I’ll never understand why we pretend that things are this expensive.

USA, of course, because I can’t imagine anywhere else in the world working this much harder and not at all smarter.

FYI, Medicare is our government insurance for older or disabled people and is paid for mainly with taxpayer dollars as well as “small” premiums by members.

Screenshot of an itemized bill.The first line is a charge for an initial outpatient appointment lasting longer than 60 minutes, and is for 679 USD. The second line is a payment from Medicare for 149.49 USD. There is a third line for a Medicare Adjustment of 491.38 USD. The total patient responsibility is listed at the bottom and is 38.13 USD.

  • @Zachariah
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    129 hours ago

    And those adjustments aren’t actually paid to anyone. They’re just the different price if that’s the insurance you have.

  • @reddig33
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    68 hours ago

    We could fix this by not allowing someone to charge different prices to different people. There shouldn’t be any of this fake negotiating. The price should be the price.

    • @acetanilideOP
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      69 hours ago

      True, but that doesn’t make it worth $679.

      • Ah. I misunderstood what the argument was; sounded like you were wondering why people say the prices are so high because you only paid $38.

        One explanation for the costs I’ve seen is that big companies seek discounts for the insurance they provide, so hospitals started just inflating the prices to give them a perceived discount without having to basically sell at a cost to them. Somehow those just became the regular prices everyone pays, and it’s ridiculous. Like it might cost $100 for a single Aspirin.

  • FiveMacs
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    59 hours ago

    My first appointment with a psychiatrist was about $550 AFTER insurance…and I’m in Canada .

    They handed me some grade school color charts and told me to reflect on them. Never went back.

    I will never understand why psychiatrics charge so much when they printed out Google search results.

    Hope you get the help you need however. Everyone’s different.

    • @acetanilideOP
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      39 hours ago

      Yikes. Well, I guess I am still a bit ethnocentric.

      I hope you are able to get the care you need.

      • @[email protected]
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        08 hours ago

        Yeah, people complain about America’s healthcare system, but they forget that basically no countries provide free mental health care. Or dental for some reason. It’s kinda weird, they’re using America as an excuse to not improve their own situation.

        • @RedditWanderer
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          7 hours ago

          It’s not “for some reason”. Dental was covered or heavily subsidized in Canada at least to 18 years old, until the conservative goverment convinced idiots only poor people without jobs need dental care. “If you work, youll have dental”, and now they take it from our total compensation.

          I have teeth and mental health covered through my employer, which sadly doesn’t fit all situations that need dental and mental health (hence why tying insurance to employers is stupid).

          I got a lot of teeth work done in the UK while I lived there on a Visa, and it cost almost nothing without employers insurance.

          People complain about the american healthcare system because it’s an oligarchy and oligarchs in other countries are trying to do the same. US just showed them with enough money and lies you can get there.

      • FiveMacs
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        39 hours ago

        Not sure why your quoting that but ok.

        Example…