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You always pay out of your pocket. The concept that you make (bad bad) companies pay out of their (outrageous) profit is a delusion. Companies just take part

You always pay out of your pocket. The concept that you make (bad bad) companies pay out of their (outrageous) profit is a delusion. Companies just take part of your salary and with that they pay medical cost. I actually prefer paying it myself and having this thing called "free market" or competence work for me. But in places like the US the system is extremely corrupt and designed to make it impossible for the free market to exist. This is inherited by the political system making mandatory for business to handle that instead of individuals. In other countries you have things like mutuality organizations of people to provide healthcare, much much better and cheaper that what I see in the US.

endymi0n 5y ago
There is never a free market in health care. > […] As I lie unconscious under a bus, I am in no position to shop for the best provider of ambulance services at the most reasonable price. All personal volition is lost. Whatever happens next, it will not be a market transaction. https://www.forbes.com/sites/chrisladd/2017/03/07/there-is-never-a-free-market-in-health-care/ https://www.forbes.com/sites/chrisladd/2017/03/07/there-is-n...
- ipnon 5y ago
  A free market of treatment options is feasible, but not a free market of insurance coverage. It's not really insurance if the unfortunate event is guaranteed to occur (has anyone in history been documented as never falling I'll?). The buyers have no option.
- tikkabhuna 5y ago
  This is what I love about the UK system. - NHS takes care of emergencies. There is no stress of payment in these situations. - I have private medical insurance through work. Its done by salary sacrifice so I can choose to take the money instead. - I can buy private medical insurance separately. Providers like Vitality[1] offer things like Apple Watches and discount gym membership. Private medical insurance is generally quite cheap (Vitality just quoted me £40/month) as emergency care is done by the NHS. - You can use private healthcare to speed up things that might take a while or you might not get an NHS referral for. Of course there's some problems with the NHS in terms of wait times, but I believe that's more of an issue of funding. In the UK I feel like I have choice that won't break the bank and I'm also not going to die because I can't pay. [1] https://www.vitality.co.uk/rewards/partners/active-rewards/apple-watch/ https://www.vitality.co.uk/rewards/partners/active-rewards/a...

endymi0n 5y ago

There is never a free market in health care. > […] As I lie unconscious under a bus, I am in no position to shop for the best provider of ambulance services at the most reasonable price. All personal volition is lost. Whatever happens next, it will not be a market transaction. https://www.forbes.com/sites/chrisladd/2017/03/07/there-is-never-a-free-market-in-health-care/ https://www.forbes.com/sites/chrisladd/2017/03/07/there-is-n...

ipnon 5y ago
A free market of treatment options is feasible, but not a free market of insurance coverage. It's not really insurance if the unfortunate event is guaranteed to occur (has anyone in history been documented as never falling I'll?). The buyers have no option.
tikkabhuna 5y ago
This is what I love about the UK system. - NHS takes care of emergencies. There is no stress of payment in these situations. - I have private medical insurance through work. Its done by salary sacrifice so I can choose to take the money instead. - I can buy private medical insurance separately. Providers like Vitality[1] offer things like Apple Watches and discount gym membership. Private medical insurance is generally quite cheap (Vitality just quoted me £40/month) as emergency care is done by the NHS. - You can use private healthcare to speed up things that might take a while or you might not get an NHS referral for. Of course there's some problems with the NHS in terms of wait times, but I believe that's more of an issue of funding. In the UK I feel like I have choice that won't break the bank and I'm also not going to die because I can't pay. [1] https://www.vitality.co.uk/rewards/partners/active-rewards/apple-watch/ https://www.vitality.co.uk/rewards/partners/active-rewards/a...