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When my wife went into labor, I didn't worry because the hospital was in our insurance network. Our OBGYN was also in our network. However, I later learned the anesthetist, lactation consultant, and several nurses were not and I didn't think it prudent to call around to find in-network professionals in the moment. We were hit with a hefty bill afterwards, but luckily our insurer made a clerical error that ended up wiping away our bill. Could have been worse, but it was an eye-opening experience, especially learning that a cheeseburger from the hospital cafeteria was billed to us around $35.00. I'm pretty close to libertarian, believing in free markets and what-not, but I sniffed a scam. We got lucky that time, idk if it'll happen again.
most people don't like the idea of taxation, (especially libertarians!*) which seems to be why so many people in the US are not down with government-provided health insurance- taxation is the only way to pay for it. But the thing is, insurance works best when you have a big pool of money- that big pool gives bargaining power, say as for negotiating drug pricing with big pharma as is the case with the US military, and allows for investment in things like public hospitals and whatnot. If more people got over their reluctance to use their tax dollars to pay for a universal, government funded health insurance system, costs would go down. Like up here- we didn't pay a cent out of pocket for 3 nights of hospital stay and specialists 19 years ago for the difficult birth of our child. Didn't even have to think about it.
as a family, we've had to endure some very serious medical issues over the past few years. Canada's health care system covered it all, and to this day our prescription costs are mostly covered since my income is so low. If we were out of pocket for those expenses, or had to pay a premium for insurance...well, it would be bad. I wouldn't be designing and making knives, that's for sure, since I'd probably have to work a couple jobs. Just knowing that one of the leading causes of personal bankruptcy in the US is caused by medical bills makes me thankful to live in a country where that's really not much of a concern.
on the flip side, the for-profit system in the US does tend to fuel innovation and technology, and if you have the money, you can take advantage of some truly cutting edge medical care. Unfortunately, a lot of those benefits are almost completely lost on those who aren't covered by insurance.
politically, I'm fairly neutral. I try to keep an open mind, but I tend to think that- generally speaking- society works best when a wide array of people's basic needs are met, freeing them up to live productive lives. The emphasis being more skewed toward collaboration than competition. We need both those impulses in order to maintain and move forward, but to me, the balance seems a little off.
Screed complete! If you disagree with my assessment, just keep in mind I'm Canadian and don't have a dog in your fight in the US, so take it with a grain of salt.
*my dad ran as a libertarian candidate in Vermont many years ago, so I get it. Not throwing any stones here.