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The problem is that the insurance is provided by private companies whose incentive is to earn as much money as possible, at cost of the people in need of medical care. In my country, I never heard of anyone going bancrupt over a hospital bill. It just isn't a thing.

Here's a fun story: my sister was living with an exchange student from the US. Some day the student was complaining about intense intestinal pain she's had for the past few days. My sister told her to go the hospital. The student asked her if she was crazy. My sister then had to explain her that hospitals are free and won't bancrupt her...





In fact many of the largest insurers are nonprofits, and insurance itself is a small faction of our total expenditure. People believe a lot of weird things about US health care economics.

https://nationalhealthspending.org/


There's another aspect: In my country, hospitals and (public) health insurance are both operated by the state and work together. If I break my arm, I go to the hospital, show my e-card and that's it. All the financials are directly handled between hospital and the (public) insurance provider. I don't have to worry about cost of treatment because I know it will be fully covered.

Right. The mainstream progressive proposal for comprehensive health care reform in the US is single payer, so-named because it does not nationalize the providers. But the providers are where all the cost is!



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