• systemglitch@lemmy.world
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    1 year ago

    Man do I feel bad for you Americans when I see this shit.

    So many Americans justify it as well… I can mention it on reddit and I’ll get viciously attacked defending that shit healthcare system.

    It’s hands down, the worst in western civilization.

  • whitepawn@reddthat.com
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    1 year ago

    Had a relative in a car accident. They climbed out the vehicle, walked to the ambulance, and took their suggestion to get looked over at the ED.

    Nothing needed but an X-ray then a CT to make sure the spine was fine. Doc saw them for all of 10min. Most of the time was spent doing nothing, alone, waiting for a ride in a mostly empty rural ED.

    Bill comes. $15k.

    I did charges in the 2000s as part of my ED tech duties. Back then the stroke/heart attack go to ICU or get prepped for life flight charge, the most acute of 5 tiers of service was ~$2.5k. The lowest, say getting a ring cut off, was less than $200.

    I know costs have risen in the last 20 yrs but how the fuck do you go from what is at a very generous at most a tier 3 for ~$1k to $15k. AND that CT scan, 90% of what happened there, was billed separate.

    AFTER Medicare, the ED bill is $1.8k. Imaging is $800, and the ambulance ride, that didn’t even put in an IV, is $1.9k.

    So an elderly person on a fixed social security income is getting billed almost $5k for a ride, a glorified wait for my ride room, and a CT.

    One non displaced broken rib btw, that’s it.

    $15k. Is ring removal in ED now $15k a pop? I just don’t know. Or is a remote, empty ED soaking anyone who goes because they don’t have lines out the door and around the block like city EDs do?

    Either way, that’s several months of social security to pay for it while not buying groceries or driving.

  • FReddit@lemmy.world
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    1 year ago

    I have cancer and diabetes, and aside from the premiums insurance costs me a minimum of $4,250 every fucking year, plus stuff they refuse to cover.

    And I found out the hard way that you’re better off dead than getting air medivacced, a delightful experience I’ve had twice.

    The first time I told the ER head to just let me die. The cost of a hundred mile flight was over $80,000.

    The second time, this February was over $143,000, but by then I had gotten air transport insurance. Which of course initially denied the claim.

    In the U.S. you are just meat that is harvested for money.

    • Furbag@lemmy.world
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      1 year ago

      by then I had gotten air transport insurance. Which of course initially denied the claim.

      Leave it to the ridiculous American insurance system to invent an insurance package for something so obscure and specialized that almost nobody would ever need it, collect your premiums, and have them still refuse to pay out a claim when someone does try to actually use it.

      • Gestrid@lemmy.ca
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        1 year ago

        “Well, he probably didn’t need to be airlifted because of… what was it again?”

        “His car was hit by a car and went down the side of a mountain into an area that they couldn’t get to by road.”

        “Right, he probably didn’t need to be airlifted because of that. He just chose to get airlifted.”

        — air transport insurance, probably

    • protput@lemmy.world
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      1 year ago

      For that kind of money I would start a new life in a normal country and have decent healthcare.

      • x4740N@lemmy.world
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        1 year ago

        Back when I was on reddit I had seen few people who had left america for other countries mainly in the Europe region because america is a shithole

        • ℛ𝒶𝓋ℯ𝓃@pawb.social
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          1 year ago

          I’m seriously considering it when I finish university. I love the idea of freedom etc, but the reality of such a system is hell on earth.

  • BlinkerFluid@lemmy.one
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    1 year ago

    I’ll never be able to finance a car over $15k and I’ll never be able to afford a home.

    What difference does it make? Might as well be free.

  • ChamrsDeluxe@lemmy.world
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    1 year ago

    Good insurance won’t, but the problem is, most companies don’t provide “good” insurance. In most cases you are better off without it.

    One company I worked for had the worst insurance I’ve ever seen.

    I paid like $180 per paycheck JUST FOR ME! and I had no co-pay woooooHhhOoooo! Well anytime I’d go to the doctor i’d be fucked, with one visit really sticking out in particular: I went in knowing I had strep throat and just needed a doctors note. Doc took one look (didn’t do any tests or anything because it was really obvious) said "yep, you’ve got strep. " gave me my note, and I was oit of there in like 5 minutes… A week later? A $200 bill…. What…. The…. FUUUUUUUUUUUUUUCK!? Yeah bad insurance will ruin you.

    • Wogi@lemmy.world
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      1 year ago

      The only time you’re better off without insurance is if you never use it.

      The insurance company isn’t only paying part of the bill, even if it’s ridiculously expensive and pays laughably little of the bill.

      They’re also negotiating the price down. Without insurance you’re pretty much bare assed to the healthcare industry, who can and will charge you whatever they want. They’ll charge you for every individual wet wipe at hilariously inflated prices. They’ll charge you for the presence of a tray in your room to set a drink down on. When a nurse pops her head in for 30 seconds suddenly you’re billed for an hour of her time. And you’re stuck with that bill, no matter what, without insurance.

      The insurance company will require them to verify the hours billed, they’ll reject charges for shit they shouldn’t be billing for, and negotiate down the price of stuff they can bill for.

      The difference even for simple visits can but several thousand dollars. For more serious visits the sky is the limit.

      • dragonflyteaparty@lemmy.world
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        1 year ago

        This isn’t necessarily true. I’ve seen and heard of multiple doctors who had a lower price for those without insurance.

        • TurtleJoe@lemmy.world
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          1 year ago

          That could be true for a GP or something like that, but not for a serious issue where you need tests for a diagnosis, a hospitalization, or ER visit.

    • bustrpoindextr@lemmy.world
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      1 year ago

      If you had no co pay you wouldn’t have had a $200 bill ( unless you went out of network and then fuck you for wanting to have a choice)

    • Flying Squid@lemmy.world
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      1 year ago

      I went to see a gastrointestinal specialist two weeks ago and also had a five minute visit where he didn’t really listen to me about my issues and told me to call back in two weeks. I did, gave all my symptoms in detail to the nurse. A different nurse took two days to reply and the doctor still didn’t listen to my problem. Or I guess didn’t read it. And he’s the only gastrointestinal doctor in town. All the others within a 90 minute drive are either not taking new patients or won’t see me for 3 months, at which point, it will be too late. I haven’t eaten in 22 days. I’m basically fucked until I end up in a hospital.

      Please no medical advice. Thank you.

      • ChamrsDeluxe@lemmy.world
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        1 year ago

        Nope, when I ditched my insurance from that company and had to go to my regular doctor, it was $65 up front and I didn’t see another bill. It was the most bullshit thing I’ve experienced.

  • greavous@lemmy.world
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    1 year ago

    Have medical bills? Why not make and sell meth? The fact that breaking bad wasn’t satirical was a crime.

  • I Cast Fist@programming.dev
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    1 year ago

    No wonder the Brazilian universal healthcare system (SUS) is constantly bombarded and attacked from all sides, just think of all the profit$ being “lost”. It’s far from ideal and full of horror stories, but when you do manage to get medical attention, chances are good you’ll be well treated and cared for.

    • Powerpoint@lemmy.ca
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      1 year ago

      It’s Conservatives everywhere attacking those countries with public healthcare. Healthcare should be universal and freely covered without the fear of bankruptcy. American insurance companies are a scam and you can guarantee there’s some foreign meddling happening in your country by Americans.

    • computerscientistI@lemm.ee
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      1 year ago

      I gave my Brazilian friend quite a bit of money for a CT at a private clinic. The public clinic (hospital?) supposedly was totally overbooked for this kind of examination so they had some kind of lottery going on for appointments.

      Could of course also be that my friend scammed me, not sure.

      • I Cast Fist@programming.dev
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        1 year ago

        Unfortunately, it’s not uncommon for that kind of thing to happen. CT scanners aren’t common because they’re expensive as fuck, as is its maintenance. Not every public hospital has it and if it’s underfunded, that’s usually one of the first equipments to stop working, because that maintenance money will pay for higher priority materials.

        • computerscientistI@lemm.ee
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          1 year ago

          So chances are she actually didn’t lie and I invested into her health? If she doesn’t lie she might actually like me. And maybe even not only because I’m bankrolling that medical bill 😀

          • Scew@lemmy.world
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            1 year ago

            Keep a healthy amount of skepticism. Appearances are suggestive not informative.

            • Ew0@lemmy.sdf.org
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              1 year ago

              As someone who is too trusting of people, I’ve found this out the hard way.

  • AProfessional@lemmy.world
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    1 year ago

    Obviously it’s a joke, but get insurance. Thanks to the affordable care act they have a maximum out of pocket cost (for what is covered) and will save you from ruin.

  • blackn1ght@feddit.uk
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    1 year ago

    The NHS has its problems but I’m so fucking grateful we don’t have to put up with this bullshit.

  • Rockyrikoko@lemm.ee
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    1 year ago

    I live in Germany and I just had hernia surgery. The entire procedure including appointments leading up to surgery a couple weeks ahead of time and post-op appointments over a couple weeks after came up to 905€, TOTAL… my copay was 45€. And I have the expensive private insurance that gives me access to single person hospital rooms and my procedure is done by the hospital chief surgeon

    • Jeredin@lemm.ee
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      1 year ago

      Oh, look at fancy angeben over here, gloating about his functional healthcare system that doesn’t bring his country to it’s knees, but instead strengthens it. Next your going to tell us that the education system is ausgezeichnet and doesn’t leave most students financially crippled. The nerve of some people. Now if you’ll excuse me, I need to go study up on which wealthy hyper-geriatric politician is going to represent my interests!

      PS: I totally didn’t have to google translation for those words because of my superior American education!