To upgrade or not to upgrade
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@Dashrender said:
@DustinB3403 Not sure - but I know currently we do not have a maintenance agreement on that equipment, and even if we did, we'd still have to pay $9500 for the replacement box with Windows 7 instead of $13K. and from what I read, maintenance was $3500/yr.
Yeah, but x-rays are expensive as f@ck, so that $13k would be made back in no time.
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@RojoLoco said:
@Dashrender said:
@DustinB3403 Not sure - but I know currently we do not have a maintenance agreement on that equipment, and even if we did, we'd still have to pay $9500 for the replacement box with Windows 7 instead of $13K. and from what I read, maintenance was $3500/yr.
Yeah, but x-rays are expensive as f@ck, so that $13k would be made back in no time.
Whole making money on sick people thing is kinda repulsive, but I see the point. Everyone rides the gravy train.
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@MattSpeller I'm not condoning it, but if you want to barf, get a bill for medical services from the US. Look at what the doctor charges the insurance company - but have a bucket and towel nearby, and try to hold back the murderous rage that ensues.
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@DustinB3403 said:
So they are charging you to get current with the maintenance contract, and then for the hardware.
That's one way to look at it.
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@RojoLoco said:
@Dashrender said:
@DustinB3403 Not sure - but I know currently we do not have a maintenance agreement on that equipment, and even if we did, we'd still have to pay $9500 for the replacement box with Windows 7 instead of $13K. and from what I read, maintenance was $3500/yr.
Yeah, but x-rays are expensive as f@ck, so that $13k would be made back in no time.
lol - dream on buddy, dream on.
Medicare pays us something like $50 or so per xray. Sure we send them a bill for $250, but we only see $50... -
@MattSpeller said:
Whole making money on sick people thing is kinda repulsive, but I see the point. Everyone rides the gravy train.
Yeah, when you see what healthcare ACTUALLY costs to provide, you realize just how corrupt every doctor is. We pay full price over here and it is SO cheap for better service. It's not just the system, it is individuals, too.
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@Dashrender That's not one way, that's what they are doing, and I'd put money on it if you asked them why it's so much, that they'd say you need to be current with support to have the latest and greatest.
The same thing happened when I was working for a sheet metal company with a 15K laser scanner.
The glass alone was 6K but included maintenance support for the software which was almost free.
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@Dashrender said:
Medicare pays us something like $50 or so per xray. Sure we send them a bill for $250, but we only see $50...
Why send a bill of $250, then? What's that bill for? If Medicare says an X-Ray is worth $50, and even that is very high, why bill them an amount they won't pay unless it is for creating a "standard" to charge to uninsured people?
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@scottalanmiller said:
Why send a bill of $250, then? What's that bill for? If Medicare says an X-Ray is worth $50, and even that is very high, why bill them an amount they won't pay unless it is for creating a "standard" to charge to uninsured people?
Ding.
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@scottalanmiller said:
@Dashrender said:
Medicare pays us something like $50 or so per xray. Sure we send them a bill for $250, but we only see $50...
Why send a bill of $250, then? What's that bill for? If Medicare says an X-Ray is worth $50, and even that is very high, why bill them an amount they won't pay unless it is for creating a "standard" to charge to uninsured people?
that's exactly why.
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@Dashrender said:
@scottalanmiller said:
@Dashrender said:
Medicare pays us something like $50 or so per xray. Sure we send them a bill for $250, but we only see $50...
Why send a bill of $250, then? What's that bill for? If Medicare says an X-Ray is worth $50, and even that is very high, why bill them an amount they won't pay unless it is for creating a "standard" to charge to uninsured people?
that's exactly why.
That's the most evil thing ever. Fake high prices that they know aren't what things are worth just to hurt the poorest people. It's honestly one of the most evil things that can be done without breaking the law. This is why I don't respect doctors as professionals but not as members of the human race and truly wish they could be jailed for life for things like that. I know of few criminals more vicious and evil. These are acts that would make me uncomfortable being around them and not feel safe letting those people around my family - and those are the people we have to trust to take care of us. They don't even meet a minimum level of ethics and humanity to be considered decent human beings.
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@scottalanmiller said:
This is why I don't respect doctors as professionals but not as members of the human race and truly wish they could be jailed for life for things like that.
A wise man once said "don't hate the players hate the game"
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@MattSpeller said:
A wise man once said "don't hate the players hate the game"
That's like saying "don't hate terrorists, hate the state."
Every doctor who does this makes a personal choice to violate their oaths and their morality and to become the pieces of sh1t that they are. No doctor is forced to be inhuman, it's something they choose because they don't feel it violated their personal beliefs and they can rape humanity for their own gain.
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You also have to take into account liability insurance in the millions that have to be paid by doctors.
If you tell Medicare that the X-Ray is only $50, they're only going to give you $5.
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@johnhooks said:
If you tell Medicare that the X-Ray is only $50, they're only going to give you $5.
I don't believe that that is true, they have set prices for these things AFAIK.
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@scottalanmiller said:
@Dashrender said:
@scottalanmiller said:
@Dashrender said:
Medicare pays us something like $50 or so per xray. Sure we send them a bill for $250, but we only see $50...
Why send a bill of $250, then? What's that bill for? If Medicare says an X-Ray is worth $50, and even that is very high, why bill them an amount they won't pay unless it is for creating a "standard" to charge to uninsured people?
that's exactly why.
That's the most evil thing ever. Fake high prices that they know aren't what things are worth just to hurt the poorest people. It's honestly one of the most evil things that can be done without breaking the law. This is why I don't respect doctors as professionals but not as members of the human race and truly wish they could be jailed for life for things like that. I know of few criminals more vicious and evil. These are acts that would make me uncomfortable being around them and not feel safe letting those people around my family - and those are the people we have to trust to take care of us. They don't even meet a minimum level of ethics and humanity to be considered decent human beings.
the argument that I hear is that we lose money at the $50 per study we get paid by Medicare. So we have to get more money from the other side to cover the losses by Medicare.
We have drugs that we are now refusing to offer to patients because our costs are $600, but the medicare re-reimbursement is only $200, and we can't get the rest of the difference made up by the patient. So instead we simply refuse to sell it.
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@Dashrender That's some of the most depressing shit I've heard in a while
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@Dashrender said:
the argument that I hear is that we lose money at the $50 per study we get paid by Medicare. So we have to get more money from the other side to cover the losses by Medicare.
Isn't that yet another degree of worse? The rich people with their insurance manage to get the doctors to give them services at a loss so the poor who can't afford insurance have to not only pay for themselves, and pay for the doctor's Ferrari, but then pay for the rich people with some level of insurance on top of it all! It's like mocking those most vulnerable for being so vulnerable.
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@scottalanmiller said:
@johnhooks said:
If you tell Medicare that the X-Ray is only $50, they're only going to give you $5.
I don't believe that that is true, they have set prices for these things AFAIK.
If that's the case then their base prices are ridiculous. There is no way it can only cost $50 for an X-Ray. First they have to cover the cost of the machine, which of course over time is less, but that's assuming you have patients that are going to use it. Second is the time to pay a nurse to give the X-Ray and a doctor to go over it. There is no way that is only worth $50.
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@Dashrender said:
We have drugs that we are now refusing to offer to patients because our costs are $600, but the medicare re-reimbursement is only $200, and we can't get the rest of the difference made up by the patient. So instead we simply refuse to sell it.
That part is, more or less, as it should be from the doctor's side. The same should go for the X-Rays. If the insurance doesn't cover it, punish those with insurance and let them sue the insurer, don't punish the poorest for someone else's inability to pay.
