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Healthcare is expensive

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  • Healthcare is expensive

    Not sure where to put this .... I don't think it's a debate topic, tbh, but I suppose it could be.

    First, let me just say ... never buy a Sears appliance or gadget. That is my public service announcement.

    Last year, Thomas bought a snow blower after 10+ years in MN. He paid nearly 1000$ for it. He bought it at Sears. At the end of the season,he ran it dry. Basically, he sat that sucker out in the yard and let it run until it shut itself off. He also put stuff in it constantly to prevent the gumming of ethanol from the gasoline in the carburetor. This year ... when we got our first snow, the sucker wouldn't work. We had to call out a Sears repairman. Guess what is NOT under warranty? The carburetor. As it so happens, we had to replace ours because despite all best efforts, the old one got gummed up and wouldn't work.

    Right. So a debate about Sears products aside...

    The repairman got to work and then came into the house for me to pay him.

    I said, "Wow. $300 is expensive." That's all I said. Let's face it ... its 1/3 of the price of the whole damned thing and it is a new machine. $300 IS expensive.

    Without missing a beat, the repairman turned to me and said "well healthcare is expensive too."

    I was stunned.

    I said, "Well, it's not my husband's fault that healthcare is so expensive" and then we stood there in an awkward silence while the credit card processed.

    Healthcare IS expensive. I get it. At the same time, I am sick of the vilification of physicians. Do they not deserve compensation for the years of education, residency, and fellowship and responsibility that they have? What about student loans?

    I can't believe this guy came into my HOUSE and said this.

    As an FYI, this guy charged my $99 for his service charge just to come out. It is his company (and we will never call him again). Fixing the snowblower took him 30 minutes. I'm sure he also made money on the parts. That isn't too shabby for 30 min. work.

    Kris
    ~Mom of 5, married to an ID doc
    ~A Rolling Stone Gathers No Moss

  • #2
    Doctors will always be the ones vilified because they are the ones on the front line (so to speak) that make the most money. Nurses, PA's, office staff, etc. "don't get paid enough" to be the lightening rods. No one sees the insurance execs that are making millions or the hospital administration - the doctors will always be the bad guys because they're the ones people can pinpoint driving the expensive cars, living in the expensive houses, etc.

    And what is going on now with the "docs aren't getting reimbursed enough from the new plan" doesn't help - people don't understand that that reimbursement doesn't JUST pay the doc, it keeps his lights on, his door open, his staff paid, they think it all goes in the doc's pocket.

    Sadly, I don't think it will ever change.
    Wife to NSG out of training, mom to 2, 10 & 8, and a beagle with wings.

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    • #3
      Annoying, but does the $300 include the service charge? $200 to replace a carburetor and $99 for a house call doesn't seem unexpected to me. I'd be more likely to take issue with Sears not having a year warranty on their product. They used to be such a good brand.
      Laurie
      My team: DH (anesthesiologist), DS (9), DD (8)

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      • #4
        They have a warranty. The carburetor isn't covered. $300 did include his service charge. I just found it to be a lot of money considering the total cost of the snow blower... Hell, to me, $300 is a lot of money, just like anyone else. I have made these comments before. When we had our washing machine repaired, I believe I said "ouch" when he handed me the bill .... but I did so with a smile. When I made the comment, I made it in a friendly way ... not critical. I was just surprised by the cost. Next time, I think I'll just say nothing.
        ~Mom of 5, married to an ID doc
        ~A Rolling Stone Gathers No Moss

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        • #5
          To unrelated thoughts. First, we went through a lot of snow blowers until we bought a very expensive one. Not sure of the brand but it is a premium machine. Since then, no breakage and no issues. I just think anything in the mid level range of cost (500-1000) is built to break, not last. That sucks but seems to be the standard these days.

          Second thought: I just had the same experience online with a friend raging about various issues that are in no way controlled by the doc in our situation. Of course, all the rage was against the doc. I felt the need to point out that these are NOT in the doc's control. I'm not sure anyone believes me. People still perceive the doc as being the guy in charge of the whole operation. Anything in their experience that goes wrong is still the doc's fault, ultimately. Because he's the boss that out the system together, right? Even insurance. I'm not sure when that will change. It sure is frustrating as we all know the amount of control that docs have is decreasing by the hour. Not sure the public has gotten the memo on that one.

          Angie


          Sent from my iPad using Tapatalk HD
          Last edited by Sheherezade; 12-11-2013, 09:15 AM.
          Angie
          Gyn-Onc fellowship survivor - 10 years out of the training years; reluctant suburbanite
          Mom to DS (18) and DD (15) (and many many pets)

          "Where are we going - and what am I doing in this handbasket?"

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          • #6
            Angie, I've had a couple of awkward FB experiences that I've had to simply not respond to that sound similar. The posts felt rageful and were directed at physicians. It makes me sad.

            Kris
            ~Mom of 5, married to an ID doc
            ~A Rolling Stone Gathers No Moss

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            • #7
              Honestly? I think it's sort of funny. I don't know how much the guy is really making on stuff, but we do tend to not fully the hidden costs and overhead when it isn't our job. In reality, the cost of the parts, etc. isn't all his fault. It's similar to the situation doctors are in.

              If he had railed on about healthcare to you unprompted, I'd feel differently, but since you said something first, even jokingly, I kind of think it was a funny response.
              Married to a newly minted Pediatric Rad, momma to a sweet girl and a bunch of (mostly) cute boy monsters.



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              • #8
                Even though my friend the grocery cashier knows my husband is a doc, last year she still gave my family the "secret santa" $5 bill she was charged with distributing. Because groceries are expensive!

                Our furnace guy once declined even to charge a service call because it turned out to be something silly, and he didn't feel right charging.

                The house painter apologized when he handed me his bill.

                Stuff is expensive! Whether you know the family's in the medical business or not. But the repair guy's tone would be the thing for me. Was he snide and accusing? Or wry and commiserating? Because I can conceive of that being an opening for "Yeah, it's true, everything is going up fast. Yowza!"
                Alison

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                • #9
                  Originally posted by SoonerTexan View Post
                  Honestly? I think it's sort of funny. I don't know how much the guy is really making on stuff, but we do tend to not fully the hidden costs and overhead when it isn't our job. In reality, the cost of the parts, etc. isn't all his fault. It's similar to the situation doctors are in.

                  If he had railed on about healthcare to you unprompted, I'd feel differently, but since you said something first, even jokingly, I kind of think it was a funny response.

                  I was thinking the exact same.

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                  • #10
                    I wish doctors could bill >$100/hr like a plumber. Wouldn't that be nice?!
                    Wife to PGY4 & Mother of 3.

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                    • #11
                      Originally posted by scrub-jay View Post
                      I wish doctors could bill >$100/hr like a plumber. Wouldn't that be nice?!
                      But sadly, that wouldn't even begin to cover the costs associated with running a practice. Hell, $100/hr doesn't cover the salary of the staff in clinic, not counting benefits.
                      Kris

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                      • #12
                        It was all just awkward. I suppose I should have said nothing.

                        Maybe the real debate here is why I said something. Hadn't really thought of it like that but now I am. I meant no disrespect, but maybe he felt that way. Its not his fault and he has to make a living.
                        ~Mom of 5, married to an ID doc
                        ~A Rolling Stone Gathers No Moss

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                        • #13
                          I think your reaction was entirely normal. As is someone else's reaction to healthcare costs.

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                          • #14
                            Everything costs too much.

                            Wife of a surgical fellow; Mom to a busy toddler girl and 5 furballs (2 cats, 3 dogs)

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                            • #15
                              1+
                              Wife to Hand Surgeon just out of training, mom to two lovely kittys and little boy, O, born in Sept 08.

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