Jeanne Pinder: What if all US health care costs were transparent?
Jeanne Pinder: E se os custos dos planos de saúde nos Estados Unidos fossem transparentes?
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,
que fazer três pequenas cirurgias,
alone was 2,000 dollars;
I'm like, what's up with that?
"O que é isso?"
for the expensive one,
a conta mais cara,
for a generic anti-nausea drug
medicamento genérico contra náuseas
for two dollars and forty-nine cents.
on-line por US$ 2,49.
argument with the hospital,
discussão com o hospital,
that this was totally fine.
com as pessoas, mais me dava conta
I talked to people, the more I realized:
dos custos envolvidos na saúde.
what stuff costs in health care.
that procedure or test
um procedimento ou exame
what it's going to cost.
quanto tudo custou.
an "explanation of benefits"
uma "explicação dos benefícios",
a little while later.
essa situação retornou a mim.
from the New York Times,
do "The New York Times",
20 years as a journalist.
was to build a company
foi criar uma empresa
in health care.
dentro dos planos de saúde.
pitch contest to do just that.
para fazer exatamente isso.
of our gross domestic product last year,
quase 18% do nosso PIB ano passado,
as a cash payment for simple procedures.
para alguns procedimentos simples.
let us tell you that,"
que revelemos isso",
muitas informações.
that here in the New York area,
que aqui em Nova Iorque,
for 200 dollars in Brooklyn
por apenas US$ 200 no Brooklyn
just a few miles away.
em clínicas bem perto uma da outra.
um simples exame de sangue,
ressonância magnética por US$ 475
for all the procedures
em todos os procedimentos
to tell us their health bills.
que revelassem suas contas médicas.
WNYC here in New York,
aqui em Nova Iorque,
the prices of their mammograms.
sobre os preços de uma mamografia.
that it was too personal.
que o assunto é muito pessoal.
os preços que pagaram.
for people to share their data
o compartilhamento de dados
de busca de passagens aéreas
and the Waze traffic app for health care.
guide to health costs.
comunitário de custos de saúde.
grew into partnerships
cresceu e nos juntamos
Miami and other places.
Miami e muitos outros lugares.
about people who were suffering
sobre pessoas que estavam sofrendo
to avoid that "gotcha" bill.
na surpresa de uma conta alta.
nearly 4,000 dollars using our data.
quase US$ 4 mil com nossos dados.
saved nearly 1,300 dollars
economizou em torno de US$ 1,3 mil
e pagando em dinheiro.
who are going to in-network hospitals
que pagam por um plano de saúde
um indivíduo que já estava morto.
that continued to bill a dead man.
queriam nos contar os preços que pagam.
wanted to tell us their prices.
saber como refutar uma conta a pagar,
este problema que afeta a elas
them and their friends and families.
to sell a car to pay a health bill,
um carro para pagar uma conta,
por um diagnóstico
sobre estes custos,
but also their patients,
e claro, os pacientes deles,
that had been stalled
que estava parada
foi aprovada após nosso lançamento.
public health crisis
going to help us out anytime soon.
irá nos ajudar tão cedo.
e o tempo todo!
Our health premiums?
Nossos custos de saúde?
of the developed world,
to worry about money.
se preocupar com dinheiro.
will not solve every problem.
de preço não resolverá todos os problemas.
with overtreatment and overdiagnosis.
de tratamentos e diagnósticos.
the cheapest appendectomy
a apendicectomia mais barata
about these clear effects,
that's actually very simple.
que na verdade é muito simples.
sentimos como se pudéssemos ser presos.
we were going to be arrested.
to talk about medicine and health care
medicina e planos de saúde ao mesmo tempo.
out there in the system
e honestas no sistema
get the care they need
a terem o que precisam,
algumas perguntas.
in health care in advance?
de um tratamento antes de passar por ele?
you Googled for an MRI,
por uma ressonância magnética,
where to buy and for how much,
e por qual preço,
you Google for a laser printer?
pelo preço de uma impressora?
and money that's spent hiding prices
em esconder os preços da saúde
the $19 test every time
US$ 19 toda vez ao invés de US$ 522?
you'll never know.
nunca saberemos.
and the system itself
assim como o próprio sistema,
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