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What they do subsidize here is education. Anyone with the drive and family support to do so can become a doctor, but you have to do a rotation in the public medical facilities to maintain your licence, and all public hospitals are teaching hospitals, so your case will be observed by 10 to 15 students and a bunch of residents if it’s interesting.
The system seems to work well.
I should also clarify that 75 dollars is about a weeks wages here at minimum wage, so roughly equivalent to $400 in the us economy. That figure tracks for most cost of living expenses here, except luxury items which are typically more expensive here than in the USA.
Most of the time if you are not a citizen you need to either work or pay taxes. In fact even if you are a citizen, you may not be covered if you live abroad.
It’s relatively easy to be covered as a stranger : in 99% of situations, if you just set up here seriously and not as a tourist, you’ll be covered. I count a 60yo who never contributed to the system or worked here as a tourist.
Typically you contribute nothing if you have no revenue and you are still as much covered as the next rich guy.
That’s a huge difference. It means that you can see a doctor or have an ambulance transport you to the hospital for an expensive emergency surgery for 0€ whoever you are. And for the expensive drugs you need after that ? That’s still 0€ with no paperwork.
But to be fair, I’m exaggerating. You may have a 1€ franchise when you see the doctor.
But, a lost of ‘waste’ is diminishing returns where there’s some benefit to the procedures preformed. It’s easy to say paying 1 million for an extra week is a poor investment, until it’s you making that decision for a loved one.
You pay for healthcare in -any- system, even a completely communist/socialist system. Healthcare costs resources which much be allocated to a greater or lesser extent.
Problem with the US system is WHOM do you pay. Ultimately, to a degree perhaps greater than almost any other nation - you're paying quite a lot to stock holders, both public and private, stock holders of insurance, stock holders of pharma companies, stock holders of pharmacy companies, stock holders of EMR software (private company, Epic), and I'm sure, many other for-profit companies. Hospitals tend to be the only technically not for profits in the equation, as well as healthcare groups, but even then these groups tend to operate in a for-profit manner in service of ambitions of regional growth
Unlike getting anything more serious than a cold in an idiotic, backward country without public health care.
Even in China you’re looking at 6% of income. Of course taxes aren’t evenly distributed, but 90k means enough income to be worth taxing without the political power to offload the tax burden on others.
And it still has extreme problems for anyone with an illness more serious than (say) a cold.
I’ve had significant medical issues in the US and received truly excellent care without significant out of pocket costs, the same is true for many of my friends and family. There’s a reason there’s significant medical tourism to the US and from the US. However on population wide measures like life expectancy you’re better off providing basic care for 100% of the population than world class care for 40%.
There’s also major underlying issues like decades of obesity and ignorance around ‘alternative medicine’, vaccines, etc.