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How much do you pay for health care?

Discussion in 'General Discussions' started by ralphie250, May 6, 2013.

  1. Joniemack

    Joniemack Beta brainwaves in session

    Location:
    Reading, UK
    I've been in the UK nearly a year and have paid nothing for health care. I'm working and being taxed now but I have no idea how much of that tax is going to the NHS fund. Personally, I don't care. It appears that I am paying a lower rate of tax overall than I was in the US so I'm still ahead of the game.
     
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  2. Shagg

    Shagg Vertical

    Location:
    Los Angeles
    Right now its about 400 a month for me and my wife for health and dental and then I put an additional 150 a month into an FSA. I've already burned through my FSA this year because of a double root canal I had last month. FSA's aren't bad, but you do need to think a bit when you set them up. I wish I would have maxed mine out, and next year I will if it is still available. I'm really worried about my premiums for next year. I've seen numbers that point in both direction and I expect that I'll be paying more.
     
  3. fflowley

    fflowley Don't just do something, stand there!

    The NY Times weighs in:http://www.nytimes.com/2013/06/02/health/colonoscopies-explain-why-us-leads-the-world-in-health-expenditures.html?hp

    Snippet:
    Whether directly from their wallets or through insurance policies, Americans pay more for almost every interaction with the medical system. They are typically prescribed more expensive procedures and tests than people in other countries, no matter if those nations operate a private or national health system. A list of drug, scan and procedure prices compiled by the International Federation of Health Plans, a global network of health insurers, found that the United States came out the most costly in all 21 categories — and often by a huge margin.
     
  4. snowy

    snowy so kawaii Staff Member


    I appreciate that the article addressed one of the key problems with our system: pricing is not immediately apparent and we all pay different prices for the same service. For example, my brother-in-law and I have both had ER visits this spring. His ended up being almost $1000 out of pocket because he has a high deductible. I have a low deductible ($200) and had already hit it for the year with an urgent care visit. I ended up paying $32.50 out of pocket (10% coinsurance) for my ER visit and another $7 for a CT scan. My insurance provider has negotiated for ER visits at the local hospital to cost $325. We had the exact same service. Because of his high deductible, it's unlikely that the hospital wrote off anything to meet the contract rate, whatever his contract rate is (sounds like it's much higher than mine, regardless).

    Here's a piece from NPR that talks abut this phenomenon: High-Deductible Health Plans Can Cost Patients A Discount : Shots - Health News : NPR
     
  5. martian

    martian Server Monkey Staff Member

    Location:
    Mars

    As a Canadian, reading statements like this always feels a little strange to me. Like someone saying the have to renew their oxygen subscription, or something.
     
  6. Baraka_Guru

    Baraka_Guru Möderätor Staff Member

    Location:
    Toronto
    Dude, c'mon. There is no such thing as a free ride. We are on the hook for a $45 copay for ambulance service.... (Well, except if we have to go out of province for treatment.)
     
  7. martian

    martian Server Monkey Staff Member

    Location:
    Mars
    I don't expect a free ride. Just free treatment when I get there.
     
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  8. m0rpheus

    m0rpheus Getting Tilted

    Location:
    Guelph ON
    I know what you mean. I sliced myself open at work recently (my own fault for being careless) and the last thing I would have wanted was to worry about paying to get stitched up.
     
  9. Baraka_Guru

    Baraka_Guru Möderätor Staff Member

    Location:
    Toronto
    It's actually cheaper than the flat rate for typical airport shuttle services. And ambulances have the advantage of right-of-way and running red lights, making $45 actually a pretty good deal.
     
  10. snowy

    snowy so kawaii Staff Member


    That would be covered by the workplace's insurance in the States. No worries about paying--it's pretty much all on your employer unless you were totally stupid.
     
  11. m0rpheus

    m0rpheus Getting Tilted

    Location:
    Guelph ON
    I was pretty stupid and wasn't wearing gloves when I clearly should have been (and had been trained to).
     
  12. snowy

    snowy so kawaii Staff Member


    That's an aspect that totally depends on the employer. I worked at a place as a line cook, and we had to slice hundreds of tomatoes a day for burgers. One such day, my coworker decided to take the guard off of the slicer and use his hand instead to run the tomatoes over the slicer blade. You can guess what happened next. My employer was nice and still paid for his stupidity.
     
  13. I'm a student, so I don't pay at all..:)
     
  14. snowy

    snowy so kawaii Staff Member

    Since the topic of Obamacare has come up in this thread again and again, I thought I'd share this here:How Oregon Is Getting 'Frequent Fliers' Out Of The ER : Shots - Health News : NPR I love these articles about how our coordinated care organizations are working.

    One thing I wish we could attempt to do in this thread is to have those who are in single payer systems estimate how much they pay per paycheck via taxes for their insurance, and chart it next to what we pay in the United States. I think if more people in the United States understood how much money they could save on a single payer system, we'd be more likely to support it.

    As an Oregonian aside, I enjoyed this comment left by someone on the NPR piece: "Although I haven't been there in years, I am fascinated about Oregon. First, I see where they are trying to make college education affordable for all it's residents and now this. Seems there is a place in America where partisanship is tossed aside and the concerns of the citizens are priority. Thank you, Oregon, for being an example of what America should be." While partisan politics do get played occasionally, it's actually pretty rare, which is nice. We all had a good laugh at Washington State a couple weeks ago when they came thisclose to having a government shutdown. Meanwhile, our legislature passed record funding for schools (nevermind that they avoided fixing PERS, good for you Tully Mars ). And if you're interested on how we're starting a pilot program to pay college tuition differently, based on the Australian model, here's a linky: 'Pay It Forward' Plan In Oregon Would Make Tuition Free At State's Public Universities
     
  15. Tully Mars

    Tully Mars Very Tilted

    Location:
    Yucatan, Mexico
    Personally I paid about 11K for health care last year and I'll have paid a little more then that when this year is complete. But I had some issues that were beyond maintenance over the winter and spring. At first they thought medication could resolve everything and while medication did help it didn't completely resolve the issues so the next step was surgery. I checked around because I wasn't in a situation where I need it and I needed it right then. Quickly I went to Florida (Tenet) and Oregon (Legacy Eman.) to get advice and quotes. I had an appointment in Texas but realized they were also part of Tenet which honestly didn't dazzle or impress me at all. When I finally decided I had the surgery which was quick, one night, here in Merida at Star Medica. I pay completely out of pocket and the cost was around 6K. The room for the night which was very nice was $120. In the states the best quote was around 20k but there was no written assurance that that would be the end total. Here my quote was basically "this is the total cost of everything including four house calls to your home by your doctor post op." And the surgeon did come by and check on me four times, even brought a translator to make sure I understood everything. BTW- my normal doctor does house calls, that's just common here. She see's me for an on going but stable issue I have in my right leg/foot and hypertension. I see her four times a year normally and she charges $45-50 per visit (depending on the peso exchange rate.)

    This is exactly what my room looked like-

    [​IMG]

    As you can see it's a private room and the couch makes into a bed so family and friends may stay with you in comfort your entire stay. This is their junior suit. No one asked me what type of room I wanted but I found out they have a stand room without so much space for family and friends and a master suite that is larger and has a several TV's and includes mini bar for family. This is the family area of the master suite-

    [​IMG]

    Through the door on the left is a room with a hospital bed they can bring in equipment based on patient needs.

    I've never seen hospital rooms like this in the US although I'm sure they exists. But the costs are probably obscene. Every time I've had a hospital stay north of the border the room was either a double or really small and always sterile looking. Rooms here tend to look like half way decent hotel accommodations.

    Basically all medical care here is way less expensive including medication. My BP meds run about $200 a month in Oregon, here at Costco same medication from the same lab is $50. I often see cruise ship passengers lined up at Costco buying 3 month supplies of their medications. I spoke to one man who told me he take a cruise from Texas once every three months, buy his meds here and the whole thing including the cruise cost him 1/2 what the medication would cost him in the states. Plus now he cruises so often they give him free up grades and drink packages.
    --- merged: Jul 10, 2013 at 1:05 PM ---
    I'm not sure what you're saying with "good for you" but there have been legal challenges to PERS that would affect people already in the system or already retired and changing the rules after the fact has not worked out so well in court fights. My guess is Oregon is done with trying to change the rules for people in already in the system but will have to make adjustments to new hires. Maybe soon there will be a tier 3 for new PERS hires? I know during the 80's we went years with no cost of living increases and came close to going on strike more then once. A couple times we were award more benefits, vacation days etc... and earlier retirement/better retirement benefits instead of any increase in pay. When I first started with the State of Oregon the most you could earn in vacation was 3 weeks a year. By the time I retired I was earning 4 weeks a year. Police an Fire used to have 25 years and reach the age of 60 to retire. Now it's which ever comes first. Plus you can buy your military service and cut that down to 21 years. Clerical employees working in police dept. and fire dept. were not included but bargained to get those benefits forgoing pay increases to get them. Oregon in the late 90's tried to go back and take away benefits they awarded instead of giving pay raises and the courts wouldn't let them. That's how Tier 2 came about.
     
    Last edited by a moderator: Jul 17, 2013
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  16. martian

    martian Server Monkey Staff Member

    Location:
    Mars

    It's a bit difficult to calculate exactly, at least here. I know as an Ontario resident, that I pay a premium of $600 per year for my health care. Mind you, I am thoroughly middle class and the premium is determined by income; people who make less pay less, and people who make more pay more, up to $900 per year if you make more than $200 600. Conversely, people who make under $20 000 don't pay anything (and pay little to no taxes at all, for that matter).

    Premium Rate Chart

    But that doesn't fund the entire system. The federal government also pays into the program, which was part of the deal when single payer was set up here (provinces run the programs, but get funding from the feds).

    Overall I pay ~25% income tax (including the above-mentioned premium). What amount of that goes specifically to OHIP is difficult to say.
     
  17. Tully Mars

    Tully Mars Very Tilted

    Location:
    Yucatan, Mexico
    I have no idea why people in the US think single payer is such an awful idea.
     
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