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Adam Ruins Everything - The Real Reason Hospitals Are So Expensive | truTV - YouTube
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[2]
What could be
the downside?
[3]
Oh, there are a ton.
[5]
For starters, how 'bout
the fact that this place
[7]
rips off folks
like you every day.
[10]
Whatever.
[11]
I know the hospital
is expensive,
[12]
but it is worth it
if I get the best treatment.
[14]
No, it isn't.
[16]
American health care
is not the best in the world.
[18]
But despite that, we spend more
per person annually
[21]
on health care than any
other developed nation.
[24]
And a big part
of the reason for that
[25]
is that American hospitals
overcharge patients massively.
[29]
(music playing,
cheering and applause)
[30]
This neck brace
is worth $20.
[32]
But the hospital
charged him... $154.
[36]
This I.V. bag cost
less than a buck.
[39]
But she was
charged $137.
[43]
These are real prices, folks.
[45]
Hold up.
[46]
Wildly inflated
[46]
health care costs?
[48]
This sounds like the work
[48]
of politicians to me.
[51]
Was it Obamacare?
[53]
Trump Aid,
McConnell Med?
[54]
What did you do?!
[56]
I'm not a politician.
[57]
I'm just a boring
white guy.
[60]
Why does this
keep happening?
[61]
Sorry, Rachel,
but this time,
[63]
it's not
the politicians' fault.
[65]
The problem starts
with something called
[67]
the "Chargemaster."
[69]
The Chargemaster is a secret
document full of insane prices
[73]
that hospitals use to charge
us whatever they want.
[77]
Let's go on a trip through
the history of medical billing.
[80]
Well, I'd rather not.
[86]
(Adam)
A hundred years ago, hospital
[86]
pricing was pretty simple.
[88]
We take the cost
of providing care
[90]
and add a little on top
to make a profit.
[92]
One amputation
costs us five bucks.
[94]
So we'll charge you 6.50.
[97]
But after the rise
of insurance companies,
[99]
hospital billing got
complicated, in part because
[101]
these gigantic corporations
demanded gigantic discounts.
[106]
We send you thousands
of patients every day.
[110]
So, we want... half off
all your prices.
[112]
We can't afford that.
[113]
So, to please these powerful
insurance companies,
[116]
hospitals cooked up a plan.
[118]
I've got it.
[119]
We'll make up a really,
high fake price,
[121]
and then give you
a discount off that.
[123]
Hey, as long as I get to tell
my boss we got it cheaper.
[126]
(laughter)
[131]
(laughter)
[133]
(Adam)
And in less than a century,
[134]
health care prices went from
reasonable to nonsensical.
[138]
Let's make one Tylenol $37.
[141]
Three stitches, $2200.
[143]
Ooh, here's a pitch.
[145]
What if we made
[145]
rectal exams 69--
[147]
Nah, that's too silly
even for me.
[150]
鈾櫔
[154]
These crazily
inflated prices
[157]
are kept in the hospital's
[157]
Chargemaster.
[160]
(coughs)
[162]
It's actually a computer file.
But the book is more dramatic.
[165]
$7 for a single alcohol swab?
That's ridiculous.
[168]
And true.
[170]
Well, I only
pay my premium.
[172]
If they wanna rip off my
insurance company with their
fake prices, what do I care?
[175]
If you ever lose insurance,
you'll care.
[177]
Because here's
the really evil part.
[179]
If you don't
have insurance,
[181]
you actually get charged
these fake prices.
[184]
(studio audience
cheering and applauding)
[185]
Let's see,
heart X-rays.
[188]
That'll be $33,000.
[190]
I can't afford that.
[191]
No problem, we'll just
garnish your wages.
[193]
Oh, bogus.
[196]
Wait, they actually
charge people without insurance
[198]
fake prices?
[199]
Yeah.
[199]
That is terrible.
[202]
Well, thankfully,
I have insurance,
[204]
so the Chargemaster
doesn't affect me.
[206]
Unfortunately,
it does.
[208]
Even if you're insured,
you can get billed
[210]
Chargemaster prices
if you go out-of-network.
[212]
And anything can be
[212]
out-of-network.
[214]
The hospital you go to,
the equipment used to treat you.
[216]
Even the doctors you see.
[217]
Arrow specialist.
[219]
Out-of-network,
I am very expensive.
[221]
Hospitals make
a ton of money
[223]
overcharging
[223]
out-of-network patients.
[225]
It's a real cash cow
and we all get milked.
[228]
(cow mooing)
[228]
Worse, every hospital
has its own Chargemaster.
[232]
A treatment that costs
7,000 at one hospital
[234]
could cost a hundred grand
down the road.
[236]
And you can't comparison shop
[236]
when you're dying.
[239]
Which hospital
do you want?
[240]
Money Bags Medical
[241]
or St. Vincent's
Discount Sick House?
[244]
Money Bags it is.
[246]
Plus, since your insurance
company faces inflated costs,
[250]
That can trickle down to you in
the form of... higher premiums.
[253]
Oh, surprisingly painless.
[255]
Wait till
you get the bill.
[255]
(cow mooing)
[257]
How do they
get away with this?
[259]
Simple, the health care industry
spends more on lobbying
[262]
than the oil and defense
[262]
industries combined.
[265]
(cash register rings)
[267]
(men babbling)
[269]
Thanks, Doc.
[271]
I'll take care
of you real nice.
[272]
Say, does this
cyst look normal?
[275]
Oh, God.
[277]
So, how can I stop it?
[278]
What do I do?
[279]
Honestly, nothing.
[281]
We need to go
to the hospital,
[283]
so they have no incentive
to change how they do business.
[285]
And politicians have spent
decades arguing
[287]
over how to pay the bill
[289]
instead of asking why
the bill is so high?
[292]
Until they do, we're
stuck with this system.
[295]
God, what if I get fired
and lose my insurance?
[298]
I would be ruined!
[301]
I feel so anxious.
[302]
(woman over PA)
[302]
Rachel, the doctor
will see you now.
[304]
Down the hall
[304]
and to your left.
[306]
Well, then,
if I'm gonna get ripped off,
[308]
I might as well score
some antibiotics.
[310]
I wanna be done
with this cold,
[312]
and those miracle drugs are
worth whatever they cost.
[314]
Even if it means the end
of modern medicine?
[317]
You are the worst person
I have ever met,
[319]
and I work in finance.
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