• Unaffordable health care

    From Adam H. Kerman@3:633/10 to All on Sun Apr 26 15:34:00 2026
    April 24, 2026
    C-SPAN
    Washington Journal
    Brian Blase on Hospital System Impact on Health Care Cost Crisis

    Paragon Health Institute President Brian Blase discusses the findings of
    a new report looking at the impact government policies have on hospital
    and health care costs.

    https://www.c-span.org/program/washington-journal/brian-blase-on-hospital-system-impact-on-health-care-cost-crisis/678029

    I believe Brian Blase was a presidential aid for domestic health care
    policy in the first Trump administration, but I only remember him from
    C-SPAN appearances.

    His organization just released a paper blaming hospital network
    consolidation for being the huge factor in rising cost of health care
    and that this is the most rapidly growing area of federal spending.

    He barely touched on the Affordable Care Act, instead largely addressing Medicare and Medicaid spending. For our Canadian friends, it's the
    federal government that sets reimbursements for both programs, even
    though Medicaid is administered by states and is a joint state/federal
    program. Medicare supplements for Parts B (outpatient) and D (drugs)
    simply pay at prices already set by the government. Patients still pay
    annual deductibles and co-pays even with Medicare supplements, but
    Medicaid actually covers a lot more than Medicare and there is no annual deductible nor co-pay to meet. Plenty of seniors can be on Medicare as
    primary payer then Medicaid for deductibles and co-pay for what Medicare covers, and Medicaid as primary payer for what Medicare does not cover, especially nursing homes. Due to nursing home payments, Medicaid is
    mainly a program for the elderly and not families with young children
    although they are part of the program.

    ACA is private insurance at fixed rates, sort of, for those under
    Medicare age. Like everyone on private insurance, government
    reimbursement levels are followed by private insurance even for patients
    too young for Nedicare.

    As I discussed in another post, consolidations are driven by a federak
    program that forced drug companies to sell at steep discounts drugs for patients on Medicaid. The networks, which are both hospitals and clincis consolidated into the hospital, mark up the drug price to the patient in
    order to bill insurance for the nondiscounted rate.

    While I agree with Blase's problem statement, his discussion of
    solutions was weak and I'll have to read his organization's
    recommendations.

    He said Trump is seeking higher reimbursement for primary care
    physicians as opposed to specialists. While that could be a good thing,
    I've seen my mother's bills. Her specialists were not receiving
    outrageous payments for clinics. Instead, the tests -- entirely blood
    work -- cost double or triple the office visit.

    What's troubling is his continuing praise of the Trump administration.
    Trump, personally, has no objection to consolidation in other
    industries. Hell, if he has any kind of relationship with a CEO, he
    favors consolidation.

    The market is terribly distorted because incentive in federal law favors consolidation and Trump of all people will not push Congress to address
    this.

    The best one can say about socialized medicine is that, yes, it can be administered in a less ineffective manner but I don't see how a
    marketplace solution in favor of patients is possible as long as it
    continues to exist. Government isn't a monopsony but it has such a huge percentage of what it buys in the marketplace that it might as well be.

    --- PyGate Linux v1.5.14
    * Origin: Dragon's Lair, PyGate NNTP<>Fido Gate (3:633/10)
  • From anim8rfsk@3:633/10 to All on Sun Apr 26 09:50:11 2026
    Adam H. Kerman <ahk@chinet.com> wrote:
    April 24, 2026
    C-SPAN
    Washington Journal
    Brian Blase on Hospital System Impact on Health Care Cost Crisis

    Paragon Health Institute President Brian Blase discusses the findings of
    a new report looking at the impact government policies have on hospital
    and health care costs.

    https://www.c-span.org/program/washington-journal/brian-blase-on-hospital-system-impact-on-health-care-cost-crisis/678029

    I believe Brian Blase was a presidential aid for domestic health care
    policy in the first Trump administration, but I only remember him from
    C-SPAN appearances.

    His organization just released a paper blaming hospital network
    consolidation for being the huge factor in rising cost of health care
    and that this is the most rapidly growing area of federal spending.

    He barely touched on the Affordable Care Act, instead largely addressing Medicare and Medicaid spending. For our Canadian friends, it's the
    federal government that sets reimbursements for both programs, even
    though Medicaid is administered by states and is a joint state/federal program. Medicare supplements for Parts B (outpatient) and D (drugs)
    simply pay at prices already set by the government. Patients still pay
    annual deductibles and co-pays even with Medicare supplements, but
    Medicaid actually covers a lot more than Medicare and there is no annual deductible nor co-pay to meet. Plenty of seniors can be on Medicare as primary payer then Medicaid for deductibles and co-pay for what Medicare covers, and Medicaid as primary payer for what Medicare does not cover, especially nursing homes. Due to nursing home payments, Medicaid is
    mainly a program for the elderly and not families with young children although they are part of the program.

    ACA is private insurance at fixed rates, sort of, for those under
    Medicare age. Like everyone on private insurance, government
    reimbursement levels are followed by private insurance even for patients
    too young for Nedicare.

    As I discussed in another post, consolidations are driven by a federak program that forced drug companies to sell at steep discounts drugs for patients on Medicaid. The networks, which are both hospitals and clincis consolidated into the hospital, mark up the drug price to the patient in order to bill insurance for the nondiscounted rate.

    While I agree with Blase's problem statement, his discussion of
    solutions was weak and I'll have to read his organization's
    recommendations.

    He said Trump is seeking higher reimbursement for primary care
    physicians as opposed to specialists. While that could be a good thing,
    I've seen my mother's bills. Her specialists were not receiving
    outrageous payments for clinics. Instead, the tests -- entirely blood
    work -- cost double or triple the office visit.

    What's troubling is his continuing praise of the Trump administration.
    Trump, personally, has no objection to consolidation in other
    industries. Hell, if he has any kind of relationship with a CEO, he
    favors consolidation.

    The market is terribly distorted because incentive in federal law favors consolidation and Trump of all people will not push Congress to address
    this.

    The best one can say about socialized medicine is that, yes, it can be administered in a less ineffective manner but I don't see how a
    marketplace solution in favor of patients is possible as long as it
    continues to exist. Government isn't a monopsony but it has such a huge percentage of what it buys in the marketplace that it might as well be.


    I paid my bill last night for seven weeks in two hospitals and a skilled nursing facility recovering from strokes. $280. Of course I completely anticipate more to come.

    --
    The last thing I want to do is hurt you, but it is still on my list.

    --- PyGate Linux v1.5.14
    * Origin: Dragon's Lair, PyGate NNTP<>Fido Gate (3:633/10)
  • From Ubiquitous@3:633/10 to All on Sun Apr 26 21:29:17 2026
    In article <10slb98$1mbdg$1@dont-email.me>, ahk@chinet.com wrote:

    Paragon Health Institute President Brian Blase discusses the findings of
    a new report looking at the impact government policies have on hospital
    and health care costs.

    Thanks, Obama!


    --
    Q: Why is ObamaCare like a turd?
    A: You have to pass it to see what's in it.




    --- PyGate Linux v1.5.14
    * Origin: Dragon's Lair, PyGate NNTP<>Fido Gate (3:633/10)
  • From NoBody@3:633/10 to All on Mon Apr 27 07:13:53 2026
    On Sun, 26 Apr 2026 15:34:00 -0000 (UTC), "Adam H. Kerman"
    <ahk@chinet.com> wrote:

    April 24, 2026
    C-SPAN
    Washington Journal
    Brian Blase on Hospital System Impact on Health Care Cost Crisis

    Paragon Health Institute President Brian Blase discusses the findings of
    a new report looking at the impact government policies have on hospital
    and health care costs.

    https://www.c-span.org/program/washington-journal/brian-blase-on-hospital-system-impact-on-health-care-cost-crisis/678029

    I believe Brian Blase was a presidential aid for domestic health care
    policy in the first Trump administration, but I only remember him from
    C-SPAN appearances.

    His organization just released a paper blaming hospital network
    consolidation for being the huge factor in rising cost of health care
    and that this is the most rapidly growing area of federal spending.

    He barely touched on the Affordable Care Act, instead largely addressing >Medicare and Medicaid spending. For our Canadian friends, it's the
    federal government that sets reimbursements for both programs, even
    though Medicaid is administered by states and is a joint state/federal >program. Medicare supplements for Parts B (outpatient) and D (drugs)
    simply pay at prices already set by the government. Patients still pay
    annual deductibles and co-pays even with Medicare supplements, but
    Medicaid actually covers a lot more than Medicare and there is no annual >deductible nor co-pay to meet. Plenty of seniors can be on Medicare as >primary payer then Medicaid for deductibles and co-pay for what Medicare >covers, and Medicaid as primary payer for what Medicare does not cover, >especially nursing homes. Due to nursing home payments, Medicaid is
    mainly a program for the elderly and not families with young children >although they are part of the program.

    ACA is private insurance at fixed rates, sort of, for those under
    Medicare age. Like everyone on private insurance, government
    reimbursement levels are followed by private insurance even for patients
    too young for Nedicare.

    As I discussed in another post, consolidations are driven by a federak >program that forced drug companies to sell at steep discounts drugs for >patients on Medicaid. The networks, which are both hospitals and clincis >consolidated into the hospital, mark up the drug price to the patient in >order to bill insurance for the nondiscounted rate.

    While I agree with Blase's problem statement, his discussion of
    solutions was weak and I'll have to read his organization's
    recommendations.

    He said Trump is seeking higher reimbursement for primary care
    physicians as opposed to specialists. While that could be a good thing,
    I've seen my mother's bills. Her specialists were not receiving
    outrageous payments for clinics. Instead, the tests -- entirely blood
    work -- cost double or triple the office visit.

    What's troubling is his continuing praise of the Trump administration.
    Trump, personally, has no objection to consolidation in other
    industries. Hell, if he has any kind of relationship with a CEO, he
    favors consolidation.

    The market is terribly distorted because incentive in federal law favors >consolidation and Trump of all people will not push Congress to address
    this.

    The best one can say about socialized medicine is that, yes, it can be >administered in a less ineffective manner but I don't see how a
    marketplace solution in favor of patients is possible as long as it
    continues to exist. Government isn't a monopsony but it has such a huge >percentage of what it buys in the marketplace that it might as well be.

    Don't forget that the Dems designed the ACA to collapse healthcare
    which is exactly what happened when the free money ran out. A huge
    portion of today's problems are a direct result of this.

    --- PyGate Linux v1.5.14
    * Origin: Dragon's Lair, PyGate NNTP<>Fido Gate (3:633/10)
  • From The Horny Goat@3:633/10 to All on Sun May 3 11:39:29 2026
    On Sun, 26 Apr 2026 15:34:00 -0000 (UTC), "Adam H. Kerman"
    <ahk@chinet.com> wrote:

    His organization just released a paper blaming hospital network
    consolidation for being the huge factor in rising cost of health care
    and that this is the most rapidly growing area of federal spending.

    In our area the hospitals do collaborate on common services like
    purchasing and payroll but that's about it.

    He barely touched on the Affordable Care Act, instead largely addressing >Medicare and Medicaid spending. For our Canadian friends, it's the
    federal government that sets reimbursements for both programs, even
    though Medicaid is administered by states and is a joint state/federal >program. Medicare supplements for Parts B (outpatient) and D (drugs)
    simply pay at prices already set by the government. Patients still pay
    annual deductibles and co-pays even with Medicare supplements, but
    Medicaid actually covers a lot more than Medicare and there is no annual >deductible nor co-pay to meet. Plenty of seniors can be on Medicare as >primary payer then Medicaid for deductibles and co-pay for what Medicare >covers, and Medicaid as primary payer for what Medicare does not cover, >especially nursing homes. Due to nursing home payments, Medicaid is
    mainly a program for the elderly and not families with young children >although they are part of the program.

    In Canada health care is a provincial area of jurisdiction though
    there is a federal military component. (I've heard there's a federal contribution for native Indians as well) By comparison, the latter is
    much smaller than in the US. I've heard that in the period from
    1945-1960 that that was different (unsurprisingly) but is pretty much
    a non-factor now.

    ACA is private insurance at fixed rates, sort of, for those under
    Medicare age. Like everyone on private insurance, government
    reimbursement levels are followed by private insurance even for patients
    too young for Nedicare.

    North of the 49th that sort of insurance exists too but it's for
    things like upgrades to a private hospital room and things like that.

    When our eldest was born my wife got a private room BUT that was only
    because it was a hot summer day (mid 80s) and at one point the
    automatic sprinklers came on surprising a skunk near her open window
    (all the windows were open that week) and you know what surprised
    skunks do so they transferred her to the only available room which was
    private.

    Until they did she spent a LOT of time in the nursery.... I remember
    seeing some nurses surprised about that but I don't think they knew
    about the skunk and those that did were a LOT more understanding :)
    (In the hospital where our other two were born maternity was on the
    3rd floor so this wasn't an issue)

    As I discussed in another post, consolidations are driven by a federak >program that forced drug companies to sell at steep discounts drugs for >patients on Medicaid. The networks, which are both hospitals and clincis >consolidated into the hospital, mark up the drug price to the patient in >order to bill insurance for the nondiscounted rate.

    While I agree with Blase's problem statement, his discussion of
    solutions was weak and I'll have to read his organization's
    recommendations.

    He said Trump is seeking higher reimbursement for primary care
    physicians as opposed to specialists. While that could be a good thing,
    I've seen my mother's bills. Her specialists were not receiving
    outrageous payments for clinics. Instead, the tests -- entirely blood
    work -- cost double or triple the office visit.

    What's troubling is his continuing praise of the Trump administration.
    Trump, personally, has no objection to consolidation in other
    industries. Hell, if he has any kind of relationship with a CEO, he
    favors consolidation.

    The market is terribly distorted because incentive in federal law favors >consolidation and Trump of all people will not push Congress to address
    this.

    The best one can say about socialized medicine is that, yes, it can be >administered in a less ineffective manner but I don't see how a
    marketplace solution in favor of patients is possible as long as it
    continues to exist. Government isn't a monopsony but it has such a huge >percentage of what it buys in the marketplace that it might as well be.

    --- PyGate Linux v1.5.14
    * Origin: Dragon's Lair, PyGate NNTP<>Fido Gate (3:633/10)