:
           | Yes they bill the insurance $1,944. But the insurance isn't
           | going to pay that. Most of the insurance companies have
           | capped COVID testing at $100. That is what they will cover
           | because that is what the CARE Act requires them to cover. So
           | that person probably got a bill for $1,844 from their
           | insurance because the insurance probably paid $100.
        
             | garmaine wrote:
             | Insurance doesn't bill the patient.
        
         | programmertote wrote:
         | If people think it's just one doctor/one clinic profiting off
         | from this pandemic, they'd be wrong.
         | 
         | I know a couple of people who worked at these COVID testing
         | sites in NYC (area near Columbia University), Brooklyn and in
         | New Jersey for $15/hour. If one wants to work there, s/he
         | doesn't even need to have work permit (because these sites hire
         | foreign medical graduates for cheap labor). One just need to be
         | able to draw blood, if necessary and that's the main
         | requirement to work there.
         | 
         | All of these clinics are owned by doctors. I'm 100% sure these
         | clinic owners get reimbursed more than $15 per test from the US
         | government. It is a financial windfall for those
         | entrepreneurial doctors and clinic owners who are willing to
         | ignore proper screening in hiring COVID testers at the sites.
        
           | fragmede wrote:
           | It's a blood draw, not brain surgery. It sounds like you have
           | problems with a for-profit healthcare system run under
           | capitalism, however.
        
             | 8bitsrule wrote:
             | Could well be. Many people are saddened by the whole idea
             | of a for-profit healthcare system ... regardless of the
             | politics ... and I'm among them. Health is a Human Right.
             | 
             | As for the predatory equity firms that control many of
             | them, I'd be delighted to see them thrown out of the US ...
             | after their owners serve serious jail-time.
             | 
             | Edit: While we're at it, how about 1 year of jail time for
             | every US citizen who has died of opioids made by US
             | pharmas. They can divide that time up however their
             | employees decide is fair.
        
       | meee wrote:
       | This article is confusing. I was excited to see someone using
       | research to bubble up a story. Then the writer puts a doctor on
       | the hot seat with no conclusion in the article for him to refute.
       | Is this a teaser for an article to come? I think a good article
       | would tell us how the insurance providers felt about the charges.
       | Do they disagree with the doctor's assesment? Does this represent
       | fraud? Is he taking advantage of ill defined rules?
        
         | tylerchilds wrote:
         | I enabled JavaScript because I thought the rest of the article
         | needed to load, but it just ends abruptly.
        
           | mandevil wrote:
           | This is a special behind-the-scenes article describing _how_
           | the journalist did her work. If you read the article with JS
           | turned on, you would see a link to the original article this
           | is the backstory for:
           | https://www.nytimes.com/2020/11/10/upshot/covid-testing-
           | doct...
           | 
           | Published back in November.
        
             | tylerchilds wrote:
             | this makes so much more sense now, thanks!
        
         | istjohn wrote:
         | > Times Insider explains who we are and what we do, and
         | delivers behind-the-scenes insights into how our journalism
         | comes together.
         | 
         | The actual article is:
         | https://www.nytimes.com/2020/11/10/upshot/covid-testing-doct...
        
           | trulyme wrote:
           | Thank you! The link should be changed, this article actually
           | makes sense.
        
       | Chromozon wrote:
       | Another related issue posted today:
       | https://www.kut.org/covid-19/2021-02-04/covid-19-testing-has...
        
       | teekert wrote:
       | Ah, the American Health Care system. I think we are all starting
       | to learn that indeed, capitalism is great, as long as agents have
       | a choice. In healthcare there often isn't (drug or death is not
       | really a choice, iPhone or Galaxy is). Not great to leave such a
       | market free to optimize for profitability.
        
         | revscat wrote:
         | The traditional view of libertarian capitalists where
         | government, democratic or otherwise, has no moral validity when
         | regulating or prohibiting various forms commerce, falls on its
         | face when confronted with the real world. The free market works
         | passingly well for basic items that people are free to chose
         | whether to purchase or not. It fails spectacularly when one
         | party is forced. In situations such as those presented in TFA
         | the market fails spectacularly, and government can and should
         | step in, and so long as backed by the democratic will, has the
         | moral justification to do so.
        
           | josh_fyi wrote:
           | It's not a free market. The US health system is highly
           | regulated, and most importantly, there is a huge tax
           | incentive for health care to be paid for not by individuals
           | but by employers who buy full coverage.
        
             | revscat wrote:
             | This response is common, but flawed. At root it is a "no
             | true Scotsman" fallacy. Behind that, it argues, or at least
             | heavily implies, that the only "true" free market is one
             | wholly unburdened by regulation. Such a thing does not
             | exist outside of history books, and there are good,
             | historical reasons as to why.
             | 
             | The fundamental premise, though -- that the market is not
             | ideal for healthcare --- remains. For shoes and
             | smartphones, the market is fine. For MRIs and insulin, it
             | is not.
        
             | ninjinxo wrote:
             | >It's not a free market.
             | 
             | If you hadn't opened with that I think we could have gotten
             | another two or three people extending the chain of
             | indirectly stating as much.
        
         | gwd wrote:
         | From TFA:
         | 
         | > The patients who went to one of these drive-through testing
         | sites had no chance of knowing what charges they would face
         | beforehand.
         | 
         | This is just stupid. There are similar stories about the cost
         | of going to the ER. If all health care providers were required
         | to be transparent about pricing up front, then there might be
         | some possibility for people to shop around.
        
         | waterheater wrote:
         | The healthcare market isn't free. Also, we should call it
         | "lifecare" rather than "healthcare", because the market doesn't
         | care if you're healthy or not, just alive and using medical
         | services.
         | 
         | "If the image of medicine I have conveyed is one wherein
         | medicine lurches along, riven by internal professional power
         | struggles, impelled this way and that by arbitrary economic and
         | sociopolitical forces, and sustained by bodies of myth and
         | rhetoric that are elaborated in response to major threats to
         | its survival, then that is the image supported by this study."
         | 
         | - Evelleen Richards, "Vitamin C and Cancer: Medicine or
         | Politics?"
        
         | pochamago wrote:
         | We've done a really good job of removing choice from the system
         | at every available opportunity. Certificate of Need laws
         | reducing the number of medical machines in localities.
         | Insurance limiting provider choice. Totally opaque pricing for
         | consumers. Restrictions on interstate licensing. There's a lot
         | of mess that's entrenched.
        
         | Nbox9 wrote:
         | The healthcare system is not a free market.
         | 
         | 1. It's very hard to shop around to find better prices or
         | better service.
         | 
         | 2. People often make choices like "Do you want this expensive
         | life saving procedure or not?"
         | 
         | 3. The average person isn't informed enough to understand what
         | their medical treatment needs are. Patients ask doctors what
         | their recommendation is. Doctors often have an incentive to
         | sell the most healthcare they reasonably can.
         | 
         | 4. My ability to pay for healthcare is directly tied to my
         | employer. There simply are less jobs that provide good
         | healthcare than people that would like them. My ability to
         | change positions in society is limited by my desire to continue
         | to have access to affordable healthcare. This is practically a
         | freedom limiting mechanism.
         | 
         | 5. I'm limited in my choice of which healthcare to purchase
         | based on my Insurance policy. My choice in insurance policy is
         | similar to a suburbanite's choice in an ISP. I have very few
         | choices.
        
           | tiborsaas wrote:
           | > The healthcare system is not a free market.
           | 
           | You hit the nail on the head. Compared to buying a car,
           | computer or apartment I'm not choosing to have a particular
           | disease or accident. It just happens to us (yes, we can
           | prevent some). Once you have a medical condition you are
           | forced to "shop" for a solution in a "free market" so you can
           | escape that situation. This is when people become vulnerable
           | and the US healthcare model takes full advantage of their
           | position.
        
           | jacurtis wrote:
           | Just to add another item to your list:
           | 
           | 6. Pricing is almost impossible to know ahead of time, even
           | if you ask.
           | 
           | Trust me, I have asked how much something will cost ahead of
           | time and no one can tell you.
           | 
           | One time I had to go into a specialist for my leg. I had hurt
           | my MCL, but the doctor wasn't sure if it was torn or pulled.
           | So he sent me to a specialist to give advice on whether
           | surgery was needed. Before I made the appointment I asked the
           | receptionist how much it was going to cost for this
           | appointment. She couldnt tell me. I asked her to figure it
           | out and call me back. She never did. I called back before my
           | appointment and talked to the clinic manager. She again
           | refused to quote me a price.
           | 
           | In the end I went to the appointment. The doctor listened to
           | me, then grabbed my leg and twisted it a few different
           | directions and asked me to describe the pain as he did so.
           | Then he told me it was a simple pull. I didn't need surgery.
           | I just needed to rest. No prescriptions, no medications
           | rendered, no operations performed, no diagnostic tests given.
           | A simple 15 minute doctor visit.
           | 
           | 3 months later I get the bill. It was $800. I had to pay it
           | all out of pocket because this specialist was out of network.
           | I had tried to get a price ahead of time and couldn't. The
           | doctor didn't do anything for me except tell me to rest. The
           | visit cost him 15 mins of his time. Nothing more. At this
           | rate, he is billing $3,200 per hour. Possibly more because
           | the 15 minute time estimate is me being generous. It was very
           | possibly closer to 10 minute visit.
           | 
           | Another one that I won't go into detail with because it would
           | take too long was for a pinched nerve in my back. I went to
           | urgent care because the pain was so bad I couldn't stand.
           | Again, a simple question+answer with the doctor revealed the
           | pinched disc in my back. No xrays or diagnostic tests were
           | given. She prescribed me a pain killer and a steroid to
           | reduce inflamation which would allow the disc to naturally
           | slip back into place. Because I was traveling and so was
           | again out of network when this happened, I asked the
           | receptionist as I was checking in how much a simple visit
           | runs. She of course can't quote me anything. I pressed her
           | and said, "what is the base price. I know it is more if they
           | have to run tests and do things, but what is the cost of the
           | visit". She refused to tell me. As I was now wheelchair bound
           | because I couldn't stand, I had no choice but to gamble and
           | get the help and learn the price 4 months later. The visit
           | cost me $1,900. I had to pay 100% out of pocket. Despite
           | having insurance that I already pay $500 a month for.
           | 
           | Furthermore I had $120 in out of pocket expenses on the
           | medications.
           | 
           | Not only can you not figure out a price ahead of time, but it
           | is equally crazy that I pay this much out of pocket when I
           | have insurance that I pay $500 a month for ($6,000 per year).
           | And no don't tell me to "get better insurance". That means
           | finding a different employer and guess what... it's not like
           | you can see what insurance the other employers have until
           | after you start working there. There is no way to really shop
           | insurance, you are stuck with what your employers offers,
           | usually with 2-3 options from the plans they have selected.
        
           | throwaway0a5e wrote:
           | >The average person isn't informed enough to understand what
           | their medical treatment needs are.
           | 
           | The average person isn't informed about anything other than
           | however they make money from 9-5
           | 
           | Consumer ignorance is not an excuse for a crappy market.
        
             | toomuchtodo wrote:
             | It is the job of regulators to coerce the market, through
             | regulation, into one that is less harmful to consumers.
             | 
             | It is unreasonable to expect every consumer to be an expert
             | in every commerce transaction that takes place in their
             | daily lives.
        
               | adolph wrote:
               | Once captured, the regulators coerce the market, through
               | mis-regulation, into one that more effectively captures
               | consumer value for certain producers.
               | 
               | Is the price of specialization and sophistication the
               | movement of decision power away from the source of
               | decision quality information? I find it paradoxical to
               | use regulation as a response to the fact that "it is
               | unreasonable to expect every consumer to be an expert" in
               | that it is likewise unreasonable to expect regulators to
               | be expert in the context and values of each individual
               | consumer.
        
               | [deleted]
        
               | minikites wrote:
               | The main purpose of capitalism is to shift blame onto the
               | consumer. You didn't want your new lawn mower to maim
               | you? You should have done your research, it's your fault.
        
             | Nbox9 wrote:
             | Consumer ignorance is not an excuse for a crappy market.
             | Consumers should have access to advice from a third party.
             | 
             | When I want finical advice I hire an expert that gets paid
             | the same no matter where I invest my money, because his
             | incentive is to give me the best advice so I stick with
             | him. If I get finical advice from someone that gets
             | commission based on selling specific investments then the
             | advice is more likely to be less than the best.
        
           | TimBurr wrote:
           | If you don't mind me adding :)
           | 
           | 6. Prices are often unknown at time of service.
           | 
           | No amount of research can make up for hospitals that haven't
           | decided how much your surgery will cost until after the fact.
           | 
           | I recently paid a hospital invoice, and received a receipt
           | covered in "PENDING FINAL BILL". I can't tell if the hospital
           | will refund me some excess, or charge an extra $1000.
           | 
           | To extend the metaphor elsewhere in this thread, it's like
           | going into a garage and being told that an oil change will
           | cost between $40 and $400. It depends. We'll let you know.
        
             | waterheater wrote:
             | Hospitals enjoy that luxury, of course:
             | 
             | https://www.healthcaredive.com/news/hospitals-pledge-to-
             | figh...
             | 
             | However, it looks like that practice won't be allowed for
             | much longer:
             | 
             | https://www.cnn.com/2021/01/04/politics/hospital-price-
             | trans...
        
           | 49para wrote:
           | The answers for Canada's public health care system differ
           | slightly but aside from the potential monetary issues for
           | people without adequate insurance in the US, the Canadian
           | system depends on capacity if you aren't a) a critical care
           | patient b) high profile i.e. athelete, politician etc
           | 
           | 1. Almost impossible to shop around 2. Instead this is a Dr's
           | or a public system policy choice. 3. Dr's incentive is to
           | minimize costs 4. Your ability to aquire healthcare is based
           | on limited availability and your condition. If you are
           | critical you will get immediate care, if you need a MRI -
           | perhaps 6 months, if you need a specialist i.e. liver doc,
           | sleep study, orthopedic surgeon etc, 1+ year 5. You have very
           | little choice. Finding a family doc is very constrained
           | 
           | OBVIOUSLY, this depends on the province as health care is a
           | provincial domain.
        
       | legitster wrote:
       | "You're never as careful when spending other people's money."
       | 
       | I briefly worked in healthcare at a tech startup. The thing you
       | quickly learn is that the market for healthcare is fundamentally
       | broken. You could invent something that saves a patient $10,000
       | and they will never know. The hospital and doctors won't care
       | about saving money. And the insurance company has no leverage to
       | make them. And it will never make it onto the patient bill in a
       | way that they understand.
       | 
       | And as much as doctors and hospitals love to paint insurance as
       | the bad guy, the only reason things like prior authorization is a
       | pain in the ass is because doctors don't actually put in any
       | effort into prescribing generics or really learn how much
       | anything costs. This is highly unusual in most professions:
       | Imagine if your roofer grabbed whatever shingles they liked best
       | and billed you for it after they were up. Now imagine every
       | roofer worked the same way.
        
         | anon946 wrote:
         | The US HC system basically runs as a "skim" operation. Since
         | skim is fundamentally percentage based, the more money that
         | flows through the system, the greater the absolute amount that
         | is skimmed. Thus, no one has incentive, in the long run, to
         | reduce costs. Short term, insurance companies might benefit
         | from cutting costs, but they know that ultimately, when costs
         | go up, they can justify proportional premium increases, which
         | increase their skim in absolute value.
        
           | ballenf wrote:
           | Not only that, no one has a financial incentive to improve
           | outcomes. Surgeons are judged on outcomes, but no one judges
           | them on whether they did the right surgery or just very
           | skillfully gave everyone who came through the doors stents
           | and spinal implants.
        
         | foepys wrote:
         | I'm from Germany and here it's exactly the other way around.
         | 
         | Public health insurences (there are over 100, but they are all
         | organized in an umbrella organization) give out licences to
         | doctors to be allowed to practice on publicly insured patients.
         | The doctors get some amount of money they can spent on patient-
         | specific prescriptions, but in general the doctors only
         | prescribe the active ingredient. When the patient goes to the
         | pharmacy to get their prescription, the pharmacy looks up the
         | insurence and hands the patient the medicine that the insurence
         | dictates. A doctor can prescribe a specific medicine but has to
         | pay for it themselves (mostly from the money the insurences
         | previously provided, see above).
         | 
         | Insurences check about 10% of all hospital bills and just don't
         | pay what they deem unnecessary. Hospitals are therefore careful
         | not to do things the insurences didn't approve of. There is an
         | open catalog of therapies that the public insurences will
         | definitely pay and how much it may cost, so it's not a secret.
         | 
         | They will also push for modern treatments if they reduce
         | recovery time and have less risks.
         | 
         | There is a lot more to the system but that's the gist.
        
           | gumby wrote:
           | Ironically despite the lower cost, the German medical system
           | also provides a wider range of services than are provided in
           | the US.
           | 
           | For example my mother in law had an unusual cancer and after
           | her treatments she had a rest spa paid for; once the
           | treatments could no longer help she had in home care. In the
           | US, good luck.
        
           | nicbou wrote:
           | I came here to extol the virtues of the German system.
           | There's a lot more to it:
           | 
           | - It's priced according to income, not health condition
           | 
           | - You will never, ever be refused necessary healthcare, and
           | you'll know it's covered before work begins
           | 
           | - You are not punished for using your insurance, and the
           | premiums won't change
           | 
           | - There is no deductible, except a 5-10EUR/month co-pay for
           | prescriptions
           | 
           | - Your employer/employment has no impact on your coverage, or
           | the insurer you choose
           | 
           | This is for the public system. The private system is a bit
           | more complicated, but generally, the same rules apply. The
           | only difference is the pricing structure, and the possibility
           | of having a deductible (usually ~1000EUR/year).
           | 
           | American expats tend to have trauma that affects their
           | insurance choices. My job is to reassure them that our system
           | is completely unlike the American system.
           | 
           | If you want a plain English overview of the system, you can
           | have a look here: https://allaboutberlin.com/guides/german-
           | health-insurance
        
             | ballenf wrote:
             | One important caveat to the German system is that if you
             | make over a certain amount and are healthy, the private
             | system will actually be cheaper since it's not tied to
             | income.
        
         | munificent wrote:
         | _> "You're never as careful when spending other people's
         | money."_
         | 
         | That's a nice description of:
         | https://en.wikipedia.org/wiki/Principal%E2%80%93agent_proble...
         | 
         |  _> This is highly unusual in most professions: Imagine if your
         | roofer grabbed whatever shingles they liked best and billed you
         | for it after they were up. Now imagine every roofer worked the
         | same way._
         | 
         | I mean, this basically is my experience with contractors, auto
         | mechanics and most other professions where there's a lot of
         | information asymmetry between consumers and providers. In a
         | capitalist exchange, buyer and seller are opponents and both
         | will use the others' lack of knowledge to their advantage (or
         | be outcompeted by others that do).
         | 
         | It's a fundamental dilemma of our world. The more expertise a
         | task requires, the more important it is to hire someone to do
         | it instead of doing it yourself. But the more necessary that
         | person is, the less qualified you are to evaluate their
         | performance.
        
           | AlanYx wrote:
           | >I mean, this basically is my experience with contractors,
           | auto mechanics and most other professions where there's a lot
           | of information asymmetry between consumers and providers.
           | 
           | The unique feature of the medical care system that's
           | different from most other professions is that there's multi-
           | way asymmetry.
           | 
           | An auto mechanic generally does have some rough idea of how
           | much a given repair costs (inclusive of labor and materials)
           | or at least can easily inform him/herself. It's a basic two-
           | party information asymmetry where the professional making the
           | decision has more information than most consumers.
           | 
           | In medicine, physicians often have no idea themselves what
           | the total cost of treatment will be, and there are various
           | structural and economic factors that discourage or make it
           | very difficult for physicians to find this information. This
           | is a very different type of information asymmetry, where both
           | the providers and the consumers lack information.
        
         | aaomidi wrote:
         | Yes. The system is broken from the ground up. From doctors
         | working with other doctors to make sure to limit new doctors
         | coming into the workforce, to our multi-node insurance systems.
         | 
         | Anyone selling you an easy solution is lying. Anyone selling
         | you a "reform" solution is also lying. We need a holistic
         | approach to this that means the government needs to hire a
         | bunch of experts that are given a lot of power to change the
         | system to make it work.
        
           | stocknoob wrote:
           | Everyone complains about the cost of healthcare and nobody
           | asks why the AMA operates like a cartel. The number of
           | doctors allowed to graduate hasn't changed in 40 years.
        
             | whatshisface wrote:
             | A lot of people talk about that, actually. I've heard it
             | several times and it comes up in most of these discussions.
             | However, doctor's pay is not enough on its own to explain
             | even a small fraction of the cost problem. In reality it's
             | an issue permeating every single component of the system,
             | each one making a small contribution to the overall pile.
             | I've heard of this situation being called "cost disease."
        
               | stocknoob wrote:
               | Perhaps in small, private forums, but in public
               | physicians are a protected class. Not many op-eds
               | criticizing the AMA vs the big, evil pharma companies.
               | That said, it's not a panacea, but not great when a
               | 15-min visit to get a $.10 pill costs $200.
        
               | matthewdgreen wrote:
               | Not great, but also: people above this asked why the
               | system doesn't get reformed, and the answer is that
               | doctors are popular with the voting population, and
               | tackling their costs will only have a modest impact in
               | reducing costs.
               | 
               | This is not to say that doctor's pay shouldn't be
               | addressed, but the system doesn't get reformed because
               | every discussion on fixing it gets derailed into a
               | discussion of doctor's pay, which is literally the
               | highest-effort lowest-payoff part of the problem. And the
               | situation stays bad because of this dynamic.
        
               | whatshisface wrote:
               | Oh, of course, it just hadn't occurred to me to consider
               | op-eds a meaningful participant or representative of the
               | public discourse.
        
               | stocknoob wrote:
               | They set the Overton window of allowed policies.
        
               | lostapathy wrote:
               | > doctor's pay is not enough on its own to explain even a
               | small fraction of the cost problem
               | 
               | Not on it's own, but doctor shortage can still contribute
               | to medical costs.
               | 
               | Do doctors make more mistakes due to high patient loads?
               | 
               | Are preventable items missed because doctors can't spend
               | enough time with patients?
               | 
               | Would people be less likely to abuse the ER and/or wait
               | to address conditions if they could get a primary care
               | appointment more easily?
               | 
               | If doctors had a little more slack in their schedules,
               | might they innovate in other ways?
               | 
               | If we had more doctors, would it be harder for mega-
               | hospital chains to gobble up the supply of doctors in
               | your area, leaving more independent practices to innovate
               | in other ways?
        
             | ardy42 wrote:
             | > Everyone complains about the cost of healthcare and
             | nobody asks why the AMA operates like a cartel.
             | 
             | That's not entirely a bad thing. It would be bad for
             | Medicine to turn out like Law, with a huge glut of
             | unemployable graduates after a long, expensive training
             | program (IIRC, an intense 7 years post-college, _minimum_
             | ). There's a need to balance demand with the need for all
             | (or nearly all) the graduates to be able to find a job.
             | 
             | Also, you're neglecting Osteopathic schools, which aren't
             | controlled by the AMA but graduate students with the same
             | practice rights.
             | 
             | > The number of doctors allowed to graduate hasn't changed
             | in 40 years.
             | 
             | Do you have any data to back that claim up? The Association
             | of American Medical Colleges says enrollment rates are
             | increasing:
             | 
             | > In response to concerns that a projected doctor shortage
             | could impact patient care, the AAMC in 2006 called on
             | medical schools to increase first-year enrollment by 30%.
             | That target was reached in 2018-19, when first-year
             | matriculation reached 21,622 students. Osteopathic schools
             | increased their enrollment by 164% during this same time
             | period, with 8,124 first-year students enrolled.
             | (https://www.aamc.org/news-insights/us-medical-school-
             | enrollm...)
        
               | salawat wrote:
               | Enrollment != graduation and licensure.
               | 
               | More people may be interested but nobody can practice
               | until after residency, and you have a large pool of
               | hopefuls basically in a lottery for residency slots.
               | 
               | You can get all the theory, but not be able to get the
               | requisite practicum. Even if you do get a slot, you also
               | get treated like a stevedore from what I have heard.
        
               | ardy42 wrote:
               | > Enrollment != graduation and licensure.
               | 
               | > More people may be interested but nobody can practice
               | until after residency, and you have a large pool of
               | hopefuls basically in a lottery for residency slots.
               | 
               | But my understanding is that residency capacity is
               | matched to graduating class sizes, at least in the US.
               | The selectivity is intentionally placed up front (at med
               | school admission) so the path is clear to residency and
               | licensure as long as the student doesn't totally fall
               | apart (which the selectivity is supposed to guard
               | against).
               | 
               | IIRC, it's foreign medical school graduates may have
               | trouble getting a US residency.
        
               | salawat wrote:
               | That is not my understanding at all, as that would imply
               | we never have med school admissions without a residency
               | slot, and I have seen many mentions over the years about
               | how the great bottleneck is not med school admissions,
               | but residency slots.
               | 
               | https://www.fiercehealthcare.com/practices/more-medical-
               | stud...
               | 
               | https://health.wusf.usf.edu/npr-
               | health/2019-07-03/american-m...
               | 
               | The above sources indicate residency matching is
               | decoupled from graduation from Med school, and if I
               | recall correctly, there is actually a legal cap on the
               | number of residency slots.
               | 
               | https://www.aha.org/news/headline/2019-03-14-bill-
               | add-15000-...
               | 
               | So everything I've seen suggests we actually have a
               | dysfunctional system with no up front brakes. Our Medical
               | education system maximizes fiscal extraction from
               | hopefuls, but the residency slots don't scale elastically
               | or in any way matched with demand. Quite literally, it
               | seems to take an act of Congress to change the calculus
               | of residency slots.
               | 
               | I could still be wrong, and welcome the removal of the
               | veil of mistaken impressions, but that's the gist of my
               | current understanding.
        
               | stocknoob wrote:
               | Why do some professions get the benefit of cartel
               | protection? Note that pharmacists don't have such
               | restrictions and have similar training.
               | 
               | For the data, I had done a quick search and found this
               | (which only goes to 2010):
               | 
               | https://www.researchgate.net/figure/Trends-in-the-Number-
               | of-...
               | 
               | However, digging more, even the AAMC is saying you need
               | residency slots:
               | 
               | https://www.medicaleconomics.com/view/enrollment-rates-
               | rise-...
               | 
               | Increasing first-year enrollment is a good first step,
               | but doesn't move the needle on the number of doctors who
               | can actually practice because the number of residencies
               | is still limited.
        
               | mattkrause wrote:
               | If I were king, I'd look into retraining biomedical grad
               | students/postdocs to go into medicine. We've got a
               | massive (taxpayer-funded!) glut of the latter and many of
               | them have a relevant background and even skills.
               | 
               | Yet, only a few places currently try to convert PhDs to
               | MDs; most places are overwhelmingly geared up for
               | undergrads coming straight out of pre-med programs.
        
               | ardy42 wrote:
               | > However, digging more, even the AAMC is saying you need
               | residency slots:
               | 
               | Which are determined by federal government Medicare
               | funding, btw. From your link:
               | 
               | > Federally supported residency training slots have been
               | capped by Congress for more than 20 years, limiting the
               | spots for medical school graduates to undergo additional
               | training in a residency program before they can practice
               | medicine.
               | 
               | So maybe this is more of a "call your congressman" issue.
        
               | willcipriano wrote:
               | Your congressman probably listens to the AMA more so than
               | you when it comes to medical matters, here is one example
               | of what they have to say on the subject I could find with
               | a quick search:
               | 
               | > In March 1997, months before the Balanced Budget Act
               | was enacted, the AMA even suggested reducing the number
               | of US residency positions by approximately 25% from
               | 25,000 to fewer than 19,000. "The United States is on the
               | verge of a serious oversupply of physicians," said the
               | AMA and other physicians' groups in a joint statement.
               | Since most states require at least some residency
               | training for medical licensure, reducing the number of
               | residency positions would curtail the supply of doctors
               | in the US.
               | 
               | > Fast forward two decades, and what once seemed like a
               | glut now looks like a shortage. The growth in the number
               | of residency positions--and thus the number of doctors--
               | slowed after the passage of the Balanced Budget Act. From
               | 1997 to 2002, the number of residents in the US increased
               | by just 0.1%. Although the number of positions has
               | increased since then, each year thousands of residency
               | applicants fail to secure a position. Factor in an aging
               | population and a projected increase in demand for health
               | care services, and the US is now forecasted to experience
               | a shortage of 46,900 to 121,900 physicians by 2032.
               | Absent a meaningful response from Congress, it will be
               | doctors--particularly residents--and their patients who
               | pay the price.
               | 
               | - https://qz.com/1676207/the-us-is-on-the-verge-of-a-
               | devastati...
        
             | jxramos wrote:
             | what is this "allowed to graduate" business? What authority
             | do they have to dictate such a thing and is it in writing
             | anywhere what said quota is?
        
               | aaomidi wrote:
               | The number of residency spots is an artificial barrier to
               | being able to properly practice medicine. That number is
               | controlled by doctors.
        
               | jxramos wrote:
               | Is this the organization where the barrier to entry is
               | enforced? https://en.wikipedia.org/wiki/National_Resident
               | _Matching_Pro.... What does it look like precisely to the
               | aspiring physicians who don't make the cut? Where exactly
               | do they get communicated to that you didn't meet, get
               | selected, etc for stage XYZ.
        
             | fragmede wrote:
             | Which is why Nurse Practitioners are the best thing to
             | happen for patients in decades. Better access to healthcare
             | means better treatment.
        
         | civilized wrote:
         | > doctors don't actually put in any effort into prescribing
         | generics or really learn how much anything costs
         | 
         | I'm hesitant to blame doctors, since I myself find it
         | impossible to learn how much anything costs until after being
         | billed for it. Is it any easier for the doctors?
         | 
         | (Note: clearly the doctor in this article is scamming his
         | patients, but I'm talking about the situation in general)
        
           | thaumasiotes wrote:
           | As much as Kaiser Permanente has been giving me awful, awful
           | care, they tell you how much something will cost you before
           | giving it to you, and you have to explicitly agree to pay
           | that amount.
           | 
           | (In my case, I also pay before getting whatever it is, but
           | it's possible to have the charge added to your bill instead.)
        
             | react_burger38 wrote:
             | How do you do that? I tried to get Kaiser to tell me how
             | much my wife's delivery would be and what they told us was
             | much less than the actual bill, even though there weren't
             | any complications
        
               | thaumasiotes wrote:
               | I have not made any effort to get them to do that. Most
               | of my experience with them has been really routine stuff
               | -- "visit copay", "get a blood sample taken", or the like
               | -- but this also happened for a stomach biopsy involving
               | cramming a huge device down my throat, and for which they
               | wanted to have me sedated, which seems like a pretty
               | close analogy to a childbirth with no complications. :/
        
             | civilized wrote:
             | I have never, ever had the experience of getting an answer
             | to how much a health care procedure will cost, and believe
             | me I've asked. Also never had Kaiser - mostly BCBS.
        
         | llamataboot wrote:
         | I have also worked in and around healthcare in various
         | capacities (both tech and non-tech) and this is totally wrong.
         | There are /many/ reasons the US healthcare system is broken,
         | and I agree the issues are more systemic at this point, than
         | any one bad actor, but if there /is/ a bad actor, it is
         | definitely the health insurance companies.
         | 
         | There are a lot of good people in the health insurance industry
         | that want to improve health outcomes and make a profit and are
         | swimming upstream as well against those systemic forces (just
         | maybe the market isn't the best way to distribute
         | healthcare...) but as a whole it's not the health insurance
         | companies reining in the costs of frivious doctors and
         | hypochondriac patients, it's the incredible layer of
         | bureaucracy and arbitrary decisions there that soak up a ton of
         | monetary resources, constrain doctors into not even being able
         | to do the preventative care work they want, and lead to all
         | sorts of perverse incentives like showing up in ER 5x a year,
         | instead of getting to show up at your GP and nutritionist every
         | week, etc
        
         | chromatin wrote:
         | > And as much as doctors and hospitals love to paint insurance
         | as the bad guy, the only reason things like prior authorization
         | is a pain in the ass is because doctors don't actually put in
         | any effort into prescribing generics or really learn how much
         | anything costs.
         | 
         | The only reason? Don't put in any effort? How is this comment
         | not flagged dead?
         | 
         | This is patently false and essentially slanderous. (I guess
         | libelous since we're on a written medium)
         | 
         | If you and the rest of the public had any idea how much your
         | insurance company literally does not give a shit about you,
         | when you are for example battling cancer, there would be
         | pitchforks in the street.
        
         | hengheng wrote:
         | Why is there no incentive for the insurance company to be
         | frugal? That's how it works elsewhere, and they have a lot of
         | bargaining power.
        
           | pnutjam wrote:
           | There is some incentive, but when you tell someone you can
           | only make a profit of (for example) 10% of what you pay out;
           | it warps their incentives.
           | 
           | They don't want to bankrupt themselves, but they can raise
           | rates and keep more money when they pay more.
        
             | maxerickson wrote:
             | This assumes they don't have any competition looking to
             | take their market share (which reduces their intake).
             | 
             | It can be the case that the market isn't very competitive,
             | but it isn't the case that the companies can just
             | arbitrarily raise rates.
        
               | pnutjam wrote:
               | Once a year the company can shop around, but you as an
               | insured have no say. Your HR picks, and they may or may
               | not be competent. They may optimize prices for family, or
               | for single people, or any number of weird things.
        
           | adolph wrote:
           | _HMOs often have a negative public image due to their
           | restrictive appearance. HMOs have been the target of lawsuits
           | claiming that the restrictions of the HMO prevented necessary
           | care._
           | 
           | https://en.wikipedia.org/wiki/Health_maintenance_organizatio.
           | ..
        
           | legitster wrote:
           | They don't actually have a lot of leverage. A hospital has a
           | near monopoly on it's region/patients, but insurers have to
           | compete with a dozen others to be accepted by the hospital.
           | If the hospital wants to charge their patients, insurance
           | just has a minimal amount of bitching they can do over
           | prices.
        
           | anon946 wrote:
           | Short term, yes. But when costs go up, they know that they
           | can then later use it justify a proportional increase in
           | premiums.
        
           | IG_Semmelweiss wrote:
           | Incentives are there, they are just not going in the right
           | direction. First, the buyer does not care that much since it
           | is all tax-deductible.
           | 
           | And there are other dynamics in play. Here is a nasty
           | example:
           | 
           | Employers care that premiums only increase by X% per year.
           | Fine. As such, insurance will try to protect its contract
           | with employer by going to the hospital provider, and
           | demanding a low premium increase.
           | 
           | Hospital says fine but "OK - but you agree to our increase of
           | list price by 50%.... don't worry, we give you a discount on
           | that amount. Insurance won't pay that increase"
           | 
           | Insurer says "Great! In fact, let's push it to 100%? OK?"
           | 
           | How did we come to this? Insurer and Hospital agreeing to
           | increase price by 100% and discount that 100% back down?
           | 
           | Its because of the incentives.
           | 
           | Insurance will use this to go back to employer and say. "We
           | got you that x% cap on increase in premiums. Employer, by the
           | way, you still owe us money from the 100% discount we got you
           | from the hospital bills " Employer says OK and pays a ~3%
           | premium on the 100% 'discount' ("claims repricing" in
           | industry parlance).
           | 
           | Meanwhile, Hospital goes back to the government. "We had
           | losses from discounts given to govt patients totaling X in
           | discounts". Now hospitals recoup some of that money. (in
           | industry parlance Disproportionate Share Hospital (DSH))
           | 
           | Meanwhile, people with no insurance have to pay these
           | inflated list prices...with no insurance discount whatsoever.
           | HR staff gets promoted or leaves the job, because they did a
           | great job securing that X% cap. The new person does not know
           | what "claims repricing" is. It remains in the contract.
           | 
           | Premiums go higher next year.
        
         | [deleted]
        
       | leoedin wrote:
       | The full article
       | (https://www.nytimes.com/2020/11/10/upshot/covid-testing-doct...)
       | suggests that this doctor alone has run _60,000_ covid tests.
       | Billing $2k a pop. That 's _$120 million_ (ok, maybe revenue, but
       | you don 't need to skim much off $120 million to be very
       | wealthy).
       | 
       | Complete madness.
        
       | IG_Semmelweiss wrote:
       | for anyone wondering how US healthcare got to where it is today,
       | this is a succinct historical summary in the form of a podcast,
       | by a historian.
       | 
       | https://www.econtalk.org/christy-ford-chapin-on-the-evolutio...
        
       | 6gvONxR4sf7o wrote:
       | This is a story about a story. Readers sent her bills and she got
       | a story about it.
       | 
       | https://www.nytimes.com/2020/11/10/upshot/covid-testing-doct...
       | <---This is the actual story she wrote.
        
         | arcticfox wrote:
         | Incredible, especially the part about testing _asymptomatic_
         | patients with a full panel. That 's...insane.
        
         | jacurtis wrote:
         | Thank you! I was very confused while reading this because the
         | author never actually got to anything interesting. Just talks
         | about their routine of sorting through other people's medical
         | bills.
        
       | IndrekR wrote:
       | Just as a reference, in Estonia COVID antibody test costs
       | 13.21EUR for the state (14.40EUR if you are private person) and
       | PCR test costs 51.81EUR for the state (58EUR private). This
       | includes PE, sampling and analysis. Most tests are paid for by
       | the state. You may want to take privately funded one if you have
       | no symptoms and want to travel; or are returning from affected
       | area and want to shorten the 10 day isolation requirement to 6
       | with two sequential negative tests.
        
         | mrkwse wrote:
         | Not sure about LFT, but in the UK private PCR tests (required
         | for travelling, professional elite sport etc.) cost between
         | PS80-130.
        
           | [deleted]
        
         | djrogers wrote:
         | Here in California tests are $150 if you want to pay yourself
         | (say because you're curious, or require a negative test to
         | travel), or paid 100% by insurance (so no out of pocket costs)
         | if you have symptoms and are referred to a test by your doctor.
         | 
         | The issue at hand in the article is the amount being charged to
         | insurance companies for the latter - due to lobbying and
         | obscure regulations (which the article points out the Trump
         | administration attempted to overcome), it is not uncommon for
         | medical providers to charge insurance companies exorbitant
         | amounts for services, and also charge them for unnecessary
         | services.
        
         | MegaThorx wrote:
         | Where I live in Austria they charge just 45EUR for a PCR test
         | and the antibody test is free.
        
         | raincom wrote:
         | In India, RT-PCR test costs Rs 500, about $7 at any private
         | testing centers. And one can get the results in four hours.
         | Also one can get Covid-negative report for travel purpose for
         | $12 (a certificate in addition to the test). Even we quadruple
         | this price in the developed world like US, it should be about
         | $50; instead, 95% of Americans are fleeced to death.
        
         | ed25519FUUU wrote:
         | The tests are actually free in the USA. The contention here is
         | about how much these testing sites are charging insurers.
        
           | ed25519FUUU wrote:
           | I'm not sure why I'm being downvoted. In the United States
           | Covid 19 testing is free with or without insurance. Nobody
           | needs to pay anything for a covid 19 test in the USA,
           | regardless of their residency or insurance status.
           | 
           | > _The Families First Coronavirus Response Act ensures that
           | COVID-19 testing is free to anyone in the U.S., including the
           | uninsured._
           | 
           | https://www.hhs.gov/coronavirus/community-based-testing-
           | site...
           | 
           | The issue here is these testing sites were performing _more_
           | than a covid 19 test and then billing for those tests without
           | a person 's consent.
           | 
           | > _Dr. Murphy wasn't just billing for coronavirus tests, as
           | his patients thought. He was billing for 20 other respiratory
           | pathogens, too._
        
         | smnrchrds wrote:
         | In Canada, it is free through public healthcare if it is for
         | health concerns (e.g. if you are symptomatic). If you need it
         | for non-health reasons, e.g. travel, it goes through a private
         | company and the cost is 250 C$ (195 US$/165EUR) in Alberta.
        
       | alextheparrot wrote:
       | > He said the use of the larger test was appropriate because it
       | could catch a wider range of diseases, particularly for those who
       | were symptomatic. [0]
       | 
       | Cant't believe this isn't an ethics violation, it is like going
       | into the car dealership to change my oil and them charging me to
       | take apart the engine because "It could catch a wider range of
       | issues".
       | 
       | I know what service I want and would consent to, this
       | "Technically correct but costs 50x as much" is harmful.
       | 
       | [0] This is the doctor's response when asked why he is testing
       | for ~20 other respiratory diseases in the drive-through
       | coronavirus line.
        
         | danpalmer wrote:
         | This also betrays a lack of understanding of testing by the
         | doctor.
         | 
         | If each test has a 1% chance of returning a false positive (and
         | false positives are possible in most tests), there's a
         | significant chance that one of the 20 will return a false
         | positive, which will then prompt unnecessary treatments,
         | further tests, etc.
         | 
         | The general medical guidance is to only test when there's a
         | legitimate suspicion that a patient has the illness. In this
         | case, these patients wouldn't have been tested for a wide range
         | of respiratory issues anyway, and given the pandemic it's much
         | more likely that they've got coronavirus, so they really
         | shouldn't be tested for the other things, especially if
         | asymptomatic.
        
         | peeters wrote:
         | Yeah that's straight up malpractice. If there's a 99% chance
         | it's Covid and not something else, you do the Covid test first
         | and if that comes back negative, _then_ you test for the
         | "something else" (if symptoms are severe enough).
        
           | arcticfox wrote:
           | It's even worse than that, he was testing _asymptomatic_
           | patients with a full panel. That part takes it from probably
           | unethical to full-blown fraud for me.
           | 
           | > But in interviews, asymptomatic patients said they had also
           | received the more expensive test.
        
             | vharuck wrote:
             | For asymptomatic patients, doing those tests could easily
             | cause net harm from follow-up to false positives. So, even
             | if the tests had been free, it's probably unethical.
             | 
             | This is why organizations like the United States
             | Preventative Services Task Force exist. They review studies
             | and recommend best practices for medical screening. They do
             | recommend against asymptomatic screening for a lot of
             | tests.
        
         | throwaway0a5e wrote:
         | >it is like going into the car dealership to change my oil and
         | them charging me to take apart the engine because "It could
         | catch a wider range of issues".
         | 
         | This kind of stuff is pretty par for the course. They try and
         | up-sell. If you agree then you're on the hook for the bill.
         | That's just how the industry works. But businesses that make a
         | habit of being sleazy don't survive long because the bill must
         | be agreed upon beforehand and customer is free to go elsewhere
         | with little friction and there isn't all sorts of gatekeeping
         | and regulatory capture constraining supply.
        
           | sjg007 wrote:
           | There's a reason it's endemic and that's because people fall
           | for it. Every few months there's an investigation by the
           | government and some oil changer business gets fined for it.
           | Dealers do it too but if your car is under warranty these
           | days it tends to be less of an issue. Cars are more reliable
           | now too. Out of warranty though, hold onto your hat!
        
             | joombaga wrote:
             | What exactly do they get fined for? I recognize this sort
             | of upselling is sleazy, but I'm curious about the wording
             | of laws that make it a fineable offense.
        
               | sjg007 wrote:
               | It usually starts with an investigation by the attorney
               | general who responds to customer complaints alleging
               | fraud and deceit etc... Sometimes things are kicked off
               | by a local news channel sting.
        
             | h_anna_h wrote:
             | > Cars are more reliable now too
             | 
             | This is hard to believe. If anything they are more
             | disposable.
        
               | omgwtfbyobbq wrote:
               | Average age has been ticking up for a while, at least in
               | the US.
               | 
               | https://www.bts.gov/content/average-age-automobiles-and-
               | truc...
               | 
               | I feel like the disposability angle comes from having
               | relatively expensive parts/repair costs with low value
               | older vehicles, which results in them being retired
               | because of the economics of having someone else repair
               | them.
        
               | pnutjam wrote:
               | That and the ever present complaint that they can't take
               | a hit like they used too.
               | 
               | Never mind that makes them way safer and saves tons of
               | lives. Some people want to crash up derby their car every
               | weekend.
        
               | throwaway0a5e wrote:
               | Having a crumple zone turn to mush in a 10mph parking lot
               | mishap does pretty much nothing to make your car more
               | survivable in a crash that might hurt you.
               | 
               | There's no real reason slow speed crashes have to be as
               | damaging as they are. It's just a result of what our
               | tests our and natural optimization toward them. If the
               | NHTSA reintroduced a "is the vehicle drive-able after a
               | minor hit" type crash things would get a lot better very
               | quickly.
        
               | mrguyorama wrote:
               | It's also not even remotely true. Check out the IIHS
               | crashing a 60s bel air into a modern malibu.
               | 
               | "They don't make them like they used to" has always been
               | a nostalgic crock of shit, like the people who think the
               | NES was the golden age of video games, despite the vast
               | majority of the 700 or so releases being utter trash for
               | $60 that sometimes didn't even work!
               | 
               | https://www.youtube.com/watch?v=C_r5UJrxcck
        
               | h_anna_h wrote:
               | I can give you an anecdote. A modern car crashed on our
               | nissan from 1990's a while ago and while absolutely
               | nothing happened to ours the other car looked like a
               | wreck. Maybe the behind of the car is made to be more
               | durable than the front? I do not know.
        
               | mrguyorama wrote:
               | The body may not have warped much, but that just means
               | the force was transferred directly to the occupants with
               | zero reduction from crumple zones. This is terrible for
               | safety but good for the pocket book if you are lucky
               | enough to escape unscathed.
               | 
               | With significant and well engineered crumple zones and
               | fairly expensive components, modern cars are
               | significantly easier to total.
        
               | omgwtfbyobbq wrote:
               | I think they're talking about damage from low speed hits.
               | Older cars can take those without as much apparent damage
               | because they have big heavy bumpers and aren't designed
               | for occupant/pedestrian safety, but like you said they'll
               | fold up like a tin can in higher speed crashes.
        
               | throwaway0a5e wrote:
               | That's a promotional video for showcasing how far safety
               | has come. It's about as grounded in reality as that Top
               | Gear episode with the Hilux that the online fanboys all
               | beat it to but people who actually work in industry roll
               | their eyes at.
               | 
               | Nobody's ever done an 80s Town Car vs a 2010 Town Car at
               | 30mph because a crash test where the result is "both
               | drivers would have walked away" is boring and doesn't
               | make for the kinds of DARE-esque media that the people
               | who do crash testing have found it worthwhile to put out.
        
               | sjg007 wrote:
               | I'd imagine that there are companies that buy these
               | vehicles from salvage or auction and rehab them for sale
               | in other countries.
        
               | floren wrote:
               | People used to consider it a major milestone for their
               | car to hit 100,000 miles. It wouldn't be particularly
               | surprising if you needed your engine or transmission
               | rebuilt before that point. American cars didn't even have
               | 6-digit odometers for a long time. These days, your
               | average inexpensive sedan will hit 100,000 miles with
               | nothing but oil changes (every 10,000 miles instead of
               | every 3,000 like it used to be), a couple sets of tires,
               | and some new brake pads.
               | 
               | Of course, if it breaks, it's full of all these complex
               | little systems that let modern cars run for hundreds of
               | thousands of miles at 40mpg, and you'll need to pull in a
               | professional, but they break a LOT less frequently.
        
               | Amezarak wrote:
               | My experience is that the drivetrain is MUCH more
               | reliable than it used to be, but the various electronic
               | systems are subject to high failure rates - displays,
               | buttons, computers, sensors, etc. Many of these failures
               | don't impact your actual driving ability, but are just a
               | nuisance, like if your AC button stops working or your
               | cars information displays.
        
               | DavidPeiffer wrote:
               | Going back to when my parents were growing up, a car with
               | 60,000 miles was near the end of its life. They checked
               | the oil every time they got gas out of necessity.
               | 
               | Now almost nobody needs to check the oil that frequently
               | (though it'd be good practice) and even lower end cars
               | routinely last to 100,000 miles.
               | 
               | I'm driving a 2010 Honda Civic with 100k miles and fully
               | expect to replace it with a newer vehicle out of concern
               | for safety, desire for an electric vehicle, and wanting
               | some better creature comforts. The thing will probably
               | run to 250k miles, which would take me another 13 years
               | to achieve.
        
               | lostapathy wrote:
               | Cars today may be harder/more expensive to fix, but they
               | do seem to last a lot longer before they need it, and as
               | pointed out down thread they tend to last a lot longer in
               | the absolute sense.
               | 
               | As a kid, we had a van that made it to 150k miles and my
               | parents friends were amazed it was still on the road.
               | I've personally owned 4 or 5 vehicles older than that,
               | all in better shape than that van at 150k.
        
             | bcrosby95 wrote:
             | Trustworthy mechanics are worth their weight in gold. Our
             | local mechanic spent a lot of time diagnosing a problem and
             | when he found out it was covered by the standard warranty
             | (it was a part that has a longer than normal one, don't
             | remember which exactly) sent us on our way to get it fixed
             | by a dealership.
             | 
             | We brought them coffee and bagels the next day.
        
               | sjg007 wrote:
               | I mean, you should pay for the diagnostic time, which is
               | usually $100 or so.
        
             | StillBored wrote:
             | I've had multiple dealers discover a laundry list of
             | problems on my/wifes "out of warranty" vehicles. Frequently
             | for thousands of dollars. Then its pointed out its actually
             | under a factory extended warantty (certified preowned from
             | another dealer). And the resulting scrambles have been
             | entertaining, as they do a ton of work replacing stuff on a
             | vehicle no one in their right mind would have "fixed".
             | Although at least a few times the repairs have been denied
             | ("worn out" engine mounts).
        
           | SilasX wrote:
           | Yes, they do slimy stuff, but nothing like the parent was
           | describing. I've never heard of a maintenance place taking
           | apart your engine without asking you first.
        
             | throwaway0a5e wrote:
             | That's exactly my point. Why aren't costs agreed upon first
             | in healthcare? Sure the doctors, hospitals, insurance, etc
             | will lose their ass on some jobs but it should more than
             | balance out over time.
        
               | SilasX wrote:
               | Oh sorry I misunderstood you, I thought you were
               | referring to the car repair industry's upsells.
               | 
               | My own story is when I went to an ENT for something
               | unrelated and he asked me if it was okay to pull out a
               | hair he saw on my ear and I said yes, and then the bill
               | had a $500 charge for it.
        
         | nitrogen wrote:
         | Was this a modern machine-based test where testing for one
         | disease is just as easy as testing for 20 at a time? There's
         | been a lot of false information and insurance screwups in the
         | news about such tests. A single lab test that the machine
         | vendor charges $200 for, and thus costs the hospital probably
         | $50 or less if they own the machine, gets coded by insurance as
         | 20 separate tests.
         | 
         |  _We 100% should be using these kinds of tests way more often._
         | If this was such a rapid multi-test, the villain here is the
         | billing department and insurance.
        
         | sjg007 wrote:
         | It is probably an ethics violation. I am sure he probably
         | covered himself in the fine print but as you can see the
         | customers are confused so that means they didn't expect the
         | full respiratory panel testing. Insurance companies may have
         | rules on it too so he could be in violation of contracts. I
         | would expect negative flu test, negative covid test, then that
         | justifies the remaining panel if symptoms worsen or what not.
         | 
         | This is though the same thing car dealers do. They always want
         | to up sell services.
        
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