I grew up and lived most of my life in America, then emigrated to a country with universal healthcare (the UK). When I developed a life-threatening condition which my US insurance would never have covered, the National Health Service saved my life.
These things don't matter until they really, really, really do. Having seen the grass on both sides of the fence, I can attest that it really can be meaningfully greener.
They are and we aren't fighting back tooth and nail to stop them.
We just let them do it because we (collective we) have grown so used to having it we can't remember what it was like before, people dying from treatable conditions because they couldn't afford it, average life expectancy been a whole decade lower (or more) etc.
We (again collective) won't realise what we had until it's gone.
My filthy tories voting friends do actually agree that police, nhs, fire services, etc are worth spending money on. I think the Tories have lost sight of what is important to their supporters.
I've gotten a pavlovian response to "good things", where I start imagining it already breaking down.
Like Obamas presidency. For every good he's done or tried to do, all the shit in the world that affects the US (and even things that are not real apparently) gets pinned on him, regardless of cause.
And sure, Obamacare probably has a lot of faults, but is that because of its concept, because of congressional gridlock, or compromises?
I won't argue either way, but it's always sad when something gets dismantled or at least scolded for reasons outside of its grasp.
I don't know enough about NHS to say, but spending £600M/year on management consultants doesn't sound like a healthcare problem.
I'm not religious, but it's the same with Islam being lumped together with extremists, Christianity being lumped in with crusades and westboro baptists and other lunatics, and both republicans and liberals being categorized by a few vocal idiots.
Sometimes you have to try to look objectively at something and the faults alongside it, and try to determine if they are one and the same. Sometimes it's worth fighting to improve something instead of just burning it to the ground, because there's a good chance the new foundation being built is worse than what you destroyed.
Long-term back pain that counted as a pre-existing condition for every insurance package I had, on the rare occasions when I could afford to be insured. That eventually degenerated into a couple of prolapsed disc that cut off the nerves to may legs, resulting in constant pain (the kind that leaves you screaming and writhing without a constant morphine drip) and making it impossible to walk, sit up, or go to the bathroom unaided. While not technically a life-threatening condition, my quality of life was low enough that I certainly would have committed suicide had it persisted indefinitely.
In the US, as I say, this would not have been covered by my insurance, and would have cost around $50,000 to fix. Completely infeasible for me to find that amount of money. The NHS did an excellent job of fixing it for free.
> "life-threatening condition which my US insurance would never have covered"
I wonder how is that possible? Insurance plans these days have to cover you even if you have a pre-existing condition, even the cheapest plans cover everything after a deductible, unless I am missing something
Thank Obamacare for that, and that only kicked in on 2011. Prior to that, insurance recission was a real and pervasive issue for those with preexisting conditions.
> You have to wonder how long 'Obamacare' is going to last now with a Republican president, congress and senate...
I don't think the Republicans have enough people in the Senate to block filibusters. So I assume the Democrats will use the filibuster to block repeals of the healthcare law.
Why in the world would the GOP ever leave the filibuster in place? Mitch will remove it at the beginning of the 115th Congress.
Boom. Now Obamacare can be repealed with simple majority. I bet you dollars to donuts that insurance prices, however, will not go back down to pre-Obamacare prices. Because profits.
The fact that prices went up at all shows there is a huge problem. We're already paying more than anyone else in the world, why can't we get something for our money instead of having to pay even more?
To give you an example - my dad had to take 2 boxes of Glivec per month to keep him alive(he was predicted to survive 3-6 months, thanks to Glivec he lived another 8 years). Glivec, last time I checked, is currently 12 thousand dollars a box in US. And sure, most health insurance in US would cover most of that. But if you have to take two $12k boxes per month, and insurer says they will cover $10k per box, you suddenly have to find $4k per month just to buy your life saving medicine. In effect sure, you have insurance, but unless you are rich, you are fucked. The whole idea of deductible on health insurance is pretty much a US-only invention, and it literally kills people who are in theory "covered".
As a fairly young US citizen I'm curious, I thought that most health care plans have an out of pocket maximum that is usually in the low to mid thousands per year. Would this situation not be one that limits the yearly cost that way?
US median individual wage is $39K/yr for males and $26.5K/yr for females [1]. That amounts to an after-total-tax (for a California resident) of $28K/yr for males and $19K/yr for females.
Average rent ranges from $500-$3600/mth though for illustrative purposes (taking into account people in expensive places share) let's use $1K/mth for our hypothetical person. [3]
That leaves you with $16K/yr (male) and $7K/yr (female) for food, transportation and incidental expenses.
Obamacare backed health plans have a maximum out-of-pocket of $7K/yr for individuals.
Yeah, I'd say the median American is pretty much SOL if they get sick even if they have insurance. And those figures don't take into account the price of the insurance itself if your employer elects not to provide it to you.
In the UK your NHS annual out-of-pocket maximum is $0.
US median individual wage is $39K/yr for males and $26.5K/yr for females [1]. That amounts to an after-total-tax (for a California resident) of $28K/yr for males and $19K/yr for females.
The tax calculator you reference includes estimates of sales, property, and fuel taxes (which make up much of the tax total at the incomes here), which are actually rolled into rent, transportation, and general purchases, so you are double counting some expenses.
Obamacare added three provisions in particular that affected my family. Annual and lifetime caps on coverage were banned, dropping sick policyholders was banned, and all plans were required to set maximum out-of-pocket costs.
My family has easily hit the pre-Obamacare lifetime coverage limits and fairly frequently would've hit the annual ones. Our $4k out-of-pocket cap saves us from 10-50k in coinsurance/copays depending on the year. As a result, they'd drop us in a heartbeat if they could.
Based on Republican control of House, Senate, and White House, their having explicitly stated they'd repeal Obamacare, and the ability to do a lot of damage to the law without risking a filibuster (which they can do away with entirely, incidentally). http://www.nytimes.com/2016/11/10/upshot/the-future-of-obama...
These things don't matter until they really, really, really do. Having seen the grass on both sides of the fence, I can attest that it really can be meaningfully greener.