Tag Archives: transparent

Some bad things about American healthcare and how I’d like this industry to be disrupted

There is one thing about the US that drives me nuts – healthcare costs and bills. I dream there will be a company one day (I’m sure some already exist) that will turn healthcare market more transparent and make people more informed so that they can navigate this market easier and shop around for a better deal. I would also love to understand medicals bills, at least what exactly I’m paying for. And in general it would be great to be able for myself to keep track of my medical history at any given time no matter who is my doctor is at this particular time.

When my Russian friends ask me why I’m not happy with American healthcare and why I always try to get some healthcare procedures done in Russia whenever I go there, while the rest of the world dreams to have treatment in the US, I tell them scary stories about healthcare costs for ordinary people like us. Before my husband decided to get us healthcare insurance through his own company, where he is CEO (which cost the company a huge amount of money) we weren’t eligible for any government subsidized healthcare program, so we needed to buy health insurance out of pocket. We paid around $500 monthly just for the very fact that we had insurance, this sum didn’t include any services, and we needed to pay around $3000 deductible for healthcare services per year per person to even start receiving benefits.

When after giving birth to my daughter I started getting medical bills, I spent many many hours desperately trying to figure out what services exactly I was supposed to pay for. On the bills that I received I couldn’t find any detailed information about procedures performed except medical codes that only medical coding specialists can understand (not even doctors) and generic formulations like “laboratory” or “other diagnostic services”. I still don’t know what exact services were included in my bill. People who have great heath insurance benefits are almost completely covered and don’t care about the specifics of billing, but what about people who pay for everything out of pocket?

Also when you are recommended a certain medical procedure with a specific provider, there is no way to know its costs in advance. That’s exactly what a medical journalist Dr. Elisabeth Rosenthal talks about in her book “An American Sickness”. People aren’t really given any opportunity to make an informed choice. So the first idea I would like to bring up (potentially business idea) is to make healthcare market more transparent.

Another idea I like is making a platform that would allow to store all personal healthcare history in a comprehensive manner and in chronological order. I dealt a lot of dental work recently. I much of this work was done by different dentists. I think my current doctors and myself would benefit tremendously from knowing when and what procedure was done, by whom and how my teeth looked like at the time of the procedure. The X-rays would show that. I realize this kind of project would be very hard to implement due to privacy policies. At every medical office we sign an agreement form that our doctor won’t disclose our private information to anyone. But I think I would benefit from having a complete history of my teeth health here and now with no need to keep an evernote blog where I write down summaries of each consultation and procedure I got and post X-rays.