That’s because we’re a regressing country
this post was submitted on 24 Mar 2025
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it's SO weird to be someone who grew up in America and has now spent about 25 years back home. i cannot understate the powerful effect of the mindset of "being an American".
I’m unfortunately still here and even I haven’t a fucking clue
here's the thing. one might say something like, "well get one and move!" just like they'd say to a tesla owner, "if you don't want your car defaced, then just get rid of it!"
i'm not defending tesla. nothing burns brighter than an T. as in "time to leave".
but you can't just up and swap countries or cars every four years, right? there's a word for that, but half the country refuses to hear it.. it's unsustainable.
none of what i just wrote is directed at you personally. i personally have a spare bedroom in Canada that you're welcome to inhabit (barring obvious vets).
One of the biggest troubles of being a US citizen is the conservatives will happily tell you "If you don't like it, leave!"
Not being a conservative, I know my associates degree self is not gonna be terribly welcome to vast majority of the countries.
It's not hard at all. -If one has a PhD in the hard-sciences and at least $500,000.00 in savings prior to turning 30yo
/s
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https://www.worldometers.info/demographics/life-expectancy/
United states is ranked 48. And they claim to have th best healthcare in the world.
Obviously that's not true, they may have one of the best for the very rich. But on average it's VERY bad.
Food standards are also bad, so again it's only if you are doing well that you can afford healthy food.
The countries surrounding USA on this list have about a third the wealth per capita!!!
Man, that table is wild. South Africa has a lower life expectancy than Afghanistan and in Russia women live 12 years longer than men? Bonkers.
Yes I didn't even notice the South Africa thing. I would have thought they did better?
Way above them are Uganda, Rwanda and Ethiopia, all countries that has had very serious problems and I though were way poorer?
It's probably due to HIV rates.
Yes, that's stated as reason #1:
https://www.iol.co.za/news/south-africa/western-cape/four-reasons-for-sas-low-life-expectancy-1798106
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I'm guessing women don't get drafted for special operations in Ukraine
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'Shithole country'
Have more babies though.
Your owners need your kids to be exploited into an early, miserable grave to run up their nepo kid's ego scores. The doting ones at least, the owners toss kids that don't become little nepo clones of themselves as bad investments.
Luxury climate bunkers are boring, are you really going to deprive a future billionaire child that matters the joy of watching line go up powered by your worthless peasant offspring's life force, you monster?
Maybe stop being so selfish and think about what you can do to further enrich your betters. Priorities, my fellow batteries, priorities!
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"When the researchers examined the causes of avoidable deaths (including road traffic accidents, illnesses preventable by vaccines, treatable conditions like sepsis or appendicitis, and conditions preventable by early detection and treatment like cervical cancer, ischemic heart disease and tuberculosis), they found that deaths from a variety of different causes are rising in every U.S."
“There’s been a lot of discussion about preventable deaths in the U.S. such as drug-related deaths or suicides, which do account for a big proportion of this trend,” Papanicolas said. “However, we found that deaths from nearly all major categories are increasing.”
People just aren't going to the doctor cause it costs too much...thanks, free market!
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Are they falling in China, Russia, Susan, Israel? only shit holes are our peers.
Leave Susan out of this.
You're right. She's really cleaned up her shit.
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China yes, susan no. But susan is an outlier.
Sounds Sus.
Suddenly Susan
I'm curious, how much is a typical doctor's visit in the U.S. without insurance of any kind? Just a straight out of pocket sort of expense. $50, $100, $250, $500, $1000? I assume that it scales based on more complicated procedures or longer visits, but what about the basics, like going in for what you think is a bad cold or the flue, maybe a rash or something along those lines?
A bad cold or flu you probably wouldn't go to a doctor, just an urgent care clinic for some antibiotics or whatever. Probably run $100-$150 + cost of meds (hopefully generic).
If urgent care can't help, an out of pocket visit to primary care provider will be closer to $300 just to step in the door. Hospitals will put you on a payment plan if you can't front it.
My experience is that urgent care is significantly more expensive than primary care.
Ah, yes I've heard that about stateside hospitals. Apparently there's an entire department alongside accounting that deals with remediation of accounts payable. Less than ideal, but it sounds as though it costs a lot less that I'd been assuming this whole time.
I'll stress that's just to get in the door. Usually if you're going to the doctor they'll want to run xrays, CT scans, MRIs, blood tests, whatever diagnostics and it starts escalating fast.
But this is stuff people can plan for. Emergency visits are much worse in my experience, suffering from appendicitis would have put us $40k in the hole overnight without insurance.
Holy shit, that's daunting. I think that I might try cutting it out myself rather than go bankrupt.
You can do it!!!
https://www.bbc.com/news/magazine-32481442
"Rogozov had intended to use a mirror to help him operate but he found its inverted view too much of a hindrance so he ended up working by touch, without gloves.
As he reached the final and hardest part of the operation, he almost lost consciousness. He began to fear he would fail at the final hurdle.
'The bleeding is quite heavy, but I take my time... Opening the peritoneum, I injured the blind gut and had to sew it up,' Rogozov wrote. 'I grow weaker and weaker, my head starts to spin. Every four to five minutes I rest for 20 - 25 seconds.'
'Finally here it is, the cursed appendage! With horror I notice the dark stain at its base. That means just a day longer and it would have burst… My heart seized up and noticeably slowed, my hands felt like rubber. Well, I thought, it's going to end badly and all that was left was removing the appendix.'
But he didn't fail. After nearly two hours he had completed the operation, down to the final stitch."
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As someone with insurance, it's complicated? So I pay per paycheck on the plan I want. I'm allowed to change this plan once a year or change electives, which will higher what I pay per paycheck or lower based on the plan. I have a wife and 2 kids, and for the plan just under the top it costs me about $600 a month just to be covered (and this is considered really good, I think). If any of us go to our doctors, there is a copay of $30. This copay is based on the plan I picked and have access to. It could be less if I wanted a higher plan or more if I wanted a lower one. This also applies to "urgent care" which is just a quick way to see a doctor if you're sick and can't get to your doctor. On top of this, normally you're allowed a few wellness visits per year with your doctor without copay since they are necessary. If you want to see a specialist the copay can be the same or slightly higher, all depends on your plan. The other kicker, you also need to make sure your doctor or the specialist is in network and takes your insurance. Otherwise, you pay more. Is this crazy yet or make sense?
Other things, hospital or emergency visits, will normally be $100 or way more because they don't want you to just go to the ER all the time unless absolutely needed. Wildcards, sometimes you need to see people and have no idea what you will pay in the end since sometimes they will do work or use something that isn't fully covered so you then get a bill a month later telling you insurance only covered this you owe the difference. It's up to you to figure out if that's correct or not then go down the path of fighting it. Normally, it's like the visit is 1k but insurance only covered $950, so you're now paying another $50 on top of the copay. This happens a lot and is frustrating because you really never know what you will pay in the end. If your married you both can have insurance and submit the remaining cost to the 2nd plan to see what they cover. On top of this, prescriptions have copays as well and have rates based on what the drug is. If you get generic brand it's normally less, if they don't have a generic brand you may be lucky and can get the name brand for the generic pricing because they don't have it.
This is just scratching the surface, I guess to answer your question it's $30 per visit, but that can change based off above. Also, is it really $30 if I'm also paying $600 per month? Another thing, you can't just not have insurance. If you don't, you will have to pay a penalty on your taxes for the time not covered. If you don't have a job your still required to get a plan and from what I've heard those plans can be 1k or more a month for someone who doesn't even have a job which makes total sense!
"Wildcards, sometimes you need to see people and have no idea what you will pay in the end since sometimes they will do work or use something that isn’t fully covered so you then get a bill a month later telling you insurance only covered this you owe the difference. It’s up to you to figure out if that’s correct or not then go down the path of fighting it."
This alone would get my hackles up, let alone paying $600+/month for uncertain coverage of treatments and prescriptions. Moreso, it would rub me the wrong way to have someone in my life who was unable to pay in and left up the creek with no paddle. The bit about a tax penalty for absence of coverage is a bit much, does the government really need to kick someone when they're down? Best of luck to you, it sounds as though you have it well in hand, but I don't envy you the task.
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If you have to go to the Emergency Department, $1000 is you won the lottery.
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Well yeah, that's to be expected when healthcare has a paywall.
At first glance I read: "afforable deaths"...
I have yacht payments and a mortgage on a third mansion to make. Don't make me pay for you to stay alive.
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The numbers will increase until Jan 2029, especially for people near 6th floor windows.
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