Every family is paying about $30k annually for healthcare they barely use, and that typically comes with a high deductible and out of pocket costs.
The median healthcare spend is $500 annually.
Now imagine an alternate version. Every American has a tax exempt HSA, but to participate, you must purchase at least a catastrophic insurance plan. If we allowed pre-ACA plans, we are looking at $6000-12000 per year. For the poor, instead of Medicaid or an ACA subsidy, the government just funds their HSA for them.
Now every family is putting $15k a year into an HSA. Most people would barely touch that. Maybe use some to pay for a DPC and the occasional lab or prescription. But by retirement, everyone would have $2-5 million saved up. That could pay for all lifetime medical expenses for 95% of Americans.
The only people who have to deal with insurance companies are those with catastrophic high cost events (trauma, cancer, etc). The only role government has is as a reinsurance to keep premiums low and help people with pre existing conditions get plans. Or for the truly destitute who burn through their HSA and cannot care for themselves (universal backstop coverage).
This would provide truly universal coverage, give money back to patients, simplify healthcare, and make every American richer.
@DrDiGiorgio We're just not using our dollars wisely. & employers instead of being the source of health insurance, could still get tax breaks for putting money in the HSA. Dr visits on the whole are not expensive. Procedures & hospitals are & that is what the catastrophic coverage is about.
@DrDiGiorgio I actually posted a version of this in my proposal for reinventing health insurance in the early 2000s. When I discovered that we already have enough money in the system to give every American health care coverage. Good coverage. Like even enough for extras type coverage.
@jtrebach Radiology kept insisting my lucid patient needed two doctor consent. A good PharmD discovered the pharmacy/nursing error. Lidocaine slurred the speech. No damage was done but a lot of confusion resulted.
As a doctor I can say 105 is a low blood pressure for someone his height and size and if that is true something is up with his medications. The weight gain is likely fluid hence the swollen ankles.
🚨 WAIT A SECOND.
A doctor says Trump's latest health numbers raise an obvious question.
Trump reportedly gained 14 pounds.
At the same time, his systolic blood pressure reportedly dropped from 128 to 105.
That's the contradiction.
Weight gain typically doesn't come with a dramatic drop in blood pressure.
So the doctor's theory is simple:
If those numbers are accurate, there may be a blood pressure medication involved.
The problem?
According to the doctor, no such medication was listed in the memo.
👀 That's why critics keep pushing for more transparency.
Not because Trump's blood pressure is high.
But because the numbers don't appear to tell the whole story by themselves.
And when it comes to the President's health, unanswered questions tend to become the story. LIKE THEY DID WITH BIDEN.
Doctors are warning about a dangerous online trend called “ballmaxxing” where men inject saline or surgical lubricants into their testicles to temporarily enlarge them
Experts say the practice can cause infections, nerve damage and even permanent testicular damage
@ManniloTrader@Neuroscope_mp Low cholesterol could in theory be bad in ways we don’t understand now. What we DO know is high lipids of all kinds like the others mentioned here, they WILL cause severe vascular disease and kill you if untreated. There is no long term damage if you die in the short term.
@kevinmd There are certain cancers in men that can be screened for by doing a beta HCG so not impossible to have a “pregnancy test” ordered on a male. I have done it.
We need to have a high profile biopic of his life with A-listers starring including Anne Hathaway starring as Jane Fonda. With Jane Fonda producing. Then the kids will know who he is.
Congress has let drug companies rip off Americans for decades.
Lobbyists, campaign cash, and a system that protects industry profits.
But it doesn’t have to be this way.
@noahkaufmanmd@TennesseeDx I worked for Apollo in the early days and quit. Then when they took over my job contract again I quit again. They might have had a doctor at the head but really it is run by a lawyer and is as corporate as it comes. They do a bait and switch and all they care about is pph.
I met a gentleman who was my tour guide on a recent international trip. He mentioned his amazing daughter who recently died of liver failure. From Hepatitis B. I was thinking at the time, how sad it was because it is so preventable and would not happen in the US. Now it will.
CHILDREN ENDANGERMENT—The Trump administration’s move to drop the long-standing recommendation for newborn hepatitis B vaccination within 24 hours of birth will likely lead to additional infections and millions in added health care costs, new studies show. RFK Jr’s appointed CDC vaccine panel were previously shown the analysis and ignored them!
Gift 🎁 link
https://t.co/zzo3bc4Zxt
5/ Thank you to our team:
⭐️Authors: Dr. Ian Kelly, @KatieV_MD, Dr. Jenna Milstein
⭐️Editor/Graphics: Dr. Marissa LoCastro
🎥https://t.co/e96dehUVQz
📝 https://t.co/16lqacuzXu
@SpencerHakimian There was a movie where they did that and it turned out they were just storing them bc of some big event that was about to happen. What was that?