A former US surgeon general says he went to the ER for dehydration and ended up with a $5,000 bill. He called the healthcare system 'broken.'

return2ozma@lemmy.world to News@lemmy.world – 930 points –
A former US surgeon general says he went to the ER for dehydration and ended up with a $5,000 bill. He called the healthcare system 'broken.'
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(Not defending the $5k bill)

Then what are you defending? An IV takes a few minutes to insert. If the RN is earning $200/hr and the bag costs 10x the going rate of around $11, you're still talking about a 16x markup.

I'm defending the idea that one of the best hospitals in the world would charge more than an ordinary clinic. All healthcare in this country is overpriced, but I don't see anything wrong with incentivising people to offer better services. The best doctors and nurses should get paid the most.

I’m defending the idea that one of the best hospitals in the world would charge more than an ordinary clinic.

Would affordability not be factored into a hospital's quality? If a hospital puts even the most routine care at an inaccessible price point, I would consider that a black mark on their ability to deliver service.

I don’t see anything wrong with incentivising people to offer better services.

Again, I don't see any relationship between the price-tag of a saline drip and the quality of service. Not when the price is that astronomical.

If you put in an order for a hamburger, the meal shows up, and then waiter hands you a check for $500, the advertised assertion that this is "The Best Burger!" does not transform a quarter pound of grilled ground beef into its weight in gold.

The best doctors and nurses should get paid the most.

There is no reason to believe a saline drip at Mayo Clinic is going to be meaningfully different from any bog standard city hospital.

All the price tag accomplishes is to screen people in need of care from the facility based on their income.

If a hospital puts even the most routine care at an inaccessible price point, I would consider that a black mark on their ability to deliver service.

The only part of my post you didn't quote was the part where I said I think all healthcare in this country is overpriced. I agree with what you said here, and I'm not sure why your post seems so hostile.

Hospitals have finite resources. The most skilled and ambitious health care professionals should be using their talents to help people with the most challenging illnesses, not spending their time on routine (but still life-saving) treatments.

I think all healthcare in this country is overpriced

That's cool. So why defend an obvious case of overpriced health care by insisting the clinic is exceptional? An exceptional clinic would - presumably - be exceptionally accessible. Throughput is as much a function of quality as individual results.

Hospitals have finite resources.

That's fine. Dehydrated people require a finite medical intervention.

The most skilled and ambitious health care professionals

Are not required to administer a saline drip.

So why defend an obvious case of overpriced health care by insisting the clinic is exceptional?

Please point out where you think I was defending overpriced health care, so I can clear up this misunderstanding once and for all.

The best doctors and nurses should get paid the most.

You're using an arbitrary metric (best doctor) to assign a discrete value (most pay). That's inevitably going to result in every doctor with a high opinion of oneself to charge a higher rate than their peers.

The end result is overpriced care.

The mental gymnastics it took for you to make that leap is impressive. Do you think all doctors put the same amount of effort into their work? I can tell you from personal experience that some doctors are pretty lazy and don't deserve above-average pay. On the other hand, some truly go above and beyond.