The United States spends about twice as much per capita on health care as other high-income countries. Yet our health outcomes are not as good, on average. It’s not that all Americans are in poor health, it’s that some Americans are in poor health and pulling down the average. As I’ve said before, health is correlated with wealth and education. Wealthier is healthier.
Category: Direct Primary Care
Should Medicare Pay for Cancer Screening in Healthy People? No but Seniors May Want to
A while back I wrote about Galleri, the holy grail of cancer screening tests, saying:
Cancer is usually treatable if caught early. The cancers that are the deadliest (such as pancreatic cancer) are lethal because they are difficult to catch early. Many deadly cancers have no symptoms until they’ve spread. About 90% of cancer deaths are due to metastatic cancer, that is cancer that has spread beyond the original location. In theory most cancer could be treatable if only it could be caught sooner, before it has a chance to spread.
Physicians’ Practices Vary: Some are Good, Some are Bad
I am (generally) a big fan of doctors experimenting with different forms of medical practices. Some doctors are sole proprietors and work mostly alone in their office. Years ago, I went to a doctor who did not accept insurance and would not make appointments. His office was small since he didn’t require a billing staff and was very efficient. His prices were transparent and quite low ($35 office call in 1993).
Another physician, this one from Northern Virginia, pioneered primary care consultations by telephone. Doctalker Family Medicine would do house calls, in-office visits and consultations by phone. Each service came with a different price tag. He did not accept insurance, but his office would help patients fill out an insurance claim form for a modest fee. Most of his consultations were by phone.
Why A Physician Visit is Sometimes Billed at Inflated Hospital Prices
Hospitals are the worst place to receive care if there are any other choices. Hospital prices are far higher than the same services available elsewhere. I often tell the story of my wife unknowingly checking on getting a CT scan at a hospital outpatient facility. She discovered that her share of the cost was going to be $2,700. That wasn’t the price; that was just her share of the cost. The price was higher. I quickly found a free-standing radiology clinic willing to do the same procedure for $403. Why was it lower? It wasn’t that one CT scanner was better than the other. It was that one was at the hospital where prices are always higher.