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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsHeart surgery in India for $1,583 costs $106,385 in US
http://bangordailynews.com/2013/07/29/health/heart-surgery-in-india-for-1583-costs-106385-in-us/print/Devi Shetty is obsessed with making heart surgery affordable for millions of Indians. On his office desk are photographs of two of his heroes: Mother Teresa and Mahatma Gandhi.
Shetty is not a public health official motivated by charity. Hes a heart surgeon turned businessman who has started a chain of 21 medical centers around India. By trimming costs with such measures as buying cheaper scrubs and spurning air-conditioning, he has cut the price of artery-clearing coronary bypass surgery to 95,000 rupees ($1,583), half of what it was 20 years ago, and wants to get the price down to $800 within a decade. The same procedure costs $106,385 at Ohios Cleveland Clinic, according to data from the U.S. Centers for Medicare & Medicaid Services.
It shows that costs can be substantially contained, said Srinath Reddy, president of the Geneva-based World Heart Federation, of Shettys approach. Its possible to deliver very high-quality cardiac care at a relatively low cost.
Medical experts like Reddy are watching closely, eager to see if Shettys driven cost-cutting can point the way for hospitals to boost revenue on a wider scale by making life- saving heart operations more accessible to potentially millions of people in India and other developing countries.
The current price of everything that you see in health care is predominantly opportunistic pricing and the outcome of inefficiency, Shetty, 60, said in an interview in his office in Bangalore.
JI7
(89,264 posts)cheaper scrubs is ok but is it cheaper because of lower quality that might end up costing more later on ?
eridani
(51,907 posts)JI7
(89,264 posts)it's a fixed cost that can easily be covered i think.
but you want employees to work in comfort. especially those dealing with the health of other people. plus i'm sure it would affect the health of patients.
but yeah, even paying 2000 would be ok with me to keep it.
joshcryer
(62,276 posts)In reality their method is not much different from what we have here, for, say, cataract surgery. They run cataract / lasix operations like a factory, dozens and dozens of people a day, once a week. Except they run their operation every day of the week.
Oh, and patient family members act as the nurses.
dipsydoodle
(42,239 posts)I can only give you a comparison from the past - early nineties my wife's first brain op followed by 6 weeks in the relative luxury of the private wing of one of our NHS hospitals with radiation treatment etc came to no more than about £10000 paid for by private insurance - that's here in the UK. Only reason it was done privately was that I just happened to be insured as as result of my job - could've been all NHS aside from the private ward.
Anyone UK reading this : there is a completely separate building at UCH , the Queen Mary wing , which is used solely for private patients.
joshcryer
(62,276 posts)I went to my moms cataract surgeries, I was basically lectured on what was to be done because she was going to be out of it and not remember her instructions. It was a little 5 minute spiel done so fast that I had no fucking clue what they wanted me to do (I had to read the paperwork afterward). I wasn't asked to sign anything but I looked at the paperwork and my mom had essentially signed "for me" saying that she was responsible if she didn't follow the instructions, which I was told she wouldn't remember. She didn't. The whole ride home she was catatonic and didn't remember any of it.
I was in the waiting room for 3 hours. They could've let me know during that time what I was to do, and even just left me with the instructions.
reformist2
(9,841 posts)We need a way to restore a balance to the pay workers get for doing all kinds of jobs, instead of letting the ones with un-outsource-able jobs reap a windfall, while we trash the outsource-able ones and tell those workers to "re-educate" themselves. Or are we seriously going to tell young people that being a doctor is worth $200,000 a year, while being an electrical engineer is only worth $20,000? That's insane.
Personally, I think basic wealth redistribution is the way to do it - tax the ones reaping the windfalls, and subsidize the unemployed whose jobs have been outsourced.