Irrationality In Healthcare

Superior Essays
The United States has always liked to pride itself on providing a high quality of life for its citizens, for taking care of us and giving us access to care and services that are scarce in many other countries. But for many Americans the road to accessing wholesome healthcare is full of road blocks, the most immediate of which is the cost. Bills from supposedly non-profit hospitals are sky-high, punishing those with low-coverage policies or the particularly unfortunate patients who are stuck in a financial bracket where they earn too much to qualify for government insurance programs but not enough to afford private insurance. Hospital administrators have excused high prices with the idea that finance is complex for patients, providers, and the …show more content…
At the root of the high prices is the chargemaster, the nonsensical list of prices for everything from gauze pads to surgeries. The first indicator of their irrationality is that their listed prices vary drastically between hospitals. If a product or service is truly being charged for what it is worth, there should be little variation between prices, especially when comparing hospitals in the same region which do not have to account for differing regional costs of living. What most chargemasters do have in common, however, are

Related Documents

  • Superior Essays

    Front Street Hospital: Uninsured Charges and Collections (pg. 237 of Cases in Healthcare Finance, 5th edition) It is quite clear from the text’s exposition on the policy, billing, and collection habits of certain not-for-profit hospitals that serious injustices were being committed against uninsured patients. These injustices were primarily financial in nature – although physical and psychological trauma almost always followed – and they reveal the systematic nature of the abuse. By setting “rack rates” – an extremely expensive set rate for medical procedures – as the ‘standard fare’ for all patients, while simultaneously granting clear and enormous discounts for those insured through third-party entities, the not-for-profit hospitals unconscionably…

    • 894 Words
    • 4 Pages
    Superior Essays
  • Decent Essays

    So, as you can see since it effects my pocket book I am very conscious of where I seek my care. Unfortunately, many government assisted patients take advantage of the system, because they know there will not be any financial responsibility after the care has been administered. A perfect example of this would be a mother that takes a child to the emergency room for cold symptoms. The mother had two other choices that could have actually saved the government money by either choosing to taking over the counter medication, or make an appointment with the child's primary care physician. There is such a significant difference in the amount of an emergency room visit verses the amount of a primary care visit.…

    • 557 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    One of the most debatable topics that is challenged today is the issue of healthcare. Although the United States has been trying to provide healthcare for all, the United States fails to supply all of its citizens for insurable healthcare compared to other countries. Compared to the illusion of majority citizens having health insurance, in reality 43% of low income Americans went without medical care due to cost, compared to the range of 8% in Britain and 31% in Switzerland in 2016 (Fox). Today, there are 28.4 million people in the United States who are under the age of 65 that are uninsured (Health Insurance Coverage). Workers who can not afford health care live day by day making enough money to support their family and can not afford a day…

    • 1391 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Along with a detailed history of insurance and political background on how has the health care system changed over the course of a few years, the book presents case studies that shows the financial strain and medical hardships caused by the declining health care system and why it is in a desperate need to reform. Some Americans cannot afford the medicine they need or cannot afford to pay the doctors for any medical help. “Hospitals try to keep out the uninsured because treating those patients will just divert hospital resources away from paying customers” (219). Some companies cannot provide insurance as an incentive with employment like previously either.…

    • 1007 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    American’s current health care system has become one of the nation’s leading controversial nuisance. The Affordable Care Act (ACA) was originally created with morals of assuring every American individual’s right to attain health care regardless of financial circumstances or pre-existing conditions along with government support if needed. Unfortunately, amongst the fabricated promises of security and assistance, this fragmented system impels families to remain uncomfortable and stressed. The additional costs and hidden fees that are woven into health insurance contracts are becoming increasingly more unbearable with every passing year. Our health plan options are seemingly appearing less like decent choices and more like mandatory commitments.…

    • 727 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Price Fixing is an illegal practice to when a heath care provider will charge an artificially high price for a health care service, or when a group of health care providers will set a standard price for a procedure so there is no competition. “Physician practice The illegal practice by a group of health care providers of establishing a standard price for procedures, thus creating a monopoly on a particular market segment.” "price fixing. " We see this in the United States quite often, we have one of the highest medical cost in the world. Granted we also do have very good health care and several advancements that most of the world do not have.…

    • 1968 Words
    • 8 Pages
    Great Essays
  • Superior Essays

    In 2010, The Affordable Care Act, commonly known as Obamacare, was implemented across the United States to address the foremost issues in today’s Healthcare. These problems include lack of accessibility to quality healthcare, growing cost of care, and quality of care. While the affordable care act addresses concern of access to care for the underprivileged, it creates other new complications regarding cost and quality. Obamacare has succeeded in making care more accessible and now millions of Americans are now newly insured under government subsidized healthcare exchanges. However, the cost of care for those previously insured from either their employer or privately has increased dramatically.…

    • 1942 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Part I: Medicaid Reimbursement: Cost of Patient In the healthcare industry, everything is expensive; from medication, technology, and treatments that cost from hundreds to thousands of dollars. This have caused a stressful mental breakdown and burden by the charges and bills. For example, my mom surgery cost $25,000 total; surgery, medication, and three night stay at the hospital. Medicaid and its’ reimbursement program have cover majority of the bill.…

    • 658 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Before 2010, millions of Americans suffered from the issues of not having health insurance. The Affordable Care Act, also known as Obamacare, was signed into law with high hopes of reducing the number of uninsured by making health insurance available to all U.S. citizens regardless of having an employer or not and living with a pre-existing condition while reducing additional healthcare spending outside the deductibles and premiums. Even with the best intentions to solve the problem of uninsured Americans, another problem surfaced from the Act, the cost. Since the current Federal Health care system burdens millions of Americans with unaffordable cost, which are caused by rising prices in pharmaceuticals, hospital care, and inadequate health…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Despite spending over 18% of the GDP on healthcare (Press, 2013) the US is ranked last among 11 other countries in terms of access, equity, quality, efficiency, and healthy lives according to a recent Commonwealth Fund report (Mahon & Fox, 2014). The countries include Australia, Canada, France, Germany, the Netherlands, New Zealand Norway, Sweden Switzerland, and the United Kingdom (Mahon & Fox, 2014). Overall, we as a nation seem to be spending more than all other major world leaders on our healthcare and yet the quality and effectiveness is still lacking. The goal of the ACA is to slow the increase in healthcare spending while also increasing the healthcare access and quality for the…

    • 1470 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Affordable Healthcare Act

    • 980 Words
    • 4 Pages

    The study further pointed out that “the median ER visit costs 40 percent more than what the average American pays in monthly rent” (Abrams, 2013). Rising cost is something to be expected, with the modernizing and advancing of medicine that occurs on what is seemingly daily. However, the majority of American’s are not able to spend this staggering cost. As a result, the Affordable Healthcare Act attempted to combat these problems. The Affordable Healthcare Act works by “offering consumers discounts, known as tax credits on government-sponsored health insurance plans, and by expanding the Medicaid assistance program to include more people who don't have it in their budgets to pay for health care” (Neporent, 2013).…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The right to affordable health care is as sacrosanct as the right to be free, if not more. The most important issue is making medical care a right for everyone at an affordable price. American health care has an insurance-based system; thus, to get affordable and efficient medical help, you should be insured. Currently, there are about 44 million uninsured Americans. According to Elizabeth Bradley, the author of the book The American Health Care Paradox, the paradox of today’s system is that “United States spends so much on health care but continues to lag behind in health outcomes” (33).…

    • 1634 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    China Health Care Essay

    • 472 Words
    • 2 Pages

    has not gone through a revolutionary health care reform. The United States is one of the largest and most industrialized countries in the world, however, are ranked last compared to high income countries on the quality of health care (Blumenthal & Hsiao, 2017). Blumenthal and Hsiao break the problems of the U.S. health care system down to four challenges. “The first challenge the U.S. health care system must confront is lack of access to health care” (Blumenthal & Hsiao, 2017). When the authors discuss lack of access, they are referring to the individuals who do not have health insurance and will delay or not seek care for medical problems due to cost.…

    • 472 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The central to the functioning of a market economy are the laws of supply and demand. When the supply, price, quality and demand for a product or service are aligned and the market can operate at its optimum. The laws of supply and demand underpinning the national economy in general also apply to the provision of health services. Yet the healthcare market is considerably distorted. One reason for this distortion is a disconnection between supply and demand for services.…

    • 762 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Healthcare Expensive Essay

    • 1122 Words
    • 5 Pages

    Each visit adds another hundred dollars on that month’s payment and it just keeps multiplying, or so it seems. Health care is expensive in itself, then adding on the treatment cost, and there those that cannot afford to pay these bills, making hospital visits not an option. In the United States the costs in health care bills is double the price than in other parts of the world; actually the three trillion dollars in this division would make it the world’s fifth-largest economy…

    • 1122 Words
    • 5 Pages
    Improved Essays