Since you are on the board of a hospital maybe you can shed some light here... my father recently went into the hospital with acute abdominal pain. Turns out he had gallstones which in turn led to him developing pancreatitis.The treatment entailed removal of his gallbladder, very routine surgery... he was in recovery a little over an hour after they took him back to the OR... followed by 3 days of bedrest along with IV antibiotics and pain management... which was a shot of Demerol every 4-6 hours the first day and prn (as needed) the second and third day.So basically his entire treatment package, for lack of a better word, was an hour long operation, some antibiotics, somewhere around 10-15 shots of Demerol, and some blood tests when he first arrived in the ER. The bill for all of this was alittle north of $31K. How can a little more than $10 thousand a day be justified? What's even more mindblowing is that this bill doesn't include the doctors' fees. They were about $5K. If hospitals are losing money charging people $10K a day, they should hang it up.
I'm not on the board of a hospital, never worked in one or wanted to work in one. I know a lot of people who have and do. I don't really know where to start, but I will start with a question.
What is it worth to you to have your father alive and/or pain free? Apparently, less than $31,000.
So basically his entire treatment package, for lack of a better word, was an hour long operation, some antibiotics, somewhere around 10-15 shots of Demerol, and some blood tests when he first arrived in the ER
This statement may have reached depths of stupid that have only been plumbed by "single payer = free market". Ron Jeremy couldn't reach bottom on this level of stupid.
What you could have done is toted your father around to various healthcare providers and offered some amount, say $10k (or whatever he is worth to you), and asked them to take care of the problem for you. You probably wouldn't have gotten very good care for that price, but hey, you got a bargain.
Instead, you went to a hospital emergency room where there was a person who spent countless hours of their lives and who knows how much money to have the knowledge to properly diagnose your father and, possibly save your life. He/she was probably standing around doing nothing while waiting for you to get there, too. Now, either that person or another person who also spent time and dollars for a surgical specialty, happened to be around (also probably doing nothing) and that person has the knowledge and ability to cut open your father's body and solve the problem. He didn't do it alone. There was another person in the room that made sure your father was anesth...asleep..the whole time and didn't have to get cut open while wide awake. This person didn't only make sure that your father was asleep but also sat there to make sure that too much of the sleepy-time drug didn't kill him.
These weren't the only two people in the room, by the way. Nurses and assistants who also spent a lot of time and money getting that knowledge were in there, too. Probably, no less than 3 of those.
With all of this knowledge in the room, what is it worth to have some reasonable assurance that the OR, the equipment and surgical tools have been properly sterilized? $5, $10? Would you want your father's life in the hands of a group of people who sloppily washed their hands and/or cleaned the equipment? Or what about the assurance that there wouldn't be some allergic reaction to medication given before, during or after which might possibly had occured had they not taken the time to look at medical charts and/or blood tests? What about, from that point forward, the extra effort required to make sure all of that material stays private?
What about the recovery room? Lots of medical professionals there to make sure that your father didn't have severe reactions to medications due to unknown allergies, that he stays comfortable and is not in pain.
So, afterwards, you could have avoided a lot of these charges by taking your father home and caring for him yourself. Why didn't you do that? Surely, you are as equally capable as these people at the hospital? After all it was only "some antibiotics, somewhere around 10-15 shots of Demerol". Was there any, by chance, extra effort incurred to make sure he didn't try to get out of bed alone and hurt himself, someone have to give him a bedpan and clean it, make sure the needles for the shots were clean, the medicines not expired, the IV's clean and sterile...any of that? Were there dozens of people within a button's push 24/7 in case he needed anything, up to and including more surgery if something went terribly wrong?
What about the cost to insure against paying Vis when you hire him to sue them and pay their own attorneys, despite all of the effort above to avoid it, something had gone wrong?