The other day, I woke up with a bad sprain on my lower back region. Many days later, the pain didn't seem to go away. So, I decide to visit a doctor and get an X-ray done.
But oops - Wrong Country to fall sick !!
Let me explain:
I went to this medical center in Aurora, Illinois armed with a doctor's prescription for an X-ray of the Spine. I casually asked the receptionist, 'what would be the approximate cost?'. He looked up some records, pulled out a piece of paper and wrote 3 digits. Man, maybe he was a psychic or something, my pain almost VANISHED when I saw those magical digits. No kidding. Here's what he wrote :
Lumbar X-ray: $ 973.00 (gulp)
See - no pain now :D :D
But seriously, WHAT THE @$#@# !!! It is JUST about thousand times more expensive than my country! [ yeah, I am quite sure you could get an X-ray done for 50 bucks in India - as we say in Kannada, 'Chillll-rayyy' , compared to this ]
There seems to be something terribly wrong with the healthcare system here. Now I see why there is such a big discussion on healthcare every election. So, the big question - WHY ?
My first thought was on health insurance. If you had had insurance coverage - you would pay around 10% of the total cost (which is still not a small amount), but nevertheless - somewhat 'believeable'. Here's a crazy idea - what if hospitals secretly tie-up with insurance giants to artifically inflate prices so as to get more 'real money' from the patient. That doesn't make sense - I read that there are tens of millions of Americans who don't have insurance at all. So, "$973" is probably the real price of an X-ray in the U.S.
Goodness - if I were owning an insurance company, I would be spending sleepless nights worrying about chapter 11 bankruptcy! Hmm..I suppose I can make up by charging super-high insurance premiums....But most Americans are covered for insurance by their employers, so is the final burden on them ?...
Anyway, I am drifting off. I still don't know why health care is so expensive ?
Some quick googling brings up high administrative costs, malpractice insurance,medical technology/equipment as the main culprits. But these are too generic for me. Somebody find me a good writeup discussing the root-cause of the problem please, dear reader?
P.S: Oh,in case you are still wondering about the pain I had(sweet!), seriously it's gone! and thank God for that!
Tuesday, September 30, 2008
Sunday, September 7, 2008
2 Bananas and Flushing Meadows
New York is such an 'International' City. When I travel in the subway - I see so many different KINDS of people - language, race, physical appearance - its amazing!
Everyone uses the subway and the subway is always crowded - the resemblance to Mumbai is uncanny. The similarity extends - New York is a dirty city :) [By U.S Standards] ; plastic bags lying unattended on the streets, cigarette butts thrown carelessly - the usual. Quite a generic correlation between population density and unkemptness!
Also, New Yorkers go about 'minding their own businesses'. Nobody has the time or inclination to greet you or exchange plesantries if they bump into you. Now, coming from India - you won't find this odd - that's how it is everywhere.
But Chicago,(or the rest-of-the-US I assume) is quite different. I remember going for a walk in the beautiful neighbourhood (called The Highlands) at my sister's place - everyone greets you with 'good morning!' 'how are you?' as if they have known you for years. You feel a little weird initially but get used to it soon :)
Okay - back to New York. My point about these cultural etiquettes goes deeper. The whole American Culture Theme can be described in two words - informal and friendly. If you are standing for shelter during rains, you might start off an witty conversation with the person next to you and you wouldn't even know!
Like I observed while waiting for the final decision regarding the Nadal - Murray match. Hurricane Hanna had spoiled Murray party - man, he was really on a roll!
We are going again to the Aurthur Ashe Stadium today to see the remainder of the match. I am going to shout "GO RAFA!!" yet again, but I suspect it is going to be more effective this time ;)
To give you an idea of the informality in American culture - as we were passing through the security checks at the stadium - a tall,burly officer said :"I am sorry,if you have 2 bananas - you may want to step aside please.."
I froze. Certain that I had misheard him, I assumed he was referring to two plastic bags (which I was carrying). Then he gives us this big smile and says : "Just kidding folks - Enjoy yourself! " LOL
Everyone uses the subway and the subway is always crowded - the resemblance to Mumbai is uncanny. The similarity extends - New York is a dirty city :) [By U.S Standards] ; plastic bags lying unattended on the streets, cigarette butts thrown carelessly - the usual. Quite a generic correlation between population density and unkemptness!
Also, New Yorkers go about 'minding their own businesses'. Nobody has the time or inclination to greet you or exchange plesantries if they bump into you. Now, coming from India - you won't find this odd - that's how it is everywhere.
But Chicago,(or the rest-of-the-US I assume) is quite different. I remember going for a walk in the beautiful neighbourhood (called The Highlands) at my sister's place - everyone greets you with 'good morning!' 'how are you?' as if they have known you for years. You feel a little weird initially but get used to it soon :)
Okay - back to New York. My point about these cultural etiquettes goes deeper. The whole American Culture Theme can be described in two words - informal and friendly. If you are standing for shelter during rains, you might start off an witty conversation with the person next to you and you wouldn't even know!
Like I observed while waiting for the final decision regarding the Nadal - Murray match. Hurricane Hanna had spoiled Murray party - man, he was really on a roll!
We are going again to the Aurthur Ashe Stadium today to see the remainder of the match. I am going to shout "GO RAFA!!" yet again, but I suspect it is going to be more effective this time ;)
To give you an idea of the informality in American culture - as we were passing through the security checks at the stadium - a tall,burly officer said :"I am sorry,if you have 2 bananas - you may want to step aside please.."
I froze. Certain that I had misheard him, I assumed he was referring to two plastic bags (which I was carrying). Then he gives us this big smile and says : "Just kidding folks - Enjoy yourself! " LOL