this post was submitted on 19 Dec 2023
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American taxpayers footed the bill for at least $1.8 trillion in federal and state health care expenditures in 2022 — about 41% of the nearly $4.5 trillion in both public and private health care spending the U.S. recorded last year, according to the annual report released last week by the Centers for Medicare and Medicaid Services.

On top of that $1.8 trillion, third-party programs, which are often government-funded, and public health programs accounted for another $600 billion in spending.

This means the U.S. government spent more on health care last year than the governments of Germany, the U.K., Italy, Spain, Austria, and France combined spent to provide universal health care coverage to the whole of their population (335 million in total), which is comparable in size to the U.S. population of 331 million.

Between direct public spending and compulsory, tax-driven insurance programs, Germany spent about $380 billion in health care in 2022; France spent around $300 billion, and so did the U.K.; Italy, $147 billion; Spain, $105 billion; and Austria, $43 billion. The total, $1.2 trillion, is about two-thirds of what the U.S. government spent without offering all of its citizens the option of forgoing private insurance.

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[–] [email protected] 186 points 11 months ago (2 children)

People talking about dismantling the military to pay for health care distract themselves from the fact that the health care system already holds all the money that is needed for single payer health-care. Which is what the people making money off this system want. They want people to blame the military, because that doesn't solve shit.

[–] [email protected] 30 points 11 months ago (2 children)

Though we should also definitely dismantle the US military

[–] [email protected] 36 points 11 months ago (12 children)

Dismantle? No.

Reform for efficiency? Yes.

For example, the entire admin back end can be civil service. (Some of it already is) and contracting needs to go die in a dumpster fire. You've got at least 30,000 infantrymen sitting around doing nothing on any given day. Take a survey of their skills and start assigning additional duties. You can always fall back on contractors if you run out of grunts.

Also, for the love of God stop maintaining an entire mechanized army. You don't need to mount every soldier at the same time. Yes it's awesome. But most infantry units aren't going much of anywhere once they're dug in.

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[–] [email protected] 27 points 11 months ago (1 children)

Build some god damn trains, subways, and bus routes with the military money. Bing bang boom we're an actual "first world" country now

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[–] [email protected] 22 points 11 months ago

They also distract themselves from the fact that a single payer system would be cheaper so we could actually afford more military with one. No dismantling needed.

[–] [email protected] 99 points 11 months ago (4 children)

But if we had universal healthcare, how would all the useless middlemen make their money?

[–] [email protected] 42 points 11 months ago

Won't anyone think of the shareholders?!

[–] [email protected] 7 points 11 months ago (1 children)

They would move on to other amoral enterprises like cars/insurance/real estate/televangelism/etc

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[–] [email protected] 98 points 11 months ago (3 children)

I feel vindicated. Not 15 days ago I complained about paying more in taxes AND health insurance. And I’ve been saying it for over a decade. Fuck private healthcare, it serves no purpose for the people.

https://lemmy.world/comment/5808789

[–] [email protected] 36 points 11 months ago (25 children)

Yep, this is why I argue with people who say, we should raise taxes to fund it....no fuck that, we can afford it now already without having to raise taxes even a penny.

[–] [email protected] 16 points 11 months ago* (last edited 11 months ago) (2 children)

We would save a significant amount of money. And private insurance almost always doesn't provide good healthcare. Imagine no copays or deductables.

[–] [email protected] 16 points 11 months ago (1 children)

Imagine not having to argue with a massive corporation about whether you should be able to take the medication your doctor told you to take.

[–] [email protected] 9 points 11 months ago

Imagine not having to choose between taking your kid to the doctor for $300 and a sick note for sniffles or letting him tough it out and get marked truant.

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[–] [email protected] 17 points 11 months ago (1 children)

Private health care is literal vampirism.

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[–] [email protected] 80 points 11 months ago (8 children)

How timely! American here who just received a bill for scoping my sinuses by an ENT specialist: insurance covered $28 out of the $415 procedure. This is on top of the $70 copay I owe for the $195 office visit. So all accounting factored in, I owe $450 for what I thought was going to be $70.

Because it was billed through insurance, the provider's hands are tied in terms of further negotiation. I would bet if I had gone in as a cash patient, I'd be much better off.

The icing on the cake is that the scoping procedure was non-conclusive.

The US healthcare insurance system is the ultimate way to make money fast, for little effort. As long as you're on the right side of it, that is.

[–] [email protected] 58 points 11 months ago (1 children)

copay is such a bullshit word, like i'm somehow equal partners with this trillion dollar corporation of ghouls

[–] [email protected] 27 points 11 months ago

Try telling them you decline to pay the bill because it's outside network and see how much they value your partnership.

[–] [email protected] 6 points 11 months ago

The worst is that insurance companies "cover" things and that's all they can say before anything is done. After, when billed, they can say "we cover 5% of the final bill. See? We covered it." And we have no idea how much we will need to pay for standard necessary procedures.

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[–] [email protected] 65 points 11 months ago* (last edited 11 months ago) (2 children)

For those who are interested, the population of those countries combined is roughly the same as the US: 331,137,369 compared to 339,996,563 for the US.

[–] [email protected] 14 points 11 months ago (5 children)

I came here to ask this; an argument commonly made by proponents of the US system is that the population sizes are different.

[–] [email protected] 10 points 11 months ago* (last edited 11 months ago) (3 children)

These stats are easy to find. The US spends a much higher percentage of its GDP on health care (16.6%) than anyone else. The difference is bigger than the entire US military budget. If the US cut its health care spending to the level of France (12.1%) or Germany (12.7%), it could more than double its military spending.

It terms of actual resources, the difference is even bigger, as US-Americans work much more than Europeans. I'm not sure what for.

ETA: At the same time, the US has a younger population, which should not really need as much care.

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[–] [email protected] 10 points 11 months ago

Thanks for clearing that up. The headline is badly written and needs that information.

[–] [email protected] 45 points 11 months ago

I work with companies in the health care space globally. The percentage of their profits that come from the US business versus others is just astonishing.

When you do a half assed public insurance option, you get a shitty result - terrible care, at quadruple the price. We need true single payer and more importantly, single system costs negotiator.

[–] [email protected] 27 points 11 months ago

Those mega yachts and Hawaiian bunkers aren’t gonna pay for themselves!

[–] [email protected] 23 points 11 months ago (3 children)

“But where would the money come from?” My ass, that’s where.

[–] [email protected] 12 points 11 months ago

I keep posting this article because I'm tired of hearing this statement as an excuse why we can't do things for the American people.

If it is something that the leaders want they seem to always find the money.

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[–] [email protected] 21 points 11 months ago

The American "Healthcare" system is a money-making venture, first and foremost. Health care is simply the structure the corporations use to wring as much money from the masses as possible.

[–] [email protected] 16 points 11 months ago (7 children)

I saw a commercial for healthcare.gov. It talked about how people only paid a few bucks for healthcare. It was all after government assistance.

The fact that you need heavy government assistance to get healthcare shows how much of a failure things are here.

Also in Mexico they have legal price limits on drugs. They're printed on the box so you know if you're getting a deal or paying the max. Also can see a doctor for like 40 pesos (about 2 to 3 USD). It's much cheaper than my post insurance copay. I understand it's a different market, but they have better general healthcare than the US.

Also as a side note, most drugs don't need a prescription. You can tell the pharmacist what hurts and they can tell you what should help (or when to see a Dr). If I want to see my Dr, I'm on hold for 20 minutes then get an appointment in 2 weeks. Once again: viva Mexico!

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