Insurance does exist to distribute risk. And to a certain extent, people have voluntarily entered into a plan that best meets their needs. I’ll give you that.
However, in the real non-theoretical world that I live in, when I started working I got the choice of, I think, two insurance plans. Granted, I may have been able to get some sort of private insurance, but since most people in the US are conditioned to believe that insurance comes from the employer, I picked one. It’s pretty good. It won’t be there if I quit. It’s also free for me to use my employer’s insurance, since I’m single with no dependants. This would not be true if I took out private insurance. My…sunk costs? I can’t remember the term…are less using my employer’s insurance.
For people without health insurance…there are costs for having private health insurance. There are also costs, in their time in which they could have leisure, or a second job, or whatever, to learning about health insurance and health in general. Health in general is pretty easy, but I think finding out about private, portable health insurance takes some work. And I think it doesn’t become clear to many people that they need to invest in health insurance before they really need it. And then they show up at a hospital ER in bad shape. And most caregivers (and I am one) will try to do their best by that patient, in the non-theoretical world.
The system as it stands is screwed up. How to fix it, I’m not quite sure.
(I’m sure I’ll be ripped to shreds, but I felt like I needed to try to say it. Possibly ineffectively.)
Once you arrrive in Israel, you follow the instructions scribbled in pencil on the brown paper until you come to the cafe. You know the one. We’ll find you. And you’ll begin to learn that there is no going back.
I read a few years ago that the US’s infant mortality rate was being driven up (I think only slightly) by the number of people in the US who will refuse abortion for babies that aren’t viable.
I don’t have time to do a search on that right now. I think the comparison was between the US and Canada.
The long lines referenced are long lines for specialists - highly trained doctors who provide services for the most seriously ill. There are plenty of emergency docs and GPs, but if you need an oncologist, you’d better learn how to twiddle thumbs.