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> Health insurance that covers nothing

I have a HDHP. I think most people would describe that as "health insurance that covers nothing." Most people, however, do not have HDHPs. Medicare and Medicaid have incredible coverage. Most PPO plans have great coverage. As a general rule, US health insurance covers too much, including quackery like chiropractery.

There are definitely edge cases and horrible things that happen and should not, but they are not the norm.

One major thing I do see is people demanding unlimited care of whatever kind they want for no cost. That doesn't exist at all in other countries, which are very restrictive in comparison. In a sensible country, we would not allow millions of people to get on extremely expensive (>1k per dose) off-label diabetes medication to lose weight. This is a fantastic example of spending billions of dollars of insurance premiums on something that for almost all its users is totally superfluous when cheaper and healthier options (but not as convenient) are readily available.

In the US, this happens all the time. The fundamental tension in US healthcare is not that "insurance is too expensive" (it is), "insurance denies claims" (it does), providers are too expensive (they are), the system is too complex (it is.) The fundamental tension is that people want everything, and they want it for nothing. At the end of the day, the only solutions are a) people pay what they can afford or b) you have rationing. Either path has problems. The US currently is trying to have everything for nothing, and the show can only go on for so long. Either people don't get care because they can't afford it, or they don't get care because bureaucrats determined it's not worth it. But they cannot get whatever care they want and can find a doctor to provide, for free.




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