The US healthcare system currently takes 17% of GDP in spending on healthcare. I'm sure if we took that and placed it into single payer, it could be made to work....especially when you consider that nearly every other industrialized country makes a go at it at a much smaller % (around 10 to 12% IIRC) of their GDP (which is smaller than the US by quite a bit) and they cover 100% of their citizens.
Oh I forgot, profits over people every day of the week....what was I thinking? pfftt.
It's into "scam" territory now. (I was thinking "money laundering" also, but I don't think that definition quite fits.)
How do you get people to pay $1 for a single ibuprofen tablet?
1) Make it 400mg or 800mg (OMG, it's so much bigger than the OTC 200mg pills!!)
2) Make it available by prescription only.
Or you could just go buy some generic OTC ibuprofen for a few dollars for a whole bottle.
But you'll pay the inflated price because "Don't worry about it, your insurance pays for it, so it doesn't cost you anything!"
One of my uncles had this sort of discussion with his pharmacist. In his case, it was just this sort of thing, a prescription for a larger dose of an OTC painkiller, which turned out to be at an impressive markup. He asked the pharmacist what they were billing to his insurance for this, and it was like an infinite loop: "What is this going to cost my insurance?"
"You won't pay anything on it. Your insurance is going to cover it."
"I know. What are
you going to charge
them for it?"
"That doesn't really matter. You won't see any of the cost, they will cover it 100%."
And so on for a few rounds.
It ended up being something like that - about $1 for a tablet of aspirin.
That cost certainly isn't going to affect the margins of the insurance company. They wouldn't let anything like that happen. And if they're applying a profit margin as a percentage of cost, the excessive price of those pills just ends up costing you even more in your premiums.
It's along the same lines as the BS going on with mutual funds, where they charge you money transparently - it comes right out of the returns of the fund, so you never see a bill, therefore it "doesn't exist" as far as many people care to see. You just get ~1-2% automatically shaved off of your returns each year.
This hospital has been in the news a few times, with their attractive pricing. From
an article about it, "People began traveling from out town and even from out of state to take advantage of the much lower bills at the Surgery Center — and other hospitals took notice. At least five other Oklahoma City-area medical facilities started posting their own prices online, and some of them are even beginning to lower their bills as their patients push for price-matching.
'Hospitals are having to match our prices because patients are printing their prices and holding that in one hand and holding a ticket to Oklahoma City in the other hand and asking that hospital to step up,' Dr. Smith pointed out."
"For example, a $3,500 breast biopsy at Surgery Center of Oklahoma will cost $16,244 at nearby Mercy Hospital. A hysterectomy jumps from $8,000 at Surgery Center to $37,174 at Integris Baptist Hospital. And the OU Medical Center consistently charges about $15,000 more than what the Surgery Center does for common procedures like open fracture repairs and gall bladder removal."
Is Integris Baptist Hospital going to deliver results that are more than 4x the value of the Surgery Center of Oklahoma? Or is it simply a fat profit margin?