3 ms·

I personally LOVE LOVE LOVE USA, Miami in particular. I don't know why. Maybe is the weather, the beach, etc. I would love to live there and work one day. That

I personally LOVE LOVE LOVE USA, Miami in particular. I don't know why. Maybe is the weather, the beach, etc. I would love to live there and work one day. That said, three things worry me: 1) How complicated the health industry is there. Being from Argentina where health is universal, or living now in Germany where is also universal, that is crazy for me. 2) How easy you are fired and that you basically don't get any protection if you are. Again, here in Germany we have insurance that covers for many months, etc. 3) How bad employees are treated there by (most but not all?) companies. Personal story. My sister, she had to travel in the middle of the pandemic to my home country as my father was sick. She asked for permission to work remotely for 3 weeks. She had to stay 2 more because my father's health was not the best. When she returned, the company told her that that is not what they expected of her and fired her on the spot. Now, I was in my home country so I know my sister worked all the normal hours and more, she was connected all the time, and giving her 120% (if such a thing exists). And still, they said, good by. Crazy.

rcurry 5y ago
Yeah, the health care system here is bonkers. It wasn't so bad back around 2008 or so, I had private health insurance for my wife and I, and it was only around $400 or so a month with almost no deductible. Then the government decided to make it "affordable" so it's almost triple that now, plus you'd have an insane deductible.
- ethbr0 5y ago
  Say what you want about the ACA, but it was the trajectory of US health expenditure (vs GDP per capita) that was the problem: increasing year by year. So doing nothing / business as usual wasn't a fiscally sustainable choice.
- thatfrenchguy 5y ago
  Yeah, before, insurers could throw out people who have preconditions or have “maximum lifetime benefit”, obviously you were going to pay less in premiums. The bureaucracy / cost of new technologies have not made this any cheaper either, especially as cost-benefit analysis for new procedures and drugs is, somehow, not a thing in the US unlike everywhere else in the world. The US hates cutting costs via market intervention too (also see our crazy college costs problem), so until we decide to finally tackle it, they’ll keep on rising.
  - esyir 5y ago
    Isn't the college cost problem a prime example of a market intervention? Special case undischargable debt that only applies to student loans.

rcurry 5y ago

Yeah, the health care system here is bonkers. It wasn't so bad back around 2008 or so, I had private health insurance for my wife and I, and it was only around $400 or so a month with almost no deductible. Then the government decided to make it "affordable" so it's almost triple that now, plus you'd have an insane deductible.

ethbr0 5y ago
Say what you want about the ACA, but it was the trajectory of US health expenditure (vs GDP per capita) that was the problem: increasing year by year. So doing nothing / business as usual wasn't a fiscally sustainable choice.
thatfrenchguy 5y ago
Yeah, before, insurers could throw out people who have preconditions or have “maximum lifetime benefit”, obviously you were going to pay less in premiums. The bureaucracy / cost of new technologies have not made this any cheaper either, especially as cost-benefit analysis for new procedures and drugs is, somehow, not a thing in the US unlike everywhere else in the world. The US hates cutting costs via market intervention too (also see our crazy college costs problem), so until we decide to finally tackle it, they’ll keep on rising.
- esyir 5y ago
  Isn't the college cost problem a prime example of a market intervention? Special case undischargable debt that only applies to student loans.