What would YOUR (realistic) solution for America's healthcare be?

like
Posting as :
works at
You are currently posting as works at

single payer. next question.

like

Take away all the govt programs, figure out how much we pay for each person on those programs, and give it to them in straight cash instead. Let them optimize and be done with it.

Unfortunately a big problem with American government is how miserably inefficient it is. An ideal scenario would be a nationalised health service where every citizen is within a catchment area for a doctor and a hospital where they can receive care without having to pay directly or fart around with insurance, because those doctors and hospitals are funded by the government through taxes - the same way that cops and firefighters are. However, your government has so many splits and departments and stuff that would have to be fixed before you could consider centralising something as important as healthcare. Otherwise a large amount of the funding would be wasted in administration and bureaucracy. Assuming the system would accommodate it though, it will work out far cheaper per person if their tax dollars pay for doctors, equipment and medicines because a) the cost of equipment and medicines becomes wholesale rather than needing to fund the profits of private hospitals and b) there are fewer middlemen.

@Research Associate that is a terrible idea. Two things: 1) you need everyone to be in the risk pool to drive insurance costs down for everyone (hence the ACA penalty) and 2) having the government be the single payer gives them massive purchasing power to lower the cost of drugs. There is a reason drug companies hate Medicare, and its because they are great at negotiating.

MS1, argument 2 is fairly common, but I think it's flawed. It really boils down to how much you value new drug creation/research. Pharma companies play the venture model where they develop a lot of new drugs, and expect financial home runs on the few drugs that succeed and get approved. That's why drug prices in the US are so high, in part, because of the patents that protect them from competition. However, drug companies also understand how marginal cost pricing and segmented demand works. If it costs 10 cents to make a pill that I can sell for $20 in the US and $1 in India, I still make money by entering the India market. Even if you're a great negotiator and are able to get lower drug costs, it still throws a wrench in the ROI mode for drug companies, restricting future development.

Related Posts

Our company is considering offering 401K employer match. We are about 200 employees venture backed company. We have about 60% participation mostly the non HCEs and only some key employees contribute. We always pass top heavy test and wpassed the 2019 ADP/ACP test. We are aggressively hiring and project there will be increase in participation, particularly if we offer the match. Given this information would it make sense to continue with a traditional 401k plan or go with safe Harbor plan?

like

Hello folks.
Can someone please say how much reimbursement
Morgan Stanley is giving for buying laptop? I do not have a decent laptop currently. Or will they provide one? When to have this conversation and with whom? Morgan Stanley

Does anyone know the salary range for a BH Care Manager II with Elevance Health (formerly Anthem) ??? Thanks

Coronavirus and health: has your alcohol consumption gone up during the pandemic? This pandemic had encouraged me to quit for good now.

like

Looking for purchase health insurance for business. Has anyone bought health insurance through their solo practice as a corporation. Any recommendations as to who to use. Small firm 1-5

like

Anyone have experience with Concert Health?

like

What funds do people have in their 401k plans? And how did y’all decide allocation? Can’t tell if I should be more aggressive given I’m in my 20s.

like

I have a somewhat unsteady, gappy work history due to several health issues — serious ones — that have gotten in the way since I passed the bar. My first major health issue I can easily explain as it’s physical, a major concussion. My other health issues are severe depression that affected my ability to work steadily. I am better finally, and ready to get back to work, but I don’t know how to explain this or even approach this during interviews/resume writing.

Anyone have any helpful advice?

like

I accepted an offer to work at an Am Law 100 firm in June. I just graduated law school in May. They offered a stipend and reimbursement for bar expenses. I am currently still waiting for any word on when the money will come. They have not started onboarding me or anything. Should I be concerned? Why are they dragging their feet? I have contacted them 3 times since June.

like

Hi all, I have a question regarding retirement accounts. I am not sure if I should choose a Roth or 401k (company has 4+2% match). Currently 23, base salary is ~100k and investments have brought 45k this year which has me teetering between a 22-24% tax bracket. Wondering what the usual tax bracket is of people retired (around 65yo) as I’m not sure anything would bring in significant income with the exception of investments. In my case would a Roth make sense? Appreciate any answers!!

likesmart

Hi fishes ,

I received an offer for senior manager position in PWC .

Can you please let me know about the health insurance coverage as it is not mentioned in offer letter.

Please also inform if parents can be included in health insurance provided by PWC.

like

What is average hike at fidelity international? How is the promotion cycle? Does it provides WFH assistance? Or internet reimbursement?@fidelity international
Which company is better . Fidelity or Accenture?

like

My company is giving me a reimbursement while I go to school. It’s capped to induce me to study part time. I decided to go full time. Pay the difference out of pocket so I can graduate quicker. I have been working as a manufacturing engineer tech for 4 years without a degree but this May I will get my bachelors in Mechanical Eng. Currently making 63k a year, hourly. What should I ask for when I graduate? Living in Southern Pennsylvania.

like
like

Hi, Are there people here who have switched from being a doctor or dentist and went on and got an International healthcare management MBA (or just a standard MBA) and also have experiences from surgery/clinical side, pharmaceuticals, and bit of consulting? If yes, how was your transition? What were your starting roles and salaries? Thank you :)

like

I am a Strategic Sourcing Manager with 7 YOE in both direct and indirect spend across various industries (Life sciences, IT and Insurance) I have been offered a role with Fidelity for 13 lpa + 1.5 variable. Offer seems better than the national average for similar roles but I feel I would be underpaid based on the current market, my skills and value I will be bringing to the table. Any suggestions for offer negotiations?

like

Is there anyone who works for Google or Amazon and has a healthcare background with no tech skills? I have my MBA with a healthcare concentration and I’m looking to switch industries. I’ve started to take certification courses on Udemy but would love any insight on how I could get my foot in the door with those companies. Thank you!!

like

I’m a certified Health Coach (my training/courses are CCE-accredited by the International Coach Federation) w/ a BS in Psychology. I got a temp to hire starting at $18/hr. It is my first professional health coach job & they did not require temps to have a coaching certification, but I have one. I’d like to know if temps could negotiate salary when given the job offer. The position is remote & I’d like $20/hr. I’ve invested in myself as a coach & plan to complete board certification by early 2023

like

I work in healthcare administration but was a medic for years. You learn so much about innovation but seems like most health systems just want people to fall in line and just do what's always been done. I would take a pay cut to work for a system that's actually trying to do something disruptive in the Industry as opposed to just using buzz words in ppt.

like

Any EAs make the make the switch to virtual EA? Have you noticed a decrease in pay and benefits?

like

More Posts

If the IPO market is dead, does that mean M&A is next?

like

Best bars, lounges and dance places for 30+ crowds in Manhattan?

likeuplifting

Any tips for a first timer at Oktoberfest? I already have tables reserved and am looking at purchasing a lederhosen this week.

like

I was wondering if anyone has experienced a two week delay after HR has called to discuss an offer and you don’t hear back from there is that a red flag or to keep the hope flying still?

like

Would love to get your input on this but how do you guys feel about consulting, especially with a STEM background? I have worked on studies where we make recommendations that anybody with a basic scientific/engineering knowledge will say “yea, no f-ing sh*t. We want to do that too. But it’s impossible to achieve from technical perspective with the money we have. You don’t think we already thought of that?”

likesmart

Hello All - looking for links, resources , samples on interview prep/practice for sales , account management, partner management, practice management at FAANG companies like amazon, google, microsoft

like

Hey Guys, Likes Please to activate DM

like

Hi Fishes,

Can anyone refer me
Wells Fargo for associate profile. I have job id with me

like

We are looking for Search Language Specialists - Manual Software Testing for our Team.

Requirements :
Primary language proficiency (Read/write/Speak) as Native speaker : Marathi & Bengali (Mandate)

Work Location: Bangalore

Work Type : Hybrid

Degree : IT/Technical Degree

SoftSkills : 
Good Communication skills and willingness to work on internationalisation Localization and Translation query.

Good Team Player.

Experience : 3 years

like

Anyone going to the security/privacy conference in DC this week?

Any chance firms mandate the vaccine?

like

Recently received Star&r award. It's my first time getting it and I know that I can choose a voucher. How can I utilize it best? Need suggestions.

like

Hi All, I am looking for job change and my Last working day is on 15th july. Let me know if any relevant openings for ETL/DWH testing in wipro. Experience: 3.7years .Location :Pune

like

Hi Fishes,

Please share Barclays designation hierarchy with salary bracket.

like

How much are guys making as Project/Emgagement controllers working for big4? (Manager level)

like

M/F would you allow for some to buy you nice things you just meet?

likesmart

Woke up to the offshore team doing none of the work we gave them. Wonderful

likefunny

This didn’t age well…

Post Photo
likeupliftingfunny

Additional Posts in Finance

Hypothetically what’s the shortest amount of time you should stay in a job without switching. I kinda wanna try my hand at a different industry but don’t wanna kill the experience I have now by leaving too early

like

How often do you meet with upper management at your company? I just got a promotion and I’d like to set up a somewhat regular cadence of meetings but I don’t want it to be too often to the point where it feels like we are just wasting time.

like

Is the OPEC-Russia alliance gone for good? Pretty surprised to see the price war

like

Anyone else feel cautious about the JP wellness screening? Is this something they can use for drug testing? Even still it is weird giving my blood to my employer

like

Has anyone else turned down a tech job for banking? It was a hard decision but ultimately, I decided that the experience and training I'll get here is second to none. Hope I don't regret this decision

like

Does anyone have an idea on compensation for JPM Wealth Management Division?

Associate
V. President
E. Director
Mgng. Director

like

IB Analyst, want to move banks. Searching via my contacts but want to expand my network with cold outreach. Should I reach out to MD's or VP/Directors?

like

What movie title would you use to describe your current job?

like

Is upward feedback ever appreciated?

like

Hi guys, I am working as an Investment Analyst for a boutique asset management firm in Toronto, Canada (4bn AUM) making 70k annually. I am 5 months into this role. Credentials: 6 months of prior experience in this industry at a small startup + 2 years of work exp in retail banking, CFA L2 candidate, part time masters of finance student, bachelors from outside of Canada. I want to find out if I’m being paid fairly or I should aim higher. I don’t know my bonus yet (discussion in Dec)

like

What do typical year end bonuses look like? In my first year here and have no context

like

How many credit cards should I have open to build up a solid credit score? Mine isn’t bad but I’m hoping to buy my first home in the next couple of years so just looking to make it even better. I have 2 cards open and I thought that was normal until I saw another post on here of some people saying they have anywhere from 10-15. Should I have more accounts?

like

What are 3 things clients don't know about our services that would scare the shit out of them if they did?

like

How do you cope with seeing your peers (either in this industry or outside) getting ahead of you (being promoted earlier) in their careers?

like

Vice Presidents and up: Is it easy to predict which analysts just won't last the long haul?

like

People interested in B-school: what are your top schools and why?

like

Perpetually looking for a job *sigh*

like

Girl I went on a date with talked about how much money she makes doing Monat MLM. Anyone know much about this? Legit or scam?

like

Does anyone have any insights on the Certificate Investment Performance Measurement (CIPM)?

like

Tips with dealing with imposter syndrome as a minority in finance?

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the
Fishbowl app

See what’s happening in your industry
from the palm of your hand.

A phone with Fishbowl app

Scan your QR code to download
Fishbowl app on your mobile

Download app

Sign up for free to view this conversation on Fishbowl

By continuing you agree to Terms of Use and Privacy Policy

Already have an account? Log in

Sign up for free to continue using Fishbowl

By continuing you agree to Terms of Use(New) and Privacy Policy(New)
Messaging rates may apply

Already have an account? Log in

For account settings, visit Fishbowl on Desktop Browser or

General

Legal