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[–] 92 points 1 month ago (18 children)

NHS costs about 4600$ per recipient

Spanish healthcare system 5346$ per recipient

Canada's is about 5000$

The US PUBLIC healthcare spending (Medicare, medicaid, VA, ACA subsidies) is about 5600$ PER CITIZEN (not recipient).

IE:

Americans already pay enough in taxes for 100% free comprehensive healthcare for everyone, but get fuck all. The average household pays between 15000$ to 20000$ for healthcare.

The American system is not inefficient, it is an extortion scam that steals trillions from working Americans and kills about 40,000 Americans per yeat.

Wanting the US healthcare system is like wanting a 9/11 every month.

We could give every American 100% free healthcare, without rising taxes. Imagine what would happen to the economy when every household has an extra 15k$ of disposable income?

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  • [–] 25 points 1 month ago (5 children)

    But in Canada you may have to wait to see a doctor! Checkmate socialists!

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  • [–] 12 points 1 month ago (4 children)

    Which means you were triaged and are not among most critical cases. Wanna know what happens in an American ER when you aren't visibly in critical condition?

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  • [–] 2 points 4 weeks ago (1 child)

    I unironically recommend watching the gripping horror/drama that is "The Pitt" to understand how ERs work in the United States.

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  • [–] 1 point 4 weeks ago

    To be fair, it's VERY exaggerated. Yes, many of the situations are realistic, and a lot of the actual medicine is very accurate, but the overall situation is pretty far outside the normal for any real hospital.

    It's like an entire year's worth of worst case scenarios jammed into a "one shift" season.

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  • [–] 16 points 1 month ago

    I bring it up a lot but the book "dying of whiteness" was a horrifying look into this. A significant amount of people don't want national health care, even if it means they themselves get sick and die, because then those people would get it.

    The money facts don't matter. It's just emotional sludge.

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  • [–] 11 points 1 month ago (2 children)

    A good part of the reason public health expenditure is so much higher in the US is because public healthcare doesn't generally cover healthy people. Medicare exclusively covers seniors and disabled people for instance.

    If we just expanded coverage to everyone, we'd probably be instantly on par with other public health systems on a cost-per-patient basis.

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  • [–] 4 points 1 month ago (1 child)

    This and maybe not always using name-brand prescriptions. But maybe that has changed, it has been a while since I was actively living in the US.

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  • [–] 4 points 1 month ago

    Medicare Part D is kind of a cluster fuck. The way the use different PBMs and its your job to create a spreadsheet of all the meds you take, which are covered, and min-max your way to being able to live is absolutely fucking infuriating...

    That said, the system absolutely does not push your towards expensive name-brand meds, probably errs on the side of pushing you towards generics, when they are available.

    There are other factors on the pharmacy side, including public advertising, so patients demand those name brand drugs, and physician influencing campaigns...

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  • [–] 6 points 1 month ago* (2 children)

    The thing people don't realize is that we already have universal healthcare, but in a stupid, cruel way. A hospital will treat anybody, but they'll go into debt for the amount they "should" have paid, while everyone who does pay already pays for those who can't.

    Also - If anyone reading this is uninsured and needs medical attention - get treatment and ignore the bills. Medical debt might as well be imaginary. It's essentially ignored by credit bureaus. Hospitals sell it off to debt collectors who will try to get you to pay, but just end up selling it off again and again until it goes away 99.99% of the time.

    Don't ignore something potentially serious over financial concerns.

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  • [–] 2 points 4 weeks ago

    This is not really true though. If you need cancer treatment and don't have insurance (or if your insurance won't cover treatment) you can't just walk into a hospital and demand to see a specialist, much less get surgery or chemotherapy.

    Yes they will take you in for your last moments and put you in a corner to die, but that is not what people normally think of as healthcare.

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  • [–] 1 point 2 weeks ago

    I needed to get an MRI a few years back. Cost with insurance was $1,200. I was paying it and after a few months (because i literally could not set up a payment plan because I knew as soon as i did I'd fail to meet it; I had the money each month, just i couldn't tell you when I'd have it, specifically) it went to a collections agency. $400. I have refused to pay it, as I was making payments in good faith, and they STILL sold off my debt after 6 months. YOU CAN GET FUCKED THOMAS AGENCY. IF YOU WANT THAT MONEY GET SPECTRUM RADIOLOGY TO GIVE IT TO YOU BACK SO I CAN RESUME PAYMENTS TO THEM.

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  • [–] 3 points 1 month ago

    You forgot about the IHS (second only to the VA in size), honestly one of the best kept secrets in the US… if all the MAGAts knew their tax dollars were going to give Native Americans universal healthcare there would probably be riots on the streets.

    For real though, between all those programs there are already like 40 million people on a universal type healthcare system, I’ve never understood why we can just extend it to everybody.

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  • [–] 3 points 1 month ago

    We know it, thanks for the figures though, I will write this down. I don't want to bother you for a source, but if I cite these figures elsewhere I would need one, and I will, cite these figures if I am able.

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