Healthcare in US

[r2somewhere]

US has the best healthcare if you are worth more than USD 15-20 million.

[JINSAKAI]

US has the best healthcare if you are worth more than USD 15-20 million.

Means only NVDA employees

[SAPPORO]

US has the best healthcare if you are worth more than USD 15-20 million.

Means only NVDA employees

Top 1% is in the $15M range. What happens to the rest of the 99% of Americans - do they just die on the streets next to the hospitals waiting for a specialist appointment?!

[JINSAKAI]

US has the best healthcare if you are worth more than USD 15-20 million.

Means only NVDA employees

Top 1% is in the $15M range. What happens to the rest of the 99% of Americans - do they just die on the streets next to the hospitals waiting for a specialist appointment?!

Now I am kind of relieved that I won’t be alone on streets, 99% may join me

[SAPPORO]

Means only NVDA employees

Top 1% is in the $15M range. What happens to the rest of the 99% of Americans - do they just die on the streets next to the hospitals waiting for a specialist appointment?!

Now I am kind of relieved that I won’t be alone on streets, 99% may join me

Or you can get to 1% by enrolling in TruMusk scheme by investing $1M in TSLA stock now and they pretty much guarantee it to become $15M by the time Trump is in NY for his porn-pay sentencing in 2029

[Returning_Indian]

Wal-Mart greeter is quite a cliche - there are 67 million Medicare beneficiaries currently!
All valid points but nothing immigration and medical innovation probably aided by AI can't fix! Wonder how many Indians would apply and pray to be picked up in the lottery, if the H1C visa limit is increased from 500 to 50,000 for nurses/ doctors. For some reason the system has become EB3-GC for nurses rather than temporary visas.
When that happens, Malayalam would replace Telugu as the fastest growing language in the US It would be a big loss for the middle east which some would perceive as an added benefit.

Immigration of nurses is not a solution to reduce costs. Delhi hospitals used to be filled with nurses from south. Not anymore. As healthcare facilities in south picked up and pay increased, they chose to stay closer to home vs migrating far away. Nurses from middle east did not go enmasse to UK or Europe even though immigration is much easier and high level of shortage. Nursing shortage is already well documented since last 20yrs even within USCIS (For green card nurses do not even need to do perm) but still congress never created a visa category for them. H1C is only for certain rural areas and has not increased/expanded even when patient safety is being compromised in hospitals. Need is there for last 20yrs but Congress cannot be relied on allowing immigration as they did not make any special provision even during wuhan virus pandemic. Racism is always at play as they would be allowing too many colored people into the country. And then there are natives who do not want too many foreign nurses as they supress wages.

Doctors from developing countries will soon be a thing of past. They are already being compensated handsomely in their own countries. Unless ofcourse wages and lifestyle is like middle east. Then that doesn't help with costs.

I have absolutely no idea on how AI will impact as most use cases developed are pre-mature and childish so far. But overall technology has only increased in last 30yrs and so has the cost of delivering healthcare. I have my doubts that AI will actually save any money. It may, at best, go to tech companies instead of healthcare professionals. But for end consumers cost or rate of increase is not going down.

So immigration and AI may not help with any of the proposed impact on reducing the cost on Medicare system.

[SAPPORO]

Wal-Mart greeter is quite a cliche - there are 67 million Medicare beneficiaries currently!
All valid points but nothing immigration and medical innovation probably aided by AI can't fix! Wonder how many Indians would apply and pray to be picked up in the lottery, if the H1C visa limit is increased from 500 to 50,000 for nurses/ doctors. For some reason the system has become EB3-GC for nurses rather than temporary visas.
When that happens, Malayalam would replace Telugu as the fastest growing language in the US It would be a big loss for the middle east which some would perceive as an added benefit.

Immigration of nurses is not a solution to reduce costs. Delhi hospitals used to be filled with nurses from south. Not anymore. As healthcare facilities in south picked up and pay increased, they chose to stay closer to home vs migrating far away. Nurses from middle east did not go enmasse to UK or Europe even though immigration is much easier and high level of shortage. Nursing shortage is already well documented since last 20yrs even within USCIS (For green card nurses do not even need to do perm) but still congress never created a visa category for them. H1C is only for certain rural areas and has not increased/expanded even when patient safety is being compromised in hospitals. Need is there for last 20yrs but Congress cannot be relied on allowing immigration as they did not make any special provision even during wuhan virus pandemic. Racism is always at play as they would be allowing too many colored people into the country. And then there are natives who do not want too many foreign nurses as they supress wages.

Doctors from developing countries will soon be a thing of past. They are already being compensated handsomely in their own countries. Unless ofcourse wages and lifestyle is like middle east. Then that doesn't help with costs.

I have absolutely no idea on how AI will impact as most use cases developed are pre-mature and childish so far. But overall technology has only increased in last 30yrs and so has the cost of delivering healthcare. I have my doubts that AI will actually save any money. It may, at best, go to tech companies instead of healthcare professionals. But for end consumers cost or rate of increase is not going down.

So immigration and AI may not help with any of the proposed impact on reducing the cost on Medicare system.

Gross underestimation of American innovation & ingenuity. Hope the ingenuity shines bright as ever for India's and rest of the world's sake since more than half of all medical inventions, innovations and drugs originate in the US. India is where US was 30 years ago in terms of lower percentage old people, higher birth rate and less influence of insurance industry on healthcare and so they would badly need these innovations sooner than later.

[Returning_Indian]

Gross underestimation of American innovation & ingenuity. Hope the ingenuity shines bright as ever for India's and rest of the world's sake since more than half of all medical inventions, innovations and drugs originate in the US. India is where US was 30 years ago in terms of lower percentage old people, higher birth rate and less influence of insurance industry on healthcare and so they would badly need these innovations sooner than later.

don't know what you mean and how medical innovation is related to lowering costs. If anything it will increase burden on Medicare as people will live longer and use expensive new tech/drugs/healthcare resources. That's what happened in last 30yrs.

India does thing cheaply as it pretty much copies the innovation. Don't think anything is changing in next 20-40yrs in India in that regards.

[SAPPORO]

Gross underestimation of American innovation & ingenuity. Hope the ingenuity shines bright as ever for India's and rest of the world's sake since more than half of all medical inventions, innovations and drugs originate in the US. India is where US was 30 years ago in terms of lower percentage old people, higher birth rate and less influence of insurance industry on healthcare and so they would badly need these innovations sooner than later.

don't know what you mean and how medical innovation is related to lowering costs. If anything it will increase burden on Medicare as people will live longer and use expensive new tech/drugs/healthcare resources. That's what happened in last 30yrs.

India does thing cheaply as it pretty much copies the innovation. Don't think anything is changing in next 20-40yrs in India in that regards.

Disclaimer: In my mind, healthcare is about longer life and does not involve letting people die off early!
Innovations are already happening every day to reduce costs. Early detection, non-invasive remote procedures, robotic surgery to name a few. I did not have to go to a hospital to get my colonoscopy and did not have to go thru the painful procedure, but it was done using a stool sample collected at home. Similarly, capsule endoscopy is non-invasive and possibly performed remotely by someone sitting in India, perhaps. Surgeries are going to performed more precisely by robots using AI with all the big data collected on each and every split-second movement currently made by surgeons and analyzing the outcomes.

Coming to India, in a few decades, India would also become a land of the old, entrenched insurance and expensive labor increasing the healthcare costs. To reduce costs, they would need the American innovation in the first place to be able to copy it. Not sure about how long they can violate patent laws blatantly though.

[old-spice2]

Gross underestimation of American innovation & ingenuity. Hope the ingenuity shines bright as ever for India's and rest of the world's sake since more than half of all medical inventions, innovations and drugs originate in the US. India is where US was 30 years ago in terms of lower percentage old people, higher birth rate and less influence of insurance industry on healthcare and so they would badly need these innovations sooner than later.

Actshually that is a good thing. Let America innovate/invent, Indian medical/pharma industry will copy and provide the same service for $100 vs $10K in US - similar to McGraw Hill Low Cost edition text books in engineering that is sold for 15% the cost of US in Nai Sarak market.

My kid is already asking me to take Netflix family subscription in India for fraction of the cost in US and share the password with her. Americans invent Java, Python and latest in tech. Within a month you will find computer institutes in Bareilly and Meerut advertising courses in AI/ML/ Data Science and then export those techies on H1B whereas ABD kids will be spending $200K to acquire the same knowledge here.