24 May 2011

Getting To The Heart Of The Matter.

Cardiology salaries high, but not high enough, cardiologists say (Shelley Wood, theheart.org, 4/28/11)
New York, NY - Cardiologists—especially males—are among some of the highest-paid physicians in the US, but most believe they are inadequately reimbursed for what they do.


erp said...

As in most things, let the marketplace decide.

Harry Eagar said...

The marketplace would decide that most of us, erp included, should just see a chiropractor.

Face it: cardiac treatment costs more than the ordinary American earns in a lifetime.

Hey Skipper said...

Oh, really?

Heart treatment or heart surgery can cost as much as £30,000 in the UK and up to $60,000 in the USA, depending on the nature of the treatment, medication or surgery.

Harry Eagar said...

There are more costs to cardiac treatment than the surgeon's fees.

Our hospital is about to inaugurate open-heart surgery. A one-bed outfit is expected to generate $35 million a year for the hospital alone.

They are doing this because reimbursements are, compared to other treatments, generous, and the hospital expects to use the profits to subsidize money-losing treatments, like mental health treatment.

This is all, by the way, private stuff. My employer, who pays these bills on behalf of about 130 people, spends most of his waking hours blasting the private-insured health care system.

The ones the Republicans are so enamored of.

erp said...

Harry, many, if not most, heart problems are caused by life style choices. As my husband's cardiologist told him, there isn't a treatment or pill that will allow you to continue to eat the way you've been eating while doing vitually no exercise, but yet he's been keeping him going doing just that for 14 years now.

Raising premiums for the overweight and those who fail stress tests works for me.

Chiropractors are more dangerous than faith healers and I can't understand why Medicare pays for them.

erp said...

Skipper, I thought medicare care in the UK is freeeeeeeeeeeee.

Susan's Husband said...

Perhaps someone should mention to Mr. Eagar a thing called "insurance", and "don't let the perfect be the enemy of the good" because you can achieve the latter but never the former.

Harry Eagar said...

Actually, I did mention insurance already.

You know, that private business that's supposed to be so much better than a government program? You ought to hear my boss on the subject.

He hates it.

erp, another approach would be to live a really, really unhealthy life. Then you die early, saving lots of medical expenses.

Not everybody who gets heart disease is 'at fault.' If you know what to look for, you can spot the vulnerable by looking at their earlobes.

Susan's Husband said...

You mentioned insurance, but then went on as if it didn't exist.

You still just don't grasp the whole "comparison" thing, do you? It's not whether your boss hates private insurance, it's whether he hates it more or less than government controlled health care. I mean, I hate waking up in the morning and going to work, but it beats the alternative.

erp said...

Harry, I've missed your non sequitors lately.

Harry Eagar said...

I don't think he could hate any other form of insurance worse than the private one he's dealing with.

It's true he lays a lot of the blame on tax treatment of medical expenses, which he'd like to see simplified. But that wouldn't change his main problem, which is cost.

He is, by the way, pretty much a min-archist like you in theory. When it gets down to actual cases, not so much.

Susan's Husband said...

If I had a nickel for every time some said "it couldn't be worse" and it was, I would be retired. Where do you or he think the money to pay for nationalized health care would come from?

Of course, much (if not most) of the rise in medical costs can be traced back to government intervention in the first place. That'll just happen faster once it's nationalized.