Long answer, many factors.
It’s not a simple fee-for-service cash transaction between the buyer and seller, where the doctor/seller sets (and knows) the price.
Instead it’s third party payment, fourth party pricing, fifth party regulation.
AMA + CPT + RVU + CPOM + FDA = DMV
It’s not a simple fee-for-service cash transaction between the buyer and seller, where the doctor/seller sets (and knows) the price.
Instead it’s third party payment, fourth party pricing, fifth party regulation.
AMA + CPT + RVU + CPOM + FDA = DMV
https://twitter.com/kartheemadasamy/status/1450267300007874563
I should probably write an essay on this but it’s very difficult to fix the US system from within.
The recent emergency legalization of telemedicine may be the key — build a parallel system abroad, with medical tourism referrals to places like Bumrungrad. bumrungrad.com/en/about-us/bu…
The recent emergency legalization of telemedicine may be the key — build a parallel system abroad, with medical tourism referrals to places like Bumrungrad. bumrungrad.com/en/about-us/bu…
Why have prices gone up so much?
- MDs don’t set or know prices
- CPOM deters hospital startups
- Few pay listed cash price
- Insurance means uncertain payment for vendors and patients alike
- AI automated diagnosis is regulated
- Telemedicine was until recently also inhibited
- MDs don’t set or know prices
- CPOM deters hospital startups
- Few pay listed cash price
- Insurance means uncertain payment for vendors and patients alike
- AI automated diagnosis is regulated
- Telemedicine was until recently also inhibited
https://twitter.com/KartheeMadasamy/status/1450267300007874563
Why have prices gone up so much?
- RVU system prices everything on basis of labor not value to patient
- Medicare de facto centrally sets prices that insurers use
- Max payment for specialists, not preventive care at GP level
- Less prevention = less ambulatory = more emergency
- RVU system prices everything on basis of labor not value to patient
- Medicare de facto centrally sets prices that insurers use
- Max payment for specialists, not preventive care at GP level
- Less prevention = less ambulatory = more emergency
https://twitter.com/kartheemadasamy/status/1450267300007874563
Emergency medicine is not capitalist medicine — you don’t have a free choice if you’re on a gurney.
But ambulatory medicine is. The more prevention & quantified self, the earlier the warning & the more you can pick from different MDs. Ambulatory medicine is capitalist medicine.
But ambulatory medicine is. The more prevention & quantified self, the earlier the warning & the more you can pick from different MDs. Ambulatory medicine is capitalist medicine.
If you notice, the dentists, plastic surgeons, dermatologists, even veterinarians all have more reasonable pricing.
That’s because it’s not usually an emergency, and you can pick/choose from different MDs. Capitalism then does its magic.
More ambulatory medicine = lower prices.
That’s because it’s not usually an emergency, and you can pick/choose from different MDs. Capitalism then does its magic.
More ambulatory medicine = lower prices.
(Yes, vets are DVMs rather than MDs but you get my point.)
This article from almost 10 years ago makes similar points. Fortunately with quantified self and fitness trackers we may be able to start changing care. More prevention, lower prices.
theatlantic.com/magazine/archi…
This article from almost 10 years ago makes similar points. Fortunately with quantified self and fitness trackers we may be able to start changing care. More prevention, lower prices.
theatlantic.com/magazine/archi…
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