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Lux Alptraum לקס אלפטראום@luxalptraum.com |
One simple trick to fix the American healthcare system is that if you have insurance, doctors should take it, full stop; fuck this in network, out of network bullshit.
58 replies 73 reposts 788 likes
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Cate 🐬
@catebridget.bsky.social
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it’s like they don’t want people to ever travel
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Lolo Upstart
@foxymoxie.bsky.social
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But the poor CEOs! Whatever will they do!?!
1 replies 0 reposts 0 likes
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Doc Moulton
@docmoulton.bsky.social
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Doctors hate this one simple trick
0 replies 0 reposts 6 likes
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HeckinHound🔞
@heckinhound.bsky.social
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This would be a step in the right direction, yes. A better one would be to abolish private insurance and implement a universal government funded healthcare plan. But no. That could never be feasible despite many other countries implementing such programs successfully. 🤷
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Maddie M
@maddiemm.bsky.social
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Once a doctor's receptionist told me that not only did they not take my (shitty) insurance, now that they knew what my insurance was, they weren't allowed to let me self-pay either. They just couldn't see me, period, full stop.
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Marque
@marquemaire.bsky.social
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They do take it. Its just what You pay that changes.
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The Graphics Dude
@gpujeff.bsky.social
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Yes and no.. compared to other countries, USA health prices are incredibly high.. that’s the main cause of most of your problems ! $600 for an insulin package ? €60 in Europe… $30000 for a basic surgery ? €3000 in Europe ! Once prices are defined by the government, healthcare would get a lot better
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@astaines.bsky.social
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That's why you need single payer systems.
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Alan "the Truth shall make ye flee" J
@n5iln.bsky.social
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"But...but...PROFIT MARGINS...QUARTERLY DIVIDENDS..." smh
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Charles Bastille
@charlesbastille.bsky.social
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Asking for solutions to a for-profit healthcare system dominated by health megacorps isn't a winnable game, even with cheat codes.
0 replies 0 reposts 1 likes
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MCMLXI
@mcmlxi.org
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In the military, if I needed a doctor I went to the base hospital and they just fixed me. No deductable, reams of repeated paperwork to fill out. The country deserves the same treatment.
0 replies 0 reposts 12 likes
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MacMog, Annihilator
@macmog.bsky.social
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I fully support burning the insurance industry to the ground and going single payer, but in this hypothetical world where we play knifey-spoony about it: also all doctors and services in a facility belong to that facility. Restaurants don’t mail you separate bills for bartenders [1/2]
1 replies 0 reposts 1 likes
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Peter Lorentzen.
@lorentzen.bsky.social
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So are you saying doctors should be forced to accept the price that insurance companies have set, or vice versa?
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remembersonly
@remembersonly.bsky.social
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And if that somehow drives the insurers out of business good! Maybe if something is only profitable by being shit it shouldn’t be ran by the private sector
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There is no Dana only Zuul
@smudgiesmom.bsky.social
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OR everyone could be federally insured like in Canada.
1 replies 0 reposts 6 likes
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Jarda
@jarda.bsky.social
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Abother way is to make the insurance compulsory and if you have no income, the state pays for it.
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Golden
@golddustdaemon.bsky.social
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The simple trick is single payer healthcare… nationalize medicine. Simple. We pay more than any other “modernized/ 1st world” country for our medicine and we have some of the worst outcomes statistically. It’s a sham.
0 replies 0 reposts 2 likes
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@galdireonai.bsky.social
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What's also interesting is that this whole "network" system is very explicitly an anticompetitive measure, and wasn't competition and the benefits it's supposed to bring in terms of cost and quality meant to be the whole point of privatized healthcare?
0 replies 0 reposts 3 likes
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Terraformer
@terraformer.bsky.social
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A better trick would be to *divorce profits from health care* but apparently “that can never work here” or “it’s too complicated” or somesuch
0 replies 0 reposts 1 likes
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Ghosty 👻
@ghostyspook.bsky.social
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Also if a doctor prescribes a Medication it should be covered fuck formularies
0 replies 0 reposts 1 likes
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Alice Tawhai
@alicetawhai.bsky.social
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Or maybe the US government could just pay for universal healthcare for its citizens
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John Whitley
@johnwhitley.bsky.social
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While we're on the subject: health insurance companies should be required to offer all plans to all comers at the same published prices, period. None of this "big corporation X negotiates great plan for its employees" while individuals and small biz employees get screwed on price and/or coverage.
1 replies 0 reposts 8 likes
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Kritz
@sir-idiotkritz.bsky.social
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I recommend America adopt a state system where very state has its own Healthcare- AKA the German system
2 replies 0 reposts 1 likes
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CHOAM Nomsky 💭
@thielman.bsky.social
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praise the lord
0 replies 0 reposts 13 likes
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Liz
@ilisabat.bsky.social
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The fact that some doctors don't accept Medicare and Medicaid just blows my mind.
1 replies 0 reposts 5 likes
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Ugly Margarita
@ncalcote.bsky.social
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I would turn this around and say that if you have insurance, they should pay whatever your doctor says you need to have done, to whichever doctor you go to
0 replies 0 reposts 1 likes
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Michelle Lamb
@mlamb.bsky.social
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Another bureaucratic roadblock to accessing care which is the point.
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Devilish
@devilishlydo.bsky.social
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That's more about providers agreeing to charge less than they normally would (and that price is so much higher for tax purposes more than anything). What you're proposing is a price cap. That'd be great & a necessary step to universal health care, but it will be very difficult to implement, esp now.
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Denise
@zunzie.bsky.social
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That might make sense though, so we can’t have it.
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Excalibur Discount Legal Services
@kevychristian.bsky.social
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That actually would improve the system a ton without really fundamentally changing it.
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Kim
@kimoco.bsky.social
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Every clinician/medical office/facility has to negotiate rates with every single insurance company and jump thorough the hoops the insurance company requires. This is not that doctors don't want to take your coverage, sometimes they are REFUSED in-net status by insurance company~!
4 replies 0 reposts 13 likes
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Liev
@lefloon.bsky.social
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There’s no trick. There’s socialized médecine. Works fine in Europe, where people live longer and healthier lives than in the USA. Because, healthier living and basic preventative médecine for all will always Trump the American system of great doctors for a few and fuck all for the rest.
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Christopher Anders
@chrisanders74.bsky.social
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At the very least, all people should have access to the same insurance plan as congress.
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Kimbi Vega
@kimbivega.bsky.social
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That would be called single payer healthcare…will probably never ever happen here in America.
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Babbling Brooklyn
@deftestleftist.bsky.social
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They should rename them cabals.
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Tger
@tger.bsky.social
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Can we also do away with “formularies” I’m sick of changing meds because “that’s not in our formulary anymore, because X won’t give us a discount” go pay to see doctor again, so he can write for Y.. repeat every few months, as needed, for our profits.
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🍉 Kaiser Spurgönn 🦋
@kaiserspurgonn.bsky.social
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Saw a commercial years ago that said: "our plan doesn't have in-network or out-of-network, on our plan if your doctor is on our list, they are in-network." I promptly laughed out loud.
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Bill Stewart
@billstewart.bsky.social
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And dealing with that, and with people who don't have insurance, has pushed both for-profit and non-profit hospitals to billing practices that resemble Hollywood accounting more than they resemble accounting accounting.
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Almo2001
@almo2001.bsky.social
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An insurance provider in Canada signed with a grocery chain to do this with certain drugs. The people went apeshit and they walked it back. Demand better.
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PSUbowler
@psubowler.bsky.social
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I share you sentiment as far as our fucked up healthcare system is concerned. But I work in contracting for a major health insurer and this is not workable fix. There is no "one weird trick" for this bullshit. We have things like EMTALA to require treatment in some cases like emergency care...
1 replies 0 reposts 0 likes
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Intellectual Explorer
@driftingthrough.bsky.social
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I only disagree with your use of "simple trick" in lieu of "design principle." That part is a brazen lie.
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RNtropy
@rntropy.bsky.social
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This is undoubtedly true and could be accomplished, IMO, with national all payer rate setting for all insured services. If everyone has to accept the Medicare rate or some fraction or multiple thereof, there is no point advantage to being outside of any particular network.
1 replies 0 reposts 0 likes
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gunmanaimkill
@gunmanaimkill.bsky.social
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🆙🔥
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Capt. Willard
@captbenlwillard.bsky.social
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Force the insurance companies to honor claims at a reasonable fee. Thanks.
0 replies 0 reposts 1 likes
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Kristy Koth
@kothinadream.bsky.social
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Won’t fix it, but it’d definitely be a step in the right direction. It’s one of many completely bonkers things about the US healthcare system.
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Andrew
@signandsight.bsky.social
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It’s not always up to drs/etc and do you know how little Cigna reimburses for 50 minutes of psychotherapy? Do you know how much grad school, licensing, CEU, malpractice, overhead, childcare, not to mention housing, cost all clinicians? We’re not monks; problem is the system. Single payer or bust.
1 replies 0 reposts 7 likes
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Michael Benjamin
@miguelthegerman.bsky.social
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That would already make it so much easier. Even if they kept all the deductible bullshit. I’ve done more health insurance related research in 2 years in the US than I did in 32 years in my home country.
0 replies 0 reposts 11 likes
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SeanO
@balderdashian.bsky.social
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I'd lower the Medicare age eligibility to 0 and require at least 50% of all care providers billing hours come from Medicare patients or else they pay a hefty fine.
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@bertjim.bsky.social
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There's always gotta be a shell game.
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Drew Judge
@drewjudge.bsky.social
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Fun thing I learned this year with my son’s 4 month NICU stay… even within an in network hospital, not all of the providers are in network because they’re considered independent contractors.
0 replies 0 reposts 1 likes
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J Cook
@ubugmenot.bsky.social
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Universal health care: everyone has insurance that every doctor takes.
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Conrail Twitty
@grenadine.bsky.social
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My favorite new one is “we can’t cover these pills bc the doctor who prescribed them is not in the Medicaid system” Stop it and give me my pills, corporate chain pharmacy
0 replies 0 reposts 33 likes
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Gorgon Zola
@bobbryan2.bsky.social
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I'm gonna become a naturopath, for sure, if insurances are required to compensate me for my "healing"
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Coyote ^.^ ΘΔ
@coyoteden.bsky.social
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Being in network means that not only does the provider have contract to take the insurance, but insurance has a contract to cover approved services. I can see every insurance company finding a way to refuse most claims if there were no networks. You’d have to mandate something on their end too.
1 replies 0 reposts 1 likes
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SkyFuneral
@aaronmk.bsky.social
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We are a country that loves its middlemen
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Robyn
@jacksbranch.bsky.social
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One of the ways is to acknowledge that it is entirely made up. It didn't exist in 1960. I mean, if charity donation drives and payment plans happened in 1960 AND 2024, then why the hell aren't we back to cash and carry? I'd rather pay cash / credit / payment directly to the doc and hospital.
0 replies 0 reposts 0 likes