Jeanne Pinder: What if all US health care costs were transparent?
जीनी पिंडर: अगर अमरीका में स्वास्थ्य कल्याण की सब कीमतें पारदर्शी होतीं
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,
तीन छोटे-छोटे ऑपरेशन हुए थे,
alone was 2,000 dollars;
ही 2,000 डॉलर का था;
I'm like, what's up with that?
मुझे लगा कि यह हो क्या रहा है?
for the expensive one,
महंगे वाले के लिए,
for a generic anti-nausea drug
1,419 डॉलर लिए जा रहे थे
for two dollars and forty-nine cents.
और उनचास सेंट में खरीद सकती थी।
argument with the hospital,
और अपने नियोक्ता से
that this was totally fine.
I talked to people, the more I realized:
लोगों से बातें की, उतना मुझे एहसास हुआ
स्वास्थ्य कल्याण में खर्चे क्या हैं।
what stuff costs in health care.
that procedure or test
कि कितना पैसा खर्च होने वाला है
what it's going to cost.
और न उसके बाद।
an "explanation of benefits"
"फायदों की व्याख्या" मिलती है
a little while later.
from the New York Times,
शेयर खरीदना कबूल किया था,
20 years as a journalist.
20 साल से भी ज़्यादा तक काम किया था।
was to build a company
होने वाला था एक ऐसी कंपनी बनाना
in health care.
चीज़ों की लागतें बताएगी।
pitch contest to do just that.
"शार्क टैंक"-जैसी प्रतियोगिता जीती।
of our gross domestic product last year,
18 प्रतिशत तो स्वास्थ्य लागत में चला गया,
कि किस चीज़ की क्या कीमत है।
as a cash payment for simple procedures.
काम के लिए नकद कितने पैसे लेंगे।
let us tell you that,"
किसी को बताने से मना किया है,"
that here in the New York area,
कि यहाँ, न्यू यॉर्क में,
for 200 dollars in Brooklyn
इकोकार्डियोग्राम करवा सकते हैं
just a few miles away.
मैनहैटन में 2,150 डॉलर में करवा सकते हैं।
for all the procedures
और जिन शहरों का सर्वेक्षण किया
to tell us their health bills.
कि उनका स्वास्थ्य पर कितना खर्चा होता है।
WNYC here in New York,
के साथ मिलकर,
the prices of their mammograms.
की कीमतें पूछना शुरू कीं।
that it was too personal.
क्योंकि यह बहुत निजी बात है।
for people to share their data
लोगों के लिए अपना डेटा
and the Waze traffic app for health care.
और Waze ट्रैफ़िक एप का मिश्रण है।
guide to health costs.
समुदाय-निर्मित गाइड कहते हैं।
न्यू ऑर्लिन्स, फ़िलेडेल्फ़िया
grew into partnerships
Miami and other places.
का साझेदार बन गया।
about people who were suffering
बारे में कहानियाँ सुनाने में जो दुखी थे
to avoid that "gotcha" bill.
बच सकने के रास्ते बताने में।
nearly 4,000 dollars using our data.
का प्रयोग करके 4,000 डॉलर बचाए।
saved nearly 1,300 dollars
अपना बीमा कार्ड न दिखाकर
who are going to in-network hospitals
अंदर वाले अस्पतालों में जाते हैं
that continued to bill a dead man.
जो एक मृतक को बिल भेजे जा रहा था।
wanted to tell us their prices.
हमें अपनी कीमतें बताना चाहते थे।
them and their friends and families.
जो उन्हें, दोस्तों और परिवारों को थी।
to sell a car to pay a health bill,
बिल चुकाने के लिए कार बेचनी पड़ी,
but also their patients,
बल्कि उनके मरीज़ भी,
that had been stalled
उपभोक्ता संरक्षण बिल
public health crisis
बड़ा सार्वजनिक स्वास्थ्य संकट
going to help us out anytime soon.
किसी भी समय मदद करने वाली है।
Our health premiums?
हमारे स्वास्थ्य बीमे की किश्तें?
of the developed world,
to worry about money.
पैसों की चिंता नहीं करनी पड़ती।
will not solve every problem.
से कोई समस्या हल नहीं होगी।
with overtreatment and overdiagnosis.
भारी समस्याएं भी।
the cheapest appendectomy
about these clear effects,
की बात करते हैं,
that's actually very simple.
जो असल में बहुत साधारण सा है।
we were going to be arrested.
जैसे हमें गिरफ़्तार कर लिया जाएगा।
to talk about medicine and health care
out there in the system
get the care they need
in health care in advance?
कीमतों का पता होता, तो क्या होता?
you Googled for an MRI,
where to buy and for how much,
कहाँ से खरीदना है और कितने का,
you Google for a laser printer?
गूगल पर खोज करते हैं, तो क्या होता?
and money that's spent hiding prices
कीमतें छिपाने में लगाया जाता है
the $19 test every time
19 डॉलर का परीक्षण चुन सकता
you'll never know.
तो कभी जानेंगे भी नहीं।
and the system itself
बहुत से लोग और यह प्रणाली भी
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