Antiwork

Universal healthcare would probably not cost you that much with taxes. But instead a private company gets to reap all the benefits of your money.

"You should be grateful, peasant. That's a good looking kid you got there. It would be a shame if she got sick. What were you saying, again, I just got a notice about a stock price increase."

As an employer I would LOVE to be shed of this system. I have no reason to be involved in the health care of my employees, and given the state of health care in America there is literally no upside for my business. It's all bad.

Unfortunately our system requires it, though. If I didn't offer health care and instead just increased the base salary I wouldn't be competitive. People would think I was trying to pull a fast-one on them, and few people in America know how to get health care on their own. It's a mess.

Your employer is likely paying another $600/mo for you as well, and singles/couples working for the company are actually subsiding your threesome.

The insurer-first system a stupid scheme that shouldn't exist in the first place.

If you make less than $103,000 / year (family of 3) and pay more than 9.5% of your household gross income on healthcare premiums, you will likely save thousands by using your state's healthcare marketplace. You are likely eligible because they fixed the family glitch, now the 9.5% applies to the cost for family rather than individual coverage as before.

Although the subsidies will likely end after 2025 if dems don't retain a majority in house/senate.

It could easily save you thousands of dollars a year... Like I'm 100% of it... Ask me how I know, lol. Please look into it. I think you have to wait til open enrollment in December? or when your healthcare renews annually. You might be able to do it immediately due to "hardship". I don't know the specifics of your situation but I'm pretty sure you and a lot of other people here would save a lot of money. I would talk with a healthcare_gov or your state agency agent, they get paid by the gov't to help you through it at no cost to you. You can also get a low HDHP and get your own HSA to essentially pay no taxes for medical expenditures. I hear fidelity is good, due to no fees.

Speaking of which, is there an active financial advice community on Lemmy (like that old site that should not be named) like /c/financialplanning or something like that?

Mine is about the same for family coverage, and the shocking thing is that it's pretty good relative to the market -- my previous employer was about ~100/mo cheaper for an equivalent HDHP plan, but I've seen much, much worse.

Honestly, though, even more than the cost (having run the numbers, the tax I'd pay in a European country to cover similar services is about the same, all things considered) is the sheer level of friction that insurers inject into the healthcare system. You have to get a referral to a specialist even if you know you need to see one. You have to get insurance authorization for specialty treatments. You have to think about deductibles and out-of-pocket-maximums, and Lord help you if you start having complex medical problems around the end of the year and the maximums reset in the middle of your treatment!

We pay out of pocket for a direct primary care pediatrician for our kid (on top of his insurance, to cover any meds or emergencies) and the fact that there's no insurance to deal with means that it's vastly easier to get a hold of her to get a medical opinion whenever there's a bad bump or a strange rash that needs a professional opinion. It's shocking to see how things could be if insurance companies and PBMs and for-profit hospital networks hadn't inserted themselves in between patients and doctors, with a sole eye towards making sure they pay out at little as humanly possible while maybe keeping patients alive in the process.

i get the feeling that society really doesnt want to spend the money to give people healthcare.

My options at my last 3 jobs have all been more than 1400/month.

In the US during WW2 employers couldn't keep employees because of wage competition. This made war production extremely inefficient and slow. The War Labor Board instituted wage ceilings for critical jobs. But, they allowed employers to compete with health benefits. Employment and healthcare became intertwined.

After WW2 the War Labor Board was dissolved and wage ceilings removed. FDR, who'd proposed and implemented The New Deal and led us through WW2, proposed the Second Bill of Rights aka the Economic Bill of Rights:

• Employment

• An adequate income for food, shelter, and recreation

• Farmers' rights to a fair income

• Freedom from unfair competition and monopolies

• Decent housing

• Adequate medical care

• Social security

• Education

This would've disaccociated employment and medical care. However, FDR was labeled a socialist and authoritarian, demonized. We the People bought into the propaganda.

That's how it's been for eighty years: The leftists propose the same platform FDR did. And, they're told to shut up for disturbing the idiots running in fear of one bad choice or another. All that's changed is the efficiency and effectiveness of the hegemony's propaganda.

Insurance is extra expensive when you have a family in the US. I'm single and my monthly cost is less than $100 a month. Having a family is more expensive for everything.

The private insurance industry is going to price themselves out of existence eventually. People are going to realize they can save an enormous amount of money by having the government act as payer for their healthcare instead of corporations trying to turn a profit. Healthcare already does not lend itself to distribution via capitalism, you don't show up to the ED and wave money around to bid on your bed. It should be based on need.

It's likely 1/3rd to 1/2 of what the insurance actually costs.

America is a corrupt capitalist hellscape. It's why I don't have kids, only go to the doctor when shit happens and never pay the bill.

Best thing that ever happened to me was almost dying. Now all of my healthcare, everything, is taken care of.

That's how fcked the world is.

This is madness. Where I’m from, we have a nationalised healthcare system and yet my employer offers private healthcare coverage for no additional cost to myself (free)!

It’s bullshit, but your employer may be covering your insurance almost completely and that 600 goes toward your family. At least that’s how my insurance works. Again still bullshit that health care costs that much and then they won’t cover shit when you need it.

The fact that insurance is provided through employers in the US is strange. Other products are purchased directly. Presumably there's some advantage a sort of collective bargaining, but it doesn't seem to work out that way for this, in part because the employees aren't really part of the bargaining and in many places employees needs are too diverse to reach am agreement that works well for everyone.

Better solutions aren't coming any time soon. You can possibly make some better choices though. Although, not participating in the health insurance is borderline line crazy, dental and vision plans don't make sense for a lot of people. I would pay more for my dental plan than I pay to visit a dentist, including two annual cleanings, periodic x-rays, and infrequent work like cavities - basically the care you need to maintain tooth health. I don't get the dental plan. You can figure out your own out of pocket costs and see if a dental plan works for you. Going to a dentist that is not in an insurance network is the way to go when doing this. Offices in network are required by the insurance company to charge exorbitant fees to out-of-network customers (the dentists don't get the same pay from the insurance company though). So say a normal dentist charges $200 for a cleaning. A dentist in a network would be required to charge $400 or something nuts. If a patient is in network, it will say $400 on the EOB, and that the customer is responsible for $50, making it look like the customer saved $350. The insurance company only gives the dentist $150 though, so the dentist gets $200 anyway, the customer really only saved $150. The insurance company gets a bunch of money in annual fees from the employer.

You can see if it makes sense for you. Not everyone will be in the same situation, and maybe it doesn't eork out. If you have an option for an FSA or something similar, this option is even more attractive, since all those expenses can be paid from untaxed income, whereas the money taken out of your paycheck to cover insurance is after tax I believe.