These "savings cards" have a maximum annual benefit applied to them so for those on insurance that do not cover those expensive medications or who are self-paying use up the benefits before year end and do in fact eventually pay full sticker price.
I was on a blood thinner and the medication was very pricey. Didn't have insurance and the "savings card" covered fuck all unless you had insurance. There are three blood thinners on the US market and they all cost a lot.
Warfarin needs blood tests at least every 2 or 3 weeks. I bet those tests are not cheap in the USA. Furthermore you can't have any food with significant amounts of vitamine K or its precursors. There are pills that cost more but don't require any of that. And actually they cost very little or zero, at least in my European country. Prescription only, of course.
If you don’t have insurance, you’re essentially fucked in the US but this thread is not referencing that situation. My CAT scan was billed for $10,000 but what I paid was about $200 with insurance. Without insurance I would owe $10k.
Why stop the conversation here? And if you don't have insurance but go to an ER (can't be turned away) and end up getting some expensive procedure you can't afford, you can just tell them that you're broke and they negotiate way, way down, or even just forgive it. And it's setup like this to ensure only people who have proper full time jobs or who can write a good enough sob story can get care. Because so many of the people in charge of this mess are far more obsessed with blocking out people they can't get enough data on or who aren't working, then figuring out reasonable public prices that make some effort to strike some fair market balance. So that if you have some savings and aren't employed, you are forced to find any job with benefits so you aren't left bankrupt, which makes taking care of health struggles harder as you have to work instead of take care of yourself.
This won’t work too well for most stuff. They don’t have to treat anything you present with, and don’t have to fully treat even e.g. a heart attack. They just have to stabilize you. So they can turn you away under most medical circumstances. Like you’re not going to get free chemo or (non-emergency) prenatal care or what have you. They also can triage you into the “maybe in twelve hours… maybe” group until you go away if you don’t seem like you’re dying, or likely to pay.
It’s priced that way because Medicare has to get the best price by law. Everyone else gets a lessor discount, with cash payers getting nothing by default.
It makes sense - the largest payer should get the best price. But it doesn’t make sense because it’s not really a market.
We’d have much better outcomes with a Medicare for all model, and then private insurance could actually be priced with an insurance model and be used as a fringe benefit again.
Nobody in my family has any kind of crazy chronic conditions. A few surgeries, a couple of c-sections, a week in the NICU, a few short stays in some hospitals. We've experienced nearly half a million in healthcare benefits from our insurance companies over the years. I don't think I'm ever going to pay enough in premiums to cover these costs.
Im 41 and haven't been to a doctor since I was 10. I have had insurance coverage my whole life. So technically I (my employer on my behalf I guess) have paid for many other people's services.
I have been a huge net positive for insurance companies. Other people get way more services than they ever paid.
Depending on your situation, if non emergency and you were able to ask the cash price beforehand you might be surprised that you can get the same CT scan for less than what insurance ultimately paid. At least that’s my experience ($450 vs $1200). You may have to ask at a diagnostic imaging place, not the hospital since the hospitals can never tell you what anything costs they aren’t set up for it. (Of course I went through insurance since I didn’t want to pay out of pocket, but it was an interesting lesson in one of the reasons why healthcare is unnecessarily expensive in the US.)
Was $10k before or after the insurance negotiated discount? Pre-discount prices mean nothing: I had the same tests ordered twice (needed the results urgently), once through my PCP/HMO and once paid to a walk-in doctor's office in cash. The cash price was $700. My PCP claimed a price of insurance $3500, who then negotiated it down to a "discounted" $710. So the worst of both worlds would have been a high deductible plan.
The way you have those loopholes and you have to watch out for them else you're on the hook for thousands of dollars is nuts. I mean, sure, you _might_ get a good deal or you might get completely screwed. This is absolutely not normal or fair. A society of gotcha's induces a lot of inefficiency. And as much as the US sometimes rails against inefficiency, it seems it's only a problem when you're not used to it.
I fit this category perfectly when I was staying in Korea over 10 years ago. I ended up being there on a tourist visa on and off for a few years. I never had any trouble as a white foreigner but did have a hard time making Korean friends, only because my Korean was fairly basic and I didn’t work in an office or go to university. However, everyone I met was very accommodating, whether I was in places frequented by foreigners like Hongdae or Itaewon or in my now partners hometown which is small enough that most Koreans couldn’t place it on a map.
I walked into the government office a couple times and tried to find a path to a legitimate visa and was told each time I couldn’t do it. I found that the longer I was staying, the less comfortable I was with my status. If there was a path for me to be a legitimate resident, I may have stayed longer than the 3 years I was there.
I think GP is asking that every time you refresh the fish, it uses a different seed and it publishes it, perhaps via a share link. Otherwise, to find a fish you want you'll have to manipulate the url multiple times.
This is great. My wife and I spent many hours looking for names that work in both of our native languages / cultures that weren't super common and having a starting point would have been nice.
Yes, and I recently had an AT&T fiber line installed in my house because of it. I'm 100% certain that if Google Fiber hadn't started deployments in Louisville I would not have a fiber connection today. Even if it's not from Google.
I took Larium (Mefloquine) for about 7 months while in the US Peace Corps. I had incredibly vivid dreams, all of which I would remember and I also developed depression that went away as soon as I switched off the drug. No good.
I ended up working for a company in another country that didn't have any requirements regarding malaria prophylaxis so I didn't take any drugs. I got malaria and it was god awful for a couple days but got over it quickly. Compared to the side effects of Larium or taking heavy doses of Doxycycline or getting the more spendy Malarone, it was worth rolling the dice.
You can get some smaller ones at Adafruit which are good for tinkering. I have the PaPiRus Zero which was easy to add to a Raspi Zero and comes with lots of example code.
