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Firstly, thanks everyone for all the responses. I appreciate it, and I hope that some of you felt better after having a vent.
American friend predictably says there's a problem with "healthcare literacy" and that you just don't have to pay the bills and they probably won't chase it up. I don't beleive that at all.
I figured it might be interesting to share how much I pay for stuff up here in Scotland.
I have a decent well paying job so I pay some money to the NHS in taxes, specifically ~£2000 a year. I get antidepressants and doctors appointments completely free from that. Dental I don't get free because my income is too large, but it's only like £20 for most routine things. I have a free eye test booked next week, and I splurged £10 extra to get fancy 3D imaging stuff done.
I do require mental health treatment though, and the NHS doesn't cover that for autistic people (as a competence issue, rather than a policy choice). A session with a counsellor costs £45 per hour for me privately.
Honestly, the surprising thing to me isn't that you have an insurance system (Switzerland has a similar thing, iirc), it's just how inflated prices are compared to here.
healthcare literacy is an understatement and i'm glad you quoted it, you literally have to be a full time lawyer reading through this shit with a career SPECIFICALLY in handling health insurance to be able to understand it. Outside of that you're literally just guessing that it'll work.
Maybe someday i or someone else can found a thing like "open healthcare" providing that information for free in a fully publicly accessible manner. Why it isn't legislated, i don't know.