Saturday, April 22, 2023

I can't afford to visit the US because of health insurance costs

This comes from the website Quora and is written by Mark Pitt. I innocently thought if you did at least have health insurance in the US, you would be ok and the insurance company will look after you as the British National Health System does. Australia's system of public health care is not as good as the NHS, as I well know, with very long waits for important surgery, never mind the cost of visit to a doctor, though subsidised by Medicare, still costs a bomb. However, if you have something life threatening, your treatment will be prompt and absolutely free, as I also know.

Note point 4. In the UK a 5% chance of success would ensure alternatives were looked at and it is unlikely surgery would have proceeded.

If this is accurate, it is damning and could possibly happen to any of you American readers of my blog. 

  1. My friend Mike (name changed) is a civil engineer who married his second wife following the death of his first wife in a car accident. Her car was smashed into by a garbage truck.
  2. Mike’s new wife is a Pharmacist, so know the medical field very well.
  3. A couple of years ago, Mike started having headaches and developed a lazy eye.
  4. Mike was diagnosed with an aneurysm on his brain. Surgeons gave Mike a 5% chance that the surgery would work. Mike risked it.
  5. Mike had the surgery, following by a stay in hospital of a couple of months.
  6. Fluid on the brain then caused mini-stroking, so he had further surgery to slow the swelling. His lazy eye is now permanently closed.
  7. After his hospital stay, he was transferred to a facility in order to rehabilitate. He stayed for a few months before his insurance company informed him they would no longer pay to keep him there.
  8. Mike then went to another facility, where he stayed for a while before relapsing. A further hospital surgery ensued.
  9. After discussions with the insurance company, Mike’s wife convinced the original rehabilitation center to take him back.
  10. Madonna Hospital Omaha then allowed him to stay until the insurance company, again, said that they would not pay. Madonna informed the couple that “Many couples get divorced in this situation.” This, in order that the sick spouse does not bankrupt the well one.
  11. Mike was transferred to a third facility where was allowed to stay until they informed his wife that their facility cannot look after Mike any longer - he is too sick.
  12. Mike is now in no-mans’- land. Madonna Hospital Omaha will not take him as they risk not been paid and the current facility is little more than a convalescent home.
  13. Mike is now out of insurance - his lifetime maximum has been reached and the only option is now Medicaid.
  14. If Mike takes Medicaid, all of his assets, and those of his wife, will be taken by the government in order to ‘pay’ for ‘care’ that is provided under this catastrophic government plan. If Mike does not take Medicare, then imagine buying a new car every month - such will be the bills.
  15. So, a 49-year-old civil engineer and he and his pharmacist wife now face a future of selling their home, depleting their savings and perhaps declaring bankruptcy due to the American health ‘care’ system.
  16. Meanwhile, Madonna advertises its expert care on TV, the hospital boasts that they have the best treatment facilities in Nebraska, and the economy of Omaha is about two million dollars better off because one of its citizens got brain cancer.
  17. There is no ‘care’ here unless you can pay, and where the American people are kind and generous, when it comes to health, there is one great big elephant in the room.
  18. No President or Congress has ever been able to fix it because of an inherent fear of ‘paying a little tax for the benefit other people’.
  19. American health technology is indeed the best in the world, but, like everything else in this land of the free, there is a fee. It’s all about that thing that does not exist, apart from an idea - a bill of exchange - money.
  20. As for Mike, well, he’ll have to manage as he sits in his $12,000 wheel-chair, surrounded by paid-for drips and technology, in his new apartment that he is forced to rent due to the sale of his home.
  21. It matters not that your insurance policy is maxed-out at $1 million or $10 million. Eventually, it will run out.
  22. Imagine going to a country where a plate of food costs $5000. Then, when you cannot afford to pay for food anymore, you are dismissed as a nothing; a financial burden - persona non grata. You cannot keep yourself alive, you cannot afford it; you die because you cannot feed yourself and nobody gives a shit. That, my friends, is healthcare USA.
  23. This shall never be fixed. Like wars, healthcare makes too much money for the millions of people who work in the field. There are too many special interest groups and lobbyists to change things; too many bribes, corrupt politicians and ineffective presidents to be able to bring change.
  24. Meanwhile, Mike is literally speechless, and his schooling, college degree, patriotism, church-going and membership of the Knights Templar will not matter. His hundreds of thousands in taxes may fill a few potholes on Omaha’s dreadful roads, but it will not help him. Mike is an American patriot, but sadly, in America, the flag-waving and hand-on-heart means nothing. On the issue of health, America pleads the fifth; it says nothing.
  25. Americans are a commodity; they are useful to the economy until they are not, and while Fox news propaganda hails that this is “the greatest country God gave man,” try telling that to a man who has worked all his life, only to be forced out of a system because he is unable to pay.
  26. Think of the concentration camps of 1942–1945. You were either fit to work and aid the effort, or you were left to die. The analogy may seem dramatic, but then both ‘outcomes’ were determined by a tick box on a clipboard.
  27. In 200 years, the USA is unlikely to be here. Empires die, as they make stupid decisions which implode. However, in 300 years, history will say, “In the USA, if you did not have enough of that paper - that ‘money’, then the people who were in charge of collecting more of the paper money put to death those who had not enough paper money to give them. Some people died, because some other people said, they were not worthy - they were not endowed with money.”
  28. Thereafter, when tiny robots repair every cell in the body for free, and when work and toil are a thing of the past, people will ask, “Why did people die?” The reason shall be just the same as when people fell into mills and factory equipment during the Industrial Revolution. The reasons will be the same as why millions died in WW1 where generals ordered men to go over the top of trenches only to be shot and killed. The reason will be that the few controlled the many, until the many woke up and saw that the few controlled too much, and called ‘enough.’
  29. The NHS is not perfect in the UK, but the 1940’s government freed the British public not only from tyranny but from the worry of their healthcare. In 1948, the National Health Service was born. It remains the greatest of British decisions and has saved millions from death, disease, and despair.
  30. Whatever you think of the NHS, it is near and dear to the British hearts and minds. It is the Mother of the UK. Using that analogy, the USA is simply an orphan. The USA is a camera obscura - a dream-like nation. It appears to be fantastic until you see that the bleached white teeth hide a mouth full of decay.

Edit 17th April 2023.

Thank you for all of your upvotes and comment.

Steve passed away leaving his two girls and a wife. The doctors applauded the body as it passed through the halls of the hospital. Some have commented that the UK NHS would not have performed the surgery anyway? This is subjective. In the UK, costs are so much lower, so if Steve had been to a private hospital, then the bills would be much lower - we don’t bankrupt people here. Again, the USA impersonates the ostrich when it comes to healthcare. The government likes the anxiety that comes with fear, with worry - it keeps people under control and on the treadmill. It’s even becoming a burden for foreigners to visit the USA; such is the high cost of travel insurance. The system will break, the ‘let them eat cake’ attitude is too much.

49 comments:

  1. Aaaargh. That is a damning indictment. And costs in the US are severely inflated which further erodes your insurance. I have family in the US and one of them sent me this story. A neighbour of theirs broke her arm. It was a bad break and required a night in hospital - though no surgery. The bill? $58,000. When they sent me the story I asked whether they had the decimal place in the wrong place. No, they hadn't.
    And another story. An Australian friend's mother had a stroke in the US. She died less than twenty four hours later. The bill was over $300,000.

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    1. EC, I can only shake my head in disbelief.

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  2. What happened to Obamacare in 2010?

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    1. Trump(et) ripped it apart.

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    2. Hels, as I remember it did give poorer people better access, but I am not sure of detail.

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  3. That all sounds pretty horrific if true. Our NHS is currently struggling to cope and there are all sorts of rumours doing the rounds about privatising bits and pieces of it. I really hope we don't go down the road you describe here,

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    1. JayCee, your NHS is really something worth fighting for and to have it improved.

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  4. Small point of accuracy. To be eligible for Medicaid, one does need to "spend down" one's assets, if one has assets, to qualify, as it's a program for people with low income. This does not include one's primary residence or vehicle, so they would not have to sell them.

    However, your blog is generally accurate in that it describes the catch-22 limbo many people are in as they try to match their health needs with appropriate and available facilities.

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    1. Thanks for the clarification Anon, which is rather different to what the author said. But if your insurance runs out, any savings and cash would have to be reduced to the level to qualify for Medicaid.

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  5. As others say, horrific if accurate. I am thankful I live in the UK, having had what we estimate to be over £100000 of treatment during the past year, and am now kept going by a drug that costs £7000 per month (at UK prices).

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    1. A classic example, thanks. It might be better if people did make the effort to find out the cost and much has spent on their healthcare.

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  6. In Australia, if you want to pay for the care you want, you cannot receive it. The culture of medicine in Australia is to send everyone to hospitals that will not do a thing for you but a "medically alive" diagnosis.

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    1. Unless you have good Health Insurance and can attend private hospitals.

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    2. Roentare, I received pretty good treatment as a public patient for various matters over the years. I object to what private health cover costs me and how much I pay above that. Because of the Covid backlog, I will have surgery in the private system in June. I expect over the past year and the surgery costs, plus ancillary costs, I will be out of pocket by about $5,000, and that is with top private health care. You may have heard of people drawing on their superannuation to pay for surgery. That is me.

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    3. River, private cover gives you paid for hospital room and that is about it, and that is after paying the annual excess once a year of say $500.

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  7. I live in the US and healthcare costs here are ridiculous. If you don't have health insurance and have an emergency they do have to treat you but you will be billed, it's not free.

    I have Medicare and one of my medications, my insulin (I'm diabetic) is $1500 every 3 months. But since I have Medicare I only pay $5 for it and Medicare pays the rest. I'm on 13 different medications and I pay a total of $30 each month for them but Medicare pays a lot more. If I didn't have insurance, there would be no way for me to pay for the medications.

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    1. Thanks Mary. As a US citizen your opinion is valued. Personal examples are extra good. I am a little confused by Medicare and Medicaid? I wonder about what happens when say a 22 year old waiter might be stabbed on the street, has to be treated in hospital and he/she works as a waiter with no savings?

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  8. Our health care has always been an issue, which is ridiculous. Believe it or not, Obama did improve the availability of healthcare, but it's nowhere near where it needs to be. Biden has improved prescriptions, but they also need a total overhaul. It's unconscionable that people have to worry about healthcare and prescriptions in our country. Okay, getting down off my hobby horse now.

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    1. Your opinion is valued Sandra. Let's not start a discussion about drug companies and their practices.

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  9. We actually have a reasonable Medicare system and while it is not perfect, people who can afford to pay private health choose not to and clog up the system for those who don’t. They rather rather spend their money on new cars and overseas holidays. If you are a socialist with money in Australia which many people are now, you sprout the socialist line but do not act accordingly…. Rather you access the public health system at every opportunity , get cheap or no cost dental work done and then sit back and complain about Medicare You sound righteous but it’s all rhetoric. Stop complaining and use the system according to your lifestyle

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    1. Good luck with getting cheap or no cost dental work in Australia! Very little of it to go round and lengthy waiting lists just for a first appointment.

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    2. Anon, it is a universal health care system, there for all to use, as former PM Keating used to. I was not particularly complaining about our system.

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    3. MC, I have tried and the computer said no. There are a couple of places nearby where pensioners can get cheap or free treatment, but there is a decent waiting list, but not nearly as long as the public dental waiting list.

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  10. It always amazes me that health insurance is linked to work. Which means people stay in jobs they hate because the insurance is good. And if they leave that job for whatever reason they have no insurance. And insurance pays for medication. It is a very messed up system and I feel so sorry for the people who are unable to receive care or medication.
    Our system isn't perfect but I do believe it is better than many. The NHS is really struggling. There is an interesting attitude towards it in the UK (and I am speaking from what I have gleaned from talking to relatives over there) in that even if one can afford private health insurance and private care there is a perceived duty to go with the NHS as it is healthcare for all. It is one reason why it is struggling. At least here I can choose to go private because I have insurance and if I go public (and in certain cases I would) I can still use my private insurance to offset the costs to the public purse.

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    1. Caro, there are many reasons why people stay in jobs hate (my hand up), but not for health insurance reasons here.
      Ours is a universal health care system, as is the UKs and all are entitled to use the system they pay for in their taxes. As for private, see my reply to Roentare above, and you will know this too. What it costs you to go private is horrendous, even with top cover.

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  11. You paint a horrifying and scary portrait of health care for the many in the USA. It's okay for the rich but ordinary people must fear the possibility of bankruptcy and locked doors. Here in England the Conservatives have done their darnedest to cripple free health care and when Labour storm back to power they will be faced with a huge challenge to make amends for what the heartless Tories have done in the last thirteen years.

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    1. YP, that is something our Labor Party is dealing with now, years of inaction and attempts to emasculate the public health care system by the conservative party.

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  12. This is very much true. I don't understand why we can't get a one payer system option. My guess as time goes by. Hubby or I will be on Medicaid. Or even both.
    Coffee is on and stay safe.

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    1. You deserve to receive Medicaid Dora, from what I know.

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    2. At this time I have to many assess.

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  13. This is truth. Imagine my husband's work simply closing its doors just as I was scheduled for my first chemo. Insurance is tied to work. Sometimes a person is not working through no fault of his/her own.

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    1. Debby, how did you go financially with your husband's recent health issues?

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  14. As an American, you won't get any argument from me. Our health care system sucks.

    I've read it's an accident of history that healthcare is linked to work here in the US. There were wage and price controls during World War II, and the only way companies could stay competitive when hiring workers was by offering benefits such as health care. But, jeez, that war ended almost 80 years ago!

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    1. Ok Kirk. What happened during WWII is interesting and I did not know that. You can only hope for incremental improvements over time and I can't see in near future a decent public health care paid by taxes happening.

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  15. The copays on healthcare are horrible and the amount one pays before insurance kicks in. The bird lady was terribly worried about going to a nursing home in part because then everything she owned would be sold to finance her care, even though her care might be quite minimal. The charge might still be close to $5000 a day. For that you could rent a room in an extremely fancy hotel and hire a private nurse. Not eat disgusting food and lay in your own urine much of the day at a nursing home. Greed trumps actual care here.

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    1. Strayer, copays have become a thing here. I think a doctor's visit costs about $90 and we now only receive about $40 back from Medicare, credited to our bank account. Poorer people are often treated without personal cost and the doctor loses, but even that is reducing.
      I've heard about this hotel stay and a private nurse, or even being permanently on a cruise liner and receiving basic good care.

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  16. Just shocking isn't it!
    I've read so many stories on people going broke in the US due to illness, even women who have a baby in the hospital, it costs heaps all out of pocket.

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    1. Margaret, as you may read above, US citizens recognise their health care system is broken. But there is so much profit for some, I doubt the system will change much, rather like guns.

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  17. I have read articles about the American Health "Care" system and seen it in action in movies, where only the rich can afford treatment and it truly, truly sucks! America cares nothing for its people, the care is only for guns and money. It is a country I will never ever visit even if I could afford to.

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    1. River, in spite of that, we know online some lovely US people who are decent and caring people and don't like their own systems. You are right though, it sucks.

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  18. Watch "As Good As It Gets" with Jack Nicholson and Helen Hunt for a good example of this.

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  19. Horrendous! Our NHS is by no means perfect - badly administered at the highest levels and with some strange, highly-paid anomalies - but usually excellent for emergency care.

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    1. JabBlog, ours is similar. Emergency situations, it is wonderful. Non urgent, much less so, although to be fair, Covid really screwed things up badly.

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  20. The US system of charging and paying for health care is appalling, but there is a gross mistake in the article. For a married couple with a sick spouse, and a well spouse, applying for long term Medicaid, the well spouse can keep a home with equity up to about $500,0000, up to $135,000 in cash or other liquid assets, a car of any value (I have seen a new Bentley), unlimited personal property, and retirement accounts with a minimal obligations against those. The overstatement was unnecessary to describe how horrible the system is. I have seen a handful of divorces for Medicaid, usually for a couple in mid-life. Also the well spouse, is entitled to keep all of her income, and a pharmacist can make $100,000 a year here. (Sorry about the rant, this is an area I have worked in for 25 years.)

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    1. Thanks TP. I see it as information rather that a rant. It is a pure guess, but I think pharmacists are paid less here.

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  21. This is scary. I have heard that in the US health insurance determines everything if ever you fall ill. I have heard a lot of good things about the NHS of the UK.
    Here in India, people take medical/health insurance, just to take care of an eventuality. It's not mandatory or obligatory. Medical care is better in private hospitals, but they are expensive. So, if one doesn't have insurance it's tough.

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    1. Pradeep, as I thought your system worked. The poor as usual are at the bottom of the ladder.

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I was a bit emo

I had a nice weekend away. The hotel was not that posh but quite nice, and on the Geelong waterfront. Unbeknownst to me until an hour or so ...