this post was submitted on 19 Jan 2026
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[–] julianwgs@discuss.tchncs.de 10 points 4 hours ago* (last edited 4 hours ago)

Please don‘t extrapolate from the US healthcare system to insurances in general. Insurances collect money from many so in the case something happens to an individual that individual doesn‘t need take the full financial loss. This makes a lot of sense, because it would very inefficient if everyone would save money in order to pay for a potential cancer treatment. Cancer is rare, but in aggregate it is just small amount each month.

The job of the insurance is to define that monthly amount (which is not trivial to do), collect it, store it and eventually pay it out.

On another note, unless an insurance is mandatory you can usually opt to pay yourself.

[–] Azrael@reddthat.com 5 points 3 hours ago

Health insurance is a decent solution to no universal healthcare...on paper. But the way the US executed it is poor

[–] JcbAzPx@lemmy.world 22 points 11 hours ago (1 children)

This is unironically Nixon's fault.

[–] AngryCommieKender@lemmy.world 19 points 10 hours ago (1 children)

It's also unironically Reagan's fault, as well as both Clinton and FDR.

Prior to FDR doctors and healthcare were run completely not for profit, and part of The New Deal included privatizing hospitals. Nixon did insurance. Reagan and Clinton mostly just took the government further out of healthcare by removing regulations.

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[–] biggerbogboy@sh.itjust.works 18 points 11 hours ago (1 children)

It’s wild how much this contrasts with Australia’s Medicare, like here you can literally just walk into the ER with any issue, show them your Medicare card and get your entire treatment covered for free unless you need any private healthcare, which even then there are rebates and private healthcare competes with public so it’s also moderately affordable.

There were 2 instances where my dad needed to be in hospital for multiple days at a time, once for a broken wrist after slipping at the boat ramp after a fishing trip, and the other was a stingray attack on his leg at that same boat ramp. Both instances didn’t require a single cent exchanged, we just walked in and described the issue, and boom, after a few days he was treated to the extent he could go home and not really worry at all anymore.

[–] C1pher@lemmy.world 15 points 5 hours ago (1 children)

Your dad should stay away from that boat ramp…

[–] MarieMarion@literature.cafe 3 points 4 hours ago

I vote it be burnt.

[–] circuitfarmer@lemmy.sdf.org 81 points 15 hours ago (3 children)

When the US was having actual discussions of single-payer health care (i.e. the "public option" during Obama's first term), one major argument against it was "do you really want the government between you and your doctor?!"

Even though insurance companies are literally already between you and your doctor, and they exist purely to extract money from that interaction.

It's never made sense.

[–] ChickenLadyLovesLife@lemmy.world 1 points 2 hours ago* (last edited 2 hours ago)

during Obama’s first term

Lol this was just about the first thing Clinton tried to get done in 1993. It's one of the things that led to the creation of Fox News.

[–] Dozzi92@lemmy.world 14 points 11 hours ago (1 children)

The old arguments were "Look how long they (the socialists) wait to get appointments and get seen!" Yep, we're there now. I have insurance, I still pay a bunch, and seeing specialists is a luxury at this point. If I have an issue, I don't even consider calling specialists, because I know it's weeks til I can get in.

[–] quips@slrpnk.net 3 points 10 hours ago

Weeks lol, try months to years round these parts

[–] captainlezbian@lemmy.world 10 points 11 hours ago (1 children)

And then the same party decided to get the government in there too anyways

[–] circuitfarmer@lemmy.sdf.org 5 points 11 hours ago (1 children)

Ahaha that's a good point. Tbh despite the nickname "Obamacare" it had slipped my mind that the ACA was the bastardized, castrated version of that whole thing.

[–] lemming741@lemmy.world 1 points 2 hours ago

They chopped it down to Romneycare

[–] nroth@lemmy.world 6 points 10 hours ago (2 children)

Yeah, I wish health insurance was just "you'll never pay more than 20k a year on medical bills" or something like that. Let me find my own damn doctor

[–] Johanno@feddit.org 4 points 4 hours ago (1 children)

You guys pay for insurance and for medical treatment?

Not everybody. Some of us just die instead.

[–] MarieMarion@literature.cafe 3 points 4 hours ago (1 children)

20k a year? That would be better that what you have now? Sincerly, a non-USAian

[–] nroth@lemmy.world 1 points 3 hours ago

Well, most insurance is only for emergencies, and it is priced accordingly. For example, when I drove a car, I didn't have to deal with my auto insurance plan at all while getting gas or normal maintenance. However, when I got into a few bad accidents, the car insurance was vital for continuing to have a car, and it paid towards helping me get it fixed. Car insurance is insurance against something catastrophic happening to a vital part of life in most of America, not something to use everyday, and is priced accordingly.

Health insurance here is very different from car insurance. Rather than an emergency contingency, health insurance is woven into most healthcare purchases in the U.S. Accordingly, it is very expensive, limiting, and inefficient. Due to the dynamics of the system it creates, Americans must usually pay through the nose for even everyday healthcare without insurance.

If health insurance was operated more like car insurance, except of course that a human life should never be "totaled out," the system would eventually adjust and normalize.

[–] Luisp@lemmy.dbzer0.com 12 points 12 hours ago

Here in Argentina that we have free healthcare, insurance is a signal of wealth so you get attended in the private hospital away from the common folk. And even in the private hospital everything is relatively cheap because they have to compete with the free option.

[–] Denjin@feddit.uk 91 points 18 hours ago (1 children)
[–] DarkCloud@lemmy.world 27 points 18 hours ago* (last edited 18 hours ago)

You dead or without any money left, or both is the product.

... gatekeeping is what they get paid for.

[–] Zanathos@lemmy.world 22 points 15 hours ago
[–] Pacattack57@lemmy.world 14 points 14 hours ago

You are the product. When your liability outpaces your premium is when they decide to stop covering you.

[–] Steamymoomilk@sh.itjust.works 38 points 17 hours ago (1 children)

Remember pryimid schemes are illegal. Because they dont sell a product.

They're not illegal because they don't sell a product, they're illegal because they're impossible to maintain mathematically.

It's not far off from a Ponzi scheme, honestly. A few people are going to make a lot of money early on and everybody else is going to get rapidly diminishing returns to nothing.

[–] SomeAmateur@sh.itjust.works 56 points 18 hours ago (4 children)

Look at finance! They don't make anything of actual value, they just bet what's going to happen to the people that do

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[–] MutantTailThing@lemmy.world 34 points 18 hours ago (2 children)

The US should adopt the Dutch healthcare system. You could have medical treatment as an average Joe and also not be bankrupt or up to your tits in debt.

[–] 87Six@lemmy.zip 31 points 16 hours ago

I mean if they picked a random country it probably has a good chance to be twice as good as the US system

[–] greasewizard@slrpnk.net 20 points 18 hours ago

yeah, but, like the lines are long

/s

[–] lmmarsano@lemmynsfw.com 6 points 13 hours ago (2 children)

Crack open a history book or read a brief history. The product is risk pooling

a strategy where individuals, businesses, or governments combine their risks into a large group to share the financial burden of unexpected losses, making costs more predictable and manageable.

Post needs text alternative.Images of text break much that text alternatives do not. Losses due to image of text lacking alternative such as link:

  • usability
    • we can't quote the text without pointless bullshit like retyping it or OCR
    • text search is unavailable
    • the system can't
      • reflow text to varied screen sizes
      • vary presentation (size, contrast)
      • vary modality (audio, braille)
  • accessibility
    • lacks semantic structure (tags for titles, heading levels, sections, paragraphs, lists, emphasis, code, links, accessibility features, etc)
    • some users can't read the image due to lack of alt text (markdown image description)
    • users can't adapt the text for dyslexia or vision impairments
    • systems can't read the text to them or send it to braille devices
  • web connectivity
    • we have to do failure-prone bullshit to find the original source
    • we can't explore wider context of the original message
  • authenticity: we don't know the image hasn't been tampered
  • searchability: the "text" isn't indexable by search engine in a meaningful way
  • fault tolerance: no text fallback if
    • image breaks
    • image host is geoblocked due to insane regulations.

Contrary to age & humble appearance, text is an advanced technology that provides all these capabilities absent from images.

[–] CombatWombatEsq@lemmy.world 14 points 12 hours ago

What if, instead of lots of little risk pools, we had one really big risk pool, with the whole country in it? That would reduce the risk even further.

[–] somethingsnappy@lemmy.world 12 points 12 hours ago

Yes. And the best possible product for all is one pool. I.e. universal care.

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