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There's lots like that in the US, and to a much lesser extent in Europe as well. In the US I had a family member whose husband kept a not-great job because its insurance paid for her cancer treatment, whereas if he'd tried to switch jobs the other insurance might not have.

Even in Germany my (private) deductible is 3000 EUR so if I thought I might need "something done" I'd try to do it early in the year: if I spend 2999 in December the counter resets on January 1st. And I'm told I have a pretty sweet deal compared to America.



In the US, the first scenario is not a problem anymore since the Affordable Care Act requires coverage of pre existing conditions.


True, but I wouldn't place any bets on the longevity of the ACA until at least, say, mid-January.




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