I’d like to know other non-US citizen’s opinions on your health care system are when you read a story like this. I know there are worse places in the world to receive health care, and better. What runs through your heads when you have a medical emergency?
A little background on my question:
My son was having trouble breathing after having a cold for a couple of days and we needed to stop and take the time to see if our insurance would be accepted at the closest emergency room so we didn’t end up with a huge bill (like 2000$-5000$). This was a pretty involved ~10 minute process of logging into our insurance carrier, and unsuccessfully finding the answer there. Then calling the hospital and having them tell us to look it up by scrolling through some links using the local search tool on their website. This gave me some serious pause, what if it was a real emergency, like the kind where you have no time to call and see if the closest hospital takes your insurance.
Costs for services are basically made up. It’s incredibly complicated but I’ll give an example.
My last doctor appointment was billed at $220. I am in-network (which means my insurer has negotiated specific rates) so the insurance company says “you can only charge our insureds $105 for that service. We’ll pay $80. The patient is responsible for the rest.”
If I didn’t have insurance, I’d be on hook for the full $220. If the doctor was out-of-network, my insurance company would pay what they thought was reasonable and I’d be on the hook for the rest.
The $220 is just whatever the doctor feels like billing. It’s not based on anything other than “I feel like $220 is what my time is worth.”
Sounds fairly accurate. It’s just one privatized industry negotiating with another. Doesn’t necessarily mean that your leg is worth 145k$, however that’s how much they feel they can leech from each other. In the States, this is exactly why you ask for a full itemized bill, any time you get any work done. They will, and do abuse this system for profit