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this post was submitted on 23 Sep 2024
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Antiwork
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A community for those who want to end work, are curious about ending work, want to get the most out of a work-free life, want more information on anti-work ideas and want personal help with their own jobs/work-related struggles.
The new place for c/antiwork@lemmy.fmhy.ml
This server is no longer working, and we had to move.
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Date Created: June 21, 2023
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The Anti-Work Library 📚
Essential Reads
Start here! These are probably the most talked-about essays on the topic.
- The Abolition of Work by Bob Black (1985) | listen
- On the Phenomenon of Bullshit Jobs by David Graeber (2013) | listen
- In Praise of Idleness by Bertrand Russell (1932) | listen
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The fact that insurance is provided through employers in the US is strange. Other products are purchased directly. Presumably there's some advantage a sort of collective bargaining, but it doesn't seem to work out that way for this, in part because the employees aren't really part of the bargaining and in many places employees needs are too diverse to reach am agreement that works well for everyone.
Better solutions aren't coming any time soon. You can possibly make some better choices though. Although, not participating in the health insurance is borderline line crazy, dental and vision plans don't make sense for a lot of people. I would pay more for my dental plan than I pay to visit a dentist, including two annual cleanings, periodic x-rays, and infrequent work like cavities - basically the care you need to maintain tooth health. I don't get the dental plan. You can figure out your own out of pocket costs and see if a dental plan works for you. Going to a dentist that is not in an insurance network is the way to go when doing this. Offices in network are required by the insurance company to charge exorbitant fees to out-of-network customers (the dentists don't get the same pay from the insurance company though). So say a normal dentist charges $200 for a cleaning. A dentist in a network would be required to charge $400 or something nuts. If a patient is in network, it will say $400 on the EOB, and that the customer is responsible for $50, making it look like the customer saved $350. The insurance company only gives the dentist $150 though, so the dentist gets $200 anyway, the customer really only saved $150. The insurance company gets a bunch of money in annual fees from the employer.
You can see if it makes sense for you. Not everyone will be in the same situation, and maybe it doesn't eork out. If you have an option for an FSA or something similar, this option is even more attractive, since all those expenses can be paid from untaxed income, whereas the money taken out of your paycheck to cover insurance is after tax I believe.
Good point about dental costs. But insurance is just that, a plan in case you need more than the usual care, so paying a bit more might be worth it.
However, dental insurance specifically I feel is a racket, as it seems the more costly the procedure, the less percentage you get covered. When major dental costs are cheaper to fly to other countries and get them done than to use insurance in the US, something is wrong. I haven't gotten my issues taken care of for years because I ran into that roadblock where I simply can't afford to pay "my share", even though I pay in plenty to the family coverage for everyone else.
FSA is a bit of a racket too. If you have a set plan in place and use the money correctly, it does work. Most people don't look at it that hard though, and set aside an amount assuming it can be used as needed, later discovering that some things can be used from one part, while others can't until a part is paid out, much like a deductible. I think it works well for those needing regular medical help, but if you don't...you lose a chuck of money, with only a bit rolling over for a few months.
In short...health care shouldn't be this hard and complex. It's made that way for profit.
All insurance is paying to reduce risk, which is why I said it would be borderline crazy to not have general health coverege - that's a lot of risk. Dental insurance for the most part covers routine costs, not high risk scenarios. Things like oral cancer are covered by more general plans. So I think largely I agree that dental insurance is a racket. However, I'm sure it makes sense for at least some people so it's hard to make a blanket statement that no one shoud have it.
It’s a weird situation caused by WW2. Due to wage laws, higher wages couldn’t be offered. So they started to offer insurance. It caught on and became the standard.
It's caused by both major parties being assets to the billionaire class, and working for them, against us.