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	<title>Comments on: Why American health care is so expensive</title>
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	<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-111198</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 04 Sep 2009 15:41:14 +0000</pubDate>
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		<description>Prehaps Americans just don&#039;t have a reason to trust their physicians.</description>
		<content:encoded><![CDATA[<p>Prehaps Americans just don&#8217;t have a reason to trust their physicians.</p>
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		<title>By: ME</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-91765</link>
		<dc:creator>ME</dc:creator>
		<pubDate>Wed, 03 Jun 2009 05:23:28 +0000</pubDate>
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		<description>Umm that&#039;s crap, you&#039;re saying that American Medical care is so expensive because we get second opinions and won&#039;t accept mortality.  What does that have to do with the initial cost?  Yes getting a &quot;second Opinion&quot; is going to cost you double, but the initial diagnoses is still more expensive here than anywhere else in the world.  So even if you didn&#039;t get two one would still be expensive.  Also we have a very high infant mortality rate compared with the rest of the world, and also live shorter lives.  So maybe us not accepting our mortaility, is just our way of showing that it&#039;s crap that our American health care system costs more and yet doesn&#039;t keep us healthier than other countries.</description>
		<content:encoded><![CDATA[<p>Umm that&#8217;s crap, you&#8217;re saying that American Medical care is so expensive because we get second opinions and won&#8217;t accept mortality.  What does that have to do with the initial cost?  Yes getting a &#8220;second Opinion&#8221; is going to cost you double, but the initial diagnoses is still more expensive here than anywhere else in the world.  So even if you didn&#8217;t get two one would still be expensive.  Also we have a very high infant mortality rate compared with the rest of the world, and also live shorter lives.  So maybe us not accepting our mortaility, is just our way of showing that it&#8217;s crap that our American health care system costs more and yet doesn&#8217;t keep us healthier than other countries.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81368</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 27 Oct 2007 08:32:00 +0000</pubDate>
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		<description>Of course, the medical office visit was not ten dollars. Unless we&#039;re talking about some Third World country, the physician is not making a living with ten-dollar office visits. There is other payment behind the scenes. Taxes, or mandatory insurance asessments.</description>
		<content:encoded><![CDATA[<p>Of course, the medical office visit was not ten dollars. Unless we&#8217;re talking about some Third World country, the physician is not making a living with ten-dollar office visits. There is other payment behind the scenes. Taxes, or mandatory insurance asessments.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81364</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 27 Oct 2007 03:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/why-american-health-care-is-so-expensive.html#comment-81364</guid>
		<description>&quot;I could not believe that even a simple office visit to a dermatologist costs more than a hundred dollars.&quot;&lt;br/&gt;&lt;br/&gt;What are malpractice premiums in the country you come from? Hopw much does the doctor pay to medical school?&lt;br/&gt;&lt;br/&gt;Finally, if 100 is too much, you are free to return to your country, or ask the local witch doctor for advice.&lt;br/&gt;&lt;br/&gt;Clearly, the doctor&#039;s advice was not wotrh the price, so you should look elsewhere.</description>
		<content:encoded><![CDATA[<p>&#8220;I could not believe that even a simple office visit to a dermatologist costs more than a hundred dollars.&#8221;</p>
<p>What are malpractice premiums in the country you come from? Hopw much does the doctor pay to medical school?</p>
<p>Finally, if 100 is too much, you are free to return to your country, or ask the local witch doctor for advice.</p>
<p>Clearly, the doctor&#8217;s advice was not wotrh the price, so you should look elsewhere.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81354</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 26 Oct 2007 22:34:00 +0000</pubDate>
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		<description>People need to separate doctors from hospitals in their mind.  For some reason people think that the money going to the hospital is going to their doctors when in fact this is usually a separate bill that is a pittance compared to the hospital bill.  I had kidney stones and had to the ER.  My physicians (ER doc and radiology) bills were around 310 bucks (2 separate bills combined), while my use of hospital fee was like 4000.  Where is this money going?</description>
		<content:encoded><![CDATA[<p>People need to separate doctors from hospitals in their mind.  For some reason people think that the money going to the hospital is going to their doctors when in fact this is usually a separate bill that is a pittance compared to the hospital bill.  I had kidney stones and had to the ER.  My physicians (ER doc and radiology) bills were around 310 bucks (2 separate bills combined), while my use of hospital fee was like 4000.  Where is this money going?</p>
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		<title>By: Medicienne</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81330</link>
		<dc:creator>Medicienne</dc:creator>
		<pubDate>Thu, 25 Oct 2007 23:00:00 +0000</pubDate>
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		<description>Although I am very impressed with the quality of health-care in the United States, I must say the cost that comes with that is ridiculous.&lt;br/&gt;I could not believe that even a simple office visit to a dermatologist costs more than a hundred dollars.&lt;br/&gt;Coming from a country where we had to pay out of pocket and office visits were just a mere 5-10 dollars, I found this ridiculous!&lt;br/&gt;Also there is great disparity between specialties in the US, all due to the insurance system. &lt;br/&gt;I hope we can see some improvement in a few years.</description>
		<content:encoded><![CDATA[<p>Although I am very impressed with the quality of health-care in the United States, I must say the cost that comes with that is ridiculous.<br />I could not believe that even a simple office visit to a dermatologist costs more than a hundred dollars.<br />Coming from a country where we had to pay out of pocket and office visits were just a mere 5-10 dollars, I found this ridiculous!<br />Also there is great disparity between specialties in the US, all due to the insurance system. <br />I hope we can see some improvement in a few years.</p>
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		<title>By: Payne Hertz</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81329</link>
		<dc:creator>Payne Hertz</dc:creator>
		<pubDate>Thu, 25 Oct 2007 21:25:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/why-american-health-care-is-so-expensive.html#comment-81329</guid>
		<description>Don&#039;t you just love how players in our medical system always complain about the high cost of medical care as if it&#039;s coming out of their pockets, rather than going into them? And of course, they always find some way to blame someone or something else for all this: patients, the government, EMTALA, whatever.&lt;br/&gt;&lt;br/&gt;The reality is end-of-life care is a major revenue generator for doctors and hospitals; I read somewhere that the majority of medical expenses most people accrue in their lives occur at the end-of-life, an average of like $200,000 per person. Somehow, I don&#039;t think a second opinion costs anywhere near that much, nor do I see why you&#039;d begrudge a person who&#039;s been told he&#039;s going to die a second opinion, unless of course you think doctors are infallible and are never wrong about these things, and patients should juts shut up and accept their fate.&lt;br/&gt;&lt;br/&gt;Doctors and hospitals certainly have a cash incentive for persuading people who are probably going to die anyway to pursue useless therapies, and I can say that when my friend recently died of lung cancer, they were telling us she was not going to make it three weeks before she died, but still doing chemo and radiation until 3 days before she died.&lt;br/&gt;&lt;br/&gt;In my mother&#039;s case, we were told by her doctor she was &quot;brain dead&quot; after suffering a stroke, and her doctor was adamant about letting her go. But the doctors at the hospital got my father in a room and convinced him there was still a chance, and convinced him to let them put her on life support. What they didn&#039;t tell him was that once you do that in Texas, she can&#039;t be legally taken off. She died 3 weeks later, after causing us the most horrendous emotional pain and stress I have ever known, and then we got the bill: $240,000 for three weeks of care. My father contacted his lawyer, who told him that this hospital had a history of doing this kind of thing, and suddenly the bill was reduced to $21,123 or thereabouts but no zeros, still a hefty amount. Their explanation? &quot;Typographical error.&quot; If the bill was for $24,000 and they added an extra zero by accident, I might see it, but how do you get 4 zeros out of a number that has none?&lt;br/&gt;&lt;br/&gt;Let&#039;s not mention the unnecessary surgeries, or medical fraud that costs upward of $170 billion a year by one estimate. No, it could only be the astronomical costs of getting second opinions that is making health care so expensive.&lt;br/&gt;&lt;br/&gt;Like someone else here said, do you guys ever take responsibility for anything?</description>
		<content:encoded><![CDATA[<p>Don&#8217;t you just love how players in our medical system always complain about the high cost of medical care as if it&#8217;s coming out of their pockets, rather than going into them? And of course, they always find some way to blame someone or something else for all this: patients, the government, EMTALA, whatever.</p>
<p>The reality is end-of-life care is a major revenue generator for doctors and hospitals; I read somewhere that the majority of medical expenses most people accrue in their lives occur at the end-of-life, an average of like $200,000 per person. Somehow, I don&#8217;t think a second opinion costs anywhere near that much, nor do I see why you&#8217;d begrudge a person who&#8217;s been told he&#8217;s going to die a second opinion, unless of course you think doctors are infallible and are never wrong about these things, and patients should juts shut up and accept their fate.</p>
<p>Doctors and hospitals certainly have a cash incentive for persuading people who are probably going to die anyway to pursue useless therapies, and I can say that when my friend recently died of lung cancer, they were telling us she was not going to make it three weeks before she died, but still doing chemo and radiation until 3 days before she died.</p>
<p>In my mother&#8217;s case, we were told by her doctor she was &#8220;brain dead&#8221; after suffering a stroke, and her doctor was adamant about letting her go. But the doctors at the hospital got my father in a room and convinced him there was still a chance, and convinced him to let them put her on life support. What they didn&#8217;t tell him was that once you do that in Texas, she can&#8217;t be legally taken off. She died 3 weeks later, after causing us the most horrendous emotional pain and stress I have ever known, and then we got the bill: $240,000 for three weeks of care. My father contacted his lawyer, who told him that this hospital had a history of doing this kind of thing, and suddenly the bill was reduced to $21,123 or thereabouts but no zeros, still a hefty amount. Their explanation? &#8220;Typographical error.&#8221; If the bill was for $24,000 and they added an extra zero by accident, I might see it, but how do you get 4 zeros out of a number that has none?</p>
<p>Let&#8217;s not mention the unnecessary surgeries, or medical fraud that costs upward of $170 billion a year by one estimate. No, it could only be the astronomical costs of getting second opinions that is making health care so expensive.</p>
<p>Like someone else here said, do you guys ever take responsibility for anything?</p>
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		<title>By: Happyman</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81317</link>
		<dc:creator>Happyman</dc:creator>
		<pubDate>Thu, 25 Oct 2007 12:21:00 +0000</pubDate>
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		<description>certain specialties are not immune to giving futile care for money:&lt;br/&gt;&lt;br/&gt;&quot;why do they put nails in coffins? to prevent the oncologist from giving another round of chemo!&quot; ha ha.</description>
		<content:encoded><![CDATA[<p>certain specialties are not immune to giving futile care for money:</p>
<p>&#8220;why do they put nails in coffins? to prevent the oncologist from giving another round of chemo!&#8221; ha ha.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81312</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 25 Oct 2007 02:58:00 +0000</pubDate>
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		<description>&quot;I personally can think of no physician, and for that matter, no human being, who would push some-one through surgeries or treatments, when they believe, in their heart of hearts, there truly is no hope. Your accusation is despicable, and seeks to make doctors into monsters. &quot;&lt;br/&gt;&lt;br/&gt;However, there are physicians who would have someone undergo surgery for the money.  &lt;br/&gt;&lt;br/&gt;http://www.kait8.com/Global/story.asp?S=5539574&amp;nav=0jsh&lt;br/&gt;&lt;br/&gt;The evidence didn&#039;t go as St. Edwards thought it would.</description>
		<content:encoded><![CDATA[<p>&#8220;I personally can think of no physician, and for that matter, no human being, who would push some-one through surgeries or treatments, when they believe, in their heart of hearts, there truly is no hope. Your accusation is despicable, and seeks to make doctors into monsters. &#8220;</p>
<p>However, there are physicians who would have someone undergo surgery for the money.  </p>
<p><a href="http://www.kait8.com/Global/story.asp?S=5539574&#038;nav=0jsh" rel="nofollow">http://www.kait8.com/Global/story.asp?S=5539574&#038;nav=0jsh</a></p>
<p>The evidence didn&#8217;t go as St. Edwards thought it would.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/why-american-health-care-is-so.html/comment-page-1#comment-81309</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 25 Oct 2007 02:32:00 +0000</pubDate>
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		<description>Zagreus,&lt;br/&gt;&lt;br/&gt;Hate to disagree, but you list yourself as a &quot;physician executive&quot;.  To doctors, that is the opposite of a primary care doctor.  I&#039;m not sure you can commisserate with us at the same time you are screwing us.&lt;br/&gt;&lt;br/&gt;anon</description>
		<content:encoded><![CDATA[<p>Zagreus,</p>
<p>Hate to disagree, but you list yourself as a &#8220;physician executive&#8221;.  To doctors, that is the opposite of a primary care doctor.  I&#8217;m not sure you can commisserate with us at the same time you are screwing us.</p>
<p>anon</p>
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