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Joined 1 year ago
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Cake day: June 30th, 2023

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  • I’d love to see insurance companies get taken down a notch, but what you’re saying isn’t nearly as simple as you think. People regularly get tens of thousands of dollars into debt for lifesaving care, even with insurance. Those without it can go hundreds of thousands or even millions in the hole - I’ve personally known people in that situation. I certainly agree that hospitals are partly to blame, but the whole healthcare system is built around insurance paying most of the cost. This never would have happened if insurance didn’t exist. It’s a captive market. The only way doctors, hospitals, and pharmacists would unite in not accepting insurance was if all insurance companies disappeared. There’s just too much money on the table otherwise.



  • Insurance companies make money by indirectly extorting customers, be they individuals or businesses, through pricing schemes with healthcare providers. The American healthcare system is designed and priced around people having insurance, as you’ve noticed. This leads to insanely high bills for what should be simple things. An ambulance ride often costs over $1,000 without insurance, for example. In a nutshell, they’ve created a system where they are both the problem and the solution. Why don’t they start behaving more ethically? Well, from a money standpoint, why would you become less corrupt when you can collect more money by being corrupt?

    Changing insurance providers, or even just certain coverage choices, isn’t easy. We have what are called “enrollment periods” in the US when you can do this, and the only other times are under major life changes such as marriage or having a child. As another user noted, most people get insurance through their employer. The company (usually) pays the lion’s share of the premiums; otherwise, the plans would be completely out of reach to employees. My plan would be four times as expensive to me if I was paying for it out of pocket.

    As a result, starting something like what you want on a national level would be extraordinarily expensive, hard to compete with established players, and likely legally troublesome. Don’t get me wrong, we need reform pretty badly, but those reasons are why it hasn’t really taken off.