|Medical procedures costs
||[Jun. 29th, 2007|04:55 pm]
The Question Club
1. This question was inspired by a discussion in another community that got me curious.|
Scenario: Two people go to a hospital to have the same type of testing done. Let's just say it's an MRI/CAT scan/something similar where the total bill would be around $5,000. Denise, our first person, who just happens to be uninsured, receives a bill from the hospital for the full $5,000. Angie, our second and insured person, gets a statement from her insurance company that the allowed amount for the procedure was $1,300 and they've paid it. For the sake of simplicity, let's assume Angie has paid her deductible previously and has awesome insurance that pays 100% after the deductible. Assuming Denise is able to pay her bill, the hospital gets $5,000 from her and $1,300 from Angie's insurance company for the same procedure.
Question: Let's also assume that someone, somewhere has worked out the exact, *actual* cost of the procedure with all the various factors involved: cost of using the facility, cost of using the equipment, cost of the technician's time and expertise, etc. In general, would the actual cost of the procedure be closer to the insurance company's contracted amount ($1,300) or to the hospital's normal billing amount ($5,000)?
2. If you were designing a country from the ground up, would you make it offer universal health coverage? Why/why not?
3. Do you live in a place with universal health coverage? Where (country-wise) do you live?