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Can we talk about how much the American healthcare system sucks? (lemmy.world)

submitted 1 year ago by FlyingSquid@lemmy.world to c/casualconversation@lemmy.world

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So I have an ulcer. I dry heave at least once a day and I haven't eaten in 21 days. (Please do not give me advice, I hate it, I don't want medical advice from people over the internet. At best, if you do, I'll respond with a "thanks.")

I'm in a somewhat smaller town, not really small, about 80,000 people maybe. There is exactly one gastroenterologist in this town. I went to him when I hadn't eaten in 6 days. For a $50 copay, he said to take some Mylanta along with the Protonix I was already taking and call him in two weeks if I wasn't better. So I call him yesterday. I talk to the nurse. I tell her all my symptoms, none of which have changed. She sounds very concerned.

I hear nothing all day. This morning, I call again. The doctor hasn't even gotten to my information. So the nurse sends a message that I called again, which he probably also won't see.

I have tried to get a second opinion, or just another prescription for something, but there is not a single gastroenterologist within a 90 minute drive that would see me within three months. I'm pretty sure if I don't eat for three months, I'll be pretty dead. I mean, I'm living on Ensure and Gatorade, but I doubt that will get me to three more months.

Oh, and this is the second time this has happened. The first time, I had to take a bunch of tests like a CT scan and an X-Ray and a blood panel and they found nothing. I had a scheduled colonoscopy anyway, so they just went down my throat as well and that's when they found the ulcer. No one even suggested an ulcer before that.

Why am I saying all of this? I'm not even complaining about all of this. I'm complaining about the fact that this has cost me almost $2000 already and I feel lucky because I have good insurance. I'm not poor, but I don't really have $2000 to spare. I'm paying it off in installments, but god damn, I have to pay all of this money and they have stopped even giving a shit about me.

What would someone in my position without insurance even do? Die? That's what conservatives fucking want.

We need universal healthcare and a complete overhaul of the healthcare system now.

And any time you hear someone complain about how long a wait you have in Canada or the UK to see someone to help you and how America has the best healthcare system in the world and how people from other countries come here for treatment, send them to this post before telling them to get fucked.

TL;DR No one gives a shit about you in American healthcare except maybe the nurses and all they do is suck money out of your bank account.

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[-] unwellsnail@sopuli.xyz 3 points 1 year ago* (last edited 1 year ago)

I'm sorry you're experiencing this, it's terrible and should not be something you have to deal with. Not sure if this counts as medical advice but asking in case it's been overlooked, do you have access to telehealth options or have you sought a care coordinator through your insurance? Those may be helpful in finding a different doctor, it won't help with the existing debt though. I'm disabled and unfortunately very familiar with medical debt, if you'd like any information on ways to try to lessen that debt feel free to dm me. There's also a lot of organizing around medical debt, this group is one I've been involved with, if that's of any interest to you (or anyone else reading this).

[-] FlyingSquid@lemmy.world 2 points 1 year ago

You know, I would love a telehealth option, but only with a reputable doctor. I've seen a few websites where you can sign up for telehealth appointments with a gastro, but I don't trust them. I don't know that my insurance would cover it though.

[-] unwellsnail@sopuli.xyz 3 points 1 year ago

Would you like help researching those things? I'm a stranger on the internet but I'm happy to help or point you in some directions.

[-] FlyingSquid@lemmy.world 4 points 1 year ago

I'm married to a librarian. We're doing plenty of research on our end, but I appreciate it.

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[-] Yoldark@sh.itjust.works 3 points 1 year ago

It has been 50€ after refund in total to fix my ulcer. I don't know the full price of the two medical procedure to check for it and the meds shouldn't have cost too much.

[-] GreatGrapeApe@reddthat.com 2 points 1 year ago

My colonoscopy with insurance in the USA cost two weeks pay. It would have been 33% of my annual take home pay without insurance.

[-] RBWells@lemmy.world 2 points 1 year ago

I live in a city, near a hospital and sort of medical district, so do have easier access geographically than most; also as a legacy of the time when Florida was more rational the insurance has always covered dermatologist, gynecologist, midwife, not just annual visit to GP.

Even so:

Dentist must be scheduled 6 months out.

Dermatologist and almost any specialist 4-5 months wait (basically if you are going each year better to schedule a year ahead of you want to get an appointment).

And cost-wise, the cost in total of insurance and out of pocket cost is batshit insane. Just have to hope nothing happens. Broke my finger, surgery & rehab $5,000. Status migraine, turned away from urgent care, they said I had to go to emergency room, $4,000. If you are designing a system to move money up away from people it's working as intended.

And on top of the private insurance that only covers anything after I spend thousands of dollars in any given year, we also pay in taxes to cover the sickest and oldest. So insurers are cherry-picking populations. If we had ONE healthcare system it would be cheaper for us. But all my cost is someone's paycheck and those someones have lobbyists to keep their money coming.