Comment by vjvjvjvjghv a day ago
I am close to retirement but far away from Medicare age. The health care situation alone makes me want to leave this country. It’s such a mess. And I don’t see any movement to improve things. It’s just getting worse every year.
It actually gives you more control.
Assuming you have business income to pay for insurance.
So you see the problem? Of course a successful business will pay healthcare, but few business start successful instead of in debt of some kind.
I’ve basically opted out. I can’t see that the healthcare system has any incentives to keep me healthy. In fact all the incentives are to keep me medicated indefinitely. No thanks. I have a plan for catastrophic coverage but I stay as far away from hospitals and doctors as I can otherwise.
Hard to say because differnent things have different coverages but I'd ballpark it at $5K worst case. That would hurt, but it would be managable.
"Maximum out of pocket" is a single dollar amount listed somewhere in your health insurance plan. It'd be in the ballpark of $8 or $9k. (Again, double it.)
If you are saying you only have $5k saved then your plan effectively reduces potential bankruptcy-level of healthcare debt down to a manageable level of healthcare debt.
If you have a high-deductible healthcare plan (HDHP) through an employer, look into setting up regular contributions from your paycheck into a health savings account (HSA). You can use an HSA to build a healthcare emergency fund (and later invest those saving like you would in a regular retirement account, which is what it turns into when you hit retirement age).
This is what the current Republican administration recently posted to the website of the Centers for Medicare & Medicaid Services:
"Expanding Access to Health Insurance: Consumers to Gain Access to “Catastrophic” Health Insurance Plans in 2026 Plan Year"
https://www.cms.gov/newsroom/fact-sheets/expanding-access-he...
But you'll get to learn about part D medication plans and Medigap part F*, G, N, and the other 7 gotcha plans that are run mostly by for-profit megacorps that get to change their prices every year. Oh and Medicare Advantage (part C, not to be confused with Medigap parts) is a total scam with lifetime limits that has already fooled 54% of recipients. Traditional Medicare is way too complicated and should be thrown away and replaced with a universal single-payer system without any for-profit corporate bullshit. Also not covered: dental, vision, hearing aids, long-term care, skilled nursing... you and your family need to be be completely broke to receive Medicaid for long-term care.
* So sorry, you can't have this one anymore because part B deductibles are no longer covered due to the neoliberal MACRA 2015 that doesn't care about costs borne by the poorest Medicare recipients.
It’s not better elsewhere. Healthcare is fundamentally expensive. You can choose between cost, availability of specialists or new treatments, and speed of being seen. The bureaucracy and vague denials under some government healthcare programs make United, Aetna, etc look good.
That isn't really true. The US just happens to train really few physicians and therefore has really few physicians per capita.
In Sweden it's about 2x higher. Of course, they're still experts, so it's somewhat expensive, but not like in the US.
It's at least better in not making the system a confusing mess of coverage tiers, copays, deductibles, in-network staff in out-network facilities, and all the other jargon used to complicate it to the point where many people don't know if they are covered or not.
Nowhere is absolutely perfect but it's much easier to navigate, and many developed countries have very good care for emergencies and/or life-threatening ailments. It might suck to investigate something chronic but non-life threatening, it won't stress you if you think you are having a stroke and need to call an ambulance.
That’s what frustrates me a lot. The system is not only super expensive but also incredibly complex an unpredictable with tons of very costly traps. Basically it combines the worst aspects of the different approaches.
Pardon the internet lingo, but this is cope. Americans pay way more for their healthcare than citizens of countries with universal healthcare, like France, and their life expectancy is still lower. So clearly, it is better elsewhere. Don't fall into helplessness, the situation can be improved, it will "just" require actual political will to do so, that you unfortunately can't find anywhere among the Right or "moderate" democrats.
The lack of health coverage has been what has stopped me from starting my own business. I do not want to risk any of my family getting sick and not being able to cover it, but I also don't want to blow through all my savings paying for health insurance waiting until I get a VC to give me money.