T 2.0

Zelensky Opens Peace Talks with Russia by Gloating about Sunday’s Bomber Attack Deep Inside Russia and Begging the West for More Weapons. ​

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watfly said:
I wonder how much of our medical costs are a function of how much it costs to get a medical degree, like a domino effect? Doctors are coming out of medical school with a million, or millions in debt.
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Those are crazy outliers I'd say. The average debt is around $250K from what some quick searches can tell. The average salary 10 years after qualifying is about $376K. Bottom line is that it should be manageable.

That's not to say the cost isn't crazy high, it clearly is. I would say that medical costs are impacted more by administrative burdens and middle men and their cuts.

Here's some "good" stats!

​

Administrative Costs in U.S. Private Healthcare​

  • Overall Share: Administrative expenses account for approximately 15% to 30% of total U.S. healthcare spending, equating to between $600 billion and $1 trillion annually.
  • Billing and Insurance-Related (BIR) Costs: These costs, encompassing activities like claims processing and prior authorizations, represent a substantial portion of administrative expenses. In California acute care settings, BIR costs among insurers, physicians, and hospitals constituted 20–22% of privately insured spending.
  • Insurer Administrative Overhead: Private health insurers typically allocate around 12% of premium revenues to administrative functions. This percentage can vary based on the size of the insured group, with smaller firms and individual plans often experiencing higher administrative cost ratios.
  • Hospital Administrative Costs: On average, U.S. hospitals dedicate about 24.3% of their spending to administrative activities. For-profit hospitals tend to have higher administrative costs compared to non-profit and public hospitals.

The U.S. spends significantly more on healthcare administration than other developed nations. For instance, in 2020, the U.S. spent $1,055 per person on healthcare administrative costs, whereas the average among 12 other high-income countries was $193 per person.

And for comparison ...

Medicare Administrative Costs​

  • Traditional Medicare: Administrative expenses for traditional Medicare are notably low. In 2021, they accounted for approximately 1.3% of total program spending, encompassing costs for claims processing and oversight of Part D .
  • Medicare Advantage (MA): In contrast, Medicare Advantage plans, which are administered by private insurers, incur significantly higher administrative costs. Reports indicate that administrative expenses in MA are about five times higher than those in traditional Medicare. This increase is largely due to elevated spending on marketing, commissions, and plan management .
Medicaid Administrative Costs
  • Fee-for-Service (FFS) Medicaid: Administrative costs in traditional Medicaid programs are relatively low, typically ranging between 2% and 5% of total expenditures.
  • Medicaid Managed Care: When Medicaid services are delivered through managed care organizations (MCOs), administrative costs tend to be higher. For-profit MCOs spend an average of 14% of premiums on administrative expenses, while non-profit or provider-owned plans average around 10% .
 
whatithink said:
Those are crazy outliers I'd say. The average debt is around $250K from what some quick searches can tell. The average salary 10 years after qualifying is about $376K. Bottom line is that it should be manageable.

That's not to say the cost isn't crazy high, it clearly is. I would say that medical costs are impacted more by administrative burdens and middle men and their cuts.

Here's some "good" stats!

​

Administrative Costs in U.S. Private Healthcare​

  • Overall Share: Administrative expenses account for approximately 15% to 30% of total U.S. healthcare spending, equating to between $600 billion and $1 trillion annually.
  • Billing and Insurance-Related (BIR) Costs: These costs, encompassing activities like claims processing and prior authorizations, represent a substantial portion of administrative expenses. In California acute care settings, BIR costs among insurers, physicians, and hospitals constituted 20–22% of privately insured spending.
  • Insurer Administrative Overhead: Private health insurers typically allocate around 12% of premium revenues to administrative functions. This percentage can vary based on the size of the insured group, with smaller firms and individual plans often experiencing higher administrative cost ratios.
  • Hospital Administrative Costs: On average, U.S. hospitals dedicate about 24.3% of their spending to administrative activities. For-profit hospitals tend to have higher administrative costs compared to non-profit and public hospitals.

The U.S. spends significantly more on healthcare administration than other developed nations. For instance, in 2020, the U.S. spent $1,055 per person on healthcare administrative costs, whereas the average among 12 other high-income countries was $193 per person.

And for comparison ...

Medicare Administrative Costs​

  • Traditional Medicare: Administrative expenses for traditional Medicare are notably low. In 2021, they accounted for approximately 1.3% of total program spending, encompassing costs for claims processing and oversight of Part D .
  • Medicare Advantage (MA): In contrast, Medicare Advantage plans, which are administered by private insurers, incur significantly higher administrative costs. Reports indicate that administrative expenses in MA are about five times higher than those in traditional Medicare. This increase is largely due to elevated spending on marketing, commissions, and plan management .
Medicaid Administrative Costs
  • Fee-for-Service (FFS) Medicaid: Administrative costs in traditional Medicaid programs are relatively low, typically ranging between 2% and 5% of total expenditures.
  • Medicaid Managed Care: When Medicaid services are delivered through managed care organizations (MCOs), administrative costs tend to be higher. For-profit MCOs spend an average of 14% of premiums on administrative expenses, while non-profit or provider-owned plans average around 10% .
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Medical malpractice insurance is also considerably higher in the US. In some areas, the OB/GYN insurance cost for a single doctor is $200,000.
 
whatithink said:
Those are crazy outliers I'd say. The average debt is around $250K from what some quick searches can tell. The average salary 10 years after qualifying is about $376K. Bottom line is that it should be manageable.

That's not to say the cost isn't crazy high, it clearly is. I would say that medical costs are impacted more by administrative burdens and middle men and their cuts.

Here's some "good" stats!

​

Administrative Costs in U.S. Private Healthcare​

  • Overall Share: Administrative expenses account for approximately 15% to 30% of total U.S. healthcare spending, equating to between $600 billion and $1 trillion annually.
  • Billing and Insurance-Related (BIR) Costs: These costs, encompassing activities like claims processing and prior authorizations, represent a substantial portion of administrative expenses. In California acute care settings, BIR costs among insurers, physicians, and hospitals constituted 20–22% of privately insured spending.
  • Insurer Administrative Overhead: Private health insurers typically allocate around 12% of premium revenues to administrative functions. This percentage can vary based on the size of the insured group, with smaller firms and individual plans often experiencing higher administrative cost ratios.
  • Hospital Administrative Costs: On average, U.S. hospitals dedicate about 24.3% of their spending to administrative activities. For-profit hospitals tend to have higher administrative costs compared to non-profit and public hospitals.

The U.S. spends significantly more on healthcare administration than other developed nations. For instance, in 2020, the U.S. spent $1,055 per person on healthcare administrative costs, whereas the average among 12 other high-income countries was $193 per person.

And for comparison ...

Medicare Administrative Costs​

  • Traditional Medicare: Administrative expenses for traditional Medicare are notably low. In 2021, they accounted for approximately 1.3% of total program spending, encompassing costs for claims processing and oversight of Part D .
  • Medicare Advantage (MA): In contrast, Medicare Advantage plans, which are administered by private insurers, incur significantly higher administrative costs. Reports indicate that administrative expenses in MA are about five times higher than those in traditional Medicare. This increase is largely due to elevated spending on marketing, commissions, and plan management .
Medicaid Administrative Costs
  • Fee-for-Service (FFS) Medicaid: Administrative costs in traditional Medicaid programs are relatively low, typically ranging between 2% and 5% of total expenditures.
  • Medicaid Managed Care: When Medicaid services are delivered through managed care organizations (MCOs), administrative costs tend to be higher. For-profit MCOs spend an average of 14% of premiums on administrative expenses, while non-profit or provider-owned plans average around 10% .
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This is an interesting article about "defensive medicine" (i.e. malpractice risk) and cost of medical education leading to higher health care costs in the US vs other countries.


The US spends a staggering 2% of GDP on diagnostics, compared to only 0.54% in the UK, and similarly low values in other advanced economies such as France and Germany. We argue the high level of diagnostics in the US stems from two key factors: (i) the high cost of medical education, which makes the physician wage much higher than the alternative, and (ii) the high level of malpractice risk.

This is a great argument for why we need tort reform in the US.
 
kickingandscreaming said:
If only Boulder officials they were so careful about protecting their citizens. This level of gaslighting is driven by some combination of evil and delusion.

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Andrew is a liar just like the rest of the MSM, espola and Husker Du. All on the same team. We all know Little evil Larry is getting all excited with all this chaos. I'm sorry to say, this is just the beginning of the "Summer of Love 2.0." WHO the hell came into our country under Joe?
 
"Yesterday’s horrific attack in Boulder, Colorado, WILL NOT BE TOLERATED in the United States of America. He came in through Biden’s ridiculous Open Border Policy, which has hurt our Country so badly. He must go out under “TRUMP” Policy. Acts of Terrorism will be prosecuted to the fullest extent of the Law. This is yet another example of why we must keep our Borders SECURE, and deport Illegal, Anti-American Radicals from our Homeland. My heart goes out to the victims of this terrible tragedy, and the Great People of Boulder, Colorado!" President Trump

"Anyone but Trump." Comey, Andrew, Pedo Joe, cheaters, killers, liars and of course, Husker Du and espola.
 
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