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The benefit is in punting off complicated case quicker, because the insurance pay out is the same, regardless if you spend 30 seconds or 30 minutes on the patient.

There is often nothing you can do to help anyway, but you can certainly bill 250 bucks every 5 minutes, and many, many do so.

In fact, some physicians will not even accept complicated cases, especially if they involve chronic pain treated with opiates, thanks to the hysteria around overdoses today.

And that is the reason why universal healthcare will fail, and why the NHS has a private tier, and routinely pays for treatments outside of the UK, done in private hospitals.



> And that is the reason why universal healthcare will fail, and why the NHS has a private tier, and routinely pays for treatments outside of the UK, done in private hospitals.

This does not logically follow from what you said at all. The NHS has not "failed", nor does it have a private tier - it commissions some treatments from private clinics for purely political reasons. These treatments are still completely free to the patient.

An NHS hospital isn't receiving insurance payouts, so it has an incentive to treat people quickly and efficiently, with complete cures being preferred over long-term management when possible.


1) I should've said the UK has a private tier for clarity.

You will get to see a private consultant a lot quicker, than the very same physician via NHS referral.

Quite literally you could wait months, or pay a few hundred and see the same exact person in a couple of days. In fact, when paying private - the private consultant himself will be treating you, vs. when on NHS - it will likely be his students/trainees that will be hands-on.

NHS hospitals are on a fixed budget, but of course cost controls means nothing - only putting patient interest first /s.

2) As for the insurance payouts - that was regarding systems where physicians bill on fee-per-service model, the most predominant setup in the US: https://www.ncbi.nlm.nih.gov/pubmed/20467910




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