Lord Nick
[USPOL-ish..?] AN AMBULANCE RIDE COSTS $2000 IN AMERICA?!
Lord Nick
Can somebody confirm or deny this? What?
𝐯𝐚𝐥 ✨
Can confirm
Lord Nick
WHAT?!
Lord Nick
WHAT?!
Lord Nick
WHY?!
Princess Emily
yea
𝐯𝐚𝐥 ✨
Greed
Lord Nick
I mean, I knew shit was expensive there but.... but... WHAT?!
Princess Emily
it boggles my mind tbh. even if you accept that you need to pay for your medical care, that you need to pay for the ride there too in an emergency???
Princess Emily
you don't pay fire fighters you don't pay the police but you gotta pay for an ambulance ride to the hospital
starfighter
that's why a lot of folks try to drive themselves or even get an uber
Lord Nick
I'm just. Wow. I'm sorry, guys, I really am.
𝐯𝐚𝐥 ✨
In some places it's cheaper, or if the distance to the hospital is shorter.
𝐯𝐚𝐥 ✨
But it can still be like 500 dollars or some shit
Lord Nick
.... WHAT?!
Lord Nick
$500 is the CHEAP ambulance?!
Ken
It sure is
Ken
This is why lots of people die because they don’t call an ambulance and try to get there themselves, or just... suffer and die. :-)
Lord Nick
Jesus Christ
DrugsJulius
yeah this country is completely broken that anyone puts up with this
Lord Nick
If that's the alternative I'm never complaining about taxes again
Faetan
This comes up whenever the conversation with my mom turns political. I point out that Canada has free health care and they're not communist, and she says 'That's why they all come to America for surgeries, the doctors up there isn't as good!'
Faetan
*aren't
Lord Nick
Some richer Canadians do do that, it's true, or they go to a private clinic or doctor up here (which do exist despite our communist hellhole) but the average Canadian isn't chomping at the bit to drop... I don't even know anymore EIGHT MILLION DOLLARS on heart surgery
Lord Nick
Is it eight million dollars? Twenty minutes ago I thought the expensive ambulance was like two hundred bucks so i'm gonna assume it's eight million dollars.
Faetan
Oh gosh, no idea.
Princess Emily
I think most surgeries tend towards the hundreds of thousands
Lord Nick
Is that all?
Princess Emily
yeah that's all
Lord Nick
Good lord
CJ
God help you if you have kids
CJ
My partner was born premature, and her parents had both of their insurance plans maxed out by the care necessary to keep her alive
Lord Nick
Bloody hell, America
CJ
I shit you not, I know someone whose kid needed to be in the NICU for several months, and their bill, before insurance coverage, was nearly a million dollars
CJ
after insurance coverage, he still owed them something like 12 grand out of pocket
Faetan
Insurance is expensive too. It's about $450 a month for a person.
Lord Nick
Wait, hold on. So you still have to pay thousands and thousands of dollars for healthcare AND hundreds of dollars for the insurance that doesn't cover all of your healthcare?
starfighter
oh hell yeah
CJ
yup
Faetan
Don't forget co-pays and deductibles!
Lord Nick
And there are people that... prefer this system?
DrugsJulius
*brainwashed into thinking they prefer it
Lord Nick
Who are not also the Monopoly Guy?
CJ
also, a lot of plans don't cover vision, dental, or mental health coverage
DrugsJulius
brainwashed by the monopoly guys who own media outlets
starfighter
so far we've racked up over a thousand bucks this year between deductible and then what we had to pay. and soon it'll be the dentist.
Lord Nick
What?!
Faetan
So if you propose to an American, expect a running leap into your arms.
CJ
I got into this with becca's dad at one point and his argument was that public schools and infrastructure both suck, so socialized medicine would obviously be horrendous
starfighter
^ i've heard that too
DrugsJulius
"America is the best but also we're shit at everything we do. MURRICA!"
CJ
or something something the government will have the power to decide when they don't want to treat you anymore, death panels, blah blah blah
starfighter
also we get the treat of paying hundreds of thousands for our medicine too.
starfighter
insulin pricing is a fucking crime here.
Lord Nick
... No, don't tell me...
Lord Nick
How much is insulin?
Faetan
Bernie Sanders was just tweeting about that.
CJ
100 a vial ain't particularly out there
starfighter
my husband's lucky, his is $35 for five pens after insurance. if he didn't have it, it'd be $400 bucks.
Lord Nick
Are you kidding me?
CJ
nope
CJ
also: epi-pens
Lord Nick
That one I do remember hearing about. Also horrifying
Lord Nick
I need to go to bed but I feel like I've just stumbled into a horrifying rabbit hole
CJ
you have
starfighter
go on reddit sometime and look up american's hospital bills if you want to fall even deeper.
Faetan
Faetan
The high cost of health care is being blamed on illegal immigrants getting emergency services for free because doctors are required to treat them, and somehow people believe that.
PrincessBatty
https://imgs.plurk.com/QzI/3yC/zFOGi036IIs6wHfFrIa7iPJvfAm_lg.jpg
Seijin CC
Can confirm
Lyra + a Player
My epidural had a list price of $4k
Lyra + a Player
I have good insurance for an American because I have a union job and my union fought to keep our good insurance. I still paid nearly 1k out of pocket for an uncomplicated birth
RobotApocalypse
oh god i'm so sorry you're just finding out the horrible details of american healthcare for the first time
RobotApocalypse
most insurance plans are high-deductible too. i have insurance through my employer and it's about $150/mo in premiums with a $3,000 deductible, and that's considered good tbh
RobotApocalypse
thankfully it also covers prescriptions before the deductible is met but i still have to pay $70/mo for my anti-depressants because they're still under patent and there's no generics yet
RobotApocalypse
if it was out of pocket it'd be $250~$300
RobotApocalypse
adderall out of pocket is $180~$200 for a month's supply
RobotApocalypse
but thankfully that one has a generic so i only have to pay $15
RobotApocalypse
at my last job, i had a $3,000 deductible and it didn't cover medications before the deductible was met, so at the start of every year i had a good 4 or 5 months of being completely fucking broke and dipping into my savings while i paid $500+ a month on medication alone until i finally met the deductible and the insurance kicked in
RobotApocalypse
when i got top surgery, the bill was around $65,000
Faetan
You're required to have health insurance, too. If you don't, you have to pay a fine when you file your taxes.
RobotApocalypse
insurance covered it so i only had to pay what was remaining to hit my out-of-pocket maximum, so it was around $2,500 out of pocket and insurance covered the rest
RobotApocalypse
Faetan : they reduced the fine to $0 a few years ago iirc
RobotApocalypse
so there is no longer a penalty for not having insurance
RobotApocalypse
but ofc that makes things worse because with fewer people in the risk pool, it's the people who need insurance that get it, so premiums increase to cover the difference.........
RobotApocalypse
people who pearl-clutch about ~SOCIALIZED MEDICINE~ honestly don't understand the difference between nationalized healthcare and single-payer healthcare, and they're so used to the system we have now that they can't imagine an alternative
RobotApocalypse
oh yeah, here's an especially upsetting fact about US healthcare:
so when the hospital bills your insurance, the insurance company has a set amount that they've agreed to pay for each thing being billed. like "we'll pay up to $X for a saline IV" and if the hospital bills $X+Y then they're still only paying $X
RobotApocalypse
usually hospitals will write off the difference
RobotApocalypse
but sometimes they won't
RobotApocalypse
and they will, in fact, bill you for the remaining amount
RobotApocalypse
you're completely on the hook for that extra $Y, with no assistance from your insurance, in fact it doesn't even go toward your deductible or out-of-pocket maximum at all because as far as insurance is concerned they already paid the amount the hospital was allowed to charge
RobotApocalypse
it's called Balance Billing and it's fucking evil. it literally bankrupts people
Ken
I remember once when going back and forth with a doctor about my colitis, I wound up waiting for like seven hours at a hospital to see someone who did absolutely nothing for me. I had to pay hundreds of dollars for my troubles. With insurance.
Beans
Beans
I'm so sorry americans have to deal with this
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