StarvingMartistRulespital
I had to think about this for an embarrassingly long time before I realise this was America and they don’t have the NHS. In the UK you should absolutely provide your identity to the hospital, so it can go on your medical record.
Out of pocket visit to the Dr, about $15-$20 Urgent care, $25 -$75 Emergency room, $100-$350
These are JUST FOR SHOWING UP AND HAVING INSURANCE, WHICH WE PAY $1000 MONTHLY. The rest of the bill is charged once you leave, mostly 50% of the remaining services.
Most people with work insurance are paying 40-50 percent, and their cost as an employee is calculated as their wages plus their benefits.
America is a capitalist dystopia.
I honestly believe Trump is here because we almost went to universal health care.
SkullgridI honestly believe Trump is here because we almost went to universal health care.
Trump is here because you elected a reasonable black man (not even progressive , just reasonable, willing to comprimise etc) and the racists lost their fucking minds and went “I want the opposite, the guy that’s saying this guy came from kenya (lie)”.
The reality is that Trump is here because we thought we could play games. We thought we could demand perfection and were under the impression there was no way he would win again. He appealed to people because he speaks simply and the average person doesn’t think about these things.
And the racist fucks.
AlmaccaTrump does not ‘speak simply’. When he’s not rambling incoherently, he’s just bullying and abusing people. That’s apparently what Americans liked.
Maybe not now, but he was a bit more coherent in 2016. And by speaking simply, we mean he says things directly like “we’re going to solve all your problems!” It may be idiotic, it may never be a possibility, but he says ‘simple’ things that tell people what they want to hear.
He was not. It’s been nonsense the whole time aside from when people called him on his shit, then he used no more than 6 words per sentence to insult people only. Other than that, the dude doesn’t think.
Bankrupted a fucking casino.
A CASINO.
Also is a pedophile and a billionnaire. And a felon. And, not that relevant to me, but to evangelists it is – an atheist.
If there were any reason for a Republican to dislike him, Trump would be the perfect summary. But turns out, Republifascists prefer to be so deep in their own shit that they don’t care. They only think “Mine mine mine mine and the rest can whine!”. They don’t want a better world, they want everyone else to lose.
Every single one person who voted for him, was bought out by Big Money.
he says ‘simple’ things that tell people what they want to hear
Just like conmen do.
Whoa, when I said speaks simply, it was not a compliment.
That is FAR too much for monthly insurance, you might want to shop around on marketplace instead of going private
My marketplace cost before assistance is about $1000 per person per month
I’m very sorry to hear that then
Well, the assistance makes it much more tolerable.
Taxes pay more for healthcare per person in the US than the NHS. So taxpayers pay enough taxes for healthcare to get free healthcare, but then they have to pay a premium per month to get healthcare, but then they have to pay for more than the service cost in copays to pay for healthcare.
It is insane how americans are paying for triple or more for healthcare and getting none,
Mono swelled my throat shut a while ago. Urgent care sent me to the ER. ER looked at my throat, said they can’t help Mono. It cost $780 and 6 hours to find out they can’t help me.
I once paid 2000 for some tums and a “sorry we can’t do anything”
Those costs are bullshit. The cost of the ER used to be much less if you got a referral. Also, I bet most of that is lab work.
Where the hell are you getting $75 urgent care visits? And $20 doctor visits? I have a high deductible plan and these are like $150 for a doctor and $250 for urgent care.
My wife had a cyst drained and it cost us over $1,000 between 3 visits and them draining it once. Draining it was $600.
Hdhp are predatory. I have a marketplace plan, and I’m paying significant less.
Why so they can censor your blood type?
Don’t be embarrassed homie. We should be embarrassed for not running the streets and fixing this shit already.
Does this even work? Will they even treat you or let you leave without ID?
I wonder about that too. Perhaps if it is severe enough?
They must get you to be “stable” legally.
That doesn’t mean healthy or cured.
You will still have a bullet in you. Your bone will still be broken. You will still have that cyst.
Also doesn’t mean they will prioritize your entry. Your ass could die in the waiting room while they decide what to do with you.
These days they’ll assume you’re mexican and deport you to sri lanka, untreated ofcourse
originalucifertheyre only required by law to stabilize you. youre not getting 'cured'.
if you lose a finger for example, they don't have to put it back on.. only prevent you from bleeding out.
Stabilize for anyone wondering is Probably not going to die in the next 24 hours from injuries. Because then they can become liable.
unconsequentialYes they will treat you. But they will harass the shit out of you. I couldn’t properly identify myself or another victim after a critical accident and the other person almost lost their arm. I was failing all the other questions too (date, president, etc) but they wouldn’t stop asking like clockwork. It took hours to get an MRI and xray. I had two broken vertebrae in my upper back and severely concussed. They just kept giving the other passenger blood transfusions but refused to operate. They finally did a temp surgery on their arm but didn’t do a full surgery until after they were identified and it was confirmed they were well insured (union). It was a mess. Hospital and medical insurance took their entire settlement as payment for that shitty service too. We were struck by a drunk driver. Oh, and we both had stellar insurance (different unions but good insurance) and neither ambulance would take it. 5k for mine and I think theirs was more. And again, the whole settlement went to the insurance to pay the hospitals for that stellar bedside manner of letting me suffer for hours confused af and them almost die and lose their arm. Second surgeon was not happy. The other guy also was checked in as a John Doe at another hospital and they lost all of their teeth and most of their lower jaw. Also horrible delayed service. They care more about figuring out who you are so they know you’re “in network” than treating you.
Dam, I’m sorry you went through that. That’s horrible
They are legally required to stabilize you. That is to say, they they will not heal you, they’will not cure you. They get you stable enough to get you the fuck out of the door.
If you have cancer. They will not do shit.
If you have a broken bone. They will straighten it, if they can, no cast, and kick you r the fuck out. You will still have a broken bone, and you will still need surgery to heal it.
Been bounced before with broken bones. It sucked.
They will not do jack shit to straighten a broken bone. They make you sit in triage until you give up and leave or escort you out by security if you raise a stink.
Sat in triage for 38 hours before with a broken leg.
I got my bone straightened with no money, no insurance. Fractured Patella.
They gave me 1 pain pill (wasn’t enough), then pushed my leg back straight. Then discharged me.
I literally ordered a brace that you could lock straight off Amazon and waited for it to come in at home in incredible pain.
They forgot the most important rule…always pay in cash. They can trace your information through your insurance provider, so it’s best not to have any.
the intention is to not pay
When I’m having a medical emergency at home, my first step is always to get into my car and drive at least 5 miles away.
You fool, driving your own car. You need to drive the car of someone unrelated to you.
Oh shoot you’re right. Ok so I don’t want to steal any of my neighbors cars, could link me by proximity.
So, mid-medical emergency I’m walking however far it takes to find a payphone(?). Avoiding any security cameras, including ring doorbells etc. Might have to jump a few fences.
Pretty sure the advice here is to just go anonymously suicide by cop. When you do that in GTA you wake up fully healed outside the hospital. Must work IRL too
Hell yeah, double emergency
ethaverthere have been several cases over the years of people plowing their car into the ER waiting room when the heat attack / stroke finally gets too severe.
True but that won’t be me, I’ve had plenty of experience with medical emergencies and know how to handle myself.
explodicleSee that’s how they track you
Fuck that, I’ve paid good money for my medical insurance, the company can damn well start paying the hospital! I’ve got a lot more in common with the nurses, doctors, and support staff than I do with insurance parasites, I want them justly recompensed for their labor. Will the company try to renege on the contract by refusing as much coverage as they think they can get away with? That’s a lawsuit for another day, when I’m feeling better, and I’ll recruit the hospital administrators to my side.
My brother in Christ, are you assuming the hospital (and the pharmacy) isn’t also owned by the insurance company? And do you think that the profits will get passed on to the laborers?
My brother in Christ, are you assuming the hospital (and the pharmacy) isn’t also owned by the insurance company?
In most places they aren’t, and tbh its not always a bad thing when they are. The kaiser permanente model actually leads to better outcomes than in most hospital networks because it actually incentivizes preventative care.
It also gives them no incentive to try to control the cost of care or negotiate strongly on their customers’ behalf as an insurance company.
Right, but they aren’t just operating as an insurance company. They also own and operate the hospital, meaning there has to be a balance between the profitability of the hospital network weighted against the profitability of the insurance company.
In the end, it usually means that there isn’t a competition between the insurance and providers, rather two parties working together to manage cost while providing better service.
Which means it pays to provide preventative care, it pays to educate their patient population, and it pays to provide outcome based medicine.
Vertical integration of healthcare is a lot closer to something like universal care than what you usually see in america. It’s not perfect, but it’s usually better than the current norm.
It’s my understanding that vertical integration is the norm in the US, though. UnitedHealth bought something like 250 companies in 2024 alone. CVS owns Aetna, and MinuteClinic, and Caremark (a PBM), and multiple pharmacy chains, with the result being that they don’t care where in the value chain the money winds up, because it’s still in house at the end of the day. And they certainly aren’t going to fight the other parts of the conglomerate to get a better deal for patients, with the result being that there are no longer incentives (from competition) to cap costs, resulting in the US spending almost 20% of GDP on healthcare.
t’s my understanding that vertical integration is the norm in the US, though
Not really, corporations including insurance and private equity are increasingly buying up physician owned private practices, but that’s only estimated to be like 30% atm.
They generally don’t buy into actual hospital networks because they aren’t exactly the biggest money makers in the market. Most states mandate hospitals have some kind of emergency clinic, which are basically huge money sinks.
value chain the money winds up, because it’s still in house at the end of the day. And they certainly aren’t going to fight the other parts of the conglomerate to get a better deal for patients, with the result being that there are no longer incentives (from competition)
Eh, I think this is kinda a rudimentary understanding of healthcare cost. There’s not actually a lot of profit to be extracted from the vast majority of the healthcare system. It’s nearly entirely done by private healthcare insurances relying on the fact that they offload customers with high expenses to socialized networks asap.
US spending almost 20% of GDP on healthcare.
This is mainly because healthcare is a natural monopoly and we lack universal coverage. The rise in healthcare costs is mostly caused because uninsured patients drive up the cost of care for everyone when there only option is emergent care.
It’s not. UCLA exists for the benefit of UCLA, but fortunately that includes providing excellent medical care in order to keep their reputation as an outstanding teaching hospital.
Mine is not. UCLA exists for the benefit of UCLA, but fortunately that includes providing excellent medical care in order to keep their reputation as an outstanding teaching hospital.
LainTrainYeah I don’t understand how anxious mfers will do acid to “heal” and then end up freaking out so hard they need the hospital yet they refuse to have the hypervigilance from trauma inherent in our brutal society to think ahead and take your friend or your ass to the nearest bus stop and say you don’t know 'em, just found em prjectile vomiting and offered help, and you know nothing of any onions or lemon tek.
Realize that even if there’s a law that says docs can’t call the cops on you for ODing or freaking out like in the UK, NHS trusts and hospitals can and do have informatics departments (I worked on one) that absolutely compile statistics shared with other depts in government and maybe even public for transparency of resourcing demand and budgeting, which the cops can take one look at and use to find an address range and put out a notice so that sussy packages whether domestic special brown shit with 'zenes in that brown yellow envelope still soaked with solvent or anything from the Netherlands sent to that address range get put for randomized checks and then they bust you on the next DNM order via “machine learning statistical analysis” or “randomized checks”.
Cops are above the law. There are many docs who are cops at heart. If you got something to lose don’t be a fool and count on a “system” which will chew you up and spit you out.
…unless im misunderstanding and this is about paying for healthcare in America and not about being arrested for possession or being under the influence. In which case yeah also don’t give em palantir ass mfers anything anyway
I’ve honestly wondered why i don’t hear more people doing this?
How would you hear about it if it “never happened”?
Because if you wanted to be actually healed it’s a terrible idea
This is counterproductive to my goals of having the most medical debt of any American to ever live and then die without paying. I’m playing for high score
Godspeed 🫡