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> Just being in a hospital bed for one night without anything being done costs $3000/night No, it …

> Just being in a hospital bed for one night without anything being done costs $3000/night No, it doesn't. It costs whatever you can negotiate it to cost. I've been without insurance; one experience isn't data, but in my experience just telling the hospital you haven't got insurance is, again, good for 90+% off by itself. https://www.cnbc.com/2020/10/28/you-can-negotiate-your-medic... Hospitals (ed: non-profit ones, but I'm pretty sure similar rules apply elsewhere) in particular are required by federal law to have 'well-publicized' financial assistance policies. https://www.irs.gov/charities-non-profits/financial-assistan... > Its literally a machine that kills people to maximize profit. If that were true it would do a good job of maximizing profit. It's not even that good. Healthcare margins in the U.S. are 0.7%, which sucks. If you're the proverbial evil billionaire or whatever you'd rather own almost anything else. https://www.nadapayments.com/blog/what-is-the-average-profit... …

Original discussionThe NSA is just days away from taking over the internet389 source comments · at import
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ZR

> The anecdotes The anecdotes show that this is not an 'occasional' or 'edge case' thing but a systemic thing. The statistics show that at least 40,000 people die a year for not having enough money for healthcare and these are the people we know. The statistics don't include those who never go to the hospital to avoid risking medical bankruptcy for their families even if they die themselves. Just being in a hospital bed for one night without anything being done costs $3000/night, whereas waiting in the ER without anything being done can cost $100/hour. https://www.marketwatch.com/story/woman-gets-688-35-er-bill-... This is a systemic thing. Its not 'not a sane healthcare system'. Its literally a machine that kills people to maximize profit. And it became like this only because people let it and justified this or that other thing in the system.

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ZR

> It costs whatever you can negotiate it to cost That's a really surreal proposition. People who are sick cannot 'negotiate' anything. People who are recently treated and are recovering from an illness are the same. Something that is life-critical cannot be up for negotiation to start with, but lets allow it for argument's sake. What if you 'negotiate' and the hospital and the insurance company just reject? Do you have pockets deep enough to fight with their lawyers for years? Do you have the time? One person against corporate behemoths. That defies logic. > If that were true it would do a good job of maximizing profit It does. It keeps both the availability of doctors and hospital beds to create artificial scarcity. It does vertical integration and ensures that whatever you do in healthcare ranging from getting insurance to going to hospital, from medicines to secondary care stays withi…

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JO

> just telling the hospital you haven't got insurance is, again, good for 90+% off by itself. My understanding is that directly charging a different (higher) amount for insurance is considered to be fraud.

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