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Americans Are Delaying Health Care Until Tax Refunds Arrive

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Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#161
post #55

Earlier quoted context omitted.

Phht, bad money management. When loan sharks are peddling 450% payday loans people are being taken advantage of by corporations. The government needs to practice better money management, not us private citizens. Close tax loopholes.

You'll find payday loans at upwards of ~1700 percent, depending on state regulations. It's pretty ridiculous.

I’m sure the default rate is also pretty ridiculous. That’s what the APR is paying for, after all.

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#162
post #73

Canadians with their great health care system seem to think that they need ~250K salary/year to feel comfortable [1] So most people are either too desperate or aspiration too high that no government in the first world can make them happy. 1. https://www.huffingtonpost.ca/2018/11/03/average-salary-cana...

And Canadians think they need $750k for retirement - are they expecting to retire for three years and then die?! https://business.financialpost.com/personal-finance/the-magi...

Are you saying that people would blow through $250k/year? lol

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#163
post #146
post #93

Earlier quoted context omitted.

Having a full time job and not being able to afford to have your own place is simply miserable.

That’s an absurd level of luxury that people have become accommodated to. To the nearest percentage point, 0% of people in human history have grown up with the expectation of an entire dwelling as their personal domain. It’s wasteful and absurd. Resources like showers which are used 15 minutes a day should not sit idly all day waiting for a single person.

That's honestly a horrible way of looking at things. Having privacy in your own home should not be seen as luxury. Until now, at least in my country, having your own place was seen as normal and healthy. We should not go back and think "that was just a luxury". That could be done by 1) building more housing or 2) getting serious about remote working.

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#164

As employers switch to High Deductible Health Plans where insurance doesn't kick in until one has spent a deductible of several thousand dollars, many people are delaying health care in general. A doctor's visit that once cost a co-pay of $30 is now frequently a cash price from $130 to $400, plus more for lab work. With higher costs and much of them unknown in advance, many skip getting things checked until it seems…

> many skip getting things checked until it seems absolutely necessary True, but isn't that the entire point of hdhps, to minimize unnecessary visits? They still provide no additional cost annual physicals, so you'll get the required yearly screening. Additionally, many offices have no cost phone or email advice. I'm personally quite happy with my family HDHP - and it is nice to have additional retirement savings. Bu…

> They still provide no additional cost annual physicals, so you'll get the required yearly screening.

Well, until you find out that you can only get the physical for free, and physicals are really not worth much. If you discuss anything at all with your doctor that is outside a routine physical, ask any questions, get any advice, and he codes it when he submits the bill -- it won't be free at all, it'll cost you a couple hundred bucks. So there is incentive not to bother.

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#165

Earlier quoted context omitted.

The problem isn’t that we don’t have socialized healthcare. The problem is that for some reason, healthcare in this country is ridiculously expensive. We can’t have both; only one or the other. If healthcare is too expensive and you socialize it, the government will be bleeding even more money trying to pay for it all.

The answer is obvious: deregulate. Indian surgeons already perform more heart bypasses more often for a tenth the cost with better outcomes. Down with the AMA. Probably the organization with the most blood on its hands in peacetime America.

It is a lack of regulation that got us into this mess. I don’t hate the free market, but the prices in the US are caused by the free market gouging as much as they can out of someone who has no bargaining power

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#166

Earlier quoted context omitted.

why is it a problem to have a maximum deductible? Relatedly, it seems like there's roughly some 'max' insurance expects you to pay each year, and you can decide whether to take the risk using a high deductible plan, and potentially not have many expenses, but lower premium, or have higher premium up front. 8 years ago, our HDHP was ... $280/month. It's now north of $800, and the deductible went up. Yes, we're a bit o…

8 years ago insurance was allowed to have yearly and lifetime policy limits. They could deny coverage for preexisting conditions and increase your premiums if you developed new conditions. You were also 8 years younger, which makes a big difference despite being only a few years. Many people had policies with $100k yearly limits, any serious condition and they basically didn't have insurance.

And these are the folks who complain now that they weren't allowed to keep their plan. So many people had (and have) no idea that they had basically no real coverage, just a policy that looked good on paper.

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#167

If you are reading this and find yourself in the same situation... consider decreasing your withholding and have the money deducted into a HSA or FSA instead. You can still use the money for health expenses, and you will also get a 20-30% tax discount.

Note that the tax benefits of a Health Savings Account are much better than the Flex Spending Account, if you can get it. [0] https://www.investopedia.com/insurance/hsa-vs-fsa/

HSA contributions are:

* Deducted from your paycheck and skip all taxes

* Allowed to earn interest, tax-free

* Carried from year to year

* Tax-free when used on health expenses

* Flexible amount

FSA contributions are:

* Deducted from your paycheck and skip all taxes

* Not able to accrue interest

* "use it or lose it" per year

* Fixed Amount

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#168

Earlier quoted context omitted.

Would not be nearly enough. U.S. health care spending grew 3.9 percent in 2017, reaching $3.5 trillion or $10,739 per person. That exceeds tax federal income tax revenue by about $2 trillion The us govt already spends so much on healthcare.

It's just shifting money around. People are already paying that 3.5T. You're just changing the payer. And that really doesn't matter because healthcare is so distorted it's tough to even argue that it's a free market at all.

Healthcare seems like the poster child for an inelastic market. The fact that so many people are still successfully being led to believe otherwise is a travesty.

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#169
post #78

Earlier quoted context omitted.

> You will also easier end up poor if you have bad cognitive control. My personal experience is that many middle class people has little control. But, the effect on them is small. That clothes that they do not need or that extra vacations are not going to make them poor. But, I am sure that in very extreme cases like gambling addiction middle class people can become poor.

humans are gonna be humans, we need societies that work with actual humans and their faults rather than just wishing humans were perfect.

tsk!

Don't you realize that empathy and common sense are frowned upon?

Re: Americans Are Delaying Health Care Until Tax Refunds Arrive

#170
post #55

Earlier quoted context omitted.

Phht, bad money management. When loan sharks are peddling 450% payday loans people are being taken advantage of by corporations. The government needs to practice better money management, not us private citizens. Close tax loopholes.

Actually both. It was crazy when I read from a person that he preferred paying his rent over eating, but it actually makes sense: if you get to the street, and not able to clean yourself, the chances of getting a job goes down dramatically.

I would definitely pay rent first, always. There are food banks to keep you from starving to death, but without a roof over your head your life is going to completely fall apart.
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