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时间:2017/12/23 21:22:21  作者:  来源:  浏览:0  评论:0
内容摘要:Why Is An Appendectomy In The US 10 Times More Expensive Than An Appendectomy In Mexico?.为何美国的阑尾切除术比墨西哥的贵10倍?.【链接】

Why Is An Appendectomy In The US 10 Times More Expensive Than An Appendectomy In Mexico?.为何美国的阑尾切除术比墨西哥的贵10倍?.新加坡金沙娱乐网址:美国网民吐槽医保体系



This is what can happen when you go to a socialized healthcare system.


A lot of people out there believe that the United States has a free market healthcare system, but that is actually not true.  The percentage of the population that receives government-subsidized healthcare is rapidly approaching 50 percent, and the healthcare industry may be the most heavily regulated sector of the entire U.S. economy.


Every year the rules, red tape and regulations seem to get even worse, and every year health insurance premiums rise much faster than the overall rate of inflation.  If we don’t start applying free market principles and start getting healthcare costs under control, our entire healthcare system could very easily implode.


I would like to share with you an excerpt from an article by former DEA agent David Hathaway.  According to Hathaway, the average cost for an appendectomy in the United States is $33,000…

我想和大家分享一下前缉毒局特工David Hathaway的一篇文章的摘录。根据Hathaway的说法,阑尾切除术在美国的平均费用是33000美元(约合22万人民币)……

My son had an attack of appendicitis late Saturday night. I knew that the Obamacare inflated prices for surgery in the U.S. would be ridiculous and that the service would likely be impersonal, involve long waits, and be nerve-wracking. I have friends in the medical field so I inquired just for grins.


The price for the latest routine appendectomy in my area was, my jaw dropped, $43,000. I read on-line that the average cost for an appendectomy in the U.S. is $33,000. I am not near some of the great direct-pay medical facilities in the U.S. like the Surgery Center of Oklahoma, but I am near Mexico. I chose that option since I have often utilized foreign medical and dental facilities in the past and find the service and prices to be outstanding.
You can buy a very nice brand new car for $33,000.


How in the world did we get to the point where costs have escalated so far out of control?  Should performing an appendectomy really be this expensive?


I can imagine that some of my readers may be thinking that the quality of care down in Mexico is much lower, but this is actually not the case at all.  Here is more from David Hathaway…

我可以想象,我的一些读者可能在想,墨西哥的医护质量要低得多,然而事实并非如此。我们来听听David Hathaway的说法……

My son was checked into a private room with private bath and satellite TV awaiting his surgery. The surgical staff was prepped and ready to start within an hour-and-a half of our arrival. The appendix was ruptured, so extra precautions were taken to clean and flush the abdominal cavity. Since the appendix was ruptured, the chief surgeon said that my son should stay two days to receive intravenous antibiotics to prevent the development of peritonitis.
The surgery was a success, and David’s son did stay in the hospital for two full days in order to receive the antibiotics that the doctor suggested.


But despite the extra time, the bill for the appendectomy was still less than 10 percent of what it would have been if the appendectomy had been performed in the United States…


The hospital stay was for 48 hours in a private room where my wife was allowed to spend the nights with my son sleeping on a couch in his room. This cost would have been significantly less if we hadn’t incurred emergency fees and if the appendectomy had not involved complications which required a longer stay and more medication.


Despite all that, I though the total price of $2,830 dollars was very reasonable.
So why can’t we have hospitals like that on our side of the border?


This is yet another example that shows that Obamacare has got to go and that we need to get government out of the healthcare business.


We once had the greatest healthcare system in the history of the world, and we can do it again if we will just return to free market principles.  Elections really matter, and we simply cannot allow the Democrats and the establishment Republicans to take us even further down the road of socialized medicine.


They have already turned our once great healthcare system into a giant disaster zone, and we need to show them the door before they can do even more damage.


【Zero Hedge评论】
man of Wool Dec 7, 2017 1:53 AM
So much for private health care in America.


alphasammae Dec 7, 2017 3:19 AM
..., and El Presidente Trump wants to build a wall and discourage Americans from savings across the border on medical care and vacationing as well.


misnomer00 Dec 7, 2017 3:28 AM
Im Indian. When daughter was in the nICU for 60 days after birth at the best private nICu hospital in my city, cost per day was 100-150$ depending on the medicines needed for that day. Total bill of less than 9k dollars for a 2 month stay.
Granted this might be a lot for most Indians, but the care is the best and in general, surgeries in India would be a great option for most Europeans and Americans.
The caesarean cost of delivery including medicines and 3 day stay at the best maternity hospital cost us 1100$. Ac rooms, attached bathroom, HD TV, wifi. More like a hotel suite really.


NickPeeMe Dec 7, 2017 3:29 AM
The Mexicans along with the rest of planet earth have socialized medicine, that is why it is cheaper ! It is the profit based capitalist model that suggest there is profit in health care that is fucked up.


To Hell In A Ha...  NickPeeMe Dec 7, 2017 5:42 AM
Well tell the Americans the fucking secret answer? I was having so much fun watching them get fleeced and not knowing what the solution is. A lifetime of the USSA health system is best ever devised, will be difficult for the brainwashed to shake.


NuYawkFrankie Dec 7, 2017 4:00 AM
Because EVERY THING in the USSA is a RIP-OFF or a SCAM.


DeaconPews Dec 7, 2017 4:19 AM
Time to move near the border.


To Hell In A Ha... Dec 7, 2017 5:35 AM
Why? It's because USSA doctors are the best trained in the world EVER! It's because the USSA has the best healthcare facilities anywhere in the world EVER! This is just part of the daily propaganda the Yanks have been spoon fed for decades. This type of mind-sweeping and brainwashing, will take a generation, or two to erase.
10x more than Mexico?  Why give the Yanks facts? The simple fact is the health insurance industry and big pharma scalp the profits for themselves. As I always say on this issue. I endorse ever larger health premiums for my USSA friends, until the fools learn. Commonsense does not matter, just ideology to these Yankee fools. The private sector is best. Repeat this ad-nauseam.....


Faeriedust Dec 7, 2017 6:27 AM
The Mexican system was 100% socialised within living memory, as are most South American systems.  No 10 million annual executive salaries.  Doctors are trained on the public tab and serve without quarter-million dollar loans hanging over their heads, so their fees and salaries are reasonable.  Medical schools provide medical education rather than competing for recognition for their world-class research, into which 90% of all funding is channeled. And interns get to sleep.


Bay Area Guy Dec 7, 2017 9:14 AM
I was in the hospital in June, 2016 to get a cancerous lesion on my kidney removed.  Checked in at about 11:30AM.  The operation commenced at about 3PM.  I was in recovery at 7PM and in my regular room at 8PM with my niece screaming in my ear to wake up.  By the next morning I was eating and drinking, along with, after a little while, peeing and walking.  The surgeon came in around noon and told me to get the hell out.  By the time IV's and drains were pulled and I got my discharge instructions, it was about 1:30PM when I stepped out the door into my brother-in-law's car.  So, 25-1/2 hours.  I have great insurance that is subsidized by a former employer from whom I retired, so despite the total bill from the hospital, the surgeon, and the myriad of other doctors and technicians totalling nearly $50,000, I paid $200 as my copay.  If memory serves, the insurance company paid about $5,000.


TGDavis Dec 7, 2017 11:41 AM
My 21 year old daughter had an apendectomy in June.  She was in the hospital for 27 hours.  $39,000.00.


Dr_Snooz Dec 7, 2017 11:50 AM
How is it that our national discussion of healthcare never ever mentions our poisoned food supply? Our food continues to deteriorate to the point that much of what is sold as food contains no actual food. People grow lumpy and fat. They get sick sooner. Their kids get horrific diseases unknown in human history. Yet everyone sits around and complains about how expensive it is to get sick, without ever questioning why they're getting sick in the first place. Your healthcare costs are a judgement for your lack of wisdom and your depravity.


honestann Dec 7, 2017 2:59 PM
The author says "healthcare could implode"?  Seriously?  How about "has imploded".  Of course smart people can mostly ignore this fact... by not having health insurance and going on a vacation whenever they need or want some healthcare.  The rent-seeker predators who bribe congress most suck up most of the cash and hide it, while providers only stay alive by triple billing everyone (and settling for whatever they can get), while people who pay health insurance don't get healthcare coverage because they almost never reach the deductible limit (and are still double billed unless they are very attentive).
At least these are the [quite consistent] stories I get from people I know in the evil empire.  And I believe them, since it had strongly moved in that direction before I got the hell outta dodge ~5 years ago.
BTW, quality healthcare really is vastly cheaper most places where the predators-that-be in the USSA and their allies don't control everything.  Massively cheaper.  And rarely provided via health insurance (the main point of fraud and scam).


Global Douche Dec 8, 2017 12:49 AM
Here's how I see it. Ask your health insurer if they handle claims outside America! Surprisingly, some are allowing "tourist medicine" to take place, but you must do your homework in advance and get informed. For emergency procedures, I severely doubt much savings will be realized if an air ambulance took someone across the border, but for most elective procedures where time is on the side of the patient, there's some decent savings to be realized.
Medical Malpractice costs are a huge hit to a doctor's pocketbook. Many hospitals have a hell of a time making ends meet due to all the regulations. The little hospital where I live is bleeding an estimated 350k monthly and had to close relationships with two other health outlets where I live.
ObamaCare, as well-intended as it was made to be, is an utter failure!


hedgeless_horseman  Schmuck Raker Dec 6, 2017 10:03 PM
According to Hathaway, the average cost for an appendectomy in the United States is $33,000…
This is complete horse shit.
This is the average Usual and Customary billed charges for CPT 44970, that nobody ever pays.
The total Medicare allowable for surgeon, facility, and anesthesia is closer to $3,300.


Killtruck  hedgeless_horseman Dec 6, 2017 10:03 PM
For the same reason doctors load up Type 2 diabetics with bad advice and insulin, instead of telling them to stop eating and start fasting.


ACP  Gap Admirer Dec 6, 2017 10:17 PM
It's pretty obvious.
If you're an illegal alien you get a appendectomy in the US for free.
That's a hell of a lot cheaper than in mexico.


Zer0head  ACP Dec 6, 2017 10:20 PM
diy appendectomy instructions

HowdyDoody  Zer0head Dec 7, 2017 4:39 AM
"diy appendectomy instructions"
The Russians always take it to the next level.


CheapBastard  Zer0head Dec 6, 2017 10:30 PM
One problem with "socialized medicine" is that a small percentage of people are paying for the non-payers who abuse the system.
They call this "cost shifting;" this means the cost of the FSA is shifted to folks who either have insurance or are uninusred but have enough assets for the health care provider to go after you for cash payment.
My sister had a simply "trigger finger release" outpatient surgery in a doctor-owned surgi center.
The doctor's bill was $800 and the surgicenter's bill was $3,900 for the 10 minutes operation. The light anesthesia cost $600 which was the bill from the nurse anesthetist.
I told her lets go to Thailand or Taiwan next time for elective surgery if either of us need it and the bill will be 1/10th of that.


Delving Eye  Ahmeexnal Dec 7, 2017 12:13 AM
"Why Is An Appendectomy In The US 10 Times More Expensive Than An Appendectomy In Mexico?"
We have running water.


LeftandRightareWrong  Delving Eye Dec 7, 2017 12:48 AM
and drinkable


shitshitshit  LeftandRightareWrong Dec 8, 2017 5:05 AM
It costs more in the US because americans are fat bastards and we need heavy machinery to dig up their bloated intestines...


jeff montanye  CheapBastard Dec 6, 2017 11:08 PM
just a guess but maybe everyone in mexico's hospitals gets paid way less than in the u.s.   ya think?  
as far as "free market alternatives" and "lawyer scum", all advanced countries but the u.s. have single payer health care and they pay on average half of what the u.s. does for better results:


Singelguy  jeff montanye Dec 7, 2017 7:53 AM
That is simply not true. I live in the Netherlands and there are at least 20 different health insurers to choose from, none of them owned or operated by the government. The government has legislated a basic coverage package that costs around $100 per month with a $400 deductible. Everyone is required to have at least basic coverage. There are various add ons that you can purchase for an extra monthly premium, depending on your circumstances. The big difference is that you do not have a vulcher lawyer system waiting to sue the hell out of doctors and hospitals. This keeps the costs reasonably low. I was in hospital here last year without insurance with a thrombosis in my leg. A three day hospital stay with an echogram, MRI and medication cost me $2400 and the hospital didn’t send the bill until 9 months later.


PT  Bigly Dec 7, 2017 2:58 AM
This could have been an informative article but it is not.
How much do doctors get paid in Mexico?
How much do doctors get paid in US?
Price of a hospital and land to put it on in Mexico?
Price of a hospital and land to put it on in US?
Quality of ...
Amount of money doctors have to spend on registration and insurance in Mexico, US ...
Equipment used in procedure ...
Amount of days in hospital ...
Facilities provided ...
Mortality rates ...
Complication rates ...
Interest payments ...
Size of admin ...
Instead we have one data point used for a generic diatribe against a theoretical construct and in favour of an idealized version of another theoretical construct which the author fails to acknowledge loses some important properties whenever it "succeeds" in interfacing with the real world.
Oh yeah, and the ideal Capitalist doctor model is to never heal your patients because then you lose your customers.  Moar profit in managing diseases than making them go away.  Competition will never let that go away because all the cheap doctors go bankrupt.  Think of what McDonalds did to hamburgers and now imagine that as your health care.  Then again, I never eat at McDs.  I prefer the no-brand mum-and-dad hamburger shops that might cost three times more but who gives a shit because you actually get a really really really good hamburger.  Nice way to live for us lucky ones.


cheka  PT Dec 7, 2017 7:13 AM
in the US you have nyc standing between you and your doctor.  nothing changes until we remove third party parasites from the transactions.  hiring a doctor to do work for you is no different than hiring a plumber.  no need for third party parasite in the deal


warpigs  Schmuck Raker Dec 6, 2017 11:11 PM
$1 = $18.86 Pesos.
$2.43/hr is the average in Mexico.
$22.23/hr for an American.
Bullshit aside, and if delivering medical care to Mexicans, then it will be cheaper in Mexico.
Let the down votes begin and let's now hear all of the mathematical voodoo bullshit to obfuscate facts and make this topic more annoying than it already is.


ghengis86 Dec 6, 2017 9:59 PM
Because they also take your other organs to sell?


youarelost Dec 6, 2017 10:02 PM
In Mexico you die


InnVestuhrr Dec 6, 2017 10:16 PM
Big part of the blame for the excessive costs goes to the lawyers - check out the breath-takingly high costs of liability and malpractice insurance in the USA, which the USA hospitals, clinics and doctors MUST pay, but do not exist in Mexico. You can send thanks for this situation to your elected legislators.
Just think how terrible and tough economic conditions would be in the USA if we did not have democracy, which allows us to control our own destiny, rather than be ruled and imposed upon by oligarchs ???


August  InnVestuhrr Dec 6, 2017 11:07 PM
Indeed!  I knew a NYC neurosurgeon; his first $200,000 per year in income went to malpractice insurance... and this was decades ago.
FWIW I spent 37 years as a practicing MD, mostly in the USA;  the doctors are seldom the problem... look instead to the insurance companies, Big Pharma, lawyers, and government rule-makers.
Earlier today (possibly at ZH) I saw a stat that, since 1970, the number of US doctors went up 100%, while the number of healthcare "administrators" rose 30,000%


junkyard dog Dec 6, 2017 10:17 PM
In this country you do not have to pay for medical services if you cannot afford the cost. Sign the paper work and if you live through the procedure, file bankruptcy. If you are refused service and then die, your family will be very well off.


snblitz Dec 6, 2017 10:25 PM
You only have to "pay" these huge prices if you want too.
There is a whole farce that starts with the master charge list. It is just one big scam to keep people on the health "insurance" bandwagon.
The master charge list price for my hernia surgery was $16,000. I paid $1150.
Knowledgeable people paying cash (called self-pay) get 75 to 90% off the master charge list price. That could be you too.
Instead you pay astronomical amounts of money to "insurance" companies due to fear of their made up "prices".

老司机会付现金(称为自费),可以比用信用卡便宜75 - 90%。

ItsAllBollocks Dec 6, 2017 11:12 PM
Easyest way to fix it is educate the masses on how the scam works. Rockefeller Foundation owns the universities and Rockefeller Foundation owns the drug companies. You think people are actually that sick they need a prescription every time they go near a doctor?


Jdhank Dec 6, 2017 10:48 PM
My own similar story.
I just got back a few weeks ago from a trip to Delhi, India where I had a two-hour thoracic (on my Ribs) surgery to remove some stabilizer hardware.
The Visa cost me about $200, the airfare about $1,100 and the surgery about $2k (rounded up) which included three days of hospital stay, all the meds, etc.  The medical care, IMO, was first-rate!
I knew the same surgery in the US would be many times that.  I've since been told by my medical friends here that it would've likely been (at least) 10-20 times what I paid.
Yeah, pretty sure that Delta can't exist forever.
Our pricing & billing structure in the USA WILL change, eventually.

我知道在美国同样的手术会花数倍假钱。我医疗行业的朋友告诉我,可能至少要花10 ~20倍。

wisehiney  Ms No Dec 6, 2017 11:30 PM
Anyone with open eyes
Knows that
You go to American hospitals
To get sicker and die
Deadbeat minority hires matter more in some places


snblitz Dec 6, 2017 10:40 PM
No, no, NO! You do not have to pay these crazy prices.
The average price paid for a dental visit (with x-rays) in my area is $261.
I paid $50.
You can pay $70 cash for an prescription or $9. Whichever you want.
It is the same across the board. The medicare reimbursement rates are not a good indicator of prices. You can often negotiate prices below medicare. I have done it. So have lots of others.


Ms No  snblitz Dec 7, 2017 12:42 AM
I got a hospital bill dropped in half by just not paying it for a while.  lol  Is that what you mean?  Once they think that you are not going to pay often they will negotiate.  It wasn't tens of thousands either though.  STILL WAY TOO DAMN HIGH!


Berspankme Dec 6, 2017 10:42 PM
Because we are exceptional


Berspankme Dec 6, 2017 10:44 PM
I just had a bill that was 9900.00. I paid cash and they reduced it to 4200.00


MEFOBILLS Dec 6, 2017 10:59 PM
First of all there is no such thing as a free market, there are three kinds of markets:  Elastic, Inelastic, and Mixed.
Price competiton rules apply in Elastic markets, delivering lowest prices.  For price competition you have to advertise prices.  Are prices advertised in the American system? Not really.  
Medical is a mixed market, meaning it has BOTH elastic and inelastic modes.  When you are unconscious, or dying, you don't give a damn about price.
The real problem is rent-seekers on both sides of divide are gaming the system.  Drug companies charge high prices and try for monopoly.  Liberals claim that medical is a "right" and that it should rob from peter to pay paul.  Illegal immigrants especially are to get free medical care, monies shited from the historical American people.
Medical is free market (elastic) most of the time, as you can make rational choices how to spend your money.  Insurance companies have inserted themselves in between you and your doctor, to then take rents.  Insurers are behaving as a third party where they don't belong.
A fix for medical has to acknowledge that the market is MIXED, not supposedly free.  A solution:  1) Public hospitals for the indigent, like they had in the old days.  Doctors can volunteer their time for a tax break.  Public hospitals will be low quality for people who refuse to insure themselves or who have no money.  Note:  Canada built their hospitals from 38-74 using debt free money, thus lowering the costs.   2) Prices listed on the internet, so people can shop for medical care.  This is similar to what Germany does.  3) Ambulance chasing lawyers get their heads slammed against the wall, with the law, as they cause high prices - a form of rent seeking 4)  You pay cash for your care.  Or, you pay cash and your insurance pays you back.  In either case, it is a TWO WAY relation with you and your doctor.  Insurance as a third party go-between is a non starter.  5) If you get really sick, say unconscious, then your insurance only then may act as a third party.  In this case, you have entered into inelastic mode, so inelastic rules apply.  Your insurer, or your agent makes sure your money is spent well in inelastic mode according to legal guidelines.  Even here there is conflict with the insurer, who will want to get over as much as possible to make a profit, so your legal agent would be invoked in inelastic modes.  If you want to pool your money with others for catastrophic insurance to prevent bankruptcy, then that also requires an agent of some sort to battle the insurance company.


kevindow Dec 6, 2017 11:53 PM
As a physician, the problem is NOT the ACA specifically, but rather it is cost shifting from extremely low to no payments due to the uninsured/Medicaid/Medicare/Tricare/VA to those who pay more than their fair share for private insurance. In our ER, we have Medicaid patients who come in for common colds and even merely for work excuses, and call the ambulance only because they cannot find a ride. Of course, all of the fees are paid by the government, at a below market rate which only raises the rates for those with private insurance.
The obvious solution is to remove the government from health care, but there are far too many brainwashed citizens, illegals and their Dem political allies who benefit from government involvement in health care, of course at the tremendous expense of working taxpayers.


roddy6667 Dec 7, 2017 12:25 AM
All these ignorant snide remarks about medical care in Mexico. What buffoons!
I had an uncle who bought a small villa in Mexico when he retired. He told me all the same stories about quality medical and dental care for very cheap prices. He could even afford a housekeeper. In America he would have been just another poor retiree clipping coupons and living a not so enjoyable life.
Crazy Uncle Harold was smarter than the rest of them.


everything1 Dec 7, 2017 12:33 AM
Large companies are moving to self insuring and sending employees out of country for surgical procedures, with better outcomes.  Iatrogenic disease is the third leading cause of death in the U.S., and highly under reported, quack insurance is expensive too, although they are lobbying to cap lawsuit payouts.
They killed a relative, sent them home after a colonoscopy with pain pills to bleed to death in their sleep, it's really to bad, no chance to say good bye and pointing the finger at the spouse for two months after until they would admit any wrongdoing.
They want money.


Flybyknight Dec 7, 2017 12:42 AM
"A lot of people out there believe that the United States has a free market healthcare system, but that is actually not true.  The percentage of the population that receives government-subsidized healthcare is rapidly approaching 50 percent, and the healthcare industry may be the most heavily regulated sector of the entire U.S. economy."
The USA is cloud cuckoo land. The above quote implies this is a socialist system. Cuba or Canada or NZ have socialist systems that do not cost anywhere near $43000 for an appendectomy. Japan has a insurance system where the individual pays 30% and the government insurance company that all workers pay into pays 70%. An appendectomy costs the patient around $ 800. What the US has is a "corporations screw the government/ taxpayer and the patient" system.
Isn't capitalism great!


are we there yet Dec 7, 2017 1:33 AM
My brother died of liver cancer. There was only one drug to extend life for 3 months 'nexavar' and at the time they wanted $5000 a month for 30 pills except that you had to pre purchase pills for a year with cash until an expected death 3 months later. However the pharmacy refused to sell it unless a years supply was pre purchased ($60,000 to $80,000). Clearly a scam to increase profits. India sells the same drug for $ 7 dollars a day but it is illegal to import it back into the US. My brother chose to die a month earlier.
Lesson: watch out for your own health every way you can, hospitals have layers of mixed agenda and secrecy about everything.


stacking12321  are we there yet Dec 7, 2017 3:39 AM
sad story.
if it were me, i would've bought the pills in india, and brought them back to the usa, to hell with the bureaucrats who try to claim it's illegal.






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