Monday, May 08, 2017

The health of our bureaucracies is good

And this is BEFORE Obamacare.
It's been said that our healthcare "system" wasn't designed as a system and doesn't operate as a system.

I know this is true. We enrolled in Medicare last year. We also took out supplemental policies with private companies, and we got drug policies as well.

As a result, we now get six reports a month, one from each of our insurance suppliers. Some of these are three pages or more. This is a make work program for bureaucrats. Each month, for example, Medicare sends a piece paper telling me how to appeal a decision -- in 14 languages, including Russian.(This is one of the costs of immigration without assimilation.)

So you figure that on the other end they have folks who can speak Tagalog and all the languages. Those people probably have nice salaries and excellent benefits. I doubt they can be fired. I don't know if they're forced to use Obamacare.

Now before these public and private layers of bureaucracy is the administrative staff of the doctors and hospitals and labs. I once went to a practice where, as I waited for the doctor, I could watch a half dozen bureaucrats filing and copying and faxing pieces of paper.

I inadvertently added to this bureaucracy's workload because, after we got our six new policies, I stopped paying doctor bills when they arrived. What I wasn't paying was stuff that used to be covered under an employer plan. I figured the insurance would catch up.

"Can you believe they bought it?"
Well, it didn't. I started getting dunning notices from bureaucrats threatening to send storm troopers to rappel down onto my roof and throw a black hood over my head and spirit me away to some document warehouse somewhere in Maryland. Yikes! Turns out that there were new deductibles and a bunch of other stuff, and, although I started paying up, after calling each one of these sets of bureaucrats, I still don't understand a thing on all the pieces of paper.

All this bureaucracy, public and private, adds up.
Billing and insurance related costs in the U.S. health care system totaled approximately $471 billion in 2012. This includes $70  billion in physician practices, $74  billion in hospitals, an estimated $94  billion in settings providing other health services and supplies, $198  billion in private insurers, and $35 billion in public insurers.
Now that was before Obamacare took over. Remember how Obama promised that his federal bureaucracy would lower medical costs? And we just all believed that a whole new bureaucracy wouldn't cost anything. Here's reality:
Obamacare is set to add more than a quarter-of-a-trillion—that's trillion—dollars in extra insurance administrative costs to the U.S. health-care system, according to a new report out Wednesday. The $273.6 billion in additional insurance overhead represents an average of of $1,375 per newly insured person, per year, from 2012 through 2022.
Think about this. What if you go to the doctor and pay cash after he's looked in your ears? What does the bureaucracy do then? It can't send you dunning notices! The storm troopers will be out of work.

Really what the bureaucrats at every level are doing is shuffling those costs around -- your doctor's bureaucrats are trying to put it off on the insurance company or the government, and they're trying to put if off on you. Of course the government bureaucrats somewhere in Maryland are trying to shuffle your money to those who don't pay taxes and -- the latest enthusiasm -- those who aren't, you know, actualy citizens.

So call it Obamacare or Trumpcare, but you're still employing bureaucrats.

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