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0 pointssimplyinfinity2y ago0 comments

If no one can afford it, does it matter if it can cure everything? On an individual scale it matters. On a massive scale like a country, more affordable but less good is overall better for the whole country,but not for the individual.

As an example, in the US you pay thousands for an ambulance call, get to hospital, pay hundreds of thousands, insurance (for which you pay thousands more per year) covers most of it, except they're trying to cheat you out of as much as possible so they pay less, and in the end, all amerikans are one incident away from bankruptcy.

In most if not all of Europe, you pay health taxes, but not in the upper thousands, get good doctors, and don't end up bankrupt for breaking your arm or hip. And the ambulance is free (as in your taxes pay for it).

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jimmygrapes2y ago

As an American living with and around other Americans, none of whom make more than 40K a year (myself included) but also make too much to qualify for low income coverage through combinations of community, city, county, state, and federal coverage (all of which exist and can overlap or stack depending on the specifics)... none of us have paid out of pocket for healthcare except when services are performed by explicitly private entities for services not considered necessary to preserve life, limb, eyesight, mental health, or communicable disease. Dental health appears to be the only exception.

Every other service is "nice to have" rather than "need to have" and I would certainly argue that many of those "nice to have" services ultimately will prevent the need for "need to have" services, so there is definitely room for improvement in my opinion. However, this trope of "Americans have to sell their home to afford an ambulance rode" and other snark needs to be tempered with the reality that those situations are almost entirely because of people intentionally opting out of (or being ignorant of) the existing systems to prevent such financial burden.

I'm sure many will have anecdotes to the contrary. I'm also sure many of those anecdotes will stem from someone either being unaware of available resources or choosing not to use them for one reason or another.

I also know plenty people who believe they will have to pay for things and therefore they don't get help. They don't pay for services bevause they don't get them, and they don't get services because they think they will have to pay for them out of pocket. That mentality comes (in part) from people who keep spouting the same myth that you posted. Please don't spread that rumor, it kills people.

hospitalJail2y ago

FYI most Americans do not pay (full price) for health insurance. Most people are on Government healthcare.

For instance, our clinic has patients in poverty that pay 0$ per visit and 5$ per month for health insurance for... 11 people in their family. They get far better service than a private person who is cost conscious and paying $125 for a visit. Typically the former will use all 16 visits, the later tries to get out in about 4 visits.