[HN Gopher] Cost of employer-sponsored health insurance is flatt...
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       Cost of employer-sponsored health insurance is flattening worker
       wages
        
       Author : clumsysmurf
       Score  : 17 points
       Date   : 2024-01-16 21:03 UTC (1 hours ago)
        
 (HTM) web link (medicalxpress.com)
 (TXT) w3m dump (medicalxpress.com)
        
       | paulpauper wrote:
       | obesity is probably to blame here. So many chronic health
       | problems are probably downstream from obesity.
        
         | ttt3ts wrote:
         | The rising costs of healthcare should not be simplified to this
         | extreme. Other huge factors: we are getting older on average,
         | fewer doctors, bureaucracy, transparency, etc. Further, these
         | are heavily entertwined. Been working on costs of healthcare
         | for a while and the laymens simplified explanation of the
         | problem makes it tough at times.
        
         | dchung333 wrote:
         | Uhh...
         | 
         | Researchers also found that Black and Hispanic families lost a
         | higher percentage of their wages than white families. By 2019,
         | health care premiums as percentage of compensation were 18.5%
         | for Asian families, 19.2% for Black families, and 19.8% for
         | Hispanic families, compared to 13.8% for white families.
         | 
         | Lower-wage workers are also hit hard by this disparity. In
         | 2019, health care premiums as percentage of compensation
         | represented 28.5% of compensation for families in the 20th
         | percentile of earnings, compared with only 3.9% for families in
         | the 95th percentile.
         | 
         | Maybe not the one you want to skip the article for. On another
         | note Asian Americans are skinnier than White Americans even
         | adjusted for on BMI so obesity is ruled out.
        
           | SuperNinKenDo wrote:
           | What those other races do have over whites is probably their
           | propensity for Type 2 diabetes though.
           | 
           | Blacks and Asians definitely, possibly for different reasons.
           | Not completely certain about hispanics tbf.
        
         | iancmceachern wrote:
         | Obesity is the symptom. The disease is a bigger, more
         | interconnected subject.
        
           | PaulHoule wrote:
           | It could well be the effect of PFAS, glyphosate, bisphenol A
           | or some other industrial chemical that exploded in prevalence
           | in the last quarter of the 20th Century.
        
         | dublin wrote:
         | Obesity may be a factor, but it's stupid to think that it has
         | anything like the impact that boneheaded government policy has
         | on healthcare costs. Obamacare was, and is, a disaster, driving
         | up costs while producing worse outcomes. (I've worked as a CEO
         | in a healthcare tech startup since then, so I've got better
         | insight than the average bear.)
         | 
         | The vast majority of people actually _need_ those  "junk plans"
         | Obama eliminated: Catastrophic coverage plans with fairly high
         | deductibles (which HSAs would handle after a few years...)
        
       | gumballindie wrote:
       | In the UK you get to pay both public and private healthcare. Both
       | of low quality. Private health care relies on "virtual
       | appointments" and usually leads to mis diagnostics. It will get
       | worse with ai.
        
         | lurking15 wrote:
         | > It will get worse with ai.
         | 
         | I've had to self-diagnose and then just plainly guide several
         | of my doctors, even specialists, on diagnostics (for evidence)
         | and subsequent treatment.
         | 
         | I've had some really lame infections and things going on, and
         | most of my GPs over the years would just pin it down to anxiety
         | or blindly prescribe antibiotics (made things much worse).
         | 
         | I've lost all faith in the average doctor's expertise, so I
         | expect AI must be better but at the same time realize the whole
         | system gets inexplicably worse as a human being on the other
         | end, despite advances in technology.
        
           | gumballindie wrote:
           | Ok, so you've received low quality health care and you think
           | a hallucinating bot is the solution? What if we, you know,
           | start hiring competent people? Or change the system to allow
           | them to become competent?
        
       | PaulHoule wrote:
       | ... but it's not like they're just stealing the money from you,
       | you are getting health insurance, which has a lot of value.
       | There's another story going around that if you add benefits like
       | health insurance not to mention programs like food stamps the gap
       | between rich and poor hasn't increased as much as you'd think
       | otherwise.
        
         | dublin wrote:
         | No, it has little to no value at all until something really
         | catastrophic happens to you. Paying thousands of dollars a year
         | for a "free" annual checkup is NOT delivering "a lot of value".
         | It's been much more of just a money pit.
         | 
         | Over my career, I am upside-down on my healthcare costs to the
         | tune of six figures - and that's after kidney stone surgery
         | some years back...) I think I'll pass on succumbing to cancer
         | to try to recover a bit more, though...
        
           | mikeyouse wrote:
           | It's tax time now so I get a wonderful breakdown of how much
           | my company paid for my and my family's insurance (over $25k)
           | and I also get to put together how much we spent out of
           | pocket on health services (over $5k for a bog-standard
           | pregnancy). If this is supposed to be some sort of bargain or
           | good deal, I'm missing it. In the decade prior to this, my
           | total premiums must have been over $200k for literally no
           | usage.
        
         | throwway120385 wrote:
         | I agree with you in principle, provided you have the time and
         | resources to make the insurance company actually pay out what
         | they're supposed to. It's been more my experience that the
         | insurance company pays _most_ charges and then you have to
         | dispute one or two denials to the tune of a few hundred per ED
         | visit. Or they have accounting errors or other problems that
         | result in you being billed past your out of pocket max or your
         | coinsurance. And so on.
         | 
         | It's not like it's a free market because you can't just kick
         | them to the curb a month later like you can with car or
         | homeowner's insurance.
        
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