5
Aug

Forbes
Open-Heart Surgery–90% off

1.A patient was in need of complicated heart surgery. His hospital said the cost would be $200,000 and wanted $100,000 up front. The patient’s son, a medical student, knew of the medical tourism industry and arranged for his father to have the operation overseas. The complicated surgery was a success. The cost: $6,700.

How is this possible? Excellent hospitals can be built overseas without the bureaucratic red tape found in the U.S., thereby saving construction time. Construction costs are lower, as are nursing, physician and administrative expenses.
http://members.forbes.com/forbes/2007/0813/021.html

$400 per day, per patient (room and board covers mortgage, util and ma)
$25 per day, per patient, per nurse (8 patients per nurse)
$200 per hour, per surgeon (5 hours avg heart surgery, 4 surgeons)
cardiovascular surgeon (1)
Surgeon - Heart Transplant” in the United States is $405,725.
assisting surgeons (2)
about half of the surgeon $200,000
cardiovascular anesthesiologist (1)
$250,000
perfusion technologist, who runs the heart-lung machine (1)
$105,000
cardiovascular nurses (2)
$65,000
$100 per hour testing (4 hours per day)
Common Blood Tests Before Surgery
* CBC: The Complete Blood Count
* Chem 7: The Blood Chemistry Panel
* Liver Function Panel (Liver Function Tests, LFTs)
* PT/PTT/INR (Coagulation Study)
* Arterial Blood Gas (ABG)
Non-Invasive Testing Before Surgery
* Magnetic Resonance Imagining (MRI)
* Computed Tomography (CT Scan, Cat Scan) and CT Scan Video
* X-ray and X-ray Video
* Ultrasound
Testing Your Heart Before Surgery
* Electrocardiogram (EKG)
* Cardiac Stress Test
* Angiogram
* Echocardiogram

Lease (Mercedes-Benz $54,650 $769 per month)
heart-lung machine
pharmaceutical
10% of health care.

5 days, avg hospital stay for heart surgery
3-5 open heart cases per week per surgeon

COST PER PATIENT
$2,000 room and board
$500 administration
$500 medical equipment lease costs
$2,000 tests
$750 nurse care (2 nurses per patient, 24 hour care)
$4,000 5 hours, 4 surgeons
$1,050 pharmaceutical

TOTAL $10,800
TOTAL PLUS 20% FOR UNINSURED $12,960 (20% of all care)
TOTAL PLUS 6.2% FOR UNINSURED $11,470 (31% of care is hospital)
PERCENTAGE OF UNINSURED & UNABLE TO PAY

INDUSTRY TOTALS FOR HEART SURGARY ALONE
Total open-heart procedures 694,000
US Population 304,059,724 - Jul 2008
Percent of surgeries less then 1% (2/10 of 1% .002)

$2,000 room and board (1.3 billion per year)
$500 administration (347 million per year)
$1,050 pharmaceutical (728 million per year)
$500 medical equipment lease costs (347 million per year)
$2,000 tests (1.3 billion per year)
$750 nurse care (520 million in nurse care per year)
$4,000 5 hours (2.7 billion in surgeon care per year)

The avg cost for a family health insurance policy over $10,000 per year
The avg cost for single payer health insurance policy over $4,900 per year.

Avg monthly cost per single payer over $390
Avg monthly cost for avg heart surgery payed over 3 years at 10% interest $348

LESS THEN 1% of individuals will need heart surgery

SOURCES
1.http://members.forbes.com/forbes/2007/0813/021.html
2.http://ezinearticles.com/?Heart-Surgery-Costs—Why-You-Should-Consider-India&id=102032
3.http://yourtotalhealth.ivillage.com/open-heart-surgery.html
4.http://www.usatoday.com/money/industries/health/2005-09-14-family-health-policy_x.htm
5.http://www.americanheart.org/presenter.jhtml?identifier=4674
6.http://news.opb.org/article/3527-er-visits-uninsured-increasing-number-and-cost/
7.http://www.cdc.gov/nchs/FASTATS/ervisits.htm
8.http://en.wikipedia.org/wiki/Health_care_in_the_United_States
9.http://www.heart-valve-surgery.com/heart-surgeon-salary.php
10.http://www.clarian.org/portal/Clarian/clarian-arnett?ContentID=/hospitals-locations/clarian-arnett/news-media/news-announcements/20090708_100th-open-heart-surgery.xml
11.http://www.texasheart.org/HIC/Topics/Proced/index.cfm
12.https://www.perfusion.com/cgi-bin/ProductCart/pc/viewPrd.asp?idproduct=37
13.http://www.apep.uci.edu/der/buildingintegration/2/BuildingTemplates/Hospital.aspx
14.http://surgery.about.com/gi/dynamic/offsite.htm?zi=1/XJ&sdn=surgery&cdn=health&tm=47&f=20&su=p284.9.336.ip_p736.8.336.ip_&tt=2&bt=1&bts=0&zu=http%3A//www.stanfordhospital.com/clinicsmedServices/COE/surgicalServices/generalSurgery/patientEducation/tests
15.http://www.nchc.org/facts/cost.shtml

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