this post was submitted on 26 Dec 2023
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When a baby is about to arrive, every minute counts. Yet when Jen Villa of Salinas, California, was in labor, she and her partner drove 45 minutes in the middle of the night, bypassing nearby hospitals to reach one they could afford.

For years, the price of hospital care has been hidden from patients, companies and taxpayers who get the bills — and that secrecy has made a hospital visit in some places prohibitively expensive. It has also fostered disparities, forcing people to pay far more depending on where they go.

...

Federal rules put in place in 2021 require hospitals to make their prices public so consumers can compare them and know ahead of time how much going to one will cost. While many hospitals have been slow to comply, the emerging picture has revealed imbalances that leave patients like Villa weighing saving money against being seen by a preferred doctor or at facilities closer to home.

A Bloomberg News analysis of data compiled by Rand Corp. found more than 350 hospitals in communities across the US with significantly lower-cost competitors within 5 miles. More than half the time, the less expensive facilities had quality ratings that were similar or superior to their pricier neighbors. If patients are willing to travel as far as Villa did for lower cost care, they’re likely to find it: Almost half of US hospitals are within 30 miles of a significantly less expensive competitor, according to Bloomberg’s analysis of the Rand data.

Such inconsistencies seem to defy the normal market forces that shape prices for most goods and services...

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[–] [email protected] 83 points 11 months ago (2 children)

The "normal" market forces here are with almost fully inelastic demand. The system is working exactly as those in charge intend: to maximize profits at the expense of our health.

[–] [email protected] 46 points 11 months ago

Speaking from the pharmacy perspective.

Banks wove their way into drug transactions as a middleman called Pharmacy benefits managers. They stand between insurance and pharmacies to prevent collision, but instead, what we see is insurance companies pay a lot for drugs, while pharmacies see very little for that drug. Over 50% is being taken by the PBM because they're "preventing" collision. Don't even get me started on the vertically integrated pharmacies like CVS and United who abuse their position to force consumers to use their pharmacies instead of competitors or use "technological advancements" to keep their prices lower than their competitors.

NYC is currently trying to pass legislation to fix this, but that's only at the state level.

Wall Street needs to get the fuck out of healthcare and healthcare needs to stay the fuck out of Wall Street. Once a healthcare org talks about share holders, we're no longer talking about patients.

[–] [email protected] 42 points 11 months ago (2 children)

Cost for hospital and doctor visits in the last year: $10,000. After negotiations.

Cost if I lived in Canada: $0.

Not a single thing I had done was a rare procedure. I had to have a lot of different procedures, but all of them were common procedures because all but one was diagnostic.

[–] [email protected] 20 points 11 months ago

the fact that is "health-care market" is so fucked

[–] [email protected] 14 points 11 months ago (2 children)

Yeah just what I need to do when I'm dying.. Let's use the hospital price compare tool

[–] [email protected] 3 points 11 months ago

At least it exists. Not a big win for sure, but a step in the right direction nonetheless.

[–] [email protected] 1 points 11 months ago (1 children)

I feel like I'd rather have that problem than having to drive an hour away to get to a hospital that's going to treat me correctly in the first place.

My local hospital life-flights people because they can't even set broken bones.

[–] [email protected] 2 points 11 months ago

How are you going to price compare in an emergency situation, especially if you're life friends on it?

[–] [email protected] 11 points 11 months ago

'pro-life' policy at work.

[–] [email protected] 8 points 11 months ago

We need a presidential candidate that actually supports Medicare For All and puts and end to this insane for profit death racket

[–] [email protected] 5 points 11 months ago

My wife is in labor at the most expensive hospital in the area of this story, thankfully I have good insurance and have already maxed my out of pocket.

[–] [email protected] 4 points 11 months ago (1 children)

There's a reason why no other country in the world imitates the US healthcare insurance system.

[–] [email protected] 2 points 11 months ago (1 children)

Yet.

Corporations in the UK and Canada are actively spreading propaganda and lobbying to underfund public health.

[–] [email protected] 3 points 11 months ago (1 children)

Sure, but I don't think a lot of voters in those countries are particularly impressed by how the US healthcare system works. It's notorious.

[–] [email protected] 3 points 11 months ago

The majority of voters in the US agree