{"id":8105,"date":"2020-05-21T08:05:26","date_gmt":"2020-05-21T14:05:26","guid":{"rendered":"https:\/\/www.zmetro.com\/?p=8105"},"modified":"2020-05-21T08:05:27","modified_gmt":"2020-05-21T14:05:27","slug":"the-amish-health-care-system","status":"publish","type":"post","link":"http:\/\/www.zmetro.com\/?p=8105","title":{"rendered":"The Amish Health Care System"},"content":{"rendered":"

Slate Star<\/a>:<\/p>\n

\n

How does this compare to the US as a whole? The <\/span>National Center For Health Statistics<\/a> <\/span>says that the average American spends $11,000 on health care. This suggests that the average American spends between five and ten times more on health care than the average Amish person.<\/p><\/blockquote>\n

\n

How do the Amish keep costs so low? R&D (plus a few other sources) identify some key strategies.<\/p><\/blockquote>\n

\n

First<\/u>, the Amish community bargains collectively with providers to keep prices low. This isn\u2019t unusual \u2013 your insurance company does the same \u2013 but it nets them better prices than you would get if you tried to pay out of pocket at your local hospital. <\/span>This article<\/a> <\/span>gives some examples of Amish getting sticker prices discounted from between 50% to 66% with this tactic alone; Medicare gets about the same.<\/p><\/blockquote>\n

\n

Second<\/u>, the Amish are honorable customers. This separates them from insurance companies, who are constantly trying to scam providers however they can. Much of the increase in health care costs is \u201cadministrative expenses\u201d, and much of these administrative expenses is hiring an army of lawyers, clerks, and billing professionals to thwart insurance companies\u2019 attempts to cheat their way out of paying. If you are an honorable Amish person and the hospital knows you will pay your bill on time with zero fuss, they can waive all this. <\/span><\/p><\/blockquote>\n

\n

But can this really be the reason Amish healthcare is cheaper? When insurance companies negotiate with providers, patients are on the side of the insurances; when insurance companies get good deals (eg a deal of zero dollars because the insurance has scammed the hospital), the patient\u2019s care is cheaper, and the insurance company can pass some of those savings down as lower prices. If occasionally scamming providers meant insurance companies had to pay more money total, then they would stop doing it. My impression is that the real losers here are uninsured patients; absent any pressure to do otherwise, hospitals will charge them the sticker price, which includes the dealing-with-insurance-scams fee. The Amish successfully pressure them to waive that fee, which gets them better prices than the average uninsured patient, but still doesn\u2019t land them ahead of insured people.<\/p><\/blockquote>\n

\n

Third<\/u>, Amish don\u2019t go to the doctor for little things. They either use <\/span>folk medicine<\/a> <\/span>or <\/span>chiropractors<\/a>. Some of the folk medicine <\/span>probably works<\/a>. The chiropractors probably don\u2019t, but they play a helpful role reassuring people and giving them the appropriate obvious advice while telling the really serious cases to seek outside care. With this help, Amish people mostly avoid primary care doctors. <\/span>Holmes County health statistics<\/a> <\/span>find that only 16% of Amish have seen a doctor in the past year, compared to 54% of English.<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"

Slate Star: How does this compare to the US as a whole? The National Center For Health Statistics says that the average American spends $11,000 on health care. This suggests that the average American spends between five and ten times more on health care than the average Amish person. How do the Amish keep costs so low? […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/8105"}],"collection":[{"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8105"}],"version-history":[{"count":1,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/8105\/revisions"}],"predecessor-version":[{"id":8106,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/8105\/revisions\/8106"}],"wp:attachment":[{"href":"http:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8105"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}