I was starting to change my mind over the past couple months as I started to notice a few perverse incentives in health care that seemingly could only be mitigated by single payer. I still wasn't sure, though...
Anyway, all of the above is a nuanced discussion that I may elaborate on tomorrow if I am in the mood for it. What has suddenly convinced me that single payer is a really good idea is much more present and visceral.
Now, I work at a major multinational corporation, I am a salaried employee, and I pay for the most comprehensive health plan my employer offers. While it is true that my employer got rid of all the HMOs a few years ago and now only offer PPOs (which are sweet because you can pick your own doctor with virtually no limitations, but which suck because you typically have to cover 20% of anything that is non-routine), I still think I have what would be considered pretty good health insurance. You better damn well believe I pay for it.
Total out-of-pocket costs for the birth of my first child: FOUR THOUSAND MOTHERFUCKING DOLLARS.
It was supposed to be $1700. Things didn't quite go according to plan, but then again, it wasn't like it was a cesarean or required a visit to the NICU or anything. Pitocin induction, epidural, vaginal birth. We even left the hospital early.
The problem is, there isn't a single unified entity I can complain to. There are at least FOUR parties involved in this fuck-overage: The OB my wife was seeing initially, the midwife, the hospital where she gave birth, and the insurance
If it was single payer, even if they decided to fuck me in the ass to the tune of 235% of the initial quote (and by the way, WHY THE FUCK is it legal for insurance companies and providers to conceal net prices from their customers???!?!?!??) at least then I could call somebody up and argue. As it is, basically all I can do is roll over and spread it.
So uh... if I put ads on this blog, will anybody click-through?