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David Watson 🥑
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Matthew Yglesias
@mattyglesias
One possible read is that this shows Americans are wildly overspending on health care, another possible read is that health care is a superior good and Americans spend a lot on it because we are rich.
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Jerod Frank
@Jerod_Frank
Well yeah if we ignore paying $1-2k a month in family premiums then it’s not that expensive. Why didn’t I think of that?
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Stomp 🍉
@BeatStomp
Out of pocket share of health care spending is such a cop-out considering it doesn't factor-in monthly premium nor does it address the actual cost of healthcare. But what do I know. I'm not an healthcare specialist studying biostatistics and epi in the context of PH or anything.
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markchristenson
@markchristenson
Interesting. One thing I don’t understand is how murders (around 20k in 2023) have much to do with life expectancy when well over 3MM people die each year.
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Neil Sheehan
@nyhilundism
Averaging out of pocket expenses means nothing to an individual health consumer because of the arbitrary and capricious nature of the healthcare industries byzantine cartels! averages mean nothing in this context. nothing.
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🥀_ Imposter_🥀
@Imposter_Edits
What are these numbers? without monthly premiums, and I am assuming the average per capita is padded with people who don't even need to file a claim per year? I've spent more on one hospital ride than the 1,425 supposed average per year.
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BringbackTrump24 🐘 🇺🇸 🇺🇸 🇺🇸
@robmce23Trump45
I can make an appointment for next week and see a doctor with my private insurance. If you tried that with universal healthcare, they'd laugh hysterically, and schedule you for over a year later. If you didn't die first, which is what they're hoping for.
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Mack
@Mstrainer19
Their taxes (which include HC) are higher than the difference between our taxes, insurance premiums and out of pocket HC expenses.
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Jeff Rose
@JeffRose8
Are you purposely trying to deceive people? This is horrific bad “analysis”. Do you get paid to write crap this bad?
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MrFluckoff
@MrFluckOff
This is a purposely bad faith argument. You can't seriously think that just because the percentage is lower it means that american healthcare is cheaper, right?
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stevie 🐀
@s_thewallflower
Matthew, low out of pocket SHARE when healthcare costs are INSANELY inflated, still means Americans pay MORE. Some adults seriously need to go back to grade school and you should be the first in line.
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Stephanie
@shesellsseash
Quick question, what about the massive amount we spend each month on health insurance, which hardly anyone accepts by us, and the cost of time spent arguing with insurers
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ArgleBlargle
@argleblargle1
Wait we only spend $1.4k each, out of pocket, on average, per year? That's not bad. That's probably less than we spend on uber eats 😄
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릭 존슨
@RicksterPenis
So, Americans have not only some of the highest levels of total out-of-pocket expenditures, those extremely high out-of-pocket expenditures only make up a small fraction of their even higher total healthcare expenditures? And all for worse outcomes. Thanks Matty
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Firas D
@firasd
The out of pocket thing is designed as a rationing tool right.. so hypochondriacs don't keep going back Seems like if procedures become very expensive and mostly covered OR people consume a lot then the out of pocket share has becomes meaningless as a rationing tool either way
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Rich 🤌
@heyricharnold
Hey man when someone pays their insurance premium every month does that come out of their pocket or out of some other place one keeps their money?
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Robert Rubin-Beman
@ultimatetorah
Japan pays 1/3 of what the US does yet their life expectancy is 2nd overall to our 48th overall. This isn’t a flex. Our system is broken. These numbers don’t even include our premiums. Americas system is fundamentally broken. How do we spend the most yet can’t crack the top 40.
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@ASCO
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Amy Miller
@amymillerz
That doesn't include premiums, right? Also... it doesn't count the health care we didn't get because we can't afford it.
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Bill Co
@SpitItOutSpicer
America has higher median wealth and lower taxes. Part of this shows up in higher provider labor costs that are passed on to patients.
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weaponized.data.dump
@DataWeaponized
I recently met with a psychotherapist recommended to me and who had just begun providing services through an online platform. The platform could not provide details on billing due to my insurance policy. Turns out the copay is $20, but the platform charges $1,000 per meeting.
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Jade 🏳️‍⚧️
@jadyshoals
"if youll simply consult this handy chart youll see that actually youre wrong to think a better world is possible"
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@RaraSensei
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♪ Raraらららら ♪NEXT: CUON @ 渋谷Club Malcom 12/13
@RaraSensei
Yesterday I had a pap and a mammogram and it cost me 2500yen (about $16). If I were to get them at Kaiser (my last health insurance in the US), it would cost between $585 and $720. And my monthly premiums for insurance are MUCH lower. How is the US system better? x.com/mattyglesias/s…
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mcshanemusic
@mcshanemusic
This is a really strange way to make whatever point you're trying to make. There's no point in sharing a stat without premiums. None. Unless it's just to sew further confusion on a subject that is as settled as global warming. Americans are getting ripped off on healthcare.
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Samuel Nichols
@samuelnicholsiv
Big dawg, this is like saying owning a car isn't expensive because oil changes aren't that pricey. This is a ludicrous point to make. Hold yourself to a higher standard
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🌸🔪 efaya 🔪🌸
@efaya13
This completely ignores the high costs of premiums, which can be anywhere around $400-$800+ per month Are you willfully and freely choking on the boot of health insurance companies, or are they paying you to do so?
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happygoleftist🇮🇩🇵🇸🏳️‍🌈🏳️‍⚧️🌱⚒️
@happygoleftist
american really like to gaslight themselves in order to evading UHC, bro, other countries have UHC for every citizen, not just keynesian shits called medicare and medicaid
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Big Zoom Root Wiener Energy
@SocietalCanary
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forgotten dino
@dinodoodeTV
if an american goes to the doctor and gets billed $10,000 but has insurance that covers $6,000 of it, and a european goes to the doctor and gets billed $65 and doesn't have insurance, matt yglesias thinks that the american is getting the better deal x.com/mattyglesias/s…
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Things Enjoyer
@Boon_doggl
huh if only there was some other sort of costs, maybe paid to the insurance company monthly, that better reflect the actual amount people are paying every year? wouldn't that be crazy?
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Not Good Enough Podcast
@notgoodpod
Hi Matthew, Australian here - we don't think about spending money on healthcare much at all. Hope this helps clarify where your horrific country needs to get to :)
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Jeff Nelson
@nelson26141
Germans pay $542 less out of pocket in return for $2,000 in higher taxes and the out of pocket cost is Germans have to pay private insurance if they want to see a doc when they get sick. Democrats: “let’s do that, but with DC school system quality and cost effectiveness.”
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Rebekah Maddock
@REDQUESTION
I am an example of this because 1) when I can I spend a ton out of pocket. Healthcare insurance doesn’t properly cover most of the care I prefer, like chiropractic or acupuncture. (I will *never* support single payer because of these exclusions). 2) multiple major surgeries.
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Nordstream Rack
@IrateMaxwell
Centrist neoliberals are convinced if they can just find the right graph, they can talk people out of believing they're poor or suffering
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Larva From Delmarva
@trash_ebooks
No they don't you fucking charlatan. Americans spend MORE on out of pocket healthcare expenses than other countries, they just spend a smaller *share* of their healthcare spending on out of pocket expenses because the insurance cost is so high.
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Dany Rosas
@DannyRoses97
We spend the most in healthcare in the world and still always rank among the worse medical systems ajmc.com/view/us-health hbr.org/2024/11/why-th hsph.harvard.edu/news/peoples-v
ajmc.com
US Health Care System Ranks Last Overall Among Other High-Income Countries
The US health care system is underperforming despite high spending, and reform is needed in areas like insurance coverage, primary care, and equity to improve overall health outcomes and efficiency.
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