No brainer, absolutely worth it.
Even making good money in Silicon Valley I'm perpetually afraid of medical bankruptcy if something were to happen. And the cost of education here takes another 15% off my salary for schools far lower quality than in Finland.
First, every dollar you pay does not count towards the insurance company tally of "out of pocket". Often it is a tiny fraction. I've personally had years where my true out of pocket was in the several thousands but according to the insurance company my "out of pocket" was less than $100. With that kind of multiplier you can see one can easily spend many tens of thousands before reaching the nominal limit according to insurance company. How do they do this? Because they can and there's nothing to stop them.
Also, insurance plans have caps on what they'll pay. End up in the hospital for months and exceed the limits and it's all out of pocket, which can be in the millions.
Also, these don't include things like prescriptions. A friend (working at a FAANG in SV) spends about $50K/year out of pocket on medicines for chronic conditions.
Medical underwriting is permitted for Traditional Medicare Part B supplemental/Medigap plans, so pre-existing condition clauses apply, even with the Affordable Care Act.
In other words: once you go on a Medicare Advantage Plan (an HMO) you can never truly go back to traditional Medicare.
If you have cancer or a rare disease (it's not uncommon to have a rare disease--about 7% of the general population collectively has some sort of rare disease) you likely cannot risk being on an HMO if you want to stay alive.
I have 2 rare immune-mediated neurological diseases affecting my peripheral nervous system, and I have traditional Medicare. I require a blood product, called subcutaneous immunoglobulin (administered in that form--it is the only medication that has ever worked for me and has put me in pharmaceutical remission).
If I come back to the United States, I can expect to pay $50,000+/year for my healthcare (mostly due to the subcutaneous immunoglobulin) due to something called the Medicare Part D catastrophic coverage level.
A lot of people, and I mean a lot, get screwed due to the part D catastrophic coverage level. Actually, because of this "program" I never plan on living/working in the US ever again, unless things drastically change.
The parent is fearmongering for some reason. The real scenario is a 2-3 year illness that takes you out of work so long that your lose your employer sponsored plan, have to hoof it with whatever ACA plan you can find, and not have income in the interim.
In the US, they have this concept of a "pre-existing condition", and depending on your situation, a health insurance might cover it, or not, as far as I understand.
Even making good money in SV, you can still end up with a medical bankruptcy (or your family, for that matter).
Just like I won't expound on German healthcare policy, maybe you should reserve judgement on US healthcare policy until you actually know what you're talking about.
https://bankruptcy-canada.com/bankruptcy/causes-of-bankruptc...
I was in the same shoes as you and had zero concerns about it (yes I realized that a very lucky position to be in). Even if I had something horrible happen my max out of pocket was like $4k for the year with no limit to coverage.
If I lost my job, had zero income and no insurance I’d qualify for Medi-cal.
Let me get this straight - you are covered by medical insurance (assuming on "making good money"), and you're "perpetually afraid" that you will be forced in to bankruptcy after being treated for life threatening condition ? Not the fact that you'll first need to have a life threatening condition that requires a huge amount of money to treat, which you will need to overcome to get to the bankruptcy part, but the fact that you'll need to go through bankruptcy afterwards ?
I mean there are ways to hedge against that scenario if you have the money and are really afraid of it - maybe start treating family better and share your money so you have a support network to fall back to if you get in to such situations, or work on building it - going through those scenarios alone is going to suck without it - ignoring social safety net and economic factors.
You people make it seem like bankruptcy is worse than death.
1. Coverage by medical insurance, in the US, does not generally translate to 100% coverage. For a variety of reasons, including coinsurance, copays, out-of-network coverage (especially common if there's some sort of emergency), in-network coverage beyond what's covered (e.g., the doctor says "this is medically necessary" and some bureaucrat at the insurance company says "I disagree"), and so forth, you can have a medical insurance plan and still be on the hook for large amounts of money.
(I don't think you implied this, but just to clarify, "making good money" is typically not strongly correlated with having good insurance. Because of how byzantine medical insurance is, it's hard for a potential employee to figure out what their offered benefits will actually cover, so it's generally not a factor in negotiations at all, unlike actual salary, and in turn higher-paying employers don't have a particularly strong reason to offer better insurance plans.)
2. You can have a "life-threatening condition" that is easily manageable via modern medicine. Take diabetes, for instance - life-threatening if unmanaged, but very well-understood in how to manage it. I have a friend with a chronic condition that requires taking an (expensive, only partially covered by high-tech-employee insurance plans) injection once a month. As long as they take that injection they're fine; their body becomes effectively unusable without it. I know multiple people who have beaten cancer; I don't think any of them would say that the actual process of beating it was easy (or cheap). The whole reason you care about medical care is so that "life-threatening conditions" stop being life-threatening.
Also, we have this pandemic going around which absolutely can be life-threatening, but even among the people who get very sick with it, many of them come out of it fine provided they have immediate high-quality medical care.
3. Beyond the assumption that the person you're replying to is treating family poorly... the amounts of money in question are generally larger than can even be pooled across many family members and large support networks, even if they all have substantial savings on their own. And even if technically I can manage to pay off a medical bill by exhausting my life savings and those of my extended family, what happens when someone else in the family gets sick?
I don't understand how those amounts can be larger than you can pool from a support network if you have insurance. Even if you lose your job/insurance your spouse can cover you ?
