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	<title>The Economic Collapse &#187; Doctor</title>
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		<title>$83,046 For A 3 Hour Hospital Visit &#8211; Why Are Hospital Bills So Outrageous?</title>
		<link>http://theeconomiccollapseblog.com/archives/83046-for-a-3-hour-hospital-visit-why-are-hospital-bills-so-outrageous</link>
		<comments>http://theeconomiccollapseblog.com/archives/83046-for-a-3-hour-hospital-visit-why-are-hospital-bills-so-outrageous#comments</comments>
		<pubDate>Wed, 05 Sep 2012 22:15:57 +0000</pubDate>
		<dc:creator><![CDATA[Michael Snyder]]></dc:creator>
				<category><![CDATA[Commentary]]></category>
		<category><![CDATA[Big Insurance Companies]]></category>
		<category><![CDATA[Bill]]></category>
		<category><![CDATA[Bills]]></category>
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		<category><![CDATA[Health]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Hospital]]></category>
		<category><![CDATA[Hospital Bill]]></category>
		<category><![CDATA[Hospital Bills]]></category>
		<category><![CDATA[Hospital Stay]]></category>
		<category><![CDATA[Hospital Visit]]></category>
		<category><![CDATA[Hospitals]]></category>
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		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medical Debt]]></category>
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		<category><![CDATA[Money Making Scam]]></category>
		<category><![CDATA[Pay A Bill]]></category>

		<guid isPermaLink="false">http://theeconomiccollapseblog.com/?p=4525</guid>
		<description><![CDATA[<p>The fastest way to go broke in America is to go to the hospital.  These days it seems like almost everyone has an outrageous hospital bill story to share.  It is getting to the point where most people are deathly afraid to go to the hospital.  All the financial progress that you have made in [...]</p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/83046-for-a-3-hour-hospital-visit-why-are-hospital-bills-so-outrageous">$83,046 For A 3 Hour Hospital Visit &#8211; Why Are Hospital Bills So Outrageous?</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
]]></description>
				<content:encoded><![CDATA[<p><a href="http://thetruthwins.com/"><img class="alignleft size-full wp-image-4526" title="$83,046 For A 3 Hour Hospital Visit - Why Are Hospital Bills So Outrageous? - Photo by Rugby471" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/09/83046-For-A-3-Hour-Hospital-Visit-Why-Are-Hospital-Bills-So-Outrageous-Photo-by-Rugby471.png" alt="" width="230" height="426" /></a>The fastest way to go broke in America is to go to the hospital.  These days it seems like almost everyone has an outrageous hospital bill story to share.  It is getting to the point where most people are deathly afraid to go to the hospital.  All the financial progress that you have made in recent years can literally be wiped out in just a matter of hours.  For example, you are about to read about an Arizona woman that was recently charged $83,046 for a 3 hour hospital visit.  How in the world is anyone supposed to pay a bill like that?  I have a really hard time understanding why a visit to the doctor should ever be more than a couple hundred bucks or why a hospital stay should ever be more than a couple thousand dollars.  Outrageous hospital bills are a real pet peeve of mine and I have not even been to the hospital in ages.  What makes all of this even more infuriating is that Medicare, Medicaid and the big insurance companies are often charged less than 10 percent of what the rest of us are billed for the same procedures.  There is a reason why 41 percent of all working age Americans are struggling with medical debt right now.  It is because our health care system has become a giant money making scam.  Millions of desperate Americans go into hospitals each year assuming that they will be treated fairly, but in the end they get stuck with incredibly outrageous bills and in many cases cruel debt collection techniques are employed against them if they don&#8217;t pay.</p>
<p>So why do we have to pay so much for medical care?  Back in 1980, less than 10 percent of U.S. GDP went to health care.  Today, about <a href="http://www.moneycrashers.com/expensive-healthcare-affects-americans/">18 percent</a> of U.S. GDP goes toward health care.</p>
<p>And considering the fact that over the next 20 years the number of Americans 65 years of age or older is projected to double that number is going to go even higher.</p>
<p>On a per capita basis we spend about twice as much on health care as anyone else in the world.</p>
<p>In fact, if the U.S. health care system was a nation it would be <a href="http://thetruthwins.com/archives/11-signs-that-the-u-s-health-care-system-is-heading-straight-down-the-toilet">the 6th largest economy</a> on the entire planet.</p>
<p>America spent 2.47 trillion dollars on health care in 2009, and it is now being projected that we will spend <a title="4.5 trillion dollars" href="http://swampland.time.com/2010/02/04/the-unsustainable-u-s-health-care-system/" target="_blank">4.5 trillion dollars</a> on health care in 2019.</p>
<p>Our system is completely and totally broken, and Obamacare is going to make things far worse.  We need to throw the entire system out and start over.</p>
<p>A perfect example of why this is true is what happened when 52-year-old Marcie Edmonds went in to a hospital in Arizona recently <a href="http://www.azcentral.com/business/articles/20120831scorpion-sting-leaves-woman-big-bill.html">to get treated for a scorpion sting</a>&#8230;.</p>
<blockquote><p><em>With the help of a friend, she called Poison Control and was advised to go to the nearest hospital that had scorpion antivenom, Chandler Regional Medical Center. At the hospital, an emergency room doctor told her about the antivenom, called Anascorp, that could quickly relieve her symptoms. Edmonds said the physician never talked with her about the cost of the drug or treatment alternatives.</em></p>
<p><em>Her symptoms subsided after she received two doses of the drug Anascorp through an IV, and she was discharged from the hospital in about three hours.</em></p>
<p><em>Weeks later, she received a bill for $83,046 from Chandler Regional Medical Center. The hospital, owned by Dignity Health, charged her $39,652 per dose of Anascorp.</em></p></blockquote>
<p>What makes this even more shocking is that hospitals in Mexico only charge <a href="http://www.azcentral.com/business/articles/20120831scorpion-sting-leaves-woman-big-bill.html">$100</a> per dose of Anascorp.</p>
<p>These days many hospitals will do whatever they can get away with on hospital bills.</p>
<p>One <a href="http://www.11alive.com/news/article/229834/289/Anatomy-of-a-Hospital-Bill--Who-Pays-Full-Price-">NBC News reporter</a> was absolutely stunned at the bill that she received after she went in for neck surgery for degenerative disc disease recently&#8230;.</p>
<blockquote><p><em>Once I got my itemized bill, the grand total was a little over $66,013.40!   That was for a one night stay and a four level vertebrae fusion surgery.  The charges included $22 for one sleeping pill, $427 for one dissecting tool, and $32,000 for four titanium plates and ten screws.</em></p>
<p><em>I brought it to Todd Hill, a fee based patient advocate who helps people decipher their medical bills. &#8220;The screws in your procedure were billed at $605 a piece for a total of $6050 dollars. We&#8217;ve seen those in our past research for $25 or $30,&#8221; he said. &#8220;In this case, the markup is tremendous,&#8221; he added.</em></p></blockquote>
<p>Considering the fact that 77 percent of American families are living <a href="http://thetruthwins.com/archives/77-percent-of-all-americans-live-paycheck-to-paycheck-at-least-part-of-the-time">paycheck to paycheck</a> at least part of the time, a single hospital bill like this can be a financial death blow.</p>
<p>If you have time, read <a href="http://www.kevinmd.com/blog/2010/12/health-system-treats-disease-patient.html">this tragic story</a> where one man was charged $11,000 and all he had was a case of bad indigestion.  Nothing was even wrong with him and now his family is going to have to declare bankruptcy.</p>
<p>Often medical bills are so complex and so confusing that nobody can really understand them.  A lot of the times this is probably done on purpose to keep people from understanding how badly they are being overcharged.  The following is from a recent article <a href="http://www.nytimes.com/2012/06/23/your-money/health-insurance/navigating-the-labyrinth-of-medical-costs-your-money.html">in the New York Times</a>&#8230;.</p>
<blockquote><p><em>Hospital care tends to be the most confounding, and experts say the charges you see on your bill are usually completely unrelated to the cost of providing the services (at hospitals, these list prices are called the “charge master file”). “The charges have no rhyme or reason at all,” Gerard Anderson, director of the Center for Hospital Finance and Management at Johns Hopkins Bloomberg School of Public Health. “Why is 30 minutes in the operating room $2,000 and not $1,500? There is absolutely no basis for setting that charge. It is not based upon the cost, and it’s not based upon the market forces, other than the whim of the C.F.O. of the hospital.”</em></p>
<p><em>And those charges don’t really have any connection to what a hospital or medical provider will accept for payment, either. “If you line up five patients in their beds and they all have gall bladders removed and they get the same exact medication and services, if they have insurance or if they don’t have insurance, the hospital will get five different reimbursements, and none of it is based on cost,” said Holly Wallack, a medical billing advocate in Miami Beach. “The insurers negotiate a different rate, and if you are uninsured, underinsured or out of network, you are asked to pay full fare.”</em></p></blockquote>
<p>It has been estimated that hospitals in the United States overcharge their patients <a title="by about 10 billion dollars" href="http://www.thirdage.com/general-money/how-to-avoid-outrageous-hospital-overcharges" target="_blank">by about 10 billion dollars</a> every single year.</p>
<p>Medical bills are the number one reason why Americans file for bankruptcy.  As I mentioned earlier, <a title="approximately 41 percent" href="http://www.eurekalert.org/pub_releases/2008-08/cf-7mu081908.php" target="_blank">approximately 41 percent</a> of all working age Americans are struggling with medical debt.</p>
<p>And health insurance is not as much protection as you might think.  According to a report published in the American Journal of Medicine, of all bankruptcies caused by medical debt, <a title="more than 60 percent" href="http://articles.cnn.com/2009-06-05/health/bankruptcy.medical.bills_1_medical-bills-bankruptcies-health-insurance?_s=PM:HEALTH" target="_blank">approximately 75 percent</a> of the time the people actually did have health insurance.</p>
<p>And if you can&#8217;t pay your bills, many hospitals will come after you ruthlessly.</p>
<p>In fact, collection agencies sought to collect unpaid medical bills from approximately <a href="http://money.msn.com/health-and-life-insurance/4-costly-medical-bill-myths-credit.aspx">30 million</a> Americans during 2010 alone.</p>
<p>If you don&#8217;t cough up the cash they are demanding you can even end up in prison.  The following example comes from <a href="http://www.cbsnews.com/8301-505144_162-57417654/jailed-for-$280-the-return-of-debtors-prisons/">CBS News</a>&#8230;.</p>
<blockquote><p><em>How did breast cancer survivor Lisa Lindsay end up behind bars? She didn&#8217;t pay a medical bill &#8212; one the Herrin, Ill., teaching assistant was told she didn&#8217;t owe. &#8220;She got a $280 medical bill in error and was told she didn&#8217;t have to pay it,&#8221; <a href="http://www.cbsnews.com/8301-505247_162-57416794/ill-lawmakers-target-practice-of-jailing-debtors/">The Associated Press reports</a>. &#8220;But the bill was turned over to a collection agency, and eventually state troopers showed up at her home and took her to jail in handcuffs.&#8221; </em></p>
<p><em>Although the U.S. abolished debtors&#8217; prisons in the 1830s, more than a third of U.S. states allow the police to haul people in who don&#8217;t pay all manner of debts, from bills for health care services to credit card and auto loans.</em></p></blockquote>
<p>But why do these bills have to be so high?  It is not like many doctors are getting rich these days.  In fact, many of them are going broke.</p>
<p>So what is the deal?</p>
<p>Well, as a recent article <a href="http://lewrockwell.com/roberts/roberts357.html">by Dr. Paul Craig Roberts</a> explained, there are a whole lot of people pulling profit out of the system other than just doctors these days&#8230;.</p>
<blockquote><p><em>There are two main reasons that US medicine is so expensive. One is that profits are piled upon profits. In addition to wages and salaries for doctors, nurses, and medical personnel, the American health care system has to provide profits for private hospitals, diagnostic centers, insurance companies, and for the accountants, attorneys and management consultants made necessary by the enormous litigation and regulatory compliance cost. American medicine is the most regulated in the world and the most criminalized.</em></p></blockquote>
<p>And another big factor is that the rest of us have to make up the difference for the patients that are not profitable.</p>
<p>It has gotten to the point where some doctors in certain kinds of practices barely make any profit on Medicare and Medicaid patients.  In fact, in many cases doctors actually lose money treating them.</p>
<p>An article posted <a href="http://www.medicalcostadvocate.com/blog/?tag=outrageous-healthcare-charges">on medicalcostadvocate.com</a> has some outrageous examples of the difference between what you and I are billed and what Medicare pays out for the exact same procedures&#8230;.</p>
<blockquote><p><em>A patient in Illinois was charged $12,712 for cataract surgery. Medicare pays $675 for the same procedure. In California, a patient was charged $20,120 for a knee operation for which Medicare pays $584. And a New Jersey patient was charged $72,000 for a spinal fusion procedure that Medicare covers for $1,629.</em></p></blockquote>
<p>So not only do we pay very high taxes to support Medicaid and Medicare, we also have to pay higher medical bills in order to make up the difference for the money that doctors and hospitals are not seeing from those patients.</p>
<p>Unfortunately, Medicaid and Medicare are expected to grow dramatically in the years ahead.</p>
<p>For example, it is now being projected that Obamacare will add <a title="16 million more Americans" href="http://news.investors.com/Article.aspx?id=598993&amp;ibdbot=1&amp;p=2" target="_blank">16 million more Americans</a> to Medicaid.</p>
<p>And enrollment in Medicare is projected to grow from 50.7 million today to <a title="73.2 million" href="http://theweek.com/article/index/231267/is-america-running-out-of-doctors" target="_blank">73.2 million</a> in 2025.</p>
<p>How in the world can our current system possibly handle this?</p>
<p>And please don&#8217;t tell me that Obamacare is the answer.</p>
<p>The truth is that Obamacare is going to take everything that is wrong with our health care system and make it even worse.</p>
<p>For a good summary on this, please see <a href="http://endoftheamericandream.com/archives/15-reasons-why-the-obamacare-decision-is-a-mind-blowing-disaster-for-america">this article</a>.</p>
<p>In the years ahead it is going to get even harder for those that are not dependent on the government for health care&#8230;.</p>
<p>-Approximately <a href="http://www.washingtontimes.com/blog/inside-politics/2012/jul/24/nearly-one-10-employers-drop-health-coverage/">10 percent</a> of all employers plan to drop health insurance coverage entirely because of Obamacare.</p>
<p>-According to one recent poll, <a href="http://dailycaller.com/2012/07/09/report-83-percent-of-doctors-have-considered-quitting-over-obamacare/">83 percent</a> of all doctors in the United States have considered quitting the profession because of Obamacare, and we were already projected to have a severe doctor shortage in the years ahead even before Obamacare came along.</p>
<p>We are heading into the greatest health care crisis the United States has ever seen, and none of our leaders seem to have any answers.</p>
<p>In a recent article entitled &#8220;<a href="http://thetruthwins.com/archives/11-signs-that-the-u-s-health-care-system-is-heading-straight-down-the-toilet">11 Signs That The U.S. Health Care System Is Heading Straight Down The Toilet</a>&#8220;, I detailed a lot more reasons why our health care system is a national disgrace.  If you can handle some more ranting I encourage you to go check that article out.</p>
<p>I am just absolutely disgusted with the condition of our health care system.  It is dominated by government bureaucrats, pharmaceutical corporations and the big health insurance companies.  It is a giant money making scam that seeks to drain as much money from the rest of us as possible.</p>
<p>So do you have a hospital bill horror story to share?  Please feel free to share your thoughts below&#8230;.</p>
<p><a href="http://thetruthwins.com/"><img class="aligncenter size-large wp-image-4527" title="Photo By Elmar Ersch" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/09/Photo-By-Elmar-Ersch-425x543.jpg" alt="" width="425" height="543" /></a></p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/83046-for-a-3-hour-hospital-visit-why-are-hospital-bills-so-outrageous">$83,046 For A 3 Hour Hospital Visit &#8211; Why Are Hospital Bills So Outrageous?</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
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		<title>80 Percent Of Americans Say That They Are Not Better Off Than They Were Four Years Ago</title>
		<link>http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago</link>
		<comments>http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago#comments</comments>
		<pubDate>Fri, 16 Mar 2012 01:05:06 +0000</pubDate>
		<dc:creator><![CDATA[Michael Snyder]]></dc:creator>
				<category><![CDATA[Economic Despair]]></category>
		<category><![CDATA[Bright Future]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Economic]]></category>
		<category><![CDATA[Economic Recovery]]></category>
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		<category><![CDATA[Financial]]></category>
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		<category><![CDATA[Stock Market]]></category>
		<category><![CDATA[The Doctor]]></category>
		<category><![CDATA[The Dow]]></category>
		<category><![CDATA[The Mortgage]]></category>
		<category><![CDATA[The Stock Market]]></category>
		<category><![CDATA[The U.S. Economy]]></category>
		<category><![CDATA[Wall Street]]></category>

		<guid isPermaLink="false">http://theeconomiccollapseblog.com/?p=3553</guid>
		<description><![CDATA[<p>Are you better off today than you were four years ago?  If not, then you are just like most other Americans.  According to a CBS News/New York Times poll that was released a few days ago, 80 percent of Americans say that their financial situation is not &#8220;better today&#8221; than it was four years ago.  [...]</p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago">80 Percent Of Americans Say That They Are Not Better Off Than They Were Four Years Ago</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
]]></description>
				<content:encoded><![CDATA[<p><a href="http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago" rel="attachment wp-att-3556"><img class="alignleft size-thumbnail wp-image-3556" title="80 Percent Of Americans Say That They Are Not Better Off Than They Were Four Years Ago" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/03/80-Percent-Of-Americans-Say-That-They-Are-Not-Better-Off-Than-They-Were-Four-Years-Ago-250x129.png" alt="" width="250" height="129" /></a>Are you better off today than you were four years ago?  If not, then you are just like most other Americans.  According to a <a href="http://www.scribd.com/fullscreen/85113774">CBS News/New York Times poll</a> that was released a few days ago, 80 percent of Americans say that their financial situation is not &#8220;better today&#8221; than it was four years ago.  But if you turn on the television and listen to what the &#8220;pundits&#8221; are saying, you would be tempted to think that we were in the midst of a robust economic recovery.  You would be tempted to think that the U.S. economy is in great shape and that we are heading for a really bright future.  But the fact that the stock market is soaring does not mean much to most Americans.  In fact, most Americans couldn&#8217;t care less that the Dow is well above 13,000 and that the NASDAQ is above 3,000.  What most Americans care about is having a job and being able to provide for their families.  If you haven&#8217;t paid the mortgage in three months or if you don&#8217;t have enough money to take your daughter to go see the doctor it really is not going to matter to you how well the boys and girls over on Wall Street are doing.  Right now most American families are doing worse than they were doing four years ago, and no amount of media hype is going to change that fact.</p>
<p>Yes, the stock market is doing really well for the moment, but the truth is that more than 50 percent of all stocks and bonds are owned by just <a title="1 percent" href="http://www.businessinsider.com/new-charts-about-inequality-2011-11#half-of-america-owns-only-05-of-americas-investment-assets-the-top-1-owns-more-than-50-6" target="_blank">1 percent</a> of the U.S. population.</p>
<p>Good for them.  It looks like the trillions of dollars that the <a href="http://theeconomiccollapseblog.com/archives/category/federal-reserve">Federal Reserve</a> poured into the big Wall Street banks is really paying off nicely for the financial community.</p>
<p>Meanwhile, much of the rest of the country is deeply suffering.</p>
<p>It was recently reported that 1.5 million American families live <a href="http://caffertyfile.blogs.cnn.com/2012/03/14/what-does-it-mean-when-1-5-million-american-families-live-on-less-than-2-a-day/?hpt=hp_t3">on less than two dollars a day</a> (before counting government benefits).</p>
<p>That is horrifying.</p>
<p>According to the U.S. Census Bureau, the percentage of Americans living in &#8220;extreme poverty&#8221; is now sitting <a title="at an all-time high" href="../archives/extreme-poverty-is-now-at-record-levels-19-statistics-about-the-poor-that-will-absolutely-astound-you" target="_blank">at an all-time high</a>.</p>
<p>All across this country poverty is exploding.  Food banks are experiencing more demand than ever before and those offering free healthcare are absolutely swamped.</p>
<p>And every single measure of government dependence has gone way up since Barack Obama entered the White House.</p>
<p>For example, since Barack Obama became president the number of Americans on food stamps has gone up <a href="http://www.republican.senate.gov/public/index.cfm/our-view?ID=e33a7a58-66d2-4491-91f6-aae703cdb370">by 45 percent</a>.</p>
<p>Just think about that.</p>
<p>At this point the federal government is helping to feed an all-time record 46.5 million Americans every month.</p>
<p>Oh yeah, times are good.</p>
<p>According to the U.S. Census Bureau, <a title="49 percent" href="http://news.investors.com/Article/598993/201201260805/entitlements-soar-under-president-obama.htm" target="_blank">49 percent</a> of all Americans live in a home that receives direct monetary benefits from the federal government.</p>
<p>That is much higher than it has been historically.</p>
<p>For example, back in 1983 <a title="less than a third" href="http://news.investors.com/Article/598993/201201260805/entitlements-soar-under-president-obama.htm" target="_blank">less than a third</a> of all Americans lived in a home that received direct monetary benefits from the federal government.</p>
<p>The big problem is that there are simply not enough jobs for everyone.</p>
<p>Listening to the media, you would be tempted to think that the U.S. economy is now pumping out huge numbers of good jobs.</p>
<p>But that is simply not the case.</p>
<p>Right now there are <a title="5.6 million" href="http://www.usatoday.com/money/economy/employment/story/2012-02-11/longterm-unemployed/53048070/1" target="_blank">5.6 million</a> fewer jobs than there were when the last recession began back in late 2007.</p>
<p>So where are the millions of jobs you promised us Obama?</p>
<p>The federal government is trying to convince us that the unemployment rate is going down, but that is not really true.</p>
<p>The key is to look at the percentage of working age Americans that actually have jobs.  During the last recession that percentage fell dramatically as you can see from the chart below.  After every other recession since World War II the employment to population ratio has always bounced back.  But it has <strong>not</strong> happened this time.  Instead, the employment to population ratio has remained between 58 and 59 percent since the end of 2009&#8230;.</p>
<p><a href="http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago/employment-population-ratio-2012" rel="attachment wp-att-3554"><img class="aligncenter size-large wp-image-3554" title="Employment Population Ratio 2012" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/03/Employment-Population-Ratio-2012-440x264.png" alt="" width="440" height="264" /></a></p>
<p>We have not had a jobs recovery.  Hopefully we will have one before the next recession hits, but we are running out of time for that.</p>
<p>Tonight there are millions upon millions of hard working Americans that are staring at their television screens and wondering why they can&#8217;t find good jobs.  The pretty people on television are telling them that the employment situation is getting much better but they can&#8217;t find work no matter how hard they try.  It is a cruel joke on them.</p>
<p>When Barack Obama entered the White House, the number of &#8220;long-term unemployed workers&#8221; in the United States was approximately 2.6 million.  Today, that number <a title="is up to 6.2 million" href="http://www.bls.gov/news.release/pdf/empsit.pdf" target="_blank">is sitting at 5.6 million</a>.</p>
<p>Thanks for the improvement Obama.</p>
<p>Meanwhile, the average duration of unemployment continues to hover near a record high.  Just look at the chart posted below.  Does this look like a &#8220;jobs recovery&#8221; to you?&#8230;.</p>
<p><a href="http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago/average-duration-of-unemployment-2012-2" rel="attachment wp-att-3555"><img class="aligncenter size-large wp-image-3555" title="Average Duration Of Unemployment 2012" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/03/Average-Duration-Of-Unemployment-2012-440x264.png" alt="" width="440" height="264" /></a></p>
<p>But of course Obama and those that support him want to make things sound like they are getting better.  They want people to run out and vote for him again in November.</p>
<p>If things are going well for you right now, be thankful, and also remember the millions upon millions of Americans out there that are deeply hurting in this economy.</p>
<p>If you gathered together all of the workers that are &#8220;officially&#8221; unemployed in the United States at this point into one nation, they would constitute <a title="the 68th largest country" href="http://blogs.wsj.com/economics/2011/08/19/the-united-states-of-unemployment/" target="_blank">the 68th largest country</a> in the entire world.  It would be a nation larger than Greece or Portugal.</p>
<p>That is a lot of people.</p>
<p>Obama promised us that the Wall Street bailouts would make everything better.  He promised us that if we poured gigantic mountains of money into Wall Street that it would end up helping &#8220;Main Street&#8221;.</p>
<p>Well, the last time I looked Goldman Sachs was doing <a href="http://theeconomiccollapseblog.com/archives/11-reasons-why-america-would-be-a-better-place-without-goldman-sachs">just fine</a>.</p>
<p>So where is the help for Main Street?</p>
<p>In the United States today, the wealthiest one percent of all Americans have a greater net worth <a title="than the bottom 90 percent combined" href="http://www.nytimes.com/2011/06/05/opinion/05kristof.html?_r=1&amp;ref=nicholasdkristof" target="_blank">than the bottom 90 percent combined</a>.</p>
<p>How much wealthier do they have to get before they start creating more jobs for the rest of us?</p>
<p>Obama (like most of our politicians) is a complete fraud when it comes to the economy.  He is all saddle and no horse.  He talks a good game but he doesn&#8217;t have any game.</p>
<p>As Wall Street has recovered, the rest of the country has actually been in decline.  Median household income in the United States is down <a title="7.8 percent" href="http://economy.money.cnn.com/2012/03/06/economy-improves-incomes-dont/" target="_blank">7.8 percent</a> since December 2007 after adjusting for inflation.  Millions of American families are reaching the breaking point and millions of other families have already reached it.</p>
<p>Incomes have been declining but the cost of living has not.</p>
<p>For example, health insurance costs have risen <a title="by 23 percent" href="http://republican.senate.gov/public/index.cfm/our-view?ID=e33a7a58-66d2-4491-91f6-aae703cdb370" target="_blank">by 23 percent</a> since Barack Obama became president.</p>
<p>Has your paycheck increased by 23 percent?</p>
<p>The average price of a gallon of gasoline in the United States has increased by more than <a title="90 percent" href="http://republican.senate.gov/public/index.cfm/our-view?ID=e33a7a58-66d2-4491-91f6-aae703cdb370" target="_blank">90 percent</a> since Barack Obama became president.</p>
<p>Has your paycheck increased by 90 percent?</p>
<p>Millions of American families have lost their homes while Obama has been president and millions more will soon lose their homes.  At this point there are <a title="more than 6 million" href="http://www.dsnews.com/articles/overdue-mortgages-number-6082000-2012-02-21" target="_blank">more than 6 million</a> mortgages in the United States that are overdue.</p>
<p>It is a horrible, horrible feeling to know that you can&#8217;t pay your mortgage and that you will soon lose your home and your family will be put out on the street.</p>
<p>None of us would ever want to end up in that situation.</p>
<p>And the housing market sure has not shown any signs of recovery under Barack Obama.</p>
<p>In January, U.S. home prices were the lowest that they have been <a title="in more than a decade" href="http://money.cnn.com/2012/02/22/real_estate/home_sales/index.htm?hpt=hp_t1" target="_blank">in more than a decade</a>.</p>
<p>Weren&#8217;t home prices and home sales supposed to be turning around by now?</p>
<p>Under Barack Obama, new home sales in the United States set a brand new all-time record low in 2009, they set a brand new all-time record low again in 2010, and they set a brand new <a title="all-time record low" href="http://money.cnn.com/2012/01/26/real_estate/new_home_sales/index.htm?iid=HP_River" target="_blank">all-time record low</a> once again during 2011.</p>
<p>That trend is not going in the right direction.</p>
<p>Of course Barack Obama is not solely responsible for the performance of the U.S. economy.  Congress should share part of the blame as well, and <a href="http://theeconomiccollapseblog.com/archives/10-things-that-every-american-should-know-about-the-federal-reserve">the Federal Reserve</a> is more responsible for our economic performance than anyone else is.</p>
<p>But one area where Barack Obama has had a huge impact is in the area of <a href="http://endoftheamericandream.com/archives/30-stupid-things-the-governemnt-is-spending-money-on">government spending</a>.</p>
<p>While Barack Obama has been president, the U.S. national debt has risen from 10.6 trillion to <a href="http://www.treasurydirect.gov/NP/BPDLogin?application=np">15.5 trillion</a>.</p>
<p>Thanks Obama.</p>
<p>During the first three years of the Obama administration, the U.S. government has accumulated more debt than it did between 1776 and 1995.</p>
<p>So is Obama planning a change of course?</p>
<p>Of course not.</p>
<p>At this point, our national debt is increasing by about <a title="150 million dollars" href="http://endoftheamericandream.com/archives/barack-obama-lets-steal-150-million-dollars-an-hour-from-our-children">150 million dollars</a> every single hour.</p>
<p>So should we be thanking Obama for stealing 150 million dollars from our children and our grandchildren every hour?</p>
<p>Should we be thanking Obama for ruining our future?</p>
<p>I think not.</p>
<p>But you know what?</p>
<p>According to the <a href="http://www.scribd.com/fullscreen/85113774">CBS News/New York Times poll</a> mentioned above, about half of America would actually vote for Obama if the next presidential election was held today.</p>
<p>That alone is a clear sign that this country is in a massive amount of trouble.</p>
<p>The truth is that the leaders we elect are an accurate reflection of who we are as a country.</p>
<p>And when you look at the collection of misfits in Washington D.C. right now, that does not say a lot about the character of this nation.</p>
<p>So where does America go from here?</p>
<p>That is up to you America.</p>
<p><a href="http://theeconomiccollapseblog.com/archives/why-are-millions-of-americans-preparing-for-doomsday"><img class="aligncenter size-large wp-image-3557" title="Barack Obama Inauguration" src="http://theeconomiccollapseblog.com/wp-content/uploads/2012/03/Barack-Obama-Inauguration-440x260.jpg" alt="" width="440" height="260" /></a></p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/80-percent-of-americans-say-that-they-are-not-better-off-than-they-were-four-years-ago">80 Percent Of Americans Say That They Are Not Better Off Than They Were Four Years Ago</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
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		<title>The Coming Doctor Shortage</title>
		<link>http://theeconomiccollapseblog.com/archives/the-coming-doctor-shortage</link>
		<comments>http://theeconomiccollapseblog.com/archives/the-coming-doctor-shortage#comments</comments>
		<pubDate>Tue, 03 May 2011 02:13:51 +0000</pubDate>
		<dc:creator><![CDATA[Michael Snyder]]></dc:creator>
				<category><![CDATA[Commentary]]></category>
		<category><![CDATA[Bills]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Doctors]]></category>
		<category><![CDATA[Hospital]]></category>
		<category><![CDATA[Medical]]></category>
		<category><![CDATA[Medical Bills]]></category>
		<category><![CDATA[Medical Crisis]]></category>

		<guid isPermaLink="false">http://theeconomiccollapseblog.com/?p=2167</guid>
		<description><![CDATA[<p>The United States is going to experience an absolutely devastating doctor shortage in the coming years.  Even now it can be difficult to see a doctor in many areas, and if you are fortunate enough to see one you will probably pay through the nose.  Medical bills have gotten absolutely insane in this country.  Many [...]</p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/the-coming-doctor-shortage">The Coming Doctor Shortage</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
]]></description>
				<content:encoded><![CDATA[<p><a rel="attachment wp-att-2168" href="http://theeconomiccollapseblog.com/archives/the-coming-doctor-shortage/the-coming-doctor-shortage"><img class="alignleft size-thumbnail wp-image-2168" title="The Coming Doctor Shortage" src="http://theeconomiccollapseblog.com/wp-content/uploads/2011/05/The-Coming-Doctor-Shortage-250x192.jpg" alt="" width="250" height="192" /></a>The United States is going to experience an absolutely devastating doctor shortage in the coming years.  Even now it can be difficult to see a doctor in many areas, and if you are fortunate enough to see one you will probably pay through the nose.  Medical bills have gotten absolutely insane in this country.  Many Americans have gone to the hospital for a few hours, perhaps got to see a doctor for half an hour, and ended up being billed thousands of dollars.  Unfortunately, it is not the doctors that are getting rich from these nightmarish medical bills.  Rather, &#8220;the system&#8221; is set up so that &#8220;the middle men&#8221; are the ones raking in most of the cash.  In fact, thousands upon thousands of doctors are being chased out of the profession because being a doctor just isn&#8217;t worth the trouble anymore.  According to the American Association of Medical Colleges, we were already going to be facing a shortage of more than <a href="http://www.nypost.com/p/news/opinion/opedcolumnists/doc_holiday_Nyb5JCHkWyejLq7dTjTs2J">150,000</a> doctors over the next 15 years even before Obamacare was passed. Obamacare is just going to make the doctor shortage even worse.  In fact, one poll found that 40 percent of all U.S. doctors plan to get out of the profession over the next 3 years.  Of course not all of those disgruntled doctors will end up leaving the profession, but even if 10 percent of them quit it is going to create a medical crisis of unprecedented magnitude in this country.</p>
<p>Look, it is no secret that I am not a big fan of the <a href="http://endoftheamericandream.com/archives/25-shocking-facts-that-prove-that-the-entire-u-s-health-care-industry-has-become-one-giant-money-making-scam">health care industry</a> in the United States.  But if I get into a car accident or someone shoots me then I very much want someone to take me to the hospital and I don&#8217;t want to wait a couple of hours to see a doctor.</p>
<p>Unfortunately, the way that the health care industry is set up today is absolutely suffocating for doctors.  The government is trying to tell them how to treat patients, lawyers are constantly looking to sue them and most of the money ends up going to health insurance companies, big pharma and huge health care corporations.</p>
<p>In the old days, all you needed was a bed, a patient, a doctor and maybe a nurse.</p>
<p>After all, how much does it really cost for a doctor to look you over, ask you a few questions and patch you up?</p>
<p>Unfortunately, a whole host of bad guys have gotten between the doctor and the patient these days.  They have all carved out a little bit of &#8220;territory&#8221; and they all have to be paid.</p>
<p>The health care industry used to be about helping people.</p>
<p>Today it is all about greed, and the system is coming apart.</p>
<p>As the economy collapses, an increasing number of Americans are being forced to rely on programs such as Medicare and Medicaid.</p>
<p>For example, back in 1965 only one out of every 50 Americans was on Medicaid.  Today, <a title="one out of every 6" href="http://www.businessinsider.com/mary-meeker-usa-inc-february-24-2011-2" target="_blank">one out of every 6</a> Americans is on Medicaid.</p>
<p>This is putting our doctors in a very difficult position.  <a href="http://www.nypost.com/p/news/opinion/opedcolumnists/doc_holiday_Nyb5JCHkWyejLq7dTjTs2J">According to The New York Post</a>, treating Medicare and Medicaid patients is a huge financial strain on U.S. doctors&#8230;</p>
<blockquote><p><em>Estimates suggest that on average physicians are reimbursed at roughly 78% of costs under Medicare, and just 70% of costs under Medicaid. Physicians must either make up for this shortfall by shifting costs to those patients with insurance — meaning those of us with insurance pay more — or treat patients at a loss.</em></p></blockquote>
<p>You understand what all that means, right?</p>
<p>Medical bills have to be jacked up on all the rest of us to make up for the Medicare and Medicaid patients.</p>
<p>But that is just one example of how the system is failing.</p>
<p>Today, it is quite common for medical school students to rack up hundreds of thousands of dollars in student loan debt as they go through school.  Then it takes a number of years of really hard work before they become established and at a point where they can start making good money.  Meanwhile, lawyers are constantly circling them like vultures.  Malpractice insurance premiums are absolutely insane at this point and one really bad lawsuit can ruin a career that took decades to build.</p>
<p>In addition, now thanks to Obamacare and other ridiculous regulations that have been passed in recent years, the government has a tremendous amount of control over how medicine is practiced in the United States.  Doctors no longer have the complete freedom to treat their patients as they see fit.</p>
<p>Sadly, a significant percentage of U.S. doctors have had enough and now want to get out.</p>
<p>According to a Merritt Hawkins survey of 2,379 doctors for the Physicians Foundation that was conducted in August of last year, <a href="http://www.investors.com/NewsAndAnalysis/Article/556398/201012091905/New-Poll-Confirms-IBDs-09-Finding-Of-Doctor-Exodus-Under-ObamaCare.aspx">40 percent</a> of all U.S.  doctors plan to &#8220;retire, seek a  nonclinical job in health care,  or seek a job or business unrelated to  health care&#8221; at some point over the next three  years.</p>
<p>When Obamacare was originally being debated perhaps we should have taken some time to ask our doctors what they thought about it first.</p>
<p>Now we could end up with a massive doctor shortage as our doctors vote with their feet.</p>
<p>Right now there are approximately 960,000 doctors in the United States.</p>
<p>What do you think our medical system will look like if even 100,000 of them bail out of the profession?</p>
<p>According to the same survey noted above, 74 percent of U.S. doctors plan to make &#8220;one or more significant  changes in their practices in the  next one to three years, a time when  many provisions of health reform  will be phased in.&#8221;</p>
<p>One big trend that we are seeing right now is the refusal to see certain kinds of patients.  Under our current system, some patients are much more &#8220;profitable&#8221; than others.  Many doctors have decided that they simply cannot afford to see many of the &#8220;unprofitable&#8221; patients any longer.</p>
<p>Our health care system is messed up beyond all recognition.  In America, we pay much more for health care than anyone else in the world and what we get in return is a system that is literally falling to pieces.</p>
<p>It would have been nice if we would have gotten some real health care reform, but instead what we got was Obamacare &#8211; one of the worst pieces of legislation that has ever been passed in all of modern American history.</p>
<p>An IBD/TIPP poll taken back in August  2009 found that <a title="4 out of every 9 American doctors" href="http://www.investors.com/NewsAndAnalysis/Article/556398/201012091905/New-Poll-Confirms-IBDs-09-Finding-Of-Doctor-Exodus-Under-ObamaCare.htm" target="_blank">4 out of every 9 American doctors</a> said that they &#8220;would consider leaving their practice or taking an early  retirement&#8221; if Congress passed Obamacare.</p>
<p>Well, it passed anyway.</p>
<p>Now the doctor shortage is about to get a whole lot worse.</p>
<p>Survey after survey shows similar results.</p>
<p><a title="According to a survey" href="http://www.cnsnews.com/news/article/62812" target="_blank">According to a survey</a> published in the New England Journal of Medicine, approximately  one-third of all practicing physicians in the United States indicated  that they may  leave the medical profession because of the new health  care law.</p>
<p>Are you starting to become alarmed yet?</p>
<p>We have a system that is broken and large numbers of doctors are now saying that they simply want to give up.</p>
<p>Sadly, Obamacare is also causing the cancellation of a lot of new hospitals.</p>
<p>According to the executive director of Physician Hospitals of America, the new health care law has already <a title="forced the cancellation of at least 60 doctor-owned hospitals" href="http://disasterandemergencysurvival.com/archives/60-doctor-owned-hospitals-will-now-be-canceled-due-to-the-new-health-care-law" target="_blank">forced the cancellation of at least 60 doctor-owned hospitals</a> that were scheduled to open soon.</p>
<p>Not that I am just getting on Obama and the Democrats.  Bush and the Republicans were a complete disaster when it came to health care as well.  Thanks to both political parties we have a health care system that is a joke.</p>
<p>Today, approximately <a href="http://www.nypost.com/p/news/opinion/opedcolumnists/doc_holiday_Nyb5JCHkWyejLq7dTjTs2J/1">40%</a> of all U.S. doctors are age 55 or older.  All of those old doctors are thinking about retirement.  They are too old to be putting up with all of this garbage.</p>
<p>It is an open secret that our health care industry has become a giant <a href="http://endoftheamericandream.com/archives/25-shocking-facts-that-prove-that-the-entire-u-s-health-care-industry-has-become-one-giant-money-making-scam">money making scam</a> and that it is not favorable for either doctors or patients.</p>
<p>According to one doctor <a title="interviewed by Fox News" href="http://www.foxnews.com/politics/2011/01/21/tucson-aftermath-demonstrates-high-medical-cost-shootings/" target="_blank">interviewed by Fox News</a>,   &#8220;a gunshot wound to the head, chest or abdomen&#8221; will cost $13,000 at   his hospital the moment the victim comes in the door, and then there   will be significant additional charges depending on how bad the wound   is.</p>
<p>So how much of that $13,000 do you think the doctor gets?</p>
<p>Not a whole lot.</p>
<p>There certainly are some wealthy doctors out there, but the truth is that &#8220;the system&#8221; gets most of the money.</p>
<p>I am sure almost everyone reading this has a medical bill horror story to tell.</p>
<p>In America today, if you have an illness that requires intensive care  for an extended period of time, it can be really easy to rack  up medical bills <a title="that total over 1 million dollars" href="http://www.cbsnews.com/stories/2009/10/29/eveningnews/main5453206.shtml" target="_blank">that total over 1 million dollars</a>.</p>
<p>In fact, most Americans are scared to even spend a single night in the hospital these days.</p>
<p>It is estimated that hospitals overcharge Americans <a title="by about 10 billion dollars" href="http://www.thirdage.com/general-money/how-to-avoid-outrageous-hospital-overcharges" target="_blank">by about 10 billion dollars</a> every single year.  In fact, one trained  medical  billing advocate says that over 90 percent of the medical bills that she has audited contain &#8220;<a title="gross overcharges" href="http://www.thirdage.com/general-money/how-to-avoid-outrageous-hospital-overcharges" target="_blank">gross overcharges</a>&#8220;.</p>
<p>Basically, hospitals charge whatever they think they can get away with.  Unlike most transactions, you don&#8217;t get to see a &#8220;price list&#8221; first when you go into the hospital.  You just ask them to take care of you and you trust them to bill you fairly later.</p>
<p>Why should it cost a half million dollars for a simple operation?</p>
<p>It&#8217;s not that complicated &#8211; the doctor cuts you open, carves something out and then sews you back up.</p>
<p>So why should it cost so much?</p>
<p>Am I missing something?</p>
<p>Sadly, it is those that don&#8217;t know how things work that get the worst of it.</p>
<p>It is not uncommon for insurance companies to get hospitals to knock their bills down <a title="by up to 95 percent" href="http://tpmcafe.talkingpointsmemo.com/talk/blogs/candide/2009/06/this-is-how-ridiculous-our-med.php" target="_blank">by up to 95 percent</a>, but if you are uninsured or you don&#8217;t know how the system works then you are out of luck.</p>
<p>You should always, always have health insurance if you can afford it.  If you do not have a health insurance company fighting the hospital then it can be really hard to have your medical bills knocked down to a reasonable level.</p>
<p>In any event, as doctors start leaving the profession in droves it may become difficult to find quality medical care at all.</p>
<p>Perhaps even more of us will start going out of the country for medical care.  According to numbers released by Deloitte Consulting, a whopping <a href="http://www.economyincrisis.org/content/medical-tourism-creates-another-outsourcing-problem">875,000 Americans</a> were &#8220;medical tourists&#8221; in 2010﻿.</p>
<p>So what do all of you think about the state of the health care industry in the United States?  Feel free to leave a comment with your thoughts below&#8230;.</p>
<p>The post <a rel="nofollow" href="http://theeconomiccollapseblog.com/archives/the-coming-doctor-shortage">The Coming Doctor Shortage</a> appeared first on <a rel="nofollow" href="http://theeconomiccollapseblog.com">The Economic Collapse</a>.</p>
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