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No Shit!?!? (lemmy.dbzer0.com)
submitted 10 months ago by to c/TheShitpostOffice@lemmy.dbzer0.com
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[–] 49 points 10 months ago* (last edited 10 months ago) (4 children)

I live in the Netherlands. If I visit the hospital I have to pay my yearly deductible of €350 first. This person paid zero dollars because her travel insurance paid for it.

The Netherlands has the same system as Obamacare. Privatized insurance with government subsidies for low income. Only difference is that the government sorta acts like a single payer, they negotiate with big pharma over medicine prices and the government with the insurers make a price list for healthcare providers on what they can charge.

Of course a healthcare provider can decide to charge whatever they want but then insurance won’t cover that business.

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  • [+] 17 points 10 months ago* (last edited 10 months ago) (1 child)
    [deleted]
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  • [–] 10 points 10 months ago* (2 children)

    The Netherlands is something like the 2nd most costly medical care in the world, far behind the US but still way more expensive than necessary. We had a "center right" party in power for ages, with their religious belief that the only way to do anything is for someone to make profit. 😑

    Edit:

    I just checked and we're actually below Switzerland, Norway, and Germany. I'm shocked!

    https://en.wikipedia.org/wiki/List_of_countries_by_total_health_expenditure_per_capita

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  • [–] 3 points 10 months ago

    The number for Germany seems to also include Lohnfortzahlung and Krankengeld (employer only pays part of a sick employee's salary, rest is paid by health insurance) maybe that's why. Germany is also a world champion of unnecessary surgeries.

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  • [–] 4 points 10 months ago

    My deductible is something like $2,500 per person, $13,000 for the family deductible. Once we reach our deductibles we have the joy of coinsurance kicking in where insurance will pay for 50% and we pay the rest. I took a trip to the ER earlier this year for chest pains. They took a chest xray and had me on an EKG for an hour. I got a separate bill for each little thing they did from like 5 different companies (????) Totaling ~$4,000.

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  • [–] 3 points 10 months ago (1 child)

    I also live here and I can see a consultation with my GP cost 20 eur per visit. So you have to pay 350 first only if its very expensive care.

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  • [–] 1 point 10 months ago* (last edited 10 months ago)

    A GP visit is fully covered by insurance, a visit to a specialist, like in an hospital, needs to be paid by the deductible first even for a mere consultation with a specialist. Doesn’t matter if it was expensive or not.

    And if you visit a specialist without a referral from your GP or dentist then usually insurance won’t cover anything. Except for visits to the emergency room.

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  • [–] 2 points 10 months ago

    Only recently did the United States start treading into monopsony territory when it comes to healthcare funding. Specifically the cost of a certain small list of medicines.

    Of course, those gains have been reversed by the shift in political winds, but there is a potential for this policy to expand in the future.

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