For the GOP high costs are a feature not a bug

High medical costs area feature not a bug

by digby




















Seriously. They believe they keep us from overusing the medical system:
"There's definitely going to be changes in the health care delivery system," said U.S. Rep. Bill Huizenga, R-Zeeland. "We can't just continue to squeeze providers to say this is how we are going to save money. It's forcing health care providers ... into some very different actions that in most people's opinion is unhealthy."

Instead, Huizenga says more responsibility needs to shift to the shoulders of patients to reduce costs. One way to do that is having them pay a bigger share of their medical expenses by increasing their insurance deductibles and incentivizing them to use HSAs, health savings accounts, to sock away pre-tax money to pay medical bills.

"At some point or another we have to be responsible or have a part of the responsibility of what is going on," Huizenga said. "Way too often, people pull out their insurance card and they say 'I don't know the difference or cost between an X-ray or an MRI or CT Scan.' I might make a little different decision if I did know (what) some of those costs were and those costs came back to me."

The father of five offered a personal example of how this shift might play out. He says his youngest son fell and injured his arm. Not sure if it was sprained or broken, he and his wife decided to wait until the next morning to take the 10-year-old to the doctor's office, instead of going to the emergency room that night. The arm was broken.

"We took every precaution but decided to go in the next morning (because of) the cost difference," Huizenga said. "If he had been more seriously injured, we would have taken him in. ... When it (comes to) those type of things, do you keep your child home from school and take him the next morning to the doctor because of a cold or a flu, versus take him into the emergency room? If you don't have a cost difference, you'll make different decisions."

The man let his 10 year old son suffer all night with an un-set arm because he didn't want to pay for the emergency room visit. For all he knew there could have been a nerve or blood vessel injury or a fat embolism (all of which I found simply by googling.) Not to mention pain. Broken bones are very painful, even if they are simple. What kind of sadist would do that to his own kid? It's medieval.

I had thought that maybe the GOP was just bluffing on repeal and replace because it's really stupid and they would do some "abracadabra" phony changes and then just call it Trumpcare. But that's not going to happen. They really believe this nonsense.

I wish I understood why people who are already squeezed financially vote for this stuff. But the sad fact is that they're so angry that people they believe to be "undeserving" are allowed to access medical care that are willing to suffer themselves.

And some of them are just cruel, heartless people:





I know I'm supposed to feel empathy for them and I'm trying. I wonder when someone is going to ask the same of them?







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cheers --- digby