9 ms·

> Tech salaries in NYC and SF aren't 5 or 6 times higher than tech salaries in London. I've seen 75k USD salaries commonly in London and 400k+ is not unheard o

> Tech salaries in NYC and SF aren't 5 or 6 times higher than tech salaries in London. I've seen 75k USD salaries commonly in London and 400k+ is not unheard of in fang companies. >Erm, no. You will not likely meet the eligibility requirements for medicaid. That's just wishful thinking. If that's how the system worked, medical bankruptcies wouldn't happen. If I have money and insurance why do I need assistance? The disaster situation you were describing seemed to imply that I would no longer be working and have insurance. If I'm working and have insurance I'll just pay my copays and get care that way. If I have no income due to a disability, I'd get SSDI and medicaid. >They're not allowed to refuse you life-saving emergency treatment. They sure can refuse to give you chemo, refuse to give you reconstructive surgery if you've been badly burned, etc. etc. Care to cite a time where that ever happened?

foldr 7y ago
>I've seen 75k USD salaries commonly in London and 400k+ is not unheard of in fang companies. You're just comparing a typical dev salary in London to an unusually high dev salary for NYC or SF. I don't see what insight you hope to gain by doing that. (The people making big money as software developers in London work as independent consultants rather than employees, by the way, as it's more favorable from a tax point of view and - lol - you don't have to worry about not having health insurance.) >If I have money and insurance why do I need assistance? Because you don't have enough money. There's no cap on medical bills. See for example the article I linked to regarding the $500,000 bill for dialysis. The person in question had insurance. >Care to cite a time where that ever happened? Holy crap, you really mean it. It happens all the time, as you can find out just by googling. Hospitals are under no obligation to give you chemo if you can't pay for it. https://www.upi.com/Health_News/2016/06/03/Study-One-quarter-of-cancer-patients-cant-afford-treatment/8381464973916/ https://www.upi.com/Health_News/2016/06/03/Study-One-quarter... https://www.webmd.com/cancer/news/20170221/many-younger-cancer-survivors-cant-afford-their-meds#1 https://www.webmd.com/cancer/news/20170221/many-younger-canc...
- fuzz4lyfe 7y ago
  >You're just comparing a typical dev salary in London to an unusually high dev salary for NYC or SF. If you make much less than that in SF or NYC, there is no point in living in such an expensive place. Go make that London salary working in a rural area of the US. >Because you don't have enough money. There's no cap on medical bills. See for example the article I linked to regarding the $500,000 bill for dialysis. The person in question had insurance. From your article: "A few days after the treatments began, an insurance case manager called the Valentines warning them that since Fresenius was out-of-network, they could be required to pay whatever the insurer didn’t cover. The manager added that there were no in-network dialysis clinics in Montana, according to Jessica’s handwritten notes from the conversation. (The insurance company disputes this, saying that its case manager told Jessica there were no in-network dialysis clinics in Missoula.) Jessica repeatedly asked both the dialysis clinic staff and the insurer how much they could expect to be charged, but couldn’t get an answer. Then the bills came." So basically, insurance said they would not pay for the clinic this person selected and since they have zero agency they kept going and got the bill that they were told they were going to get. So sad. Did they actually pay the bill? Of course not. They took a credit hit. >Holy crap, you really mean it. It happens all the time, as you can find out just by googling. What was one individuals name who this happened to. Not a study. Not "we think it happens". What is the persons name?
  - foldr 7y ago
    >If you make much less than that in SF or NYC, there is no point in living in such an expensive place. Go make that London salary working in a rural area of the US. The median household income in New York is $50,000. I would rather live in London than in a rural area of the US - thanks. You talk as if people have no preferences besides maximizing the salary to cost of living ratio. > So basically, insurance said they would not pay for the clinic this person selected and since they have zero agency they kept going and got the bill that they were told they were going to get. I can’t figure out exactly what you’re trying to say here. It seems you are trying to find some way to convince yourself that these people deserved to get a $500,000 bill so that you can kid yourself that this could never happen to you. Yes, it’s their fault for failing to fly to another state in the middle of a medical crisis to find an in network provider, in the absence of any clear information regarding treatment costs from from medical staff or the insurance company. > Did they actually pay the bill? Of course not. They took a credit hit. We don’t know from the article how much they ended up paying. In any case, taking a credit hit is not a trivial thing. In your earlier comments, for example, you clearly placed a large value on home ownership. It’s difficult to buy a home with bad credit. >What was one individuals name who this happened to. Not a study. Not "we think it happens". What is the persons name? This article collects a number of stories involving named individuals: https://www.bustle.com/p/these-20-stories-refute-the-idea-that-people-dont-die-from-a-lack-of-health-care-access-56259 https://www.bustle.com/p/these-20-stories-refute-the-idea-th...
SolaceQuantum 7y ago
"Care to cite a time where that ever happened?" There's a documentary about the Mayo clinic on netflix. In it, a woman finally recieves a diagnosis of her mysterious and debilitating illness, of which she is pretty sure she would die from without diagnosis or treatment. She responds to initial treatment, which makes her hopeful the quality of life will finally approve. Then she no longer has money, and cannot have treatment anymore. She leaves the clinic and we never know what happens to her.
- fuzz4lyfe 7y ago
  From what I'm told should be thousands of stories like this, why can't you find one where you can prove that the person died? It's all rumor and second hand stories. If someone in my family died due to someone refusing them medical care I'd be all over the media about it.
  - SolaceQuantum 7y ago
    https://www.thenation.com/article/the-devastating-process-of-dying-in-america-without-insurance/ https://www.thenation.com/article/the-devastating-process-of... https://www.theguardian.com/us-news/2017/jun/24/us-healthcare-republican-bill-no-coverage-death https://www.theguardian.com/us-news/2017/jun/24/us-healthcar... https://www.patheos.com/blogs/dispatches/2018/10/15/study-45000-deaths-per-year-due-to-lack-of-health-insurance/ https://www.patheos.com/blogs/dispatches/2018/10/15/study-45... https://www.nap.edu/catalog/10367/care-without-coverage-too-little-too-late https://www.nap.edu/catalog/10367/care-without-coverage-too-... https://www.bustle.com/p/these-20-stories-refute-the-idea-that-people-dont-die-from-a-lack-of-health-care-access-56259 https://www.bustle.com/p/these-20-stories-refute-the-idea-th... ??? There are studies that directly show that not having insurance is deadly.
    - fuzz4lyfe 7y ago
      From the first example: "By the time Portillo found out about a small county program that sends health workers to the homes of low-income, bedridden patients, her father had been at home without pain medication for two and a half months. The nurse practitioner who came, spurred by Aquilino’s obvious suffering, rushed to order medication to make him more comfortable. Two days later, when the morphine had barely had a chance to soothe him, he was gone." There was a program, they didn't use it until the end, he was going to die anyway. He did not die due to lack of medical care. I'm not going to go through each one, give me your best example. >??? There are studies that directly show that not having insurance is deadly. Also that tobacco doesn't cause cancer, guess what those studies have in common?

foldr 7y ago

>I've seen 75k USD salaries commonly in London and 400k+ is not unheard of in fang companies. You're just comparing a typical dev salary in London to an unusually high dev salary for NYC or SF. I don't see what insight you hope to gain by doing that. (The people making big money as software developers in London work as independent consultants rather than employees, by the way, as it's more favorable from a tax point of view and - lol - you don't have to worry about not having health insurance.) >If I have money and insurance why do I need assistance? Because you don't have enough money. There's no cap on medical bills. See for example the article I linked to regarding the $500,000 bill for dialysis. The person in question had insurance. >Care to cite a time where that ever happened? Holy crap, you really mean it. It happens all the time, as you can find out just by googling. Hospitals are under no obligation to give you chemo if you can't pay for it. https://www.upi.com/Health_News/2016/06/03/Study-One-quarter-of-cancer-patients-cant-afford-treatment/8381464973916/ https://www.upi.com/Health_News/2016/06/03/Study-One-quarter... https://www.webmd.com/cancer/news/20170221/many-younger-cancer-survivors-cant-afford-their-meds#1 https://www.webmd.com/cancer/news/20170221/many-younger-canc...

fuzz4lyfe 7y ago
>You're just comparing a typical dev salary in London to an unusually high dev salary for NYC or SF. If you make much less than that in SF or NYC, there is no point in living in such an expensive place. Go make that London salary working in a rural area of the US. >Because you don't have enough money. There's no cap on medical bills. See for example the article I linked to regarding the $500,000 bill for dialysis. The person in question had insurance. From your article: "A few days after the treatments began, an insurance case manager called the Valentines warning them that since Fresenius was out-of-network, they could be required to pay whatever the insurer didn’t cover. The manager added that there were no in-network dialysis clinics in Montana, according to Jessica’s handwritten notes from the conversation. (The insurance company disputes this, saying that its case manager told Jessica there were no in-network dialysis clinics in Missoula.) Jessica repeatedly asked both the dialysis clinic staff and the insurer how much they could expect to be charged, but couldn’t get an answer. Then the bills came." So basically, insurance said they would not pay for the clinic this person selected and since they have zero agency they kept going and got the bill that they were told they were going to get. So sad. Did they actually pay the bill? Of course not. They took a credit hit. >Holy crap, you really mean it. It happens all the time, as you can find out just by googling. What was one individuals name who this happened to. Not a study. Not "we think it happens". What is the persons name?
- foldr 7y ago
  >If you make much less than that in SF or NYC, there is no point in living in such an expensive place. Go make that London salary working in a rural area of the US. The median household income in New York is $50,000. I would rather live in London than in a rural area of the US - thanks. You talk as if people have no preferences besides maximizing the salary to cost of living ratio. > So basically, insurance said they would not pay for the clinic this person selected and since they have zero agency they kept going and got the bill that they were told they were going to get. I can’t figure out exactly what you’re trying to say here. It seems you are trying to find some way to convince yourself that these people deserved to get a $500,000 bill so that you can kid yourself that this could never happen to you. Yes, it’s their fault for failing to fly to another state in the middle of a medical crisis to find an in network provider, in the absence of any clear information regarding treatment costs from from medical staff or the insurance company. > Did they actually pay the bill? Of course not. They took a credit hit. We don’t know from the article how much they ended up paying. In any case, taking a credit hit is not a trivial thing. In your earlier comments, for example, you clearly placed a large value on home ownership. It’s difficult to buy a home with bad credit. >What was one individuals name who this happened to. Not a study. Not "we think it happens". What is the persons name? This article collects a number of stories involving named individuals: https://www.bustle.com/p/these-20-stories-refute-the-idea-that-people-dont-die-from-a-lack-of-health-care-access-56259 https://www.bustle.com/p/these-20-stories-refute-the-idea-th...

SolaceQuantum 7y ago

"Care to cite a time where that ever happened?" There's a documentary about the Mayo clinic on netflix. In it, a woman finally recieves a diagnosis of her mysterious and debilitating illness, of which she is pretty sure she would die from without diagnosis or treatment. She responds to initial treatment, which makes her hopeful the quality of life will finally approve. Then she no longer has money, and cannot have treatment anymore. She leaves the clinic and we never know what happens to her.

fuzz4lyfe 7y ago
From what I'm told should be thousands of stories like this, why can't you find one where you can prove that the person died? It's all rumor and second hand stories. If someone in my family died due to someone refusing them medical care I'd be all over the media about it.
- SolaceQuantum 7y ago
  https://www.thenation.com/article/the-devastating-process-of-dying-in-america-without-insurance/ https://www.thenation.com/article/the-devastating-process-of... https://www.theguardian.com/us-news/2017/jun/24/us-healthcare-republican-bill-no-coverage-death https://www.theguardian.com/us-news/2017/jun/24/us-healthcar... https://www.patheos.com/blogs/dispatches/2018/10/15/study-45000-deaths-per-year-due-to-lack-of-health-insurance/ https://www.patheos.com/blogs/dispatches/2018/10/15/study-45... https://www.nap.edu/catalog/10367/care-without-coverage-too-little-too-late https://www.nap.edu/catalog/10367/care-without-coverage-too-... https://www.bustle.com/p/these-20-stories-refute-the-idea-that-people-dont-die-from-a-lack-of-health-care-access-56259 https://www.bustle.com/p/these-20-stories-refute-the-idea-th... ??? There are studies that directly show that not having insurance is deadly.
  - fuzz4lyfe 7y ago
    From the first example: "By the time Portillo found out about a small county program that sends health workers to the homes of low-income, bedridden patients, her father had been at home without pain medication for two and a half months. The nurse practitioner who came, spurred by Aquilino’s obvious suffering, rushed to order medication to make him more comfortable. Two days later, when the morphine had barely had a chance to soothe him, he was gone." There was a program, they didn't use it until the end, he was going to die anyway. He did not die due to lack of medical care. I'm not going to go through each one, give me your best example. >??? There are studies that directly show that not having insurance is deadly. Also that tobacco doesn't cause cancer, guess what those studies have in common?