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[–] 23 points 1 month ago

We are not lucky to live in a country with the most expensive healthcare despite having worse mobility, mortality and disparities than almost every other first world country. The healthcare system has been completely destroyed by insurance companies and private equity.

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  • [–] 26 points 1 month ago

    That's like losing 9 fingers and thinking you're lucky because you still have one.

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

    Lol - I love this perspective. You wouldn't happen to be employed by UnitedHealthcare, would you?

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

    And this is why the very concept of health insurance is flawed from the start. Health care should not be a profit center. We pay taxes to the government (in the USA) to provide communally needed structures and services such as roads, utility poles, streetlights, and emergency services to name a few examples. Everyone should be paying a little bit more in taxes to provide medical care for everyone, just like they do in so many other nations.

    Making a profit off of people's illness and misfortune is frankly obscene.

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

    We wouldn't even need to spend more in taxes. We already spend more per capita for Medicare/Medicaid than Canadians do for universal.

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

    Doctors do get paid every time you go to them. Does that mean they're incentivized to keep you sick?

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

    Also, in theory they invest the money, which means that they have more money to pay out.

    Unfortunately, with no regulation and oversight, they can also just not pay out at all. Perhaps the US should try regulating its capitalism just q bit :S

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  • [–] 6 points 1 month ago* (last edited 1 month ago)

    US health insurance companies are highly regulated, and that includes regulation that caps how much of customers' payments they're allowed to keep (the "medical loss ratio"). If they don't pay out enough for medical care, they have to return the extra money. They're incentivized to deny claims for the same reason any business is incentivized to reduce quality in order to cut price - because most people want a product that costs less up front.

    (I think of myself as a relatively healthy guy, so whenever I have been offered a selection of insurance plans, I have always chosen the cheapest one without looking up denial rates. Maybe this isn't rational but it is common.)

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  • [–] 7 points 1 month ago

    That's strange... I don't feel lucky

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  • [–] 4 points 1 month ago* (last edited 1 month ago)