[venturecruelty]

Sorry, I'm not going to Google "cheap MRIs near me" when I'm bleeding out on the floor having an emergency. Healthcare is not expensive because you can't see how much a doctor visit costs, it's expensive because that's how a lot of people make a lot of money, and they get very upset when that is threatened.

[celeritascelery]

Most medical care is not an immediate emergency. If I could compare MRI prices and it would impact how much I pay (either as an insurance copay or out of pocket) I would absolutely do that. But I have no opportunity to do that so there is not price feedback like there is in a market.

[Sparkle-san]

Even if it's not an emergency, many medical events come with a lot of unknowns. Like having a baby. No way to say how long labor might be, if there will be complications, how long you'll need to stay afterwards. MRIs are actually pretty easy to shop around for and MRIs don't make up a huge part of healthcare.

[venturecruelty]

Sorry, this is simply not true. Every 1-3 years, I get a simple diagnostic procedure to make sure I don't get cancer. Without it, I'm at a very real risk of developing cancer that would quickly kill me.

There is no universe in which it doesn't cost around $10,000. None. It is simply impossible for me to get out of paying that. My options are:

1. Use insurance, and hopefully it's covered.

2. Pay out of pocket.

3. Skip it and hope I don't die.

That's it, those are my options. I can't "shop around" for this, and I shouldn't have to. This is basic medical care available to everyone in a developed nation. Ours is the only one for whom this is apparently an intractable problem, and I am, frankly, tired of being gaslit about it.

[phil21]

Many of those “simple diagnostic procedures” are a tenth of the cost if done outside of insurance out of pocket. MRIs are one of them.

My routine blood work done via my doctor bills something like $1600 to my insurance every other year or so - but it do it on my own outside of the medical system for about $180 every six months.

No one should have to do this for necessary care - but once you get into things not typically covered by insurance like plastic surgery or LASIK the true costs are generally rather reasonable.

A whole shadow ecosystem for “health hackers” or whatever you might want to call it exists where standard medical stuff is 10% of the cost if paid out of pocket and through alternative prescribers. It’s a small subset of all available medical items, but the difference in true cost is illuminating.

[outside1234]

That's what the parent is saying. This is totally insane and should be just handled for us with a system that is something like what almost every other country has put in place.

[Ekaros]

Many have mixed systems. You have the public system which is fine if you have acute appendix for example. And then you have private providers, which do tell the prices and you can check which you can pick for less urgent, even a hip replacement.

It really is two separate questions how much basic procedures should cost. But I see no reason why non-urgent even important care shouldn't operate like real market. Open prices where competition is either on those prices or quality of care.

[jay_kyburz]

I wonder if you could pay a few air fairs and have the procedure done overseas and still come out ahead?