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Something else: http://www.economicfreefall.com/2011/10/silver-demand-on-rise.html
With any luck Simon will contract a rare parasite from the snake blood he is drinking in Thailand, saving the rest of us from more of his globe-trotting posts.
Though actually, I am getting rather fond of him as a ZH whipping-boy...
good luck collecting on malpractice in those countries as well.
Additionally, catastrophic insurance coverage is available and quite cheap here in the USA.
However, it is not typically offered by employers and it sure as shit doesn't mean Obama's idiotic coverage law that is intended to further cost-shift from his voting base onto the backs of the healthy.
Take a look at obesity, disease, homicide rates for his primary voting bloc. They will all get even better coverage from you than you are already subsidizing.
There can be health care in these 3rd world places Simon Black seems to fancy because it isn't offered to people with behaviors typical of the people we give freebie trauma surgery and diabetes meds to
Catastrophic insurance coverage is available and quite^H^H^H relatively cheap here in the USA.
My catastrophic insurance went up 14% per year in the last 3 years... if it continues like that, in 5 years it will leave the range which I can still somehow call relatively cheap.
Hi! This is my first time viewing of your site! I appreciate your sharing, I always enjoy reading quality articles by an author who is obviously knowledgeable on their chosen subject. I’ll be following this thread with great interest. I love your blog, and am a regular follower.
I suggest a speedy oxcart ambulance service for gansta medical trauma needs.
This is great! It really shows me where to expand my blog. I think that sometime in the future I might try to write a book to go along with my blog, but we will see.Good post with useful tips and ideas.
guaranteed issue life insurance
I like to believe my nauseatingly huge fist full of antioxidants and other supplements, as well as healthy eating and lifestyle keeps my expenses way lower than the people driving up these costs. It doesn't seem fair that their triple bypass surgery is covered and my supplements and gym membership isn't. It isn't the health care industry, it is the morbidity industry.
your supplements will soon be covered, once codex and big pharma make sure that you purchase them only with a prescription and only from big pharma. The downside is that they will be a lot more expensive and your premiums will go up...
a friend of mine works as a drug pusher for big pharma, besides nice salary, he and his family get to fly anythere around the world, paid for by the company
this summer he went to new zealand, tahiti, australia and africa
life is good !
PAY UP MOFO OR RISE UP
Guess we could stop buying big pharma's products if we don't like the price or what they do with their revenues. Or maybe just force them to sell at a price us buyers deem appropriate.
No you can't. Thanks to the Bush Part D Medicare Plan, big pharma will get its pound of flesh from the taxpayers and the SS trust fund. Plus there's the heavily armed DEA and FDA to make sure you don't try to bypass them.
Thats what I did.
About ten years ago I was going to script-crazy DR who had me on $500 worth of pills a month. The bill kept creeping up to almost $1000 a month. I finally told them all to fuck themselves.
When you walk into a pharmacy today anywhere in Europe it's all Beauty Products and Vitamins you don't even see the drugs anymore, you have to know exactly what you need(from a doctor + prescription) to get anything more powerful than Aspirin, hell you can't even buy a strong Anti-Fungi creme or anything else that actually works unless you got a 'Permit' and now they are going to ban anything that has any health benefit unless you buy it from the Big Pharma so they can put Fluoride and other Psychotropic substances in everything you ingest
There are certainly a lot of details like that to take into consideration. That is a great point to bring up. I offer the thoughts above as general inspiration but clearly there are questions like the one you bring up where the most important thing will be working in honest good faith.
you got yourself commies in the white house and obese peasants on the street screaming for more chips.....
time to either rise up and hang the commies and starve the peasants for a while or else u be next on their menu
EAT THE RICH!!
Strictly socialized medicine is definitely unfair. We should have a true free market health care system AND socialized system. The 'healthy' skinny people can have their government run 'free health care' while the 'fatties' are 'punished' with a free market' health care system. As a 'fatty' due to an untreated (20 effing YEARS) hypothyroid condition, I would welcome a free market solution. With a truely free market solution, I would have been free to find a doctor that would take my symptoms seriously rather than be locked into a system with 'plan' doctors. I'm one of those people who don't fit the charts. My blood test always came back 'normal' even though I had damn near every symptom of an underactive thyroid. I'm now getting treated for my condition and feeling much better. I've even slimmed down a bit. How 'bout that?
As long as medical cartel controls supply of doctors, your medical service labor costs won't go down. Government may subsidize it but these guys will increase their price by exact amount of government subsidy.
Big Brother knows what you need, healthcare included.
In America, it is the Big FAT brother who wants you to pay for this triple heart bypass after eating all of those chips while watching some "reality" show.
You can get your own blood tests for thyroid levels at any lab. then you can buy Bezweken products on Amazon to fix your levels. bio identical hormones are a miracle compared to anything big pharma has on the market.
The reason health care costs are so outrageous is becuase of the insurance industry.
Don't forget-- Medicare and Medicaid are also insurance.
Insurance is insurance, whether it is provided by the Gov't, or by private industry.
Health care is not an insurable risk. Trying to insure health care is like trying to boil the ocean-- keep doing it, and it will eventually consume 100% of your resources. That's why health care costs are rising to infinity.
Anybody who doubts me, ask yourself why medical procedures NOT covered by insurance (i.e., LASIK or cosmetic surgery) get cheaper and more effective, while medical procedures covered by insurance or the gov't get more expensive and less effective.
This is how government subsidies work in real life.
Advil costs $1 wholesale, but Doctor cartel (monopoly in several small towns) will charge $10. Costs a lot but not unaffordable that demand is zero.
People complain to the government. Politicians say we will subsidize it by $5 to make it affordable. In the beginning people pay $5 + government subsidy of $5 and Doctors+Hospitals sell for $10. Eventually, Doctors+Hospitals push the prices up by $5 making it $15. So people still pay $10 + government subsidy of $5. Keep repeating this cycle and you end up with people paying $15 + government subsidy of $15 and doctors+hospitals charging $30 for a drug that is generic. Then government increase taxes to pay for these subsidies, so in effect a person pays $15 + more taxes for the same pill that used to cost $5.
Government subsidies inflate prices. If you want to lower costs, introduce competition. But any subsidized industry hates real competition but loves government subsidies. Thus, Obama's healthcare does not introduce public option (competition), but only subsidies.
Look around and you will see that things/services that rise with inflation are government subsidized (education, healthcare, housing) while quality is stagnant. While Steve Jobs gives us apple computer to faster better iPad in less than 20 years at a lower cost. Innovation industries are subsidizing industries that drag society down.
Government subsidies inflate prices.
Government subsidies inflate prices.
Not if your government isn't totally incompetant, corrupt or malicious.
policy initiatives include:
The cost of the PBS is not out of control
When benchmarked against expenditure on pharmaceuticals by OECD nations, the PBS is affordable. PBS cost as a percentage of GDP peaked in 2004/05 at 0.67 per cent and has since declined to 0.62 per cent in 2007/08. Cost-effective expenditure on pharmaceuticals should rise with the increasing and ageing population. Anything less reflects insufficient investment in health care by government.
Sure, it's socialised medicine, but shit, it works.
In view of your many informative posts, I respectfully disagree. Anything can be insured (Lloyds of London) it is only a matter of statistics - allocation of risk. Medical costs here in the US are out of kilter because of a very fundamental reason - the consumer has been seperated from the payor. Restated, the consumer has no incentive to shop price.
For such a well written and informative service Simon has astonishingly many Haters on ZH(of all places) what are you people afraid of ? .... the Truth ?
No, the truth is fine - I tend to draw the line at those who fly in to countries and announce themselves experts after a day or two: typically the case with our Simon. Having lived in this region for too long than I care to remember, I can assure you it's not all beer and skittles. Not that there is anything wrong if you want to fly in to Bangkok on your private jet to nurse a sore toe to save a few dollars...but if you are comatosed or with a life-threatening condition requiring repatriation out of Asia, or even within, the costs of an SOS flight are as exorbitant, if not way more, than any other place on earth. The problem with the pay as you go system too, while fine for a cold or broken finger, gets somewhat tricky when you are unconscious and by yourself, as many are when in a serious accident. Plenty of cases or people not being treated properly, not at all, or conversely, being extorted or waking up with massively inflated bills.
rather than asia (where there are no courts, no check on doctors etc.) i would suggest EU, in fact the cheaper health care countries like Hungary, Budapest
and in fact even the austrian and german health care costs are cheaper than usa
Just about everywhere on Planet Earth health care costs are a lot cheaper than in the U.S. I can't think or anywhere they're more expensive, even in the countries like Switzerland where the average wage is twice that of Americans.
50% of healthcare costs go to doctors (unionized with artificial supply) and hospitals (writeoff costs). Doctors and hospitals don't want you to die, but want to you get sick often so they can maximize their profit. The same way mechanics doesn't want a manufacturers put a car out there that never breaks down.
Insurance does profit, but they are not the top cost driver.
also, it is estimated that health care costs for chronic disease treatment account for over 75% of national health expenditures.
also most of the industry is non-taxed = government subsidized.
it is all about incentives. Right now the money makers don't want to give up. That includes bleeding heart hospitals who wants government to pay for every loss and bad doctors who don't have your best interests at heart.
Kick out smokers, alcoholics, fatties, tanners, and illegal aliens out of general insurance pool and see costs go down.
I and many others have been saying it for years. The problem with health care cost in America is third party payer, insurance. Think about it what forms of health care can most Americans still pay for out of pocket? Dental care and eye care are generally still not insured and generally still affordable for the common man. Get to a point where the consumer pays direct for his healt care and it will become affordable.
Strangely (perhaps) though, I'm sure there are people - maybe even smarter folks who read this board - who will read your comment and say "And that's why we need to Fed.Gov to pay for everyone's medical care" completely oblivious to the irony of that very line of thought.
That's because those people are fucking socialist douchebags, who don't understand that when Fed.Gov pays, that's just another form of insurance.
Sorry, but thats bullshit to say that people can afford Dentistry. it is really expensive. People die every year from untreated dental infections. And we all pay for last ditch and very expensive treatments in the emergency room to try to save their lives (from brain infections etc)
Not to mention the costs of disability for those who survive the infections but are disabled by the lasting effects of those dental to brain infections missed or misdiagnosed.
Each year people die from untreated infections in every country of the world.
If you have a high fever over 102 F for 24 hours and do not visit a doctor absolutely ASAP, you should apply for your Darwin Award.
The cost to have my appendix removed in 2009 at a not-first-tier hospital south of Boston, plus 2-days in a non-private recovery room that was, at best, servicable was north of $30K. The nurses and staff were wonderful, but aside from that nothing about the stay was notable.
Thing is, once I started getting the pains it was already too late, even were I inclined, to hop a plane for SE Asia. So "internationalizing" one's health care doesn't seem to help one much domestically in the event of an emergency.
For emergencies you cant really outsource and have to get treated on the spot.
But for some problems that can afford to wait a week, like say a knee reconstruction or dental implants, a trip out of the country can be very much worth it
sure you can't outsource ER but you sure can import more foreign doctors, and allow non-license unionized staff like nurses to perform more work. competition decreases costs while increasing quality and productivity. Healthcare industry is not competitive when compared to global standards. Sure top 1% of doctors are among the world's best, but 99% of doctors do same routine procedures other doctors around the world do for 3 times the cost.
LOL Aldous, with all the outrage about American Jobs getting outsourced overseas, and how americans are all unemployed because stuff gets done in china and india now, and stuff at home gets done by mexicans, so your solution is to double down on that and import cheap indian doctors to replace expensive american doctors? :)
I am not disagreeing, just not sure if you realise how politically unacceptable this is.
"I was just at Bangkok Hospital in Pattaya yesterday"
Pattaya is worlds capital for prostitution and transexuals.. you kind of exposed yourself there Simon!
Just make sure you use condoms, or the thai hospital will have a new venereal disease case to treat
Pattaya is actually a wonderful resort and the posts like that demonstrates what kind of idiots populate thiswebsite. But returning to the essense of the article: SB is simply dishonest. As someone who frequently travel to Thailand and familiar first hand with facilities mentioned in the article, I can say the following. First of, yes, in places like Bumrungrad one can get a decent care but it by no means cheap. And the trend is definitely up. Unfortunate thing is that they learn some tricks from the West and in case of serious problem will try to impose various kind of unnecessary procedures to push your bill up. Regarding Bangkok Pattaya hospital, the trend is the same but on top of that I would not go there for serious treatment or surgery: the quality , overall, is no longer there .
Outside plush private hospitals, there have been well documented cases of malpractice in a number of hospitals in Thailand. Let me mention here also that due to his hectic travel schedule, SB usually provides very shallow picture. In particular, if I need serious treatment in Thailand, I would rather opt for Chula University hospital in BKK or Sriracha hospital in Pattaya.
What people running this website fail to see that SB is biased, very biased against US and it clearly shows in his openly hate posts. How, for the God sake, you can hope to preserve any kind of credibility allowing this kind of publications?
Please stop insulting idiots by comparing them to people who visit this website.
I used to have a disgreement with an old floor trader from the CBOE about the required framework for capitalism. He said insurance, I said rule of law and private ownership/property rights. He always argued insurance was necessary to encourage private ownership of risky assets. (Of course, he also traded on coke and doubles from Ceres). I said, no, self-interest encourages ownership of risky assets to increase your wealth. It also ensures YOU pay attention to and mitigate YOUR risks. I argued insurance is the downfall of capitalism because it intermediates the risk taker from the risks, hence increasing inefficiencies and costs for all while raising the total level of risk in the system. Insurance is socialism.
I am wrong upon occasion, perhaps even frequently. I am correct in this instance.
Insurance spreads the risk across many different people.. it's a useful tool to free up your capital.. do you really want to have $200,000 in cash "just in case" an emergency comes up? wouldnt you rather pay an insurance premium and put the 200K into something productive like an investment project?
It's not the same as socialism.. insurance is voluntary participation, the person selling you insurance is willingly taking up your risks.. socialism is forced upon you by the state against your will, thats the difference. If you talking about Obamacare type of state-inflicted medical insurance, then I agree with all you said.
it wouldn't cost 200,000 without insurance in the picture
Insurance is just a very expensive Wholesale card. Get the insurance companies rate but don't fucking count on them paying. They will find a way to slither out of it, especially if you are an owner of a private health insurance policy or a small company owner. In Indiana they have a law on the books that holders of private insurance should check in their own state. "No Health Insurance Provider is obligated to pay out more than a consumer has paid into the policy."
Of course even that doesn't stop them from claim denial. Lets not forget the ZIRP environment leads to a much greater amount of claim denials as insurance companies can no longer earn money on the float and their absolutely must be a way to make sure the CEOs make billions.
I figured the best way is to get the cheapest insurance from the largest company with a huge deductible and use it as a wholesale card. I haven't had to use it yet as I tend to have blood tests and such done by a lab with the results sent to me. The broken toes or that sort of thing can be handled at home. Especially if one has not been so protective of Pharmaceutical companies profits and have imported a sufficient amount of medication to cover multiple maladies.
Hell you can even import Chemo. At 55+ I have no false illusions about the bad shit that is coming my way. Death is considered an abstract concept until you see friends your age and notable celebrities keeling over left and right. Even the health nuts keel over. All you can hope for is a flash bang and it's over but generally it's some disease that has a cure rate that makes one want to play the odds only to find out they are dying of a hospital infection or are going into cardiac arrest over the size of the discounted bill.
Then you can opt for the smith & Wesson, all purpose, all weather health care plan for 29 Cents and a health maintenance kit for the Smith & Wesson.
America is the greatest. USA USA USA. NOT!
do you really want to have $200,000 in cash "just in case"
It's not the same as socialism.. insurance is voluntary participation,
You've identified the reason why it is not voluntary. People cannot afford the $200,000, so they MUST pay the monthly $500. This is the same as indentured servitude; it most assuredly is not voluntary in any practical meaning of the word. Besides the point - correctly made below - that the presence of insurance artifically raises the cost to all (as it mathematically must by operating as a middle man). Hence, I wouldn't have to worry about $200,000 if everyone else didn't have insurance, because the disaster risk premium would be much lower. Now, if we all went off insurance overnight, medical costs (and fraud and waste) would collapse overnight, but it is a classic case of prisoner's dilemma. This is why it has never been corrected in any developed country (please see Canada & UK). Health care is only accurately priced in countries where insurance doesn't exist.
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