I seen this in action recently. I've been going back and fourth for 'oral surgery'. I'm getting teeth pulled why the hell I need a surgeon to do it is beyond me. Anyhow, I've been going to this dentist err..oral surgeon since I'm a kid. I'm very comfortable with the guy. Before I had insurance if I went in to get a tooth pulled (which I'd only do as last resort) it was $250 per tooth. Now, I have insurance and they only will only pay $50 per tooth. Guess what he's pulling my teeth for? $50 a pop including X Rays
Keep in mind I'm an easy patient. I don't get put to sleep so there's no 'pre-op', no heart monitor, etc. It's numbing gel, a shot of Novocain, and he gets to work with the shoehorn looking thing. In most cases he waits longer for the Novocain to kick in than he does to pull the tooth.
I mentioned to him back when I was a cash patient that since I'm an 'easy' patient could he cut me a break on the price or at least do a payment plan with me. No dice.
"Obamacare" has helped people like me. I could never afford insurance in the private marketplace which led to me doing the bare minimum to stay relatively healthy (BP meds and blood thinners). No preventative care which is part of the reason I'm in the process of getting 7 teeth yanked. I would've went to a dentist had I had insurance or it been affordable.
The first thing that has to happen is malpractice suits need to be capped then insurance premiums will go way down which will bring the cost of doing business as a doctor down and thus in theory the cost to the insurance co or patient down.
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Sorry to triple post the messed up state of medicine in America is a passion of mine.
Correct, the biggest problem are the greedy insurance companies. In my case my diabetes causes everything and they don't want to pay a dime. My lawyer and my medical records have shown that my diabetes has done squat. They didn't want to pay my cataract surgery on both eyes and the retina surgery on my right eye ($18,000 USD).
Again my lawyer and my doctor had to educate somebody who knew squat about the situation. You'd guess they had a specialist going over each case but, no they would have to pay too much. The insurance company is starting to learn not to mess with me.