IN THIS EPISODE
In celebration of our first 100 Code WACK! episodes, we’re revisiting one of our very first – and most disturbing – podcasts. It’s about how our ‘wack’ healthcare system, with its confusing mess of various insurance plans, treats patients very differently depending on who pays the claims. Tragically, it’s as relevant today as ever! Guests Dr. Ron Birnbaum and Dr. Paul Y. Song reveal to host Brenda Gazzar the problems patients and doctors face due to our multi-payer health insurance scheme, and some potentially life-threatening hassles that are common health insurance industry practices. And Dr. James G. Kahn explains just how much money the average American family is paying each year for our ultra-complicated healthcare system. (It’s a shocker!)
SHOW NOTES
WE DISCUSS
What makes our healthcare system so difficult for doctors?
“…every single person who comes through the door…what you can do and what you can’t do…and how you do it…and who you have to ask for approval…is different and that can change over time with the same person.” – Dr. Ron Birnbaum
Give one example of how health insurers harm patients.
“…the private insurance industry is purposely carrying out denials with the hope that it’s just so painful that most patients or doctors won’t take the time to fight the denial, and if they do and they win, well, ‘we’ll pay it out but we will have kept the money for several months and have had the interest on that.’” – Dr. Paul Song
How much extra does the U.S. pay to have a multi-payer system?
“…about 12% of all our healthcare spending goes to extra costs associated with juggling all of these different payers…that’s about $1,400 per person, per year. That means a family of four is spending close to $6,000 on unnecessary paperwork every year.” – Dr. James G. Kahn
Helpful Links
Cal-Care, AB 1400, Guaranteed Health Care for All Act
Is Our Healthcare System Broken?, Harvard Health Publishing
66% of Americans fear they won’t be able to afford health care this year, CNBC
Prior Authorization and Step Therapy, State Action for COVID-19, American Medical Association Advocacy Resource Center
Episode Transcript
Read the full episode transcript.
Guest Biographies
Ron Birnbaum, MD, (Dermatology)
Assistant Professor of Family Medicine
USC Eisner Family Practice Residency at California Hospital
Paul Y. Song, MD, (Radiation Oncologist)
President, Physicians for a National Health Program – California
Formerly of the Samuel Oschin Cancer Center at Cedars Sinai Medical Center and a previous volunteer physician at Dignity California Hospital where he saw Medicaid and uninsured patients.
Health Economist, Institute for Health Policy Studies
Professor emeritus, University of California San Francisco
Get Involved / Take Action
Join the CalCare Campaign (National Nurses United) to join the fight for single payer and AB1400, the Guaranteed Health Care for All Act
Subscribe to HEAL California for health policy news with a California focus
Join Health Care for All California to keep up with local actions to support California single-payer health care.
Join Healthy California Now – a coalition working toward a California single-payer system. Individual and organizational membership available
Join Physicians for a National Health Program (PNHP) to join the national campaign to improve and expand Medicare to all residents of the U.S.
Find more Code WACK! episodes on ProgressiveVoices.com, on the PV App and on NurseTalk Media. You can also subscribe to Code WACK! wherever you find your podcasts. This podcast is powered by HEAL California, uplifting the voices of those fighting for health care reform around the country. I’m Brenda Gazzar.
_________________________________________________________________________________
HEAL California is an independent news and information hub focused on the Medicare for All movement.
With non-partisan news, views, podcasts and videos, we highlight the on-going injustices of our broken healthcare system and amplify the voices of those who are most impacted by it.
Our Podcasts shine a light on the failures of America’s healthcare system, while explaining how Medicare for All could help.
Our Media page offers connections to experts and additional resources including links to legislation and studies.
Keep up with the Medicare for All movement!
Follow us on Facebook, Twitter, and Instagram. Subscribe for email updates.