The High Cost of Technology

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Ezra Klein quotes Kaiser Permanente CEO George Halvorson on the cost of healthcare:

The point is that CT scans in this country cost a multiple of what everyone else pays. It costs a few hundred dollars in Europe and over $15,000 here. You can’t find a place in Europe than costs $15,000. You can’t find a place here that costs less than $15,000. Anyone who is looking at the cost of care and is not looking at the unit cost of care is missing the point. … To have a health care debate in this country that isn’t aware of the price differential is not an informed debate.

Hmmm.  This doesn’t sound quite right.  CT scan prices vary depending on the procedure, but in general they seem to range from around one thousand to a few thousand dollars.  $15,000 seems like a stretch.

Still, CT scans and MRIs do cost a lot more here than overseas — upwards of 5x as much in some cases.  Why is this?  I sort of understand why doctors are paid more here and why prescription drugs cost more.  But a CT machine is a CT machine.  Siemens sells them for the same price in the U.S. as in Europe, don’t they?  So what accounts for the fantastic cost difference?  And why don’t insurance companies bargain the price down?  This really does seem to be a little more mysterious than high physician salaries and high drug costs.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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