petrovich999 wrote: 22 Feb 2022 05:47
rtogan wrote: 22 Feb 2022 05:43
Ну а план стоит таких денег? В какой еще стране мира могут драть $2500/месяц премиум? Это сколько американцы, так или иначе, переплачивают?
Кайзер принимает медикер, который стоит намного меньше.
Так а кто за этот медикер платит? Не американцы ли своими налогами?
А сгонять на 4 часа в неотложку, где тебе повесят капельницу с солевым раствором, сделают кардиограмму и померяют давление всего лишь за несколько тысяч долларов, - это нормально?
А эффективность американской системы - налицо. Например:
"Overall, the US health system is very expensive and costs roughly twice as much as the Australian health system per person.
Despite this, Americans have lower life expectancy than Australians."
https://grattan.edu.au/news/more-expens ... explained/
Или:
https://www.health.harvard.edu/blog/is- ... 2107132542
"The cost is enormous
High cost, not highest quality. Despite spending far more on healthcare than other high-income nations, the US scores poorly on many key health measures, including life expectancy, preventable hospital admissions, suicide, and maternal mortality. And for all that expense, satisfaction with the current healthcare system is relatively low in the US.
Financial burden. High costs combined with high numbers of underinsured or uninsured means many people risk bankruptcy if they develop a serious illness. Prices vary widely, and it’s nearly impossible to compare the quality or cost of your healthcare options — or even to know how big a bill to expect. And even when you ask lots of questions ahead of time and stick with recommended doctors in your health insurance network, you may still wind up getting a surprise bill. My neighbor did after knee surgery: even though the hospital and his surgeon were in his insurance network, the anesthesiologist was not.
Access is uneven
Health insurance tied to employment. During World War II, healthcare was offered as a way to attract workers since employers had few other options. Few people had private insurance then, but now a layoff can jeopardize your access to healthcare.
Healthcare disparities. The current US healthcare system has a cruel tendency to delay or deny high-quality care to those who are most in need of it but can least afford its high cost. This contributes to avoidable healthcare disparities for people of color and other disadvantaged groups.
Health insurers may discourage care to hold down costs. Many health insurance companies restrict expensive medications, tests, and other services by declining coverage until forms are filled out to justify the service to the insurer. True, this can prevent unnecessary expense to the healthcare system — and to the insurance company. Yet it also discourages care deemed appropriate by your physician.
This can make for shortsighted decisions. For example, when medications are prescribed for rheumatoid arthritis, coverage may be denied unless a cheaper medication is prescribed, even if it has little chance of working. A survey (note: automatic download) found that 78% of physicians reported that this led people to abandon recommended treatments; 92% thought it contributed to care delays. And because the expensive medication may prevent future knee or hip replacements, delay may ultimately prove more costly to insurance plans and patients while contributing to more suffering.