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  11. As someone who use to work of Kaiser, there is a fundamental misunderstanding by you all on how it operates. Its a three teared system. Hospitals, Clinics and Pharmacy and then the Insurance. The latter two are for profit. The hospital is not for profit. Before the AC Kaiser would use massive amounts of charity care as a tax shelter for all the profits its two other groups made. All the physicians are owners in it. There is no negotiating. The physicians dont even need to pay for their office staff. Kaiser does. Kaiser is a good system because all the treatment is in house and its already paid for. Its why Kaiser has such a low refusal rate. And most of the refusals are for non Kaiser members who want treatment there. Kaiser built its system for its members, not the general public. One of the reasons costs have increased is the State of California forcing health care providers to take Medicaid patients. The State only pays 11 cents on the dollar for treatment, (this is back in 2019) and thats assuming you did everything right. Other wise the payment request is just ignored buy the state. Then there is the annual licensing requirements for Medicare. Again in 2019 licensing for an inpatient bed on just the Medical/Surgical (non telemetry) was over 100k a year. People have no idea how much government sucks out of healthcare. That said, the profits on things like drugs are stupefying. But again, thats the governments fault. Its against the law for pharmacists to even tell patients that they could get a Rx cheaper just by paying cash. Add to it the effects of the ACA limiting charity care right offs and you have exploding costs. It was easy to see this was going to happen. In the case of United Health Care, they have publicly traded stock. And the stock price is going to be defended to the death. Personally I blame the businesses who buy insurance coverage from them. You get what you pay for and you get what you tolerate.
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