The medical system in America is fetishized suffering. My partner is lucky enough to have "very good" insurance through their employer. They recently had to ha

The medical system in America is fetishized suffering. My partner is lucky enough to have "very good" insurance through their employer. They recently had to have a scan done to check for serious problems. We got a bill for $500, half for the hospital and specialist, and half for the scan itself and the people providing it. I took a look at how the costs broke down. In fact, the "real" cost was $5000, and the insurance company paid 90% of that. I started digging and discovered that they pay just about 90% of all medical treatment across the board (for a very small set of in-network physicians and hospitals). Even putting aside whether $5000 was a reasonable cost for this 1 hour procedure (probably not), this left me wondering, why 90%? Why pay such an extraordinarily high percentage, but not all of it? After thinking about this for a while, I've come to the conclusion that it's a combination of two factors. One is that it's absolutely unacceptable to Americans for individuals to ever receive anything for free. You absolutely have to suffer in some way for every good thing you're allowed to have. The other is that I think they want to actively dissuade you from getting the medical care you need unless it's crucial, because someone worked the math out and putting a slight disincentive on medical care works out slightly cheaper for them than just letting people have what they need with the insurance they're already paying for. The result in human costs is enormous. My partner has cried about this on and off for weeks because $500 is a very consequential amount of money for us, and we didn't have even a ballpark estimate before the procedure of how much it would cost. So yes, it's radicalizing as hell. Burn this system to the ground.