Julhelm wrote:Anecdotes aside, surely this cannot be the norm, or americans wouldn't still be so adamant about treating healthcare as a commodity rather than a right. Somebody obviously gets some value for money out of their health plans so at least by buying insurance you have a chance that you may get treatment compared to zero chance of treatment if you don't have one. So the guy in the OP is still a retard for chosing not to buy one if he can afford it. I'd take 20% chance over 0% chance any day.
But why should I give a shit? I live in a country with a functioning healthcare system and I'm fine with paying more tax than americans.
Most bankruptcies in the US are the direct result of medical bills. Of those, a person WITH insurance is more likely to actually go bankrupt. The reason for this is simple:
People who want health insurance are a captive audience (and this will get worse now that we are legally required to buy health insurance as of 2014). They cannot reasonably say no. Given what they think they get out of health insurance (not going bankrupt if they get sick), it is, as you say, stupid to not get insurance. This means that insurance companies can in effect charge whatever the fuck they want, and they have been increasing the price for years, to the point that the cost of a health insurance policy for a healthy family of 4 is expensive to the tune of 14,000 USD. Over a quarter of median household income.
If you have a pre-existing condition, they wont accept you. If you have something that went undiagnosed until after you got health insurance, they drop you like a sack of rotten potatoes because you had an undisclosed pre-existing condition. There are enough loopholes to permit them to get out of paying claims on anyone with a chronic condition. Co-pays and deductibles are enough to bankrupt someone on their own. And get this:
Medical bills to insurance companies are larger than the same procedure would be to someone who is not insured. Why? Because there are LOT of uninsured people who need emergency care who never pay the bill. Hospitals have to eat that cost and they compensate for this by ramping up the prices on insured patients, reasoning that they wont have to pay this out of pocket. It is no their fault. They dont really have a choice if they want to stay in the black ink. So between that and a large deductible, someone is going to be heavily in debt if they have insurance. All of that is of course before the insurance company notices that your policy number is losing them money and jack up your premiums or refuse to renew your policy in order to purge you.
So yes. It is fucking fraud on a massive scale. You can pay into a policy for years and come crunch time, they will leave you to die. They are fine for one-time expenses like a broken leg or having a baby, but for chronic or long term conditions like cancer etc... dear god.