• A_Random_Idiot@lemmy.world
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    2 days ago

    Insurance is cheaper for anyone that has any kind of medical issue.

    Especially if it requires regular, long term, medication.

    Skipping insurance and going self pay is a risky gamble is cheaper and only works as long as you are in relatively good health, and have no accidents/emergencies… which can end at any moment with someone deciding to text and drive ends up sending you flying like a field goal punt 40 yards down the road.

    • buddascrayon@lemmy.world
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      2 days ago

      You forgot to add that the reason this is so is because, in cahoots with the insurance companies, hospitals and medical centers have jacked their prices up several times over in order to justify the existence of insurance.

      • BananaIsABerry@lemmy.zip
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        2 days ago

        I think your order is wrong: hospitals/doctors increase the costs for insurance pay customers because insurance exists.

        Insurance pays out around 20% of the time. As in, the health care providers just get nothing from them most of the time. This is especially bad for Medicare/Medicaid. They then raise the prices to cover the situations that get nothing.

        Source: I work for a nonprofit healthcare company and they share their yearly income statements.

      • Buddahriffic@lemmy.world
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        2 days ago

        It’s more of a relationship that is partially adversarial and partially cooperative.

        1. Healthcare expensive
        2. Insurance company pools resources of a bunch of clients to offer a gamble: pay a little now while you don’t need medical attention and they will pay if you do, in return for overall charging more than they pay out (when all clients are added up)
        3. Healthcare providers see insurance companies have extra money, want some, so jack up prices
        4. Insurance companies still want profit but also like the higher prices giving even more incentive to buy insurance so just jack up rates and deny coverage where they can to save money rather than use their bargaining power to reduce prices.

        Unlike single payer public option where the incentive is to both save money and maximize healthcare available, so it seeks a balance between keeping costs low enough to be affordable (at a societal level) while paying enough that doctors want to provide the services.

        • A_Random_Idiot@lemmy.world
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          2 days ago

          Basically it goes

          Hospital: Holy fuck insurance pays more than peons can, increase the prices! 2 chewable asprins are now 200 dollars.

          Insurance: Hey, fuck you, you cunt. We’re not paying 200 dollars for 10 cents of chewable asprins. We’ll pay 50.

          Hospital: Hey, fuck you, you got the money, give us 125.

          Insurance: Go fuck your whore mother, You’re getting 100 and not a dollar more

          Hospital: Fine, Deal.

          Self Pay Patient: How am I supposed to afford to pay for the asprin when this is how it goes…

    • Lucelu2@lemmy.zip
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      2 days ago

      I know someone who refuses to buy insurance and insists on negotiating with the hospital. He is an attorney so maybe they are afraid he will sue them.