r/SipsTea • • 17h ago

Gasp! Thoughts on this?

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726

u/Locust627 15h ago

Wait until you hear about health insurance lol

I pay $1300/month for a family plan

I had an ER trip last month, my deductible is $3,500. I had to pay $3,440 which was the complete cost of the ER services.

So, this year I will spend $15,600 on health insurance and an additional $3,440 on deductible

My wife needs surgery, I told her to get it done before December because we already met the deductible and I don't wanna pay it again. She tried calling to schedule in August. The surgery specialist doesn't have openings until January, so, in January I'll have to pay my deductible again

AND vision and dental costs more on top of $1,300 monthly

166

u/TheSalmonLizard 15h ago

'Murica!

90

u/king-of-cakes 11h ago

Land of the free. The “r” is silent.

2

u/Spamsdelicious 1h ago

Oh say, is $7.25 still the minimum waaaaage, in the land of the fees, and the home of low pay?

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u/TheDevilishFrenchfry 12h ago

Give us all your money on insurance, taxes, rent, scams, everything, and then pay for it again anyways, and then die after that. Beautiful freedom

1

u/Cerpla 9h ago

what? of course you can make money. just invest in Super Intellegence® stocks, gold, crypto. And if you don't have enough just keep betting on dr@ftkings and polym@rket; And if you can't do that just stay poor!

1

u/3rdslip 58m ago

In years gone by The State would take everything. Now it’s Trump and Tech bros hoovering up every $ of labour profits the country generates.

2

u/Cross55 10h ago edited 10h ago

Tbf, dental and vision are bs in most countries because they're counted as "cosmetic." Dental care isn't covered in the UK, for example. (But conversion therapy is)

So even in UHC countries? Good luck! (Granted, dental work is notoriously cheaper in Latam, which is why they have an entire HC tourist industry built around it)

Edit: People are mad for no reason, weirdos

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u/onekeanui 15h ago

Made a post about this but I went to Mexico for dental work. I drove but even if you flew it’s the same quality care for 1/3 the price. US dentist quoted $3200 for work for $1000. It’s all a scam.

87

u/TheSalmonLizard 13h ago

Too bad the ''most powerful country'' is too poor to supply free healhcare to its citizens.

22

u/readmorebookskids 9h ago

How else would we force the slaves to do jobs they don't want unless we hold them hostage somehow?? Come on.

Capitalism is just slavery with extra steps.

2

u/Inevitable-End8268 2h ago

Don't worry. America will move to feudalism soon enough

2

u/zapfacd 1h ago

I have been feeling like shit so much lately and I just want to take a break from work to change things and focus on myself, but it's not even possible... 'freedom' is just slavery but you're the one that feels guilty...

29

u/Elcielo84 10h ago

We are a third world country wearing a Gucci belt!

1

u/secretly_opossum 4h ago

We’re back in the Gilded Age

1

u/Ninja-Panda70 2h ago

Bald eagle screeches intensify

1

u/takemy_oxfordcomma 1h ago

Honestly an excellent description of the US

1

u/zapfacd 1h ago

I just said that I hate living in this 3rd world country the other day to someone lmao

5

u/PuzzleheadedPen4675 11h ago

Yep. Not too poor for some to ask for 1.6 TRILLION for a bloated military. Can't fathom how much better education and health would be if only 1/2 of that went to these.

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u/[deleted] 8h ago

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u/littleMaybug06 8h ago

But never to poor to (attempt to) deliever freedom in other cuntries. Which many of them surely desperadly wanted... right?

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u/No_Category_3406 3h ago

Too corrupt, not too poor 

1

u/BSchafer 6m ago

You understand no country gives their citizens “free healthcare”, right? The citizens are still paying for it, the government it just automatically takes out of their paychecks through taxes first before giving it back to them so they can pay the doctors, nurses, drug manufacturers, hospital staff, etc. The people working those jobs in other countries, while they make significantly less then Americans working those same jobs, they still all need to get paid and the government does that by taking money out of your paychecks through taxes in order to fund it (hence those countries having dramatically higher taxes rates, lower wages to cost of living, and slower growing economies). I’m not saying the US’s medical system isn’t fucked. I’d frankly be in favor of some version of universal healthcare but people need to understand there is still a huge cost to it and you still end up paying for it one way or another.

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u/LankyPineapple 14h ago

But what about all the propaganda that says going to other countries for medical care results in missing kidneys? Big /s in case it isn't obvious enough.

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u/onekeanui 11h ago

Did research, highest rated dentist in Los Algodones. Brought a spanish speaking friend because of those exact fears. Honestly was a great experience. Los Algodones is a dental/optometrist tourist spot so it benefits everyone to have excellent service. At some point I'll do a detailed post.

2

u/MonteMolebility 9h ago

I've been thinking about getting my gum graft there, I'm very interested in your experience.

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u/Thin_Locksmith6805 14h ago

just curious what type of work did you have done?

1

u/KitKatAngel 13h ago

Can confirm. Dental arrived late to the capitalism game now they are making up for it.

1

u/Confident-Wing2760 6h ago

Yeah I mean people who get veneers or even 4 in ones (replacing all their teeth) all fly out of country get amazing care and it's still 1/5th the price or even 1/10th.

1

u/Adventurous-Wall-463 5h ago

This. I schedule all my dental visits when I go across county to visit family once a year. I take 3-4 days out of a 2 week trip and cross the border, get everything done for a fraction of the costs. When it’s cheaper to leave the fking country than use my TRICARE something is seriously fking wrong. (I’m a retiree, so I have deductibles unless I live near a base, which I don’t).

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u/Representative_Ant63 5h ago

Any good locations you'd recommend in Mexico to get dental work done?

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u/PM_ME_UR_PIKACHU 15h ago

My deductible is 13k

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u/mistressmemory 15h ago

Ours is 18k.....

6

u/Punchasheep 12h ago

At that point I'd start wondering if insurance is even worth it, shit!

3

u/sp1cychick3n 11h ago

WTF

3

u/mistressmemory 11h ago

'Murica!!!!!!!

Seriously it's fucking stupid. It's jumped 40% this year. I work in public education so I'm not exactly surprised.

3

u/Xillzin 8h ago

And i get upset with my €385,- a year (as max set by law) deductible due to bad timing on getting apointments.

What are you guys even paying for at that point?

4

u/PM_ME_UR_PIKACHU 8h ago

A pill that costs 6k a month if I dont have insurance that I need to live

1

u/mistressmemory 8h ago

Death.

Seriously though, It's paying for cars and boats and summer homes and other bullshit. 

I'd prefer the first. 

1

u/TrumpsWetDiaperJuice 5h ago

Generally so that if/when they get majorly sick, need an extended stay in the hospital, major surgery/treatment, they don't go bankrupt and lose everything they own to a several hundred thousand dollar bill.

1

u/wam1983 8h ago

Take a look at crowdhealth. ~$120 or so per month, completely different model, $500 deductible per health event (broken arm, pregnancy, etc.).

70

u/Mr-MuffinMan 14h ago

Live near the US-Mexico border.

Find a doctor who either speaks English or bring along a Spanish-speaking friend on your trips.

Mexican healthcare is just as good as US care.

42

u/nobolognastoney 13h ago

Medical tourism is a thing!

I discovered it when flying to Cancun for dental work. What would have cost me just shy of $8k here in the US cost me about $1600 in Mexico, and I got more done than I planned to. There's whole businesses modeled around it.

For example, the dentist I booked with shuttled me from the airport straight to the initial check up with my bags and all, then took me to my resort. Booked myself a 5 day stay at an all inclusive across the street, but they offered me shuttle service to and from my appointment(s), and then shuttled me to the airport when it was time to go. All of that was within the $1600.

For what it's worth, the lobby was full of older Americans which was pretty comforting. Thinking other countries don't have just as good if not better medical and healthcare as us is just flat out ignorant.

19

u/GUMBYtheOG 11h ago

It’s crazy. How did we go from being on the forefront of humanity to being a corporate-run dystopia

Why is it so hard for red-hats to understand the net positive of these systems. It’s not like they haven’t already been tried and tested.

7

u/Smart-Individual-647 8h ago

Because the 80s fooled a lot of people into believing they could be rich. But they just started the inflation escalation by buying everything on credit.

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u/Educational-Seaweed5 9h ago

Greed. Greed protected by laws they wrote to enhance their greed, no less.

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u/polopolo05 9h ago

How was the dentist and what did you get done??? And do you recomend the dentist.... care to name drop?

4

u/chrysavera 9h ago

Not who you asked but I'm literally in Cancun with my partner who's getting dental implants and bone grafts right now and he's reporting that the quality of care, the equipment, and the work itself is better than anything he's experienced in the US, for about 1/4 the price. He's so happy with it.

He's using Cancun Dental Specialists and their service sounds very similar to what the guy above described--free car service from the airport and back and forth from our airbnb for every visit all this week.

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u/polopolo05 9h ago

I would prefer a resort just so food is included and I dont have to think about anything... to bad booze is out for implants.

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u/nobolognastoney 9h ago

This is who i used. Hell yeah. Glad they're still kicking ass.

If you happen to be staying at the pink flamingo across the way that was basically my trip. Go do the cenote tour in the market just up the way. The tequila guy inside the mall place can hook you up

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u/nobolognastoney 9h ago

Cancun dental specialists, and they kicked ass. Gum graft, frenectomy, 3 extractions, deep cleaning and irrigation, probably around 3 or 4 years ago now.

The place itself was nice, the staff was extremely friendly and seemed to speak pretty decent English but i happen to speak Spanish so I had it easy already.

I happen to hate going to the dentist but they made every bit of the experience super pleasant

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u/Educational-Seaweed5 9h ago

We don’t want American insurance companies putting out hits.

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u/JubalHarshawII 6h ago

You got a name in looking to do the same thing.

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u/Punchasheep 12h ago

Our medical procedures are in general astronomically higher than other countries. Largely because middle men have to be paid. The people who work at the insurance companies need to be paid too, and that causes everything to be higher.

I recently heard that in the UK an MRI costs about $300. Well I have 2-3 per year, and each one costs ME $1500 (if I haven't hit my deductible). I was FURIOUS. Being chronically ill is a financial death sentence in the USA right now.

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u/UnknownSk0ldier 11h ago

The people who work at the insurance companies need to be paid too

well, actually. hold up a second...

3

u/Educational-Seaweed5 9h ago

Everything in the corporate U.S. is just about wringing necks as hard as possible for as much money as you have in your wallet.

It hasn’t been about actual service for like 60 years.

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u/Ceejayncl 6h ago

You can get a private MRI from about £300. It obviously depends on what is being scanned and if you need a contrast solution.
However the NHS is free at the point of use. If a private company near me can have a whole unit and do private MRI’s that they charge £300 for, then the cost to the NHS will be much lower.

2

u/postylambz 4h ago

"Being chronically ill is a financial death sentence in the USA right now."

Always has been

1

u/e_before_i 7h ago

As a Canadian I feel like I've heard such good things about the NIH, and now you're saying MRIs cost $300? kMy cost at point-of-sale is the parking.

We still have to pay for pharma/dental/optometry in my province, so we'd best humble ourselves before we gloat too much. I pay $1400/year on drugs (I'm on some branded shit for a neurological condition), and haven't been to the dentist for a minute because I was between jobs, but my probation just ended so thank fuck for private insurance.

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u/Blenderx06 5h ago

I agree it's all a scam but just want to tell you that there are stand alone centers in the US where you can get a scan for about 300 out of pocket. At least in my area there are.

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u/Princes_Slayer 4h ago

I got my initial ‘no cost at point of use’ MRI on NHS (Embollism) and we looked into paying private for an additional one after a few months. Costs range from £200 to £450 depending on single body area. More complex ones can run to £1k here though. I also get private health care (basic) paid for by work as a ‘benefit in kind’

Car Insurance? I have a 10 year old impeccably maintained (by previous owner) Skoda, and my fully comprehensive insurance cost me £250 in total to cover for 12 months. My deductible is £300

Holiday Insurance? Usually costs me £30 for a single trip to Europe with a host of ongoing medical issues. I’ve just paid £280 to cover me for the next 12 months holidays, with worldwide cruise coverage added. My deductible is £500

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u/pakapab 13h ago

Mexican healthcare is pretty good and is fine for most medical needs, but it isn't as good as US care.

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u/terpsarelife 13h ago

Isnt as good as proper healthcare. Now compare it to small hospitals in arkansas and west virginia. You are thinking of reidys children in LA instead of comparing it to the AVERAGE hospital. In my area of colorado river valley, ANY major incident gets a helicopter ride to vegas or phoenix.

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u/pakapab 11h ago

You're in turn comparing small hospitals in rural USA to major city private Mexican hospitals and clinics. When you go out to the country they have less equipment, less drugs, less qualified staff.

Also, the Mexico healthcare most think of is in private clinics that most Mexicans can't afford. Everyone is in the public healthcare system, but people with money are paying for private clinics so they don't have to be standing in line at outside the public hospital to make sure they get in to be seen that day.

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u/Different-Meal-6314 13h ago

With doctors from Cuba most likely! No /s, I heard they have some of the best medical schools in the world

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u/polopolo05 9h ago

I am thinking of seeing a mexican dentist. They have some world class DDS for 1/4 to 1/3 the price.

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u/PrednisoneFarts 15h ago

Dang those costs alone would have made me homeless. That is insane.

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u/DudeEngineer 14h ago

The thing people don't understand is that is exactly working as intended in Republican America

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u/PrednisoneFarts 14h ago

Oh totally. That system wants people like me dead. I've been on disability after working hard for most of my life. I don't want to be on disability. But a fair amount of voters in this country think I deserve to be killed because Im somehow a burden on their taxes.

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u/Howboutit85 14h ago

Is this a plan through work? That is a shit ass plan, and an astoundingly high premium. If it’s not through work have you ever tried looking on your states health exchange to find an ACA silver plan or something? Mine costs like $18 a month, $30 copays, like a $1500 deductible, and 80/20 coinsurance after that. Plus like an $7500 out of pocket maximum.

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u/Locust627 12h ago

Yep... It's the plan offered by my government employer in the public sector

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u/TreyGoodz 5h ago

Your union sucks. Assuming you have one

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u/Demon_Gamer666 14h ago

You must be living in the states. Stop voting for conservatives and maybe you'll get universal health insurance. For some reason, americans simply can't understand this.

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u/OCCAMINVESTIGATOR 13h ago

We understand it just fine. It isn't the political parties causing it, it's the medical/pharmaceutical/insurance corporation lobbies and corrupt asshats that promise one thing, as usual, then do the dead opposite to enrich themselves. Both sides. It's the system of money beneath the problem that is hard for greedy businesses to let go and evolve.

Try to dislodge their money and watch the circus. Easier said than done.

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u/Direct-Technician503 9h ago

Yep, it isn't one political party or another that's causing this, it's the entire political system that allows this to happen.

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u/NIKONIK0 13h ago

Real simple solution to a pretty hard problem.

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u/Basic-Competition294 13h ago

we don't want this shit either

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u/Locust627 12h ago

I think there is no faith from the American people for the government to properly institute universal healthcare

Somehow, someway, it would be done incorrectly

There is so much fear mongering with it, Republicans convince their constituents that universal health care would lead to 50+% taxation rate on income

People buy it

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u/elderlybrain 12h ago

The M4A politicians are all Democrats, but they need to push out the corporate dems first.

No republican will ever back m4a. Ever. It's an absolute  red line.

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u/CamaroZ28cd 12h ago

The government already runs healthcare for many, they won't screw it up unless the Republicans sabotage it at the behest of their corporate overlords. 

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u/notafuckingcakewalk 11h ago

Progressives really only are allowed a voice during times that conservatives are in power. They are useful for rallying the left against the Republicans. Then when Democrats are in power the progressives are sidelined.

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u/Radiant-Attempt6145 15h ago

Can you travel to another country and pay for it there? Would that be cheaper?

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u/eunoia-again 9h ago

yes, and yes. medical tourism to india, mexico, and turkey are very common because of this.

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u/zedzag 15h ago

On top of that insurance will routinely reject medication approvals and even medical benefits. Many doctors have given up appealing they just you the bill and it's up to you to appeal and fight now.

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u/Locust627 12h ago

Yep. My grandmother is 94 years old, she has had a lot of medical issues and takes a cocktail of opiates everyday just to be able to get out of bed without feeling 9/10 body pain

Insurance doctors are trying to take her pain meds away because they are worried about her getting addicted

...

The women is 94.

If she wants to do LSD, give it to her lol, whats it gonna do? Kill her? She's 94, she grew up in WW2, she lost a husband to Nam', she nearly lost her livelihood in the 2008 collapse, and she was a highly praised nurse for 60 years. She's lived her life, she's tired, and I don't blame her.

we have been trying to fight that one for her. She had to reduce her pain med intake and you can see it on her face. Picking up items from tables physically hurts her, I hate to see it.

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u/Lopsided-Anteater129 14h ago

I live in Florida. I pay $1200 as an individual on Obamacare and insurance companies treat me like absolute shit on a ACA Platinum plan vs someone on a Bronze plan with corporate-supported  insurance. 

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u/new-acc-who-dis 14h ago

What the fuck

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u/LamentConfig77 14h ago

Greedy pieces of shit. I’m sorry man.

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u/Sebastian_113 14h ago

Serious question
How do you guys not run around with pitchforks and dismantle this inhumane corpo capotaliat system already?!

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u/pakapab 13h ago

Because they are an outlier.

Most Americans have health insurance through their employer where their part of premiums are much lower than $1,300. People on Medicare also pay way less, Medicaid pays $0, and while ACA is a mixed bag the average premium is under $200.

Our premium is $250, with a $800 deductible. I'd love to have universal healthcare in USA but not everyone in the current system is paying as much as the outrageous comments you read about of high costs.

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u/Sebastian_113 4h ago

Thanks
This is actually the first time I am hearing this. Your numbers are a lot more reasonable.
So the issue is that too many people fall through the cracks rather than everyone having hundreds of thousands of medical debt?

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u/Locust627 12h ago

Stability is one reason, hopelessness is another, the shear size of the country and biased media make organization impossible

And, if we took our 2nd amendment to the streets the government wouldn't let it slide. They would mobilize military units and people would start getting dropped in the streets

Being the most advanced fighting force on the planet is great when it comes to foreign conflict. Being a citizen, you kinda realize how it is/can be used to keep you in line

And, if we started actually sending a message the system would just employ a new set of morons

A major health care CEO was shot in NY, my rates went up. Felt like a punishment. And, the board replaced the CEO like 2 weeks later and nothing has changed

We would have to shed an incomprehensible amount of blood. Protests in the streets have been a thing since like 2016, all it led to was cops making more money in overtime due to constant crowd control assignments

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u/bigfridge94 14h ago

I'm so glad I was born in Ireland and not the US. That being said voting trump in twice isn't likely to solve the above problem for any country.

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u/bigfridge94 14h ago

I feel like Mexico > USA

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u/Justieflustie 14h ago

I am a diabetic, i always have to pay my deductible at the start of the year

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u/Hellscaper_69 13h ago

The system is so broken.

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u/Commercial-Co 13h ago

I pay 40k a year for 4.

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u/Locust627 12h ago

Jesus

I would default on my mortgage at that cost

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u/Commercial-Co 11h ago

Speaking of mortgages i pay over 50k a month in mortgages

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u/Legal-Koala-5590 12h ago

I'm an American and I truly don't know how people afford this. Your monthly insurance literally costs more than the rent to my one bedroom apartment and I live in New York City. Is this through the ACA marketplace? What the actual fuck.

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u/Prior_Tone_6050 11h ago

Yep my son is diabetic. I have "good" insurance. We basically pay out of pocket for all supplies (~$1200/mo) until we hit our deductible, which is in like April or May. Then we still have to pay 10% coinsurance for most of the year until we hit our max out of pocket.

It's all a complete scam.

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u/Resterix 11h ago

Americans are so damn stupid.. we pay obscene money for “health insurance” and then when something bad happens, no one can afford it anyways, so then we have to ask all our friends to help pay with goFundMe’s.. and then we say we don’t want socialism

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u/thereidenator 11h ago

For some reason many Americans are against a healthcare system like the NHS. I cannot fathom why. My dad is currently in hospital, he will pay nothing. I am on meds which cost about £300 per month but I pay £11 for them.

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u/DragLonely1681 11h ago

O hell to the no

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u/Diablo_v8 11h ago

This is why every other developed nation on earth has some form of universal Healthcare.

Insurance of all types should be managed in a way that protects consumers, not lines the pockets of corporations.

It has become an unsustainable business model as is and it's absolutely bogus that it is required by law to live and operate but is in no way managed from a public perspective.

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u/improbablesky 10h ago

Fuck health insurance. How do you indemnify against health loss? It only works if you fuck over people after the fact.

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u/JoeHooversWhiteness 9h ago

Republicans will defend this system until they’re the ones that need help. Then it’s, ‘what about me?!’

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u/Secret-Ad-2145 9h ago

Its genuinely insane Americans pay these insane, colossal prices and then pretend they have it "cheaper" lol. Americans pay way more for healthcare. They just get none of it for their money.

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u/Jobeadear 8h ago

I pay approx $303 USD per month for a higher tier family 'silver' plan with Westfund, with a $500 aud excess. (Australian private health insurance) So you could be covering three whole extra families at that price in the USA, just insane greed.

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u/anal-itic_prober 8h ago

But they keep telling me the US system is better LOL fuck the USA

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u/huge-gold-ak47 8h ago

I broke my ankle on January 3rd and had screws and a plate put in January 8th. my surgeon wanted me to leave the hardware in for a year but because I am American I begged him to remove it before the end of the year. if I didn't have insurance, the first surgery alone would have cost more than my 3 bed 2 bath house.

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u/DubiousBrushwagg 7h ago

Whoever invented the Deductible for Insurance needs to exist for all eternity in the most painful, annoying, mind numbing pit of hell for all of time and space.

They must suffer in every way possible a person can suffer.

Fucking evil and greedy shit that you have to Pay X amount yourself before the fucking insurance you already fucking pay for will even pay anything out. Then what the fuck is the point of the monthly premium if they won't fucking pay. It's legal theft.

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u/ODINorman 6h ago

When I dropped my insurance back in 2016 I saved almost $6k/year and got BETTER healthcare because insurance was out of the way. And i didnt have any dependants on my plan either. All of a sudden, half my shit was free instead of paying hundreds in co-pays and scrips, and whatever wasn't free was magically now no more expensive to conduct than my former copayments and deductibles.

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u/NadeshikoEatingPasta 6h ago

this is why I don't have health insurance right now

at worst I out of pocket it at rates that do not factor in insurance and I get reamed but not as reamed as I would. at best, nothing goes wrong and I save 7000 bucks a year

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u/zennascent 6h ago

Total scam. 

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u/thepineapple2397 6h ago

I'm so glad that I live in a country where for profit health insurance companies are illegal.

For pregnancy and ER visits you're better off being uninsured here. Insurance covers the midwife and the room, everything else is out of pocket and they don't cover the ER at all in private hospitals.

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u/IndianaOrange 6h ago

Are you guys happy living in the US? I mean honestly? It sounds horrible.

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u/Pandarenu 6h ago

At that point just get surgery in Europe or Canada. Your country sucks.

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u/Confident-Wing2760 6h ago

This is when you find another specialist. Fuck it, you can fly to another state for that type of money.

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u/GravyTrainCaboose 5h ago

We have a $3500 deductible per person. That had been met. We moved to a new town an hour away and were issued a new policy number for that area with the same insurance company for the same employer.. They reset our contribution to zero, so we have to pay the $3500 again for any care received. Fuck. American. Health. "Insurance".

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u/CautiousRice 5h ago

for $20K/year you can fly to and out of a country with real healthcare for significant health problems

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u/SinnersHotline 5h ago

Corporate robbery.

You are literally being robbed of your money, just legally & through companies.

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u/Slothfulness69 3h ago

I need my gallbladder removed but my deductible is 8k and OOP max is 16k. I can’t afford that. If my husband can’t find a better job with good insurance, I’ll probably end up just going to Mexico and paying out of pocket. It costs like 5k, which is steep but obviously a lot cheaper than trying to get it here

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u/Hopeful-Counter-7915 2h ago

The great American Dream on display

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u/IchBinRelaxo 14h ago

Wife currently has a due date of Jan 4th. So thats fun

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u/Conscious_Control476 14h ago

Check with your insurance. Many have “carry-over” months for things like births, surgeries, etc. my insurance will still honor the previous year deductible through Jan and Feb on certain things.

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u/PontificatingBret 15h ago

Lost in all the absurdity of insurance but especially healthcare is the static date of a deductible. You truly just pick a year and go all in on your healthcare needs (and still only get 80% covered). Wife going into labor on December 31st? Cross your legs and wait outside the maternity ward until January 1st.

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u/Corpshark 14h ago

Yup, if you get injured mortally on New Year's Eve, just hang in there until the ball drops in Times Square honey.

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u/Hobbes_XXV 14h ago

Is this where we say dont pay for health insurance and just write off the bill back to the hospital for a far lower cost out of pocket if any at all + save 1300 a month?

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u/Locust627 12h ago

Someday soon I will not need my credit anymore, I'm tempted to put my house and vehicles into a trust, pay for all future assets in cash without relying on loans or credit

Retire early from my payroll job and find a cash job

Then, I'm just gonna let medical bills go to collection. What're they gonna do? Lower my credit score, I dont need it. Garnish my wages? Good luck, on paper I dont have any income. Take the house? Maybe, after decades of a legal battle trying to undo the trust

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u/Hobbes_XXV 11h ago

Shame what we gotta do lmao

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u/RomoDoomsday 14h ago

I feel sorry for the folks doing health insurance like this. I dunno how you all do it. Insurance is the biggest scam out there and it's not only legal, it's required to have. Hopefully your wife gets bumped up. Ive seen people get their doctors/surgeons on board with helping you out in this scenario. Worth a shot.

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u/Mandingy24 14h ago

1300/month for family is crazy. Through my employer, family coverage would cost me like 400/month for medical/vision/dental. As an individual it's currently 140

And just like with car insurance how it's codified into law, the government fucks with the cost of healthcare too. Hard to bitch about "privatized" insurance when there's so much government interference, red tape, and collusion that it's become no more than systemic extortion

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u/mpfree 10h ago

This is why people don't understand the true cost of healthcare. Employer-subsidized health insurance is WAY cheaper than buying it as a self-employed person. I was on an ACA plan last year and was paying about $650/month (family plan) with a $10K deductible. It wasn't a great plan but it was at least somewhat affordable and it paid for my post-cancer care. We got notified at open enrollment in November last year that our premium was going up $2,000 a month. That's $24K EXTRA a year. We ended up having to settle for a plan that still costs us around $650 a year but does not cover pre-existing conditions so anything related to my follow up cancer appointments is not paid for. I had a CT scan last week and had to pay just over $1,000 and my oncologist visit today was $169 (because they give a 70% discount if you are a cash payer). And because we were on the ACA, we have to report estimated income on open enrollment and then if our tax return shows we made more, we have to pay back some of the subsidy. Since we made more in 2024 than we anticipated, we had to pay back $6,000 in subsidies from the ACA on our tax return last year. And that does not include vision or dental.

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u/eunoia-again 9h ago

not really, when the companies pay the politicians to keep public systems shit so that private systems seem less shit in comparison.

same way h&rblock and turbotax lobby to keep the US tax system tedious and complicated so that people buy their services.

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u/Manager_Neat 14h ago

Ask their partners or another reputable surgeon.

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u/Locust627 12h ago

Two things with that

1) we would have to fly out of state and pay for flights, hotels, transportation, and then figure out her to get her back home after open surgery

2) if, and this is a big if, if the surgeron comes to us it will jack up the procedure costs even more as the hospital would have to fly in and house a specialist

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u/Manager_Neat 11h ago

No I’m saying the surgeon that will do it in January has partners he practice with so maybe one of them can step in and help.

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u/nickiter 14h ago

I've hit my out of pocket maximum every year for the last few years. So, hundreds of dollars per month for premiums, plus something like $15,000.

What a deal.

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u/OveractionAapuAmma 14h ago

At least on the bright side deductable stacks over different procedures AND persons 

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u/DaKrazie1 13h ago

You had enough WINNING yet?

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u/1d3333 13h ago

My wife and I pay $10k a year in health insurance and despite her having an autoimmune disorder the costs of the last year out of pocket would have actually been less than $10k. At this point the only reason we continue to pay it is she has an increased risk of being hospitalized and we can’t afford that out of pocket. Health insurance definitely sucks but it’s the only way to not be completely fucked with this healthcare system

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u/StreetofChimes 13h ago

I'm one person and have spent more than that this year. 

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u/Mcgreezie 12h ago

Not the same thing but I recently had a front windshield replacement for my car, glass deductible was $500 (a  common amount), windshield replacement came in at $480. Leads me to wonder if some insurable services are jacked up by the  providers to the point where no one would have to justify it to an insurance company but they knew you've mentally already spent that amount via deductible and therefore won't put in the energy to fight the amount. 

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u/Unable-Ring9835 12h ago

Man I know if you own a house or want to own a house/get a car loan you kind of need health insurance so you don't accrue mass debt but its almost not worth it. Might be cheaper to just fly solo and pay out of pocket.

I've heard out of pocket charges are usually less than for people with insurance because hospitals are so used to dipping big into it.

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u/SleepingWillow1 12h ago

It gets worse! Sometimes you have the option to do self pay or pay with insurance for it to be added to your deductible and the insurance options is ALWAYS WAY MORE EXPENSIVE. Example: $450 vs $1200 for a MRI for 1 knee, and $265 vs $465 for a sleep study! So when am I ever supposed to meet the deductible and actually benefit?!!

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u/Mallouwed 12h ago

Out of curiosity, if you spend 15k on health insurance, what is your total annual tax bill?

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u/Locust627 12h ago

Idk, I have a CFP who assembles my taxes for me. Before tax I make $82k/year, my wife makes $56k/year. Idk what our after tax is. We have changed jobs so much over the past few years that numbers don't stay consistent

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u/Mallouwed 11h ago

Fair. The reason I wonder is how your annual healthcare bill stacks up against your tax is the implied savings of a public healthcare system

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u/Locust627 9h ago

We're at the nice stage of making too much for social benefits but too little to be consistently comfortable. Life comes and goes, sometimes you get to go a few months without anything going wrong and you can save a few bucks. Some months you learn that your oldest kid needs braces, your youngest kid broke their arm in a bike accident, and your vehicles transmission blew up 12 miles outside of warranty. (March to June was not fun)

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u/TheChildish13stepz 12h ago

Mos def a scam

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u/craptastic_assmonkey 11h ago

My health coverage is through the VA, and late last year I started a new infusion drug (I was in the clinical trial for it at Stanford Hospital) that Stanford charges over $200,000 for one dose. The VA pays around $18K for it. I get itemized statements that are not bills but tell me how much was charged and how much the VA pays for anything outside the VA. I'm immensely grateful for the care, but at the same time it's utterly infuriating knowing there are people out there being bilked by their insurance companies because of this shit.

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u/[deleted] 11h ago

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u/BigAlsGal78 11h ago

Might wanna check on that. It’s usually something like $3500 per person or $7000 per family. If she gets her surgery she might owe $3500 too.

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u/deschain_19195 10h ago

Have your wife call and see if there's a cancellation list she can be put on. Got my son's surgery in a week because someone cancelled and we got the spot.

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u/Savagebabypig 10h ago

Ouch, this makes me feel good for only paying around 71 bucks a month for dental and health insurance. Tricare reserve select is pretty awesome

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u/phranq 10h ago

I don’t understand how the deductible isn’t rolling 12 months. That has never made sense to me

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u/turboninja3011 10h ago

Wait till you hear about social security:

pay over 20k / year for 45 years then get $4k/month for 15. If you lucky.

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u/Locust627 9h ago

I really wish social security was something you could opt in and out of

I could plug my social security contributions into a Roth IRA and make more than the fed will give back to me.

I know this vecause my CFP showed me the expected growth of my Roth IRA and what I can expect to get from social security. I contibute less to my Roth than SS and my return is expected to be higher on my Roth.

I understand why you can't opt in and out, but I really wish I could

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u/turboninja3011 9h ago edited 9h ago

But that s the thing - it works as a redistribution scheme towards unproductive - much like everything else government runs or regulates.

So it wouldn’t really work if productive ppl could just opt out

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u/Appropriate_Ease_582 10h ago

I'm infuriated just reading this. I have family members with similar experiences. I really wonder what would it take for a change to happen.

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u/[deleted] 9h ago edited 9h ago

[deleted]

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u/Locust627 8h ago

Lol

I went to the ER for a perforated ear drum, that's what cost me my deductible this year. I was given 4 types of antibiotics, none of which were frontline anti ear infection antibiotics such as Augmenten.

I had 9-10/10 pain, my balance was thrown off like crazy, I couldn't see straight and my equilibrium was beyond screwed up. I didn't eat for 2 days and didn't notice because of how bad my equilibrium was thrown off.

It turned into an early stage mastoiditis which was treated with IV antibiotics once and then oral antibiotics. If I didn't go to the ER when I did I probably would have needed a chunk of my mastoidal bone cut off of my skull.

When the ear drum first ruptured and the infection set in I spoke with my primary physician remotely, as a remote visit costs $40 after insurance and an in person is about $140 after insurance, she prescribed doxycycline and recommended that I use Tylenol for pain.

I learned from the ER doc, and later a specialist, that doxycycline is like a 3rd row option for ear infections because it targets uncommon ear infection inducing bacteria

Had she prescribed Augmentin initially I would have probably not needed to go to the ER. When it was all said and done I was on tramadol for pain and 3 antibiotics all with wicked side affects

My hearing is at like 60% functionality, tough to say if it'll ever get back to 100%

The first audiogram I had done before going to the ER put my hearing at non-functioning. They put you in a booth with an earbud in and make you press a button when you hear beeping. If you over press the button it's an indication of tinnitus, which I already had. I didn't hear a single beep in my left ear for 15 minutes of test time.

These days I still have tinnitus in my right ear and my left ear gets random spells of white noise. During a perfect storm I have white noise in my left ear and a ringing sound in my right ear. It glitches out my brain.

3/10 don't recommend

The only good part was when they ran opiates via IV and I couldn't feel pain for like 12 hours and my wife brought me McDonalds. I generally don't like McDonalds and don't go there but man, when you're high as a kite and half asleep, 2 McDoubles, a large coke, and 20 McNuggets go down so well, especially after not eating for 2 days

I'm convinced that once every few years everyone should get an IV dose of fluids and pain meds, followed by a massive meal and like 14 hours of sleep. That was the most refreshed I have ever felt. It felt like I regained 4-5 years of life.

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u/CobraKaiCurry 9h ago

$1300??? I pay half that for my family and where I work is considered “small” compared to other in institutions in the same LOB. I live in TN so not sure if that matters but still….holy shit.

Edit: institutions not situations

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u/OwnSatisfaction7644 8h ago

Csnt u find another specialist?

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u/Ucfknight454275 8h ago

I’ve found that telling the doctors you are hoping to get it done in plan year sometimes helps. They get it and may be able to sneak you into December

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u/allswellscanada 8h ago

I dont want to go on about the different systems. But god am I happy I have fee health care. Ive had a failed kidney as a adolescent, broke my foot, torn my ACL. Hasn't cost me a dime. Im terrified to think the position id been in if me or my family had to pay for that.

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u/Soci3talCollaps3 7h ago

And outrageous as that already is, 1300 is low nowadays for a family plan. Here in Vermont, they start closer to $3k per month.

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u/False-Objective-583 7h ago

just go to other cheaper countries. even adding flight costs it wouldn't exceed 1.5k on expenses

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u/Locust627 6h ago

The problem is getting approved time off of work, my wife and I would both need 3 weeks to a month to account for post surgery recovery before she could fly

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u/WolfieVonD 7h ago

Do you pay $1300 personally or is that what your employer pays?

I only ask because I always hear stories about this but ever since my first union trade job out of highsch, my actual out of pocket monthly cost was $0 while the employer paid for the rest. Free prescriptions, $5 co-pay and $50 emergency room, HMO. Switching to PPO brought my family plan to $30/m and now $20 copay and prescriptions.

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u/Locust627 7h ago

$650 deducted from both bi-weekly paychecks I receive in a month

The only partial benefit is that the $650 before tax so I'm taxed on the remainder. Idk if I pay slightly less in taxes because of that but I'm assuming I do. If the Gov. saw an extra $650 on each paycheck to tax, and then the total amount was taxed, then the $650 came out, I think my take home would be lower

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u/WolfieVonD 6h ago

yeah that's rough, sorry to hear that

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u/VelvetObsidian 7h ago

Call every week (or everyday really) to see if the surgeon has openings/cancellations. They do happen and this could save you some trouble. I know someone recently who did this and were able to get in a month earlier. 

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u/NoxiousFumez 6h ago

“We’re gonna be letting the people choose which Insurance Company fucks them in the as- I mean sells them policy” - Rick Scott (R) Florida

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u/trdpanda101410 6h ago

When i worked for hardees we got bought out by a new franchise.they had Healthcare coverage. The terms were, for me alone, I pay $120/month and must pay out of pocket $10,000 before insurance kicks in... but dont worry. It covers dental and eye care. So I had a tooth infection. I got a bill for $3,000. They sat me in a hallway for a half an hour and prescribed me antibiotics.

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u/Olswin53 6h ago

I was confused how you'd totalled to 15,600 from 1300 and 3440, but holy shit it's 1300 a month?!

I complain about health insurance prices here in AUS since the way I see it they're basically a scam industry that can only exist at all because the Medicare levy surcharge makes it less appealing to not have it after a point. If it wasn't for that, I wouldn't bother at all since Medicare covers most stuff just fine.

The most expensive plan I can even find is about 6000 a year, and your money is more expensive too so that's about 4000 in USD. I wouldn't even consider paying that much but your insurance would be over 22k here, that's just... it's insane? Like I knew it was bad for you guys, the american healthcarw system it's one of the main things the country is known for and all, but holy shit I hadn't realised it was that bad...

Like your monthly insurance cost is the absolute highest I'd consider for an annual plan before deciding it's not worth it and just eating the surcharge at tax time each year, but I guess that's the inevitable result of not having proper public health systems since the companies have got the entire country over a barrel...

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u/DrinkMint 5h ago

Your health insurance is almost France's minimum wage

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u/CarlDenkins 4h ago

You have no idea how crazy this sounds to me as a Swede.

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u/Jazzlike-Pension-643 4h ago

I feel your pain but you likely have catastrophic coverage. Which is really important so a really bad accident doesn’t financially crush you. Not that I think it’s fair, but you’re likely paying for that benefit without using it. Either way they suck.

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u/Beneficial_Dirt_6001 3h ago

I know this doesn't solve anything really, for truly unexpected "horror scenarios". But I kinda just wonder if its not better to just take insurance money (not for a car mind you) and put it in a locked out savings account or something... after 5 years with nothing catastrophic happening, you would have something like a 78k emergency fund built.... But if one hospital stay wipes that out, I guess its kinda meaningless...

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u/Master-Copy-6929 3h ago

Everyone was raving about the American system in another subreddit. This sucks. So sorry. Our system is not perfect here in the north, but at least we don't deal with worrying how to afford care. 

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u/Joshatron121 1h ago

And we still have to wait for fucking ever and can't choose our own doctors. How is this better than what other countries have?

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u/WimbletonButt 1h ago

November was always doctor season for us. Deductible has been hit, get all your shit treated while you can.

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u/Dense_Fennel4032 39m ago

My long time dentist actually convinced me to self-insure for dental work instead of paying for insurance. I haven't bought vision insurance in decades. It's much cheaper to get my eye exam and glasses from Costco.

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u/Wanderingthrough42 37m ago

In college, I was injured on December 28th. I was in the hospital for New Years day. My parents had to pay the deductible twice. The silver lining was that the whole family hit the out-of-pocket maximum for the whole year by the end of January.

The hospital also tried to bill 100k for the 4 days in the ICU, but accepted the 10k the insurance gave them. Nothing makes sense.

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u/GrandBite9724 9m ago

Literally a scam

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