Comment by missedthecue | Hacker News Reader

Comment by missedthecue | Hacker News Reader

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I'm not sure how they can be cheaper. The bill for a checkup pays the nurse and the doctor for their time. Claims about some greedy capitalist coming in and taking massive profit margins can be discarded by pointing out that non-profit hospitals do not charge substantially different rates for identical checkup services.

The way to make a checkup cost less is to pay doctors and nurses less. There are no pharmaceuticals, no surgeries, no complicated specialist medical equipment, and no expensive labwork involved in the price.

Society generally doesn't agree with the notion that doctors and nurses should be paid less. Therefore, checkups are more or less priced appropriately. Paying high skilled labor for their advice simply costs a lot of money. Ask any dev contractor here on HN.

The Direct Primary Care model shows that the overheads for healthcare are definitely a very large contributing factor to high costs and poor patient experiences. Cutting out the insurance company and related overheads from the medical practice, lab tests, and pharmacy creates an incredible experience for the patient at a very reasonable cost. I was and continue to be baffled at the attention I receive under a DPC physician, as well as how low the associated non-subscription costs are (effectively zero with the elimination of urgent care and expensive tests). The doctors and staff at the DPC practice are all happy and stress-free. Our system is definitely broken.

There is a lot more to it than that. At a bare minimum, you are also paying for the office rent, the administrative cost of billing through insurance, the administrative cost of the insurer, malpractice insurance, and the price of the doctor’s education.

All of these factors (except maybe rent) are higher or even unique to healthcare in the US. Capitalism isn’t even to blame for most of these. A free market would have price transparency, and would incentivize direct billing over billing through insurance due to lower overhead. Just because it’s the USA doesn’t mean it’s capitalism. That said, nationalized healthcare also seems to be able to solve some these problems through collective bargaining on drug prices, and reducing the billing overhead.

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