90% of Americans having health insurance is incorrect and many of those that do have astronomically high deductibles. My engineer brother has a 5,000 dollar deductible which means they pay virtually everything out of pocket and have to decide if going to a doctor over little things is worth it.
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Actually in 2016 it was something like 10.9 percent of americans were without health insurance.. and I think after trump its gone up to about 13% as people can now opt out of insurance without a penalty.
And I guess it depends on whats an "astronomically high deductible". Obamacare limits deductibles.. I think the highest deductible is somewhere near 7000 and most are much lower than that. And if you have medicare? A lot less and if you have Medicaid.. generally no deducible.
And probably your engineers plans actually have wellness visits and doctors visits that are covered despite the deductible. Especially if he has a market place insurance. Which even though they have deductibles.. also pay for.. with no expense.. all sorts of preventative health services.
Your health insurer is the one who decides if you get a procedure or not, not your doctor, and they decide that on profitability
The same with government insurances.. especially the VA and Medicaid.
I don't think you can find a country even the UK that does not have authorizations, and reviews as part of preventing overutilization.
You don't get to ignore all the Americans who have no insurance or terrible and expensive plans.
I am not.. I am the one stating that its about 10% of the population... okay.. lets go 13% of the population. YOU SIR.. however want to ignore the REST of the population that has insurance that for the most part.. is better than what most other countries government single payer is like.
The irony here is that you have great insurance because your company happens to pay for you to have great insurance.
You're trying to take the average of only the people with good plans and you're vastly overestimating how many Americans are happy with their Healthcare, the vast majority aren't.
Actually.. you sir are vastly overestimating the number of americans that are unhappy enough with their healthcare.. to want to switch to a government single payer system. In fact.. even the ones that want to switch here.. would likely change their tune once they found out what the other countries actually have and what it means for them.
You have not even attempted to debunk anything I've said about America's poorly ranked quality of care,
Sure I have..you among lots of others...when it comes to real quality of care.. things like effectiveness of care, timeliness of care.. getting the right diagnosis.. etc.. American healthcare scores very high. In fact..in all likelihood..if we had everyone covered.. we would beat every country when it comes to this.
Most of our "poorly ranked healthcare"..is not really because of a quality of care issue.. its because of things like "equity of care".. which pulls us down because we don't have everyone insured.
We have been over this before.
Now..high infant mortality rate, life expectancy? That largely does not have to do with our healthcare system. It has to do with our demographics and our culture. Our obesity rates are high, our lifestyles are sedentary. We tend to take less vacations than most cultures, we work longer hours and retire later than most first world cultures. Heck..we drive more than most European countries and that tends to mean more risk of injury and death. Not to mention asthma and respiratory disease from smog.
We have more work related stress. We delay having children until older (raising the risk of infant mortality). We have higher risk pregnancies (raising the infant mortality)...and so on.
I have already brought out these facts to you and to others.
If you had a European style healthcare system you'd love it just like everyone in Europe does.
No..I would not..nor would most americans… heck.. even the poorest in American who have Medicaid would not like the European healthcare system,
You have awesome insurance because your employer pays for you. I think we have already established that. I have patients in the US that have employer based healthcare insurance that's better than yours and they make just over minimum wage. . They would not trade their insurance for any European public plans.