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Comment by LtWorf

1 day ago

And after paying insurance?

To throw in a data point on this for reference, as an American I pay around ~$220 a month (~$2,640 per year) on health insurance through my job, this comes out of my pre-taxed income. While I won't get into specifics on the details of the terms, I am quite happy with it.

I work in Massachusetts, but I live in New Hampshire. I pay more than double this on both Social Security fees & Massachusetts income taxes, which are non-deductible since New Hampshire has no income tax and makes up for that with higher property taxes (housing is cheaper though). Filtered to just health related services I can easily identify, in total I pay for Social Security, Medicare, and indirectly Massachusett's state healthcare (which I can only gain access to under limited conditions). Of these, only the private insurance fee directly benefits me, and I have little faith social security will actually pay out when I reach the qualifying age.

In terms of investment my HSA, and 401k are a much better dollar for dollar investment for my future finances than any government service, so I find it extremely unlikely I would ever truly benefit from public healthcare.

Despite my tone here, I'm more annoyed than upset about this. Due to the overall societal benefit, I'm not entirely against public healthcare depending on the details, I'm just under no illusion that it would be to my benefit, and I'm not much of an outlier. I'm also mostly convinced the root issue here is the inflated cost of healthcare rather than just the insurance aspect, public healthcare naively implemented would likely turn into yet another government subsidy for hospitals to devour imo.

  • > To throw in a data point on this for reference, as an American I pay around ~$220 a month (~$2,640 per year) on health insurance

    Having just filled my annual benefits selections tonight, here's my data point: health insurance is $3000/month on the company plan (36K/year).

    Yes, the company "pays" for a percentage of that. But of course the entire $3K/month is part of my total compensation cost to the company. If healthcare wasn't so ludicrously expensive in the US, they could afford to pay me more, instead of funneling all this money to insurance company profits.

    • Insurance companies don’t actually make very much profit. I don’t recall the exact number, but something like 80-90% of premiums taken in are paid out in claims. Insurance companies are an easy target though, since no one wants to go after the doctors and hospitals for charging too much.

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Switzerland's system is the kind of system Obamacare was modeled after (i.e. requiring private health insurance, and providing subsidies to those who can't afford it).

No doubt, Switzerland's healthcare is cheaper (American doctors and hospitals are some of the most expensive in the world), but the data I linked to is already adjusted for purchasing power parity (PPP).

Most American workers have subsidized insurance from their job.

But how about if I ask "And after paying for mortgage?"

  • Mortgages seem constant in financialized economies, nobody can afford a home anywhere today.