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benopal64 | 1 year ago

What happens to the unhealthy Americans? What happens to the Americans who are too poor they cannot pay health insurance and the cost of medicine/surgery. I think only the wealthiest Americans have much more money in their bank accounts than they would in Europe.

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profeatur|1 year ago

Unhealthy people get left behind in Europe all the time. I hope as a European you’ll never have to go through the hell of trying to deal with any kind of complex chronic illness. The doctors have no clue how to treat these kinds of problems, and any specialists are very few and far between. Go spend some time on forums for people dealing with chronic health problems and you’ll find many Europeans who’ve had to empty out their savings in order to get treatment.

thatfrenchguy|1 year ago

Medicaid expansion has fixed this for the poorest Americans unless you live in a few red states, and ACA subsidies cap private plans at 8.5% of your income (+ cost sharing on top of that obviously, but there is a maximum per year) for the rest.

sickofparadox|1 year ago

This is a misconception. Even in the poorest state here in the US, the median income is far more than most countries in Europe, pre tax[1,2]. And unlike what the internet says, we do have government programs that provide healthcare for those that cannot afford it or are out of work.

[1] https://www.statista.com/statistics/205960/median-household-... [2] https://www.euronews.com/business/2024/07/08/european-averag...

hollerith|1 year ago

Agreed. There are many reasons to prefer living in Europe to the US, but "more money in their bank accounts" of non-wealthy people is certainly not one of them even though the American must sometimes use the bank account to pay for things that are provided by the government in Europe.

alephnerd|1 year ago

> cannot pay health insurance and the cost of medicine/surgery

https://www.medicaid.gov/

https://www.healthcare.gov/health-coverage-exemptions/forms-...

> I think only the wealthiest Americans have much more money in their bank accounts than they would in Europe

Well, you thunk wrong.

Median household income in the US is $80,000 [0] and taxes like VAT are nonexistent.

Throw on top of that access to subsidized plans like Medicaid or ACA plans for households that earn below the median, and most Americans come out ahead.

The big issue with the US is the de facto inability to commit mental health patients to involuntary mental health holds unlike much of Europe due to the current interpretation of the 14th amendment, which has caused the mental health crisis to become a homelessness and drug crisis.

That said, as a whole, most Americans live fairly comparable lives to most Western countries, as HDI shows. In fact, much of Europe has a much lower HDI than the US once you exclude Scandinavia, Germany, the British Isles, and Switzerland.

When you look at a subnational level, it is the Deep South (Alabama, Mississippi, Louisiana, Arkansas) and Appalachia (West Virginia, Kentucky) that continues to lag, but they represent less than 5% of the entire population of the US.

[0] - https://fred.stlouisfed.org/series/MEHOINUSA672N

rsynnott|1 year ago

> The big issue with the US is the de facto inability to commit mental health patients to involuntary mental health holds unlike much of Europe due to the current interpretation of the 14th amendment

… Eh? Large-scale involuntary committal largely ended in Western Europe decades ago. What figures are you basing this on?

Muromec|1 year ago

The God clearly doesn’t like them so it’s not worth making policy choices that take their problems into account

CalRobert|1 year ago

Honestly health care in Europe isn't great either. My Dutch GP seems to think acetaminophen is the cure for everything. They're decades behind on things like discussing menopause, TRT, etc.

InDubioProRubio|1 year ago

Death and disease are not real, my mind zones them out. I never remember when i was the last time at the dentist, so why include that part in my lifes plan? That is just a blindspot of everyones mental model. They parked a whole scaming theme park in that in the us.