Comment by flohofwoe
11 hours ago
That "health care argument" is getting a bit tiring tbh. The US government spends much more than any European country per capita on health care (the US system is simply less efficient), and the chunk of your wage that goes into your health insurance isn't a tax either.
US consumers also have high standards for healthcare.
I interact with a lot of engineers moving from Europe and US and it’s never how US politics portray it. German friends talk about paying for private insurance because the public one is so bad.
How do you define good/bad? People mostly seem to talk about wait time for socialized health care, but where we live in US there's plenty of specialists that you gotta book months ahead of time. When my mom needed a pacemaker it was a 4 month process. My wife's OBGYN is booked a year out - god help you if you miss an appointment. Anyone working in pediatrics look like zombies.
Urgent care clinics have been big in our region. The primary system is obviously overloaded, and 2 of these have popped up in the last 3 years. It's more expensive per visit than our primary physician, but cheaper than an ER visit, which could easily take half a day anyways.
What you’re describing is that in response to a resource being rationed you are able to use money to raise its urgency at your will. That seems like a powerful option to have when your health is on the line (that I acknowledge is not available to everyone).
I don’t have metrics for good/bad. I’m just going off of them telling me it’s bad.
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Complaining about the service quality for public health insurance customers in Germany is pretty much the definition of "first world problem" though. FWIW I never switched over to private insurance even though my income would allow it, also once you get above a certain age you can't switch back and that's when the private insurers really start to rip you off ;)
And despite that they are willing to pay, because if you are out of poverty your health is a high priority!
So yes, Americans love consuming healthcare. Is there any category they aren’t a high consumer of? You can’t measure efficiency only looking at the input side.
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Who is making this 'health care argument' you are responding to?
Maybe fully read the comment I'm responding to? The implication is that European countries (and especially Germany) spend an extraordinary amount of tax money on health care and that's why taxes are so high. This is basically wrong from start to finish. You also don't pay half of your wage in taxes in Germany. The chunk that's removed from your gross wage before pay out includes your mandatory employee insurances (health-, pension- and unemployment-insurances), and that's how you end up "losing" about 30% to 45% of your gross salary before pay out (the actual "tax part" is somewhere between 10 and 25% depending on income, marriage status etc...)