{"id":4360,"date":"2011-05-11T09:38:12","date_gmt":"2011-05-11T15:38:12","guid":{"rendered":"http:\/\/michaelsiegel.net\/?p=4360"},"modified":"2013-05-22T19:02:48","modified_gmt":"2013-05-23T01:02:48","slug":"more-healthcare-lies","status":"publish","type":"post","link":"https:\/\/michaelsiegel.net\/?p=4360","title":{"rendered":"More Healthcare Lies"},"content":{"rendered":"<p>Sullivan has posted <a href=\"http:\/\/www.medicalbillingandcoding.org\/medicals-costs-2\/\">Medical Billing and Coding&#8217;s<\/a> infographic on why our healthcare cost so much.  I have rarely seen such a huge a stack of healthcare lies collected in one place.<\/p>\n<li>They claim that America&#8217;s obesity rate is not driving our healthcare costs, only accounting for $25 billion in spending.  If that&#8217;s the case, someone needs to tell the CDC, which has estimated obesity to be responsible or at least 10% of our healthcare spending and projects it to eventually cause 20% of our spending.  Obesity is a primary risk factor for heart disease, something we spend a lot of money on.  Lipitor alone is a $7 billion expense.<\/li>\n<li>They claim malpractice isn&#8217;t driving healthcare costs, only being responsible for 2% of spending.  This ignores defensive medicine.  Now I&#8217;m aware that Haav-vud has estimated defensive medicine to be a tiny expense.  But their lawyer-friendly study is far far too conservative.  The Kessler study estimates 10% and I would even say that&#8217;s conservative.  A huge amount of our healthcare spending is for end of life care and a huge driver of that is the fear of lawsuits.  Many procedures and tests that are considered &#8220;routine&#8221; would not be without lawsuit threats.  Additionally, the effect of malpractice is not linear.  For hospitals, it&#8217;s a small part of the budget.  For practicing physicians &#8212; especially OB\/Gyn&#8217;s &#8212; it can cost more than the rent on their office.<\/li>\n<li>They then say that providers charge more because they can &#8212; true enough &#8212; because the US government is not involved in price regulation.  So Americans have &#8220;less power&#8221; over healthcare costs.  I&#8217;m not going to re-open the price control debate again.  It&#8217;s too complicated for a group this stupid.  But I will note that there are other ways for consumers &#8212; not &#8220;the people&#8221; to have power over healthcare costs.<\/li>\n<li>They complain that admin costs are 21% of our healthcare bill &#8212; twice what other countries spend and that 85% of this is due to private insurance.  This tells me that they are buying the lie &#8212; and it is a <a href=\"http:\/\/michaelsiegel.net\/?p=1553\">lie<\/a> &#8212; that Medicare&#8217;s costs are only a tiny fraction of the private sector.  Keep in mind, this is the Medicare that is currently spending 20 cents on the dollar on fraud &#8212; a problem that they perversely try to blame on the <i>private<\/i> sector.<\/li>\n<li>They complain that 41% of healthcare costs are for outpatient procedures.  But outpatient procedure usually <i>save<\/i> money.  They specifically site the example that 60% of UK hernias are treated inpatient, but only 11% of US hernias are treated inpatient.  What?!  Treating a hernia &#8212; usually not really an optional procedure &#8212; is MUCH cheaper done as an outpatient.  Outpatient procedures <i>save money<\/i>.  And lots of it.<\/li>\n<li>Finally, they say are doctors are overpaid.  I&#8217;ll leave that talking point for the class.<\/li>\n<p>Sullivan should embarrassed to have posted this on his site.  It&#8217;s quite clear that the people who put this together have an agenda and have resorted to distortions of fact that would make Michael Moore blush.  This isn&#8217;t adding to the debate.  It&#8217;s setting it back twenty years.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sullivan has posted Medical Billing and Coding&#8217;s infographic on why our healthcare cost so much. I have rarely seen such a huge a stack of healthcare lies collected in one place. They claim that America&#8217;s obesity rate is not driving our healthcare costs, only accounting for $25 billion in spending. If that&#8217;s the case, someone &hellip; <a href=\"https:\/\/michaelsiegel.net\/?p=4360\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">More Healthcare Lies<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[5],"tags":[410],"class_list":["post-4360","post","type-post","status-publish","format-standard","hentry","category-politics","tag-healthcare"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p2BzKF-18k","_links":{"self":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4360"}],"version-history":[{"count":3,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4360\/revisions"}],"predecessor-version":[{"id":5957,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4360\/revisions\/5957"}],"wp:attachment":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4360"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4360"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}