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The funny thing is the insane costs are all made up by hospital accounting departments to 1) grift insurers and 2) scare people in to getting insurance. When this dude gets his "bill" for 27k he goes "holy shit I dodged a bullet, thanks insurers!". Meanwhile, behind the scenes, the insurer looks at that bill and goes "lol, lmao even. how about $250?" and the hospital goes "yeah ok sounds good". Then John pays his 1k deductible anyway lol.

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So the collective bargaining power of insurance companies let's them negotiate prices?

What if it was a "company" of 300 million people in the form of some kind of government doing that?

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The government is known for being great at stuff. People love the DMV and VA!

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VA is unironically good healthcare, especially with all the community care stuff now

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It would never work. A better idea would be to just have one guy do that stuff forever because then he'd get really good at doing it.

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2. scare people in to getting insurance.

Not even that lol. It's thanks to extremely r-slurred "cost limiting" regulations that cap insurance profit at % of hospital costs. Now instead of being encouraged to seek affordable hospitals, insurers are encouraged to pay as much as possible if they want to make profits for themselves.

Similar thing happens with education costs and student loans.

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Just tell them your self pay and watch the numbers fall.

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All insurance is total bullshit. The service providers interests are directly opposed to the customer and all kinds of awful unintended side effects result from it

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if it were up to me, insurance would be abolished and I'd throw a rave in their office towers, and make a festival out of burning everything in their filing cabinents in the big parking lots

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