CoVid19 : emergency case : two months treatment ,
18400 USD costs per day billhttps://translate.google.com/translate?hl=de&sl=auto&tl=en&u=https%3A%2F%2Fwww.n-tv.de%2Fpanorama%2FKrankenhaus-schickt-Millionenrechnung-article21844585.htmlAfter about two months of treatment for his severe Covid-19 disease, a clinic near Seattle presented a bill to a 70-year-old US citizen of over a million dollars. His heart "almost stopped for the second time" when he received the 181-page bill of $ 1,122,501.04 (around € 997,000), Michael Flor said on Saturday of the "Seattle Times".
MICROSOFT headquarter ?
https://www.aerzteblatt.de/archiv/43690/Krankenhaus-Management-Kompetenzzentren-sind-zukunftstraechtig#:~:text=Dr.,92%20Prozent%20der%20%C3%BCbrigen%20Patienten.A cost analysis at the university clinic and polyclinic for surgeons
of the Ludwig Maximilians University in Munich (responsible for DRG: Prof. Dr. med.Arend Billing) showed:
The costs of the intensive care unit per day are on average 1,050 euros, 11,500 euros per case. In intensive care units in hospitals of the maximum care level, eight percent of the patients consume as much resources (costs) as the 92 percent of the other patients.
https://www.springermedizin.de/kosten-der-intensivmedizinischen-versorgung-in-einem-deutschen-k/8003720The data from 407 patients (217 male and 190 female) were included in the analysis. Of the examined, 159 patients (100 male, 59 female) were ventilated temporarily or continuously. The Simplified Acute Physiology Score (SAPS) II value at the beginning of the stay in the intensive care unit (ITS) was 28.2 on average.
The average cost / ITS day was EUR 1265, for ITS days without mechanical ventilation EUR 1145 and EUR 1426 for ITS days with mechanical ventilation. Personnel costs (50%) are the largest cost factors before medical costs (18%) and infrastructure costs (16%).
1.050 for ITS - up to 1.426 EUR for ITS with mechanical ventilation per day Seattle bill : $ 9736
per day in the intensive care unit
+ $ 100,000 for his care as an acutely endangered patient.
ITS room ventilator : model Draeger costs per "high tech"-unit : 50.000 Euros
https://translate.google.com/translate?hl=de&sl=auto&tl=en&u=https%3A%2F%2Fwww.welt.de%2Fwirtschaft%2Farticle206603525%2FBeatmungsgeraete-Draeger-soll-10-000-Stueck-in-kuerzester-Zeit-bauen.html200 mio EUR listprice/10 000 units = 20 000 EUR listprice per ITS ventilator unit
Industry experts estimate the order to be up to 200 million euros. The devices are said to be sold to the federal government at list prices.
Dräger is the inventor of medical ventilation and, with its proprietary software, occupies an important position in these devices worldwide.
But the devices last ten years and longer, the exchange or the new acquisition usually does not affect an annual production in this dimension.
https://translate.google.com/translate?hl=de&sl=auto&tl=en&u=https%3A%2F%2Fwww.aerzteblatt.de%2Fblog%2F112179%2FBeatmungsgeraet-Marke-Eigenbau-fuer-COVID-19-fuer-67-EuroOkay,limited use for this low cost DIY-kit,but it shows that basic functions are easy and to low cost conditioning realizeable :
In practice, however, the device could only be used in patients with mild breathlessness. Most seriously ill COVID-19 patients require mechanical ventilation, in which the device takes over the breathing activity of the usually sedated, intubated patients. There is probably no hardware store solution for this situation.
But there are today,beside CoVid19 cases,many old people whose need breath help,so we see cheaper solutions,beside high margin(1000% and more) industrial ready-to-use offer !
50 000 EUR/20 000 EUR Draeger high tech ITS ventilator - 2500 EUR basic medical ventilator - 67 EUR DIY-kit
Without anymore utility model( 10 years validity)/technical patent(20 years validity) rights these 50 000/2500 EUR industrial machines are in minimum 80% cheaper to produce and offer !
80% less costs for the social health system ! By growing old people demography !
Seattle bill : $ 82,000 for the
29-day use of a ventilator
means : over 1 000 000 USD per year machine use payment
from patent archiv technical standart machine prices view : 100 times too high !
Comparing today conventional medical lease (calculating without quantity discount ! = up to 50%),warranty time ! :
Draeger model (calculating with 50 000 EUR) lease : 56250 USD /12 months ( 1 year amortization) = 4687,5 USD per month + lease fee
/ bill: 82 000 USD for 29 days use
2 years 2343,8 USD per month + lease fee
3 years 1562,5 USD per month + lease fee
10 years 468,8 USD per month + lease fee
with 20 000 EUR Draeger listprice costs and 10 years amortization 187,5 USD per month + lease fee / bill: 82 000 USD for 29 days use
Do we need .beside 24/365 policemen work observation, also 24/365 emergency room service observation camera and video recording ?
And medical care bills observation and controle,copying and archivation, associations ? This are all comercial service contracts !
Physiants and nurses are estatal or private "service sellers" ! And we ever "service buyers" ! With all rights and obligations,both sides !
With lawfull limitation periods over decades ! Service quality and operation legality related !
90% costs/prices decrease in the U.S.- health system is possible and a better expenses controlling
fast introduceable ! 181 pages bill to hide 2/3 not health related expenses ! System "Comfort" costs !
btw : Medicare-patient,in the U.S.A. we can assume actually 50 millions habitants without insurance protection !
https://translate.google.com/translate?hl=de&sl=auto&tl=en&u=https%3A%2F%2Fwww.bote.ch%2Fnachrichten%2Finternational%2Fmassen-verlieren-krankenversicherung-in-usa%3Bart46446%2C1240841 Change propably only after 2022 :
have the multimillions (then many millions homeless !?) US american disemployed people the patience/the goods for this economical wait period ?
https://translate.google.com/translate?hl=de&sl=auto&tl=en&u=https%3A%2F%2Fwww.n-tv.de%2Fwirtschaft%2FStaroekonom-Roubini-sagt-lange-Krise-voraus-article21845091.html Before CoVid19 ,4.th industrial Evolution : up to 1/2 or 50% worker -white and blue collar- overcapacity ,
during CoVid19: the empty cities and factories as future vision