Jeanne Pinder: What if all US health care costs were transparent?
جين بايندر: ماذا لو تعاملنا بشفافية في كل ما يخص تكاليف الرعاية الصحية في الولايات المتحدة؟
Jeanne Pinder asks why it's so hard to make sense of US healthcare bills -- and suggests what we might do about it. Full bio
Double-click the English transcript below to play the video.
had three bits of minor surgery,
ثلاث عمليات جراحية بسيطة،
alone was 2,000 dollars;
كان سعره 2000 دولار،
كان سعره 6000 دولار.
I'm like, what's up with that?
وبدأت أفكر في سبب ذلك
for the expensive one,
for a generic anti-nausea drug
for two dollars and forty-nine cents.
مقابل دولارين وتسع وأربعون سنتًا.
argument with the hospital,
that this was totally fine.
I talked to people, the more I realized:
وكلما تحدثت مع الناس أكثر، كلما أدركت
عن تكلفة الأشياء في المنظومة الصحية.
what stuff costs in health care.
that procedure or test
أو حتى بعد العملية أو الاختبار
what it's going to cost.
an "explanation of benefits"
بعد عدة شهور
a little while later.
from the New York Times,
على جزء من أسهم ذا نيويورك تايمز
20 years as a journalist.
was to build a company
in health care.
في المنظومة الصحية.
pitch contest to do just that.
of our gross domestic product last year,
من إجمالي الناتج المحلي السنة الماضية،
as a cash payment for simple procedures.
مقابل إجراء عمليات بسيطة.
let us tell you that,"
that here in the New York area,
أنّه هنا في منطقة نيويورك،
for 200 dollars in Brooklyn
مقابل 200 دولار في بروكلين
just a few miles away.
على بعد أميال قليلة.
نفس تصوير الرنين المغنطسي،
for all the procedures
على جميع العمليات
to tell us their health bills.
عن فواتيرهم المتعلقة بالصحة.
WNYC here in New York,
دبليو إن واي سي هنا في نيويورك،
the prices of their mammograms.
that it was too personal.
كون الأمر شخصيًا للغاية.
for people to share their data
لمشاركة معلوماتهم
and the Waze traffic app for health care.
وتطبيق ويز ترافيك للرعاية الصحية.
guide to health costs.
الدليل المُجتمعي لتكاليف الرعاية الصحية
grew into partnerships
كان مبنيًا على الشراكة
Miami and other places.
وميامي ومناطق أخرى.
about people who were suffering
قصص الأشخاص الذين كانوا يعانون
to avoid that "gotcha" bill.
لتجنب الفواتير التي لا مفر منها.
nearly 4,000 dollars using our data.
قرابة 4000 دولار بناءً على قاعدة بيناتنا.
saved nearly 1,300 dollars
وفر قُرابة 1300 دولار
who are going to in-network hospitals
لشبكات المستشفيات
that continued to bill a dead man.
في جعل شخص ميت يدفع الفواتير.
wanted to tell us their prices.
إخبارنا بالأسعار التي يدفعونها.
بقيمة الفواتير،
them and their friends and families.
التي تضرهم هم وأصدقائهم وعائلاتهم.
to sell a car to pay a health bill,
لبيع سيارة لدفع فاتورة صحية،
but also their patients,
وتتضمن المرضى أيضًا،
that had been stalled
الذي كان متوقفًا
في لويزيانا لمدة 10 سنوات
public health crisis
التي نعيشها
going to help us out anytime soon.
في أي وقت قريب.
معروفة للعامة دائمًا.
Our health premiums?
أو علاوات الصحة؟
of the developed world,
to worry about money.
حيال المال.
will not solve every problem.
لن تحل جلّ المشاكل.
with overtreatment and overdiagnosis.
الزائدين عن الحد.
عن طريق التسّوق
the cheapest appendectomy
عملية استئصال للزائدة الدودية
about these clear effects,
that's actually very simple.
يمكن حلها ببساطة.
we were going to be arrested.
سيتم إلقاء القبض علينا.
to talk about medicine and health care
والأدوية يبدو تعديًا
جعلنا نشعر بالحرية،
out there in the system
في هذه المنظومة أيضًا
للحصول على الرعاية اللازمة
get the care they need
in health care in advance?
في الرعاية الصحية مُسبقًا؟
you Googled for an MRI,
التصوير بالرنين المغناطيسي على الإنترنت،
where to buy and for how much,
أين يمكنك إجراء التصوير وكم سيكلفك،
you Google for a laser printer?
عن طابعة ليزرية؟
and money that's spent hiding prices
الذي ننفقه في إخفاء الأسعار
the $19 test every time
مقابل 19 دولارًا كل مرة
you'll never know.
لن تعرف أبدًا.
and the system itself
والنظام نفسه
ABOUT THE SPEAKER
Jeanne Pinder - JournalistJeanne Pinder asks why it's so hard to make sense of US healthcare bills -- and suggests what we might do about it.
Why you should listen
Lifelong journalist Jeanne Pinder is founder and CEO of ClearHealthCosts, a digital media startup that demands price transparency from the US healthcare system. After taking a buyout from the New York Times, where she worked for more than 20 years, she won a Shark Tank-style competition with her ClearHealthCosts pitch and hasn't looked back.
Since its founding in 2011, ClearHealthCosts has won a slew of journalism grants and prizes and has reported on and crowdsourced health price data in partnership with prestigious newsrooms in New Orleans, Philadelphia, Miami, San Francisco, Los Angeles, New York and elsewhere. This work has won numerous journalism prizes -- a national Edward R. Murrow award, a Society for Professional Journalists public service gold medal and a spot as a finalist for a Peabody Award, among others.
Pinder and the company have won grants from the John S. and James L. Knight Foundation, the International Women's Media Foundation, the Tow Center for Digital Journalism at Columbia University, the Tow-Knight Center for Entrepreneurial Journalism at the CUNY Graduate School of Journalism and others.
Previously, in her native Iowa, Pinder worked at The Des Moines Register and the Grinnell Herald-Register, a twice-weekly newspaper that her grandfather bought in 1944.
Pinder speaks fluent but rusty Russian. In a previous lifetime, she lived in what was then the Soviet Union, a place almost as mysterious as the US healthcare marketplace.
Jeanne Pinder | Speaker | TED.com