Tired of seeing all this BS on the news. Can some people actually inform me on it? Is it really as bad as they say? I want to hear your opinions. Thanks everyone :)
- Facebook public2If you are rich it is the best in the world, else it's unaffordable and or non existant. One political party wants to add insurance for all, the other wants to remove it. That's basically it.
- KLA-Tencor Ajdp17Until couple of centuries ago, the physical attributes dominated the definition of "fittest" but it is now the intelligence that dominates the definition of"fittest". Take for example neanderthals and humans - although neanderthals were relatively huge, they didn't survive colder climate. So it's a misnomer to use fit which many people would mistake it to mean physical fitness. It should be renamed "survival of the best"
- I had expected that someone would raise that point, and that's why I said "biologically".The way techies work, neither does that reflect the highest intelligence, nor will they live long enough and propagate their genes in high enough numbers for the survival of the fittest to play out.
- Amazon Jefe bejosFitness is determined by a function relating the survival probabilities of given genotypes/phenotypes in a population to their frequencies in the population. If those with more intelligent phenotypes have a better probability of survival then they are more fit. If access to Medicare makes this so then they are still by definition, more fitMar 30
- It is just a business as any other except that the “free” (😂) market is completely rigged by corporate money holding politicians hands.
The US healthcare system does not work and is totally inefficient if you look at the spendings per capita and life expectancy.
It is a manifestation of capitalism’s monstrous late stage.
- Amazon / EngHveP82moreI'm from Italy, and one of the most disgusting things here is that people are scared to go to do hospital because of the bill. Like people felling and hurting themselves badly, saying "let's wait to go to the hospital, maybe it'll get better" un fucking believable! It should be a no brainer, you get hurt, you go to the fucking hospital. In Italy, we don't have the best ospitals, but they'll never let you die, if you get cancer you know you'll get the best treatments for free. Here people usually end up homeless. Good shit
- Yep! This! That is a fucking disgrace and we can’t even comprehend to what extent we are being fucked by the health industry!
Best part is - when you try to explain than 90+ countries have universal healthcare: “oh yeah.. but we can’t afford it!” Or “and who is gonna pay for that?”
Fucking patheticMar 22
- It is best in the world care for those that can afford it.
Insurance is hit or miss depending on a variety of factors. Most people get insurance through their employer and are happy with it.
Those without insurance face difficulties. While emergency rooms must treat everyone that comes in. Preventive medicine would lower costs to society.
- Oh Jesus most people who get insurance through their employer are happy with it?
My mom makes a six figure salary but pays 500/mo for company health insurance which has a 10k deductible. She is not happy.
I had company health insurance last year and they refused my claim after my wife ended up in psychiatric hospital trying to commit suicide. They didn't believe she needed the services so they denied it. I'm not very happy.
- Databricks GjsmxsIt works like any corrupt system run by cartels (e.g. hospitals, insurance, pharma, government, etc) that claim to not collude, but in reality collude immensely to make sure costs are high and everyone can make money.
And that's not even discussing America's litigious nature or political misgivings resulting in very shady backroom deals that benefit only the worst, most powerful players.
Plenty of great pieces have been written about the truly despondent state America's healthcare system is in, so I won't go further here.
- Xilinx / MgmtpumpedupIf you have a good PPO insurance, it's good. You'll get good care and max out of pocket per year is capped. It may run into a few thousand dollars per year.
If no PPO, it sucks.
Healthcare cost triggered bankruptcy is very high here.
PS: fundamentally healthcare system has HMO and PPO. You (or employer) pay insurance premium for either and that insurance covers costs.
There's ACA marketplace for buying insurance if you're not covered by employer.
Then there's Medicare and Medicaid for elderly and poor.
There HSA for saving pre tax dollars for health costs.
You can also keep pre tax dollars in FSA for prescription and doctor visit copays upto a max limit per year.
I'll add that raw cost of care is so expensive that except for the uber rich, no one can afford to pay by themselves. E.g pregnancy runs 20/30k, a week in hospital 30k, cancer easily a million bucks.. etc.
- You pick up a prescription (in the US) of any medicine that's manufactured in India and compare its price in India with the price in the US. Make a similar comparison for any treatment/procedure - medical, dental, or vision. You'll know what everyone is complaining about.
- If we choose PPO, what’s the maximum amount that an insurance provides? Would it provide millions of dollars if someone gets a cancer or something?
- How does insurance companies make money? I pay UHC only 70$ a month and almost everyone uses gets more out of it than that amount.
- If you have insurance and a little financial intelligence it's not bad. People like to quote that having a baby costs like $20k. That's how much the raw bill is. For 9 months of prenatal care, blood testing, ultrasounds, a birthing suite including a hospital bed and a separate bed for the spouse, jacuzzi tub, room service, etc it cost me $200 out of pocket. That was paid as a $50 copay during our prenatal visits.
My plan was a PPO plan where I paid a higher premium up front and nearly everything was covered. There is also an option for a high deductible plan so you can pay a low premium and put the rest in to a tax advantaged savings account. If you get sick, you have the money. If you don't, you have retirement money.
One of the biggest benefits of our system is the speed. I could go get an MRI today as a walk-in if I needed one. Places like Canada it can take many months to get on the list.
- The biggest problem with healthcare is that in order to meet demands for lower costs by insurance companies providers have raised the book cost of the service and charge essentially the same amount.
Usually self insurance is cheaper if you have the money, but that isnt generally true with health insurance. There are so many health insurance companies negotiating rates none of them have a ton of leverage (Medicare keeps costs down much better with the largest insurance pool).