I’m Canadian. And I’m already sorry for asking an ignorant question.

I know you have to pay for hospital visits in the states. I know lower economic status can come with lower access to birth control and sex education. But then, how do they afford to give birth? Do people ever avoid hospital visits because they don’t feel like they can’t afford it?

Do hospitals put people on a payment plan? Is it possible to give birth and not pay if you don’t have the means? How does it work in the states?

How does it all work?

Again. Canadian. And sorry.

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[–] 63 points 2 years ago (2 children)

Do people ever avoid hospital visits

At least in my experience, we’ll generally be able to go to the hospital

Do hospitals put people on a payment plan

Generally, I’ve just seen the debt transferred to a debt collection agency afterwards, since there’s no money for them to take. They’ll harass you, and it affects your credit score, but they can’t send you to jail

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  • [–] 33 points 2 years ago (7 children)

    Credit score? Is it like the Chinese social credit system?

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  • [–] 64 points 2 years ago* (3 children)

    Yeah, just the American version

    It affects where you can rent housing, what houses you can buy, whether you can get a car, etc

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  • [–] 27 points 2 years ago (6 children)

    Love how everyone went insane with the social credit score while you got the same shit done to you and no one batted an eye

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  • [–] 38 points 2 years ago (2 children)

    US credit score won't get you sent to jail or a re-education camp, at least. At least, not yet.

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  • [–] 5 points 2 years ago (1 child)

    It can impact everything in your life, even jobs and housing now. It's practically the same thing except instead of being forced to live in a camp you're living on the street.

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  • [–] 3 points 2 years ago

    And if you dare get together with other people that are forced onto the street and make a camp together somewhere isolated, the government tears it down and evicts you and destroys your things. Thank god for our freedom.

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  • [–] 2 points 2 years ago (1 child)

    It's not comparable at all. In the US your credit score only goes down if you borrow money and don't pay it back. If you get a loan and pay it back on time your credit score will be fine.

    I'm not super familiar with the Chinese credit system, but I think it's effected by a lot more. What kind of products you buy, how much you work, posting certain content online, etc.

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  • [–] 0 points 2 years ago

    Yes these systems are not in any way whatsoever comparable to each other except in being reputation rating systems.

    “What? A bank wants to know if you defaulted on the last loan you took? What is this?? Totalitarian China???”

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  • [–] 11 points 2 years ago (1 child)

    Not only American. We in Germany have shit like that and most other European nations have it as well afaik

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  • [–] 6 points 2 years ago (1 child)

    It exists in most places from what I can tell, but the specific implementation may differ

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  • [–] 7 points 2 years ago (1 child)

    The technology of loan risk assessment? Yes, it exists worldwide, all banks are doing it. But there is a wide chasm between

    "when I show up asking for a loan bank will xray all my previous financial history and craft its offer from that" in Europe (at least my country) and

    "credit score is a houshold term, people employ lifehacks to improve it and you're screwed if it's bad because half of everything runs on credit".

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  • [–] 6 points 2 years ago (1 child)

    There's also the fact that credit rating agencies in North America have hardly any supervision and are prone to make mistakes because they take correlated data by face value.

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  • [–] 1 point 2 years ago

    I think my credit report still says I work at "DOMINOES" after like 5 years of not being there. It doesn't effect anything, but I get mild amusement out of it being misspelled on top of that.

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  • [–] 6 points 2 years ago (1 child)

    I don't have a credit score, and have never had a problem renting. It's getting a mortgage that I can't do without a partner who's been consistently paying off a credit card for decades.

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  • [–] 5 points 2 years ago*

    My credit score wasn’t good enough, so I had to show the last place I rented 6 months of my employers payments to rent

    I’ve never missed a payment, nor do I have any debt. I just don’t exist in the system enough to rent

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  • [–] 13 points 2 years ago

    The US version is a system that calculates the risk of loaning money vs being paid back. In order to be approved for a loan the credit score is used to evaluate whether or not it is likely to be paid back within the terms of the loan. As a result those with bad credit have trouble getting favorable terms for cars, housing and basically anything that can't be purchased outright. Does it negatively affect people for things outside of their control and perpetuate cycles of poverty? Absolutely, but it is based in actual fiscal risk to calculate sustainable loan practices.

    China on the other hand took the US term of "credit" and abused the everloving shit out of it to punish people that the government dislikes. Did your cousin post a Xi Jinping Winnie the Pooh meme? Well too bad that you were shopping for a house, because your "credit" is no longer high enough to not be homeless. You should have thought of that before you were related to someone who disagreed with the government!

    Not being able to demonstrate to a bank that you are financially reliable enough to pay back a loan is unfortunate, but a rational reason for an unfavorable interest rate or denial of a loan. Making people ineligible for even renting an apartment that is within their financial means because the dictator in charge dislikes you is a completely different thing altogether.

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  • [–] 3 points 2 years ago

    Not really. It just keeps track of how often you miss your credit card payments so creditors will know how high of a risk you are to lend money to. If affects if you can get loans and what interest rates you can get on loans. But if you just pay your loans/credit card bills, you'll be fine.

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  • [–] 3 points 2 years ago* (last edited 2 years ago)

    As the name hints, a credit score is used to rate the risk of making you a loan. It’s not some essential personal ID. It only comes into play if you are applying for credit and is a set of shared records that financial institutions and private companies use to decide if loaning you money is a good risk or not.

    Someone else said it’s used to decide if you can get a car and that’s not accurate. If you need to borrow money to buy a car, your credit history will be checked. It’s the loan, not the car.

    Is it crazy that lenders would want to know if you’ve walked away from your bills in the past? Making it sound like dystopian China is a gross exaggeration.

    Landlords want to know if you will be able to pay rent and they may ask to know what you earn, what’s in your bank account, and if you have insane debt. It’s not credit per se but they are entering into a financial agreement with you which you could default on, so it’s got many of the same characteristics. Don’t want to give all this information? Don’t. It’s not required by law. Not everyone demands it. Some may choose not to rent to you without it.

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  • [–] [S] 7 points 2 years ago (3 children)

    Would a hospital ever refuse you care if you have outstanding bills or hospital bills with collections?

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  • [–] 23 points 2 years ago

    It’s illegal in the Emergency Room. Anywhere else they can. Poor people end up relying on Emergency care, ignoring bills, and the hospitals write it off as “charity care,” which helps them justify their non-profit status, when they’re non-profits

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