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US Healthcare is 2X more expensive than in other countries - what can be done

I started this page Feb 20, 2018
I would appreciate your comments/suggestions
Henry Lahore, Founder of VitaminDWiki hlahore@gmail.com

The following appear to be unique to US healthcare

1) More medical testing in US

  • US doctors fear liability costs if they fail to order all possible tests

2) More administrative time (paperwork) in US due to multiple payers

  • 5 full-time employees in a hospital just to meet Medicare quality guidelines
  • Many employees are needed to deal with billing to multiple payers
    • Procedures allowed/disallowed and amounts vary between the payers

3) Medicare/insurance are not permitted to recommend lower-cost drugs
4) Profit comes from treating, not preventing

  • US Hospital administrators now have MBAs, not medical degrees
  • US Doctors fear losing their position if they do not bring in enough business to clinic, hospital

5) Many US doctors get huge kickbacks/perks for prescribing certain drugs

  • chemotherapy (Big-Pharma), vaccines (Aetna), etc

6) US hospitals can be destructively competitive in large cities

  • Increases number of expensive testing facilities, and increases # of tests to justify them
  • Increases number of specialists at each hospital

7) Govt. gives exclusive rights to manufacture various drugs

  • Lack of competition results in huge price increases (10X is common)

8) Change laws so as to allow Pharmacists to suggest lower cost options

What an individual can do to reduce costs

1) Reduce the need for medical care

  • By supplementing with vitamin D (easiest and lowest cost solution)
    After getting all customers of a clinic to 80 ng of Vitamin D, the clinic visits dropped by 3X
  • By having a healthier diet – but this is very expensive and takes a lot of time and willpower
    • 20 cents to get a 50,000 IU Vitamin D capsule once a month
    • Over $1,000 to get the same amount of Vitamin D from wild salmon (3 meals a day of salmon)
  • By not smoking – note, if you cannot quite smoking. Vitamin D reduces the health consequences of smoking

2)Take Vitamin D before entering the hospital (both planned and emergency)

  • Loading up on 400,000 IU Vitamin D greatly decreases both days in hospital and death

3) Increase additional nutrients which provide wide-spread health benefits

  • The following all have become low during the past few decades (along with Vitamin D)
    Magnesium, Omega-3, Vitamin K2

Large group of employers can do the following

  1. Buy some drugs at bulk discounts not available to individual hospitals
  2. Cancel some of the laws which restrict drug competition
  3. Pay for Continuing Medical Education classes in nutrition and prevention
  4. Pay medical professionals to learn about nutrition and prevention
  5. Pay for research into promising cost-effective alternatives – such as vitamin D
    Currently it takes 17-50 years to actually use a procedure which already has proven benefit
  6. Pay patients and doctors for using Vitamin D with pregnancies
    Net savings is about $2,000 per pregnancy
  7. Pay for increased wellness, nutrition education (in-person and web), conferences,
    Note: Big-Pharma underwrites 100+ medical conferences each year
  8. Change co-pay so that it proportional to salary
    Currently co-pay causes many employes to forgo medical help

Groups of Employers which are trying to reduce costs of healthcare

See also VitaminDWiki

Cost Savings with Vitamin D category listing has 97 items such as the following

20 Most-visited pages in "Cost Savings with Vitamin D" category in VitaminDWiki

Id Page Hits Last modification Creator Categories
1855 Vitamin D reduces sepsis 117931
11 Feb, 2018 16:28
admin Trauma and surgery
Cost savings with Vitamin D
6724 Healthy pregnancies need lots of vitamin D 15717
05 Sep, 2017 15:17
admin Pregnancy
Cost savings with Vitamin D
2782 If you cannot readily get medical treatment, consider Alternative Med such as vitamin D 15404
11 Aug, 2017 15:48
admin Seniors
Pain - chronic
Cost savings with Vitamin D
629 HMOs will save millions of dollars with vitamin D 13915
03 Jun, 2013 16:02
admin Trauma and surgery
Cost savings with Vitamin D
7233 Cost savings with Vitamin D 13799
10 Oct, 2017 20:31
admin Cost savings with Vitamin D
2694 VA showed increased vitamin D testing associated with lower health costs - Lancet May 2012 10923
21 Nov, 2017 16:44
admin Tests for Vitamin D
Cost savings with Vitamin D
Top news
2059 Some form of vitamin D may be the lowest cost treatment for CKD – Spanish Sept 2011 10280
16 Mar, 2015 00:08
admin Kidney
Treatment by Vitamin D
Cost savings with Vitamin D
1518 540000 IU before ICU raised vitamin D by 25 ng in 2 days – March 2011 6807
02 May, 2014 20:46
admin Trauma and surgery
Loading dose for Vitamin D
Cost savings with Vitamin D
1753 MRSA inpatient cost 2X higher if less than 20 ng vitamin D – June 2011 6140
12 Aug, 2015 00:12
admin Immunity
Trauma and surgery
Cost savings with Vitamin D
4197 Opportunity: Enhance Workplace Wellness programs with Vitamin D 6074
15 Jun, 2016 16:39
admin Cost savings with Vitamin D
High Risk
5973 Pure North (Calgary) improves health by raising vitamin D to 60 ng 5898
26 Oct, 2017 16:21
admin Cost savings with Vitamin D
Vitamin D in Canada
4925 Vitamin D Webinar - cost of pre-term birth etc- Baggerly Nov 2013 5635
30 Nov, 2017 17:31
admin Pregnancy
Books, videos on Vitamin D
Cost savings with Vitamin D
2201 Overview of Vitamin D Wiki for Fraser Health 5395
03 Sep, 2012 20:22
admin Cost savings with Vitamin D
Vitamin D in Canada
1993 HMO - Kaiser information 5227
12 May, 2013 22:56
admin Cost savings with Vitamin D
2297 28 pct of dark skinned people in UK not heard of vitamin D and 54 pct not know symptoms – Jan 2012 5216
01 Aug, 2013 03:44
admin Skin - Dark
Overview for doctors
Cost savings with Vitamin D
1892 Staph infection reduced 50 percent when have more than 30 ng of vitamin D – Aug 2011 4956
13 Feb, 2016 17:53
admin Immunity
Trauma and surgery
Cost savings with Vitamin D
2166 Fraser Health in Canada will be giving 20000 IU vitamin D weekly to reduce falls – Nov 2011 4829
07 Jan, 2015 12:46
admin Seniors
Cost savings with Vitamin D
Vitamin D in Canada
Falls and Fractures
2279 Types of US Health Care Systems 4713
28 Apr, 2013 17:07
admin Cost savings with Vitamin D
1825 Dr. Grant on vitamin D and mortality in VitaminDWiki 4554
21 Sep, 2017 10:27
admin Mortality and D
Cost savings with Vitamin D
1803 Should increase life expectancy by 2 years if double vitamin D levels – July 2011 4371
12 Aug, 2016 14:20
admin Mortality and D
Evidence for D
Cost savings with Vitamin D

Items in both categories: "Cost savings with Vitamin D" and "Trauma & Surgery" are listed here:

Note: Annual health premiums increases 2X, deductables increased 3X

Workers Pay More for Health Care as Companies Shift Burden, Survey Finds NYT Sept 2016

Created by admin. Last Modification: Saturday February 24, 2018 18:40:59 UTC by admin. (Version 5)
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