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Health insurance
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this post was submitted on 12 Sep 2023
2039 points (98.4% liked)
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This is absolutely not true. I have a high-risk, high-expense family member on my plan. Most years, we reach her deductible at the very end of the year and we're ultimately paying all that money for "a rate plan". Of the years we crossed the deductible and the insurance covered much of anything, it was still less than the $12,000 we shelled out that year in all but one case. In that one case, we saved about $5000, still a bit less than the overall money they've made off us. Literal cancer wasn't enough to make health insurance a good investment.
We still need it for three reasons. First, "what if you end up needing $100,000 or more in medical procedures". Second "the doctor won't be able to see you for 6 months unless you're insured" (though this sometimes goes the other way). And finally, it's a lot less of a financial drain through my employer as a pre-tax expense. Napkin math makes it $3-4000/yr saved in taxes.
This might surprise you, but many offices have "uninsured rates" because hitting someone with a $2000 bill for 5 minutes of time is a great way to have someone in collections for years and not actually see the money. They often do that alongside inferior service like an NP instead of a Doctor, but I've never found an office or hospital group who didn't do something for uninsured folks. And you're missing that they charge these things for insured folks much of the time to leverage their negotiated rates with hospitals.
Oh, you're not talking about usual hospital bullshit? You're talking about fraud? Yeah. You call them on it once and that disappears from an entire bill. Most hospitals around here don't do it anymore because there's too much attention on them. TBH, the same hospitals you're talking about are are often getting away with coding fraud, which is still reaching the patient's wallet.
The "sky is the limit" is basically the only time insurance is cheaper than not being insured. And why the government really needs to become a singlepayer for healthcare costs.