My personal saying is "It's very expensive to be poor".
Obligatory Vimes quote: The reason that the rich were so rich, Vimes reasoned, was because they managed to spend less money. Take boots, for example. He earned thirty-eight dollars a month plus allowances. A really good pair of leather boots cost fifty dollars. But an affordable pair of boots, which were sort of OK for a season or two and then leaked like hell when the cardboard gave out, cost about ten dollars. Thos…
Once you've saved up a decent amount, it makes much more sense to go with a very high deductible plan. Sure, you might lose 10k in one year through some disaster, but on average you'll pay much less than that, such that it's cheaper to forgo insurance for everyday health expenses.
If you're poor, though, having to spend 10k out of pocket will throw you into a spiral of debt, bankruptcy, and poverty, on top of the associated health problems. Even 1k out of pocket can ruin you.
Over decades, you can reasonably expect to save tens of thousands of dollars on health insurance with a high deductible instead of a "comprehensive" plan.