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Willa Rogers
Mar 11, 2005

Vox Nihili posted:

If you're healthy, no prescriptions, aged 18-30, then you'll be better off with no insurance most of the time than buying a bronze plan. Which is why Obamacare punishes you for not buying in lmao

You're meant to subsidize actual insurance for the olds by being their profit center!

If you actually get sick or badly hurt then yeah you're hosed, but at least you can usually get out of hospital bills if you're poor. The whole thing is an insane & incredibly adversarial game.

the local good hospital will forgive medical debt if you make up to 2x the federal poverty level, or around $24k/year.

expanded medicaid is unavailable to those making the royal sum of $18k/year.

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Soap Scum
Aug 8, 2003



a friend of mine has a one-year-old child who's extremely sick and needs a lot of care/medication (they should be totally normal and healthy in the long run, but had a severe congenital defect which does heal over time). she's moving and is in the process of finding new insurance because of it.

in the meantime, she needed two extremely common drugs. one is potassium chloride, which shouldn't really need to be prescription, i mean here's some for like $10 for weightlifters i guess, and the other is sildenafil (generic name of viagra), which you can also find really cheaply -- like here's an example for $12 if you have a prescription.

her new pharmacy in the location she's moving to told her that without insurance, the potassium chloride would cost her $500 and the sildenafil would cost her $4,000.

it's just so loving absurd. like she's better off walking up to old dudes in the street and asking if they have viagra. she might get the insurance situation figured out in time but i'm considering telling a doctor my poo poo doesn't work if she can't buy it online and it'll save her $4,000. gently caress whatever part of our system it is that puts that price so loving high for a kid who's gonna die without it.

Dustcat
Jan 26, 2019

a 40 lb sack of potassium chloride can be had for under thirty bucks in the water softener aisle of your local home improvement store

Soap Scum
Aug 8, 2003



oh, yeah, she's going to find other ways to make do until insurance kicks in again, but it's just so loving insane that they would charge $500 for something you can get for like :10bux: at a hardware store

Soap Scum has issued a correction as of 18:04 on Jan 2, 2020

Xaris
Jul 25, 2006

Lucky there's a family guy
Lucky there's a man who positively can do
All the things that make us
Laugh and cry
i used to take ~fish antibiotics~ (amoxicillin, listed at normal human doses, which was intentional) when i didnt have insurance and all the reviews were people saying/asking if they could use it for their kids lol

Tubgoat
Jun 30, 2013

by sebmojo
Motherfucking :d2a: :happyelf:

Save us, Bernie!

Dustcat
Jan 26, 2019

happy new year!

More drugmakers hike U.S. prices as new year begins

quote:

NEW YORK (Reuters) - Drugmakers including Bristol-Myers Squibb Co (BMY.N), Gilead Sciences Inc (GILD.O), and Biogen Inc (BIIB.O) hiked U.S. list prices on more than 50 drugs on Wednesday, bringing total New Year’s Day drug price increases to more than 250, according to data analyzed by healthcare research firm 3 Axis Advisors.

Reuters reported on Tuesday that drugmakers including Pfizer Inc (PFE.N), GlaxoSmithKline PLC (GSK.L) and Sanofi SA (SASY.PA) were planning to increase prices on more than 200 drugs in the United States on Jan. 1.

Nearly all of the price increases are below 10% and the median price increase is around 5%, according to 3 Axis.

More early year price increases could still be announced.

Soaring U.S. prescription drug prices are expected to again be a central issue in the presidential election. President Donald Trump, who made bringing them down a core pledge of his 2016 campaign, is running for re-election in 2020.

Many branded drugmakers have pledged to keep their U.S. list price increases below 10% a year, under pressure from politicians and patients.

lol

mastershakeman
Oct 28, 2008

by vyelkin

Soap Scum posted:

a friend of mine has a one-year-old child who's extremely sick and needs a lot of care/medication (they should be totally normal and healthy in the long run, but had a severe congenital defect which does heal over time). she's moving and is in the process of finding new insurance because of it.

in the meantime, she needed two extremely common drugs. one is potassium chloride, which shouldn't really need to be prescription, i mean here's some for like $10 for weightlifters i guess, and the other is sildenafil (generic name of viagra), which you can also find really cheaply -- like here's an example for $12 if you have a prescription.

her new pharmacy in the location she's moving to told her that without insurance, the potassium chloride would cost her $500 and the sildenafil would cost her $4,000.

it's just so loving absurd. like she's better off walking up to old dudes in the street and asking if they have viagra. she might get the insurance situation figured out in time but i'm considering telling a doctor my poo poo doesn't work if she can't buy it online and it'll save her $4,000. gently caress whatever part of our system it is that puts that price so loving high for a kid who's gonna die without it.

This reminds me that lots of people, including myself, currently don't have their kids insured because the ACA website stopped allowing that 2 years ago. Instead the application gets sent to your local state for Medicaid enrollment where it sits around for a while then gets denied, at which point it's on you to re enroll your kid and hope the pinky swear by the insurer to backdate coverage actually happens

Trabandiumium
Feb 20, 2010

Soap Scum posted:

a friend of mine has a one-year-old child who's extremely sick and needs a lot of care/medication (they should be totally normal and healthy in the long run, but had a severe congenital defect which does heal over time). she's moving and is in the process of finding new insurance because of it.

in the meantime, she needed two extremely common drugs. one is potassium chloride, which shouldn't really need to be prescription, i mean here's some for like $10 for weightlifters i guess, and the other is sildenafil (generic name of viagra), which you can also find really cheaply -- like here's an example for $12 if you have a prescription.

her new pharmacy in the location she's moving to told her that without insurance, the potassium chloride would cost her $500 and the sildenafil would cost her $4,000.

it's just so loving absurd. like she's better off walking up to old dudes in the street and asking if they have viagra. she might get the insurance situation figured out in time but i'm considering telling a doctor my poo poo doesn't work if she can't buy it online and it'll save her $4,000. gently caress whatever part of our system it is that puts that price so loving high for a kid who's gonna die without it.

tell her about blue chew, i'm sure there's a good offer code available :getin:

Soap Scum
Aug 8, 2003



mastershakeman posted:

This reminds me that lots of people, including myself, currently don't have their kids insured because the ACA website stopped allowing that 2 years ago. Instead the application gets sent to your local state for Medicaid enrollment where it sits around for a while then gets denied, at which point it's on you to re enroll your kid and hope the pinky swear by the insurer to backdate coverage actually happens

just a point of clarification so i understand the exact level absurdity: it's not that it's legally disallowed / that your kids are not supposed to be included and covered, it's literally just that the website removed the functionality?

Grand Theft Autobot
Feb 28, 2008

I'm something of a fucking idiot myself

Soap Scum posted:

just a point of clarification so i understand the exact level absurdity: it's not that it's legally disallowed / that your kids are not supposed to be included and covered, it's literally just that the website removed the functionality?

It's a feature, not a bug.

Woof Blitzer
Dec 29, 2012

[-]
Has the infant considered getting a job with health insurance?

Willa Rogers
Mar 11, 2005

Soap Scum posted:

just a point of clarification so i understand the exact level absurdity: it's not that it's legally disallowed / that your kids are not supposed to be included and covered, it's literally just that the website removed the functionality?

what happens is that children's coverage is almost always bumped to the states, for the purpose of each state determining eligibility for CHIP or Medicaid, and then wends thru the state's underfunded human-services depts. till a decision is made based on that state's eligibility criteria.

so our hosed-up hybrid system (as opposed to a federalized M4A) makes you go thru the absurd process of waiting for the state to reject you or accept you, which can take a half-year, before you can then go back to the federal healthcare.gov and pick out a paid plan for your kids.

it's a loving rube goldberg contraption, except your kids' health and lives depend on the outcome.

AlexanderCA
Jul 21, 2010

by Cyrano4747

Vox Nihili posted:

If you're healthy, no prescriptions, aged 18-30, then you'll be better off with no insurance most of the time than buying a bronze plan. Which is why Obamacare punishes you for not buying in lmao

You're meant to subsidize actual insurance for the olds by being their profit center!

Well yeah, that's how mandatory health insurance is supposed to work. 90 euros a month, 800 euro deductible in my case.

Of course the government here mandates the minimum coverage of the plans, minimum and maximum deductible and subsidizes the cost for low incomes up to ~100%.

Vomik
Jul 29, 2003

This post is dedicated to the brave Mujahideen fighters of Afghanistan

Xaris posted:

i used to take ~fish antibiotics~ (amoxicillin, listed at normal human doses, which was intentional) when i didnt have insurance and all the reviews were people saying/asking if they could use it for their kids lol

don’t take antibiotics just because you’re not feeling well unless you know you have a bacterial infection that can and needs to be treated with that drug.

it’s not just bad for society but it’s dangerous to your health

Minera
Sep 26, 2007

All your friends and foes,
they thought they knew ya,
but look who's in your heart now.
I can lol with the best of them in the climate change/doomsday thread, but reading this thread makes me wanna hang up a rope. Getting lucky skating by so far being insanely poor with no health insurance, but lol, I'm only ever getting older. It'll come down hard when it comes.

Asimov
Feb 15, 2016

unfortunately my beta is allergic to fish amoxicillin so she has to go to a real aqauveterinarian

Okuteru
Nov 10, 2007

Choose this life you're on your own

bobtheconqueror posted:

Nothing turned me into a socialist like my time in the military. Obviously it isn't a perfect fit for civilian life and it's had problems, but we've got a home grown US commie healthcare system right there.

"No, see, you EARNED your healthcare with your service, unlike those pinko moochers who want everything for free."

*Overpriced fighter jet malfunctions in the rain*

sullat
Jan 9, 2012
What's the difference between the F-35 and Obamacare?

Obamacare actually kills people.

bird with big dick
Oct 21, 2015

Vox Nihili posted:

If you're healthy, no prescriptions, aged 18-30, then you'll be better off with no insurance most of the time than buying a bronze plan. Which is why Obamacare punishes you for not buying in lmao

You're meant to subsidize actual insurance for the olds by being their profit center!

how do you think Medicare for all works? Hint: it doesn’t work by old sick retired people paying for other old sick retired people.

reignonyourparade
Nov 15, 2012

bird with big dick posted:

how do you think Medicare for all works? Hint: it doesn’t work by old sick retired people paying for other old sick retired people.

It works by rich old sick retired people paying for poor old sick retired people, hope this helps.

bird with big dick
Oct 21, 2015

young healthy people that can afford insurance but skip it because they’re currently at the shallow end of the risk pool are bad and even if they weren’t it’s still a bad look.

Xaris
Jul 25, 2006

Lucky there's a family guy
Lucky there's a man who positively can do
All the things that make us
Laugh and cry

bird with big dick posted:

young healthy people that can afford insurance but skip it because they’re currently at the shallow end of the risk pool are bad and even if they weren’t it’s still a bad look.

depends on what “can afford” means when your option is a 50k deductible 2.5 million OOP max and routinely reclassifies medical poo poo on you to deny it, all still have to pay rent and never building up any savings. even if you can afford better; at some point it can make more sense to live more hedonistically just saying gently caress it you’ll eat the medical bankruptcy if poo poo happens because you have no assets and can never afford to buy a home anyways

blaming people for not paying into for profit insurance is lol

Raldikuk
Apr 7, 2006

I'm bad with money and I want that meatball!

bird with big dick posted:

how do you think Medicare for all works? Hint: it doesn’t work by old sick retired people paying for other old sick retired people.

Ideally by taxing the gently caress out of the rich

Willa Rogers
Mar 11, 2005

bird with big dick posted:

young healthy people that can afford insurance but skip it because they’re currently at the shallow end of the risk pool are bad and even if they weren’t it’s still a bad look.

congrats, you bought into the neolibs' "freeloader" argument. The only bad look was that horrible Young Invincibles campaign (including Pajama Boy).

Pryor on Fire
May 14, 2013

they don't know all alien abduction experiences can be explained by people thinking saving private ryan was a documentary

Just out of curiosity, which American reading this has gone the longest without health care?

Last time I saw a doctor was in 2012, surely someone can beat that.

Willa Rogers
Mar 11, 2005

I signed up for a free acct. on benefitspro.com bc they link to a lot of studies & news about healthcare bennies but jesus, sometimes it breaks my brain.

Story 1:

quote:

Canada’s single-payer health system substantially cut admin costs compared with U.S.

The U.S. spends $2,497 per capita on administrative costs, compared to just $551 per capita in Canada.

vs:

Story 2:

quote:

Integrated benefits can save employers money, boost employee health

The full integration of medical, pharmacy and comprehensive behavioral benefits, the study found, resulted in average annual savings of $207 per customer and $867 per individual with an identified health improvement opportunity (about 16 percent of the population) when compared with medical and basic behavioral coverage.


Surely, we must go with employers directing employees' behavior over single-payer, which saves thousands more dollars per person.

then there's poo poo like this:

quote:

Why it’s time to rebrand the high-deductible health plan

Understanding the problem
According to a 2016 Harris Poll, employees tend to describe HDHPs with words like “risky” and “disappointing,” while positive terms like “affordable” and “a good value” come up much less frequently. And while adoption of HSAs has been growing, only 46 percent of those eligible are contributing to an HSA.

lol--> Related: HDHP enrollees are better-informed, but they’re still skipping care

At first glance, the sticker shock of a $2,000 or $3,000 deductible (or much more for family coverage) can reinforce those false perceptions—68 percent of employees whose company offers an HDHP say it feels more expensive than other options.

Highlight the pros instead of the cons

Referring to it as a “high deductible health plan” only tells half the story — and it’s not the positive half. One of the key advantages of having an HDHP is that it makes you eligible for an HSA, the most tax-advantaged savings account in America. Some employees are even eligible for HSA seed money or matching contributions from their employer, an amazing financial benefit that doesn’t get talked about enough—precisely because it’s difficult to get past the bad first impression of the words “high deductible.”

To combat this phenomenon, some employers have stopped referring to the plan as a “high-deductible health plan” or HDHP altogether, instead presenting it as the “HSA plan.” It’s a savvy move that highlights the best parts of the plan—and more employers should follow suit.

By putting the main benefit of the plan upfront and subsequently highlighting all the positive aspects that it entails, you can make a much better first impression with employees. As a cherry on top, that gives employees one less acronym to remember, too.

mastershakeman
Oct 28, 2008

by vyelkin

Willa Rogers posted:

what happens is that children's coverage is almost always bumped to the states, for the purpose of each state determining eligibility for CHIP or Medicaid, and then wends thru the state's underfunded human-services depts. till a decision is made based on that state's eligibility criteria.

so our hosed-up hybrid system (as opposed to a federalized M4A) makes you go thru the absurd process of waiting for the state to reject you or accept you, which can take a half-year, before you can then go back to the federal healthcare.gov and pick out a paid plan for your kids.

it's a loving rube goldberg contraption, except your kids' health and lives depend on the outcome.
Right and prior to a couple years ago this didn't happen, because presumably the website wasn't coded to check for the kid potentially qualifying for chip . Then they added it because why not gently caress with you

My guess is the code for kids got updated when the govt stopped demanding you verify how much you would make in the future. They did that for a few years as well and have apparently given up on it, probably because people just submitted random rear end documentation and begged until they got verified and the whole thing was a waste of time

I don't know how tough it is to get on Medicaid in states where it expanded but it sure does seem like a vastly better option than using the exchange

mastershakeman has issued a correction as of 21:17 on Jan 7, 2020

Centrist Committee
Aug 6, 2019

sullat posted:

What's the difference between the F-35 and Obamacare?

Obamacare actually kills people.

skooma512
Feb 8, 2012

You couldn't grok my race car, but you dug the roadside blur.

Forceholy posted:

"No, see, you EARNED your healthcare with your service, unlike those pinko moochers who want everything for free."

*Overpriced fighter jet malfunctions in the rain*

Oh you lost your job because some rich person played some games with your company. Welp, no healthcare for you then bye.

Lansdowne
Dec 28, 2008

quote:

...only 46 percent of those eligible are contributing to an HSA

I wonder why people aren't depositing spare money they don't have and learning how to jump through all the hoops to withdraw from this tax-advantaged black box?

better pay mckinsey 6 figures to investigate it for us

ikanreed
Sep 25, 2009

I honestly I have no idea who cannibal[SIC] is and I do not know why I should know.

syq dude, just syq!
It's weird that McKinsey has become the enemy of the left du jour. Aren't there dozens of identical outfits?

bobtheconqueror
May 10, 2005

skooma512 posted:

Oh you lost your job because some rich person played some games with your company. Welp, no healthcare for you then bye.

It's almost like healthcare is a public work that needs to be treated the same as, say, sewage and firefighters and police. It's loving bonkers that it even got this way.

Lansdowne
Dec 28, 2008

ikanreed posted:

It's weird that McKinsey has become the enemy of the left du jour. Aren't there dozens of identical outfits?

what's weird about it when an alum of theirs is trying his hardest to lurch the democratic party back to the right? why say Gorpman, Gorpman, and Bleemer LLC when a topical shorthand exists to get the point across?

ikanreed
Sep 25, 2009

I honestly I have no idea who cannibal[SIC] is and I do not know why I should know.

syq dude, just syq!

Lansdowne posted:

what's weird about it when an alum of theirs is trying his hardest to lurch the democratic party back to the right? why say Gorpman, Gorpman, and Bleemer LLC when a topical shorthand exists to get the point across?

That makes sense

got any sevens
Feb 9, 2013

by Cyrano4747

bobtheconqueror posted:

It's almost like healthcare is a public work that needs to be treated the same as, say, sewage and firefighters and police. It's loving bonkers that it even got this way.

it wont until med students and patients form armed gangs like how cops and firefighters were created

Shady Amish Terror
Oct 11, 2007
I'm not Amish by choice. 8(

Pryor on Fire posted:

Just out of curiosity, which American reading this has gone the longest without health care?

Last time I saw a doctor was in 2012, surely someone can beat that.

hi I'm losing my mind trying to support another person on my usually-less-than-20k-a-year and I haven't been to a doctor in over ten years

unless you count a dentist, where I got hosed by Aspen like five years ago and am still paying down the usurous loan because I, ironically, got injured and couldn't work for a while shortly after getting a couple of fillings

My ACA offerings are significantly more expensive than just paying the tax fine, don't cover any hospital within 100 miles of me for some reason, and reserve the right in writing to jack up my rates if I happen to receive care from outside their network that I will have to pay %100 for regardless

Minera
Sep 26, 2007

All your friends and foes,
they thought they knew ya,
but look who's in your heart now.

Gunshow Poophole posted:

do we have a thread for horror stories of healthcare in a barbarous meatgrinder of a nation, I feel like we should

so I've been doing security at a hospital for two months and I finally have a really depressing story to relay that reminded me of this thread

Earlier this week, a woman gets checked into the ER real late around midnight. Looked about 40-50, older woman. Co-worker who was in ER at the time relates to me her story, she had fallen through her roof and landed in her bathroom's bathtub. Neighbor had found her and brought her in to the hospital. she was bleeding from a head injury and probably concussed and moaning and wailing from the pain, so i guess she got pretty hosed up.

About an hour later we have a Code Roam call in the hospital because a patient slipped out of the ER... and apparently it's the same lady from above. So we spend the next few hours holding posts at all the exits from the hospital with a few people walking around inside and looking everywhere for her. We fail to find her and by 4 am we're kinda standing down, with the ER staff assuming she left the hospital at that point.

Well, an hour later someone else found her sitting on the floor crying out in the parking garage. Keep in mind it was like 50 degrees and raining with 95% humidity, so super uncomfortable and the floor of the garage is completely wet and oil slick and nasty. She was out there, head still bleeding, wet and dirty, no phone and no shoes, crying and scared for her life because she thought she would end up in jail because she knew she wouldn't be able to afford the treatment they would give her at the hospital. So concussed and bleeding from her head her best option at the time, it seemed to her, was to try and escape the hospital. I guess she thought if she hid out in the garage she might be able to get a ride home or something? Who knows.

Some nurses came and talked her down to get her back inside the hospital and cleaned up so they could treat her, and that's as much as I know about what happened to her. Been thinking about her all week since it happened. :/

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Gunshow Poophole
Sep 14, 2008

OMBUDSMAN
POSTERS LOCAL 42069




Clapping Larry
hey I've been furloughed by my crorporate employer which is better than nothing

what's cool is I get temporarily laid off and paid 20% of my salary for doing nothing

aha but guess what they also "allow" me to keep my benefits, including health insurance, which I still pay full price on. which when it comes down the pipe I pay about... 20% of my salary for

insurers revenue stream stays robust, number goes up, USA #1

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