I was going to relay a couple of specific "incidents", then decided not to (for the usual fears), but a couple personal experiences to illustrate your (very important) point:
1) Twice, within just the last several months, I asked a medical provider "How much will that cost?" when we were discussing a specific procedure that we were considering...…
In both cases, the reaction was stunning. They simply were dumb-founded that a "patient" would ask such an irrelevant (in their eyes) question.
Obviously, being asked "How much it would cost" had to have been a question they simply do not hear...…. which is amazing. What other service do "clients" not even inquire as to the price, before saying "Yes"?
(And we - as idiot consumers - wonder why health care costs are so astronomical? LOL)
In one of the instances, the provider - after an awkward silence - said "I don't know".... and simply stared at me for a while as if I had three heads.... until I replied - "Who would know? Can we find out?"
The provider called in the office manager (or some such person) - who told me "I'm sure your insurance will cover it." I let her know that that was not my question, my question was "What will it cost?"
When we finally DID get an answer as to the cost, in the end, I chose to not have the procedure done.
the other experience was very similar..... with the end result being that we opted for a slightly different procedure (with the same efficacy) that would cost just a small fraction of the one initially discussed.
2) Subsequent to an urgent care visit, a family member was outfitted with an "orthopedic device". The "orthopedic device" was a wrist brace (similar to the type of things folks would wear for carpal tunnel type stuff).
I know, due to experience within the family, that the braces are off-the-shelf items that you can pick up at WalMart for $20 or so.
When the itemized "bill" came through my insurance provider, there was a charge for (IIRC) around $350 for something coded as "Orthotics".
I called my insurance provider wrt "What was this charge?" (I thought perhaps it was the charge for the X-Rays related to the incident.... but found out it was for the "brace".
I told the provider that the charge was ridiculous, and they should not be paying that..... they told me (nicely) to "Forget about it... that's what the "code" allows for".
I said (somewhat nicely) "You're nuts"..... as I had looked up the EXACT model/manufacturer on Amazon and saw that the exact item could be purchased - Retail - from the same provider - for $18. I spent several hours - and several letters and calls - before the charge was reduced to $40 - - - - - at which point I said "OK".
How many folks are going to do that? Do what I did?
(near zero, of course).
How many folks would question that cost if they were presented with a bill for $350 that they had to pay - from their own pocket - as they were checking out from the Hospital or Doctor's Office?
(significantly more, I would assume
)
How many thousands of times per day, then, is our society absorbing "Health Care Costs" of $350 for $20 of "Health Care"?...…..
Multiply those numbers 10X, 100X for more significant ailments and treatments.
And we wonder why costs are out of control?
Now, this issue isn't the ONLY issue wrt the FUBAR of the Health Care System in this country...… but its a damn significant one - - - - - and NO ONE, certainly no "r" or "D" ideologue, is ever gonna' do one damn logical, common-sense thing about it.
It ain't in their DNA - and we are far, far, far, too lazy and stupid (as a collective) to care..... not until, at the least, the whole damn system blows up (At which point the "R"s will blame the "D"s and the "D"s will blame the "R"s)
(Saving Bob the trouble
)
In