this post was submitted on 19 Feb 2024
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I'd like to know other non-US citizen's opinions on your health care system are when you read a story like this. I know there are worse places in the world to receive health care, and better. What runs through your heads when you have a medical emergency?

A little background on my question:

My son was having trouble breathing after having a cold for a couple of days and we needed to stop and take the time to see if our insurance would be accepted at the closest emergency room so we didn't end up with a huge bill (like 2000$-5000$). This was a pretty involved ~10 minute process of logging into our insurance carrier, and unsuccessfully finding the answer there. Then calling the hospital and having them tell us to look it up by scrolling through some links using the local search tool on their website. This gave me some serious pause, what if it was a real emergency, like the kind where you have no time to call and see if the closest hospital takes your insurance.

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[–] [email protected] 44 points 9 months ago (2 children)

The only way I'd live in the States is if I was making so much money that a 20k medical bill meant nothing to me.

[–] [email protected] 34 points 9 months ago* (last edited 9 months ago) (1 children)

$480.000 cancer treatment enters the chat.

[–] [email protected] 14 points 9 months ago* (last edited 9 months ago) (2 children)
[–] [email protected] 15 points 9 months ago (1 children)

Back in my first year of uni there, my classmate broke her femur. Got a nice 145k bill. Thank fuck she had insurance that paid most of it, because the two can negotiate any price they can come up with

[–] [email protected] 7 points 9 months ago (2 children)

You can buy a (rather small) Apartment for that over here. And still have money left for renovation.

I'm not willing to believe that the ACTUAL costs are in any reasonable correlation to the invoice.

[–] [email protected] 10 points 9 months ago (1 children)

Costs for services are basically made up. It's incredibly complicated but I'll give an example.

My last doctor appointment was billed at $220. I am in-network (which means my insurer has negotiated specific rates) so the insurance company says "you can only charge our insureds $105 for that service. We'll pay $80. The patient is responsible for the rest."

If I didn't have insurance, I'd be on hook for the full $220. If the doctor was out-of-network, my insurance company would pay what they thought was reasonable and I'd be on the hook for the rest.

The $220 is just whatever the doctor feels like billing. It's not based on anything other than "I feel like $220 is what my time is worth."

[–] [email protected] 5 points 9 months ago

Sounds fairly accurate. It's just one privatized industry negotiating with another. Doesn't necessarily mean that your leg is worth 145k$, however that's how much they feel they can leech from each other. In the States, this is exactly why you ask for a full itemized bill, any time you get any work done. They will, and do abuse this system for profit

[–] [email protected] 2 points 9 months ago

My stepdad had to take a loan out against the house to pay for shoulder reconstruction that his insurance deemed unnecessary.

[–] [email protected] 9 points 9 months ago

Yes. The average cost of cancer treatment is around $150,000 USD here and expensive cases can be much more.

[–] [email protected] 6 points 9 months ago

Well it’s not that it means nothing to me, but my job in the US pays about $30k more than it would in Germany (I can’t speak to other countries). Lots of Germans come to the US to work in my field for that reason (well they used to before all the layoffs). Also my health insurance is free.

That said, I absolutely still want public healthcare. Not just for the people in my country who desperately need it, but for myself too. Because while my healthcare is “free”, it isn’t really; my salary could be higher otherwise. And I lose coverage if I stop working (actually not really we have programs for that, but still kind of).