[HN Gopher] Financial lessons from my family's experience with l...
       ___________________________________________________________________
        
       Financial lessons from my family's experience with long-term care
       insurance
        
       Author : wallflower
       Score  : 96 points
       Date   : 2025-08-02 14:00 UTC (9 hours ago)
        
 (HTM) web link (www.whitecoatinvestor.com)
 (TXT) w3m dump (www.whitecoatinvestor.com)
        
       | jqpabc123 wrote:
       | Delay, deny, defend --- this is the insurance industry's modus
       | operandi.
       | 
       | Insurance is the only industry where customers are the enemy.
        
         | toomuchtodo wrote:
         | There seems to be no will to replace this dysfunctional
         | arrangement with a social safety net unfortunately.
        
           | zackmorris wrote:
           | Because injustice is corruption.
           | 
           | So every area of our lives that feels like it doesn't work
           | like it used to - cost of living, healthcare, education,
           | antitrust enforcement, journalism, accountability at the
           | highest levels - represents a segment of the economy which
           | has been corrupted.
           | 
           | Through this lens, socioeconomic policies start to make
           | sense. For example, if your goal is to skim a fraction of the
           | income from everyone in an economy and redirect those funds
           | to specific goals/organizations/individuals, you could put
           | tariffs on common goods and pass the funds collected on to
           | companies granted large government contracts. Then the
           | largest companies like GM and Ford see their profits reduced
           | or even show a loss, while Grok and Palantir have all the
           | money they need for mass surveillance.
           | 
           | Explanations for regulatory capture aren't normally this
           | reductive, but wealth inequality has reached such monumental
           | proportions that the simplest answer tends to be the right
           | one when the needs of the few outweigh the needs of the many.
        
             | drstewart wrote:
             | So through that lens how do you explain the healthcare
             | situation before the start of tariffs, or is your entire
             | worldview shaped based only on the news you read in the
             | last three days?
        
           | TuringNYC wrote:
           | >> There seems to be no will to replace this dysfunctional
           | arrangement with a social safety net unfortunately.
           | 
           | I think one problem is that healthcare in many cases is meant
           | to tackle the 1.5-2 sigma problems -- so naturally few people
           | really encounter bad healthcare. The others _thing_ they have
           | good healthcare, until they are unlucky enough to encounter
           | an issue.
           | 
           | I'm shocked how many people on my exact same health plan at
           | work think it is a great plan.
        
         | wwweston wrote:
         | The crucial understanding is that incentives are cross aligned
         | because the product is risk coverage.
         | 
         | The more immediate/pressing your need for risk coverage, the
         | worse it is for them to sell it to you. The less you need it,
         | the better it is for them to sell it to you and the worse for
         | you to buy it.
         | 
         | Pretty different than ice cream or cars or housing. Too many
         | people just think "oh corporate greed" without thinking about
         | the underlying economics (partly because of how us culture
         | pretends markets are magic).
        
           | pyuser583 wrote:
           | This is why state's have insurance commissions.
           | 
           | In the past, insurance companies (think: liability, fire,
           | life, shipping) responded to a claim by hiring a lawyer and
           | negotiating down. Like most contracts.
           | 
           | So states began creating insurance commissions, which serve
           | as law firms that defend consumers from insurance companies.
           | In practice, their existence forces insurance companies to
           | pay what they are owed.
           | 
           | We need insurance commissions for health insurance. If there
           | is a reason why the policy shouldn't pay (services received
           | after policy expired, for example), the insurance commission
           | has to sign off.
           | 
           | This is how normal insurance works. Health insurance, of
           | course, is not normal insurance.
        
             | lazyasciiart wrote:
             | LTC insurance is covered by insurance commissions.
        
             | mjevans wrote:
             | We need to just nationalize these things as basic civic
             | infrastructure that everyone funds as part of the social
             | contract.
        
           | mixmastamyk wrote:
           | Yes indeed. Part of the problem is having "insurance"
           | draining part of the resources. Long term care means it isn't
           | an "accident," but a constant recurring cost. Saving the
           | money up front, producing income, and paying directly for
           | what you need is often a better strategy.
        
             | esseph wrote:
             | I think this underestimates the "cost" of LTC.
             | 
             | And also doesn't consider when the LTC starts. It could
             | start at any time, even before working age.
        
               | mixmastamyk wrote:
               | Companies are not in business to lose money, and you have
               | to fight them to collect. That there are some low
               | probability exceptions is not enough in their favor imho.
        
         | Workaccount2 wrote:
         | People need to stop looking at it like this.
         | 
         | Healthcare is a triangle. There are three players. You,
         | Insurance, and Doctor.
         | 
         | All three are adversaries and allies in different ways.
        
           | Synthetic7346 wrote:
           | In reality the triangle is Doctors, Insurance, Hospitals, and
           | you in the middle.
        
             | frankharv wrote:
             | In reality what the article says is they needed adult-
             | sitters.
             | 
             | Family at first but USE PROFESSIONALS. Due to scummy ins
             | company wanting docs.
             | 
             | How is that health care? Babysitting is now health care???
             | 
             | We need a better way to deal with dementia. Not health
             | care.
             | 
             | A literal babysitter to make sure they eat and don't run
             | into the street.
             | 
             | I don't see dementia as sickness. Brain illness maybe.
             | 
             | So we have to warehouse these feeble folk. That is the
             | problem.
             | 
             | We need a more humane way rather than Doctor K's method..
             | 
             | What about the poor old guys girlfriend?
        
         | SoftTalker wrote:
         | I wrote a longer response but deleted it as it was just a
         | personal anecdote. Suffice it to say I'll never buy LTC
         | insurance or participate in any elder care such as "assisted
         | living" or "nursing care." It's all (IMO) engineered to drain
         | old people of their assets before they die. Providing care is
         | nowhere on the list of motivations of anyone involved.
        
           | thepryz wrote:
           | I could not agree more. My father has a neurodegenerative
           | disorder that requires 24 hour care. He did tons of research
           | and purchased LTC insurance decades before he was diagnosed.
           | Experiencing first hand how difficult and predatory both the
           | insurance company and the care facilities are has made it so
           | I will never put my own children through it. My plan is to
           | just euthanize myself when the time comes.
        
           | tiahura wrote:
           | I disagree. Getting a $3800/mo payment for up to 3 years sure
           | was nice when I had to put mom in a $4000/mo assisted living
           | facility.
           | 
           | There's a reason companies got away from offering these
           | policies, they were losing money on them.
        
             | SoftTalker wrote:
             | In my case they never paid. According to the lawyers I had
             | involved, this isn't uncommon.
        
           | SilverElfin wrote:
           | Some states are forcing you to buy LTC insurance. I've heard
           | Washington does this through some convoluted laws.
        
             | lazyasciiart wrote:
             | Yea, just like the country forces you to buy Medicare,
             | except convoluted because people hate social safety nets.
        
               | seanmcdirmid wrote:
               | Medicare provides a long term benefit as well, anyways
               | the LTC is insolvent and is mostly a ploy to get everyone
               | to pay for expensive unhoused neighbor care (well, the
               | homeless industrial complex gets most of the money, it
               | probably isn't being used to help many). It doesn't
               | transfer if you ever leave the state, and doesn't pay out
               | very much if you ever need it.
        
             | qwerpy wrote:
             | It's a stealth income tax. Most high income people saw
             | through it and opted out by buying their own LTC (which
             | isn't indexed to income) and then canceling it once their
             | exemption was recorded.
        
               | hawaiianbrah wrote:
               | I only know a couple people who have since canceled their
               | private policies due to a fear the laws will be amended
               | requiring periodic attestation. I'm still holding my
               | policy, though I am eager to cancel it.
        
             | hawaiianbrah wrote:
             | Washington imposed a LTC tax where some percentage of your
             | income is taxed and goes into a fund for LTC. At the time
             | they implemented it, you could opt out by procuring private
             | LTC insurance. Most tech people I know did, because it was
             | cheaper than the tax imposed. We're still waiting to see if
             | it's safe to cancel our private policies.
        
         | SilverElfin wrote:
         | I've heard from many recent moms that Aetna regularly denies
         | normal labor and delivery charges that are explicitly covered
         | in their plans. That then forces you through a months long
         | process of calling them repeatedly, tolerating hold times of
         | 1-2 hours each time, and getting virtually no help. And maybe
         | at the end of it, when your child is almost one year old, they
         | may pay out. That's for a _normal_ delivery with no
         | complications.
         | 
         | Aetna knows exhausted and stressed moms are less likely to
         | persist. It is blatantly fraudulent but they get away with it
         | because no one has the time or money to get their executives
         | thrown in jail.
        
         | ta555555 wrote:
         | The alternative is to depose them.
         | 
         | It's a massive shame how he is treated right now. Right after
         | the deposition of one mass murderer CEO, another would-be mass
         | murderer insurer backtracked their plans to limit time under
         | anesthesia.
         | 
         | Deposition works.
         | 
         | Even those who believe human lives are equal (they are not)
         | have to admit the price of one dead (bad) person outweighs the
         | number of people who would have died or had serious
         | complications from rushed procedures.
        
       | GnarfGnarf wrote:
       | There are three things a nation needs to accept about universal
       | health care:
       | 
       | (1) It's expensive (2) Everybody has to pay (3) The government's
       | gotta run it
        
         | cowcity wrote:
         | Americans are perfectly conditioned to instinctively and
         | aggressively deny all three. :(
        
           | dayjah wrote:
           | Hey now. America is a broad spectrum of people -- some of us
           | are heretical and believe governments have a role in everyday
           | life, some of us believe the opposite.
        
             | cowcity wrote:
             | Nitpick all you want, but what I said is exactly right and
             | you probably know that.
        
         | gruez wrote:
         | >The government's gotta run it
         | 
         | But there are plenty of countries with functioning healthcare
         | systems that are private? The Swiss, for instance. Moreover
         | depending on what counts as "government's gotta run it" (paying
         | for it? administering it? actually providing care?) you can
         | argue that the German or even Canadian systems aren't
         | government run, at least to some degree.
        
           | olddustytrail wrote:
           | So why don't we see Republican Americans advocating to adopt
           | the Swiss system which provides universal coverage at a lower
           | per capita cost?
        
             | Loughla wrote:
             | Because it's any amount of government spending for one. And
             | for two (this one is more of my opinion than the last one)
             | the US has a problem where we, as a culture, view poor
             | people as somehow morally or ethically broken, which is
             | what causes them to be poor. Therefore, we shouldn't spend
             | money that could positively impact them, regardless of its
             | overall benefit. I got mine, so anyone can, but as the
             | cultural zeitgeist.
        
             | LocalH wrote:
             | Because Republican Americans tend to overwhelmingly think
             | "government bad, private business good". Even the "small-c
             | conservatives".
        
               | vjvjvjvjghv wrote:
               | Although they think government is good at controlling
               | their version of morality.
        
             | dayjah wrote:
             | If you only ever look at the way a system works at a
             | specific point in time you only observe it at that point in
             | time.
             | 
             | America has had multiple attempts at solutions for
             | healthcare over the years, each started with good intent
             | and then waylaid by various causes to produce what we have
             | right now.
             | 
             | A sibling comment mentions political compromise to pass the
             | ACA, as an example of this.
             | 
             | Another example is that HMOs were started with inherent
             | goodness, but got "corrupted" (in my mind) by profit
             | seeking.
             | 
             | To directly answer your question: a core tenet of the
             | Republican tent is minimal government involvement in day to
             | day lives of the citizenry. Ergo, the Swiss system won't
             | work because it involves a lot of bureaucracy. Republicans
             | link bureaucracy to cost, and feel this is not an
             | appropriate use of tax payers dollars.
             | 
             | The holes in this political doctrine are not part of my
             | answer here fwiw. Please no "but..." comments to that end
             | :)
        
               | fnordpiglet wrote:
               | To be fair the tenet is minimal involvement in the day to
               | day operations of the economy and maximal involvement in
               | the day to day lives of the citizenry.
        
               | dayjah wrote:
               | I do find the ironies in political platforms quite
               | beautiful. I also love how they provides endless fodder
               | for largely fruitless internet discussion ^_^
        
             | Spooky23 wrote:
             | Obamacare was a replica of Romneycare, which was
             | implemented in Massachusetts. It was the republican
             | approach of leveraging private enterprise and encouraging
             | consolidated medical networks.
             | 
             | The difference now is the republicans have changed, and
             | nuanced issues are just not welcome on the platform of a
             | party following a cult of personality.
        
             | daveguy wrote:
             | They were advocating for it before Obama tried to get it
             | done. It was implemented in Massachusetts and termed
             | "Romneycare" as Mitt Romney was the governor. Once Obama
             | tried to implement it, it was government overreach and had
             | to be watered down to get consensus. Personally I think we
             | should have a govt option along side others, but all
             | healthcare should be nonprofit (as in the Swiss model).
             | Profit extraction is antithetical to healthcare.
        
             | MontgomeryPy wrote:
             | In speaking with my republican father in law on his
             | opposition to universal healthcare, it dawned on me that he
             | views it as a sort of zero sum game. If he has healthcare
             | today, and then universal healthcare offers it to folks
             | that don't have it today, it is a loss for him.
        
               | wredcoll wrote:
               | Something I've run into in similar situations is the
               | "moral necessity of punishment", sort of a reverse just-
               | world fallacy.
               | 
               | "There are people not good enough for health care and
               | helping them would violate this natural order".
        
               | fnordpiglet wrote:
               | This is going to be the ultimate issue if we do achieve
               | some sort of post scarcity world where human labor is
               | redundant. The idea that it's not someone's fault their
               | indenture is unnecessary let alone a moral failing
               | deserving of punishment is foreign to a lot of American
               | thinking. The puritanical labor is godly mentality
               | combined with the long term warping of anti Soviet
               | propaganda is going to lead to some serious wide spread
               | suffering that would take what should be the greatest
               | achievement of man kind and turn it into a scourge.
        
               | kasey_junk wrote:
               | It's absolutely the case that public health coverage will
               | benefit some people who make bad health decisions at the
               | cost to some of those who make good decisions (or the
               | decisions themselves must be made by a central
               | authority).
               | 
               | That doesn't make it the wrong policy decision. Lots of
               | systems we happily manage with similar dynamics. But I
               | don't think denying that basic fact is the right path
               | forward. The moral hazard is real and worth
               | acknowledging.
        
               | AngryData wrote:
               | Ironically the people who make bad health decisions are
               | often benefiting the medical system by dieing more often
               | around retirement age rather than going on to live 20+
               | years past retirement with age-related healthcare
               | problems that cost WAY more than any other health
               | conditions they could encounter when they are younger.
               | 
               | Smokers for example have more lung disease and cancer
               | which cost money to treat, but usually not until they are
               | in their 60s so they still spend their entire life paying
               | into the system, but then they die soon after, saving on
               | age related healthcare costs. And that is on top of
               | smoking disqualifying someone from many treatments and
               | surgeries, making smokers a net-win for healthcare costs
               | to society.
               | 
               | Being really fat also seems to have similar effects,
               | although the the finances are much closer so perhaps the
               | second order effects from being fat cancel them out. But
               | on paper they are still a bit cheaper than the average
               | person.
               | 
               | Many people will argue against it because it "feels
               | wrong" and they think unhealthy people should be punished
               | (for example with higher insurance fees) and don't want
               | to admit that unhealthy people are subsidizing their own
               | healthcare, doubly so if you add in the sin taxes they
               | have been paying their whole life that often result in
               | more state income than their entire life-time medical
               | costs add up to. But there has been numerous studies
               | across the decades in Europe and the US showing how much
               | cheaper unhealthy people that die earlier are to care for
               | compared to the 90 year old granny walking everyday and
               | risking broken hips and taking 30 different medications a
               | day.
        
             | vjvjvjvjghv wrote:
             | Almost nobody in US politics who talks about something
             | doesn't understand it or thinks it through. That's for
             | people on the left and and on the right. They just repeat
             | talking points that are given to them by wealthy party
             | donors.
        
           | mike_d wrote:
           | In the Swiss system the private insurance companies are
           | required to be non-profits. The government sets the standard
           | for care and coverage and all the companies can do is compete
           | on price.
           | 
           | Basically what Obamacare was originally intended to be before
           | they had to compromise to get it passed.
        
             | k4shm0n3y wrote:
             | Who were they compromising with? The Congress had large
             | Democrat majorities in both houses during the ACA
             | legislative process.
        
               | SpicyLemonZest wrote:
               | The parties weren't yet ideologically sorted. The
               | Democratic majority included dozens of members of the
               | Blue Dog coalition, a conservative group who (among other
               | things) didn't support healthcare reform.
        
               | Alive-in-2025 wrote:
               | Also the us Congress is blocked by the senate needing 60
               | votes/supporters to reach cloture on every single bill,
               | except the once per year thing that got the bbb passed.
               | So it's very easy to block the other side. https://en.wik
               | ipedia.org/wiki/Reconciliation_(United_States_...
        
               | zacherates wrote:
               | They were trying to get Republican votes so that the law
               | would be bipartisan. In the end it passed on a party line
               | vote, so maybe the compromises were a mistake...
        
               | phatfish wrote:
               | All the Democrats bought by the private health insurance
               | companies I assume.
        
               | votepaunchy wrote:
               | The 60th vote was Ted Kennedy who died in office and a
               | Republican was elected to fill the seat, forcing passage
               | of an earlier bill.
               | 
               | https://en.m.wikipedia.org/wiki/2010_United_States_Senate
               | _sp...
        
               | vjvjvjvjghv wrote:
               | Democrat senators Lieberman and Baucus mainly torpedoed
               | it. And Pelosi refused to get republicans on board.
        
           | vondur wrote:
           | I've heard good things about the Dutch system of healthcare
           | and that it may be adoptable to the US. I'd totally agree
           | that healthcare corporations become non profit like Kaiser
           | here in the US. They aren't perfect, but they seem to be
           | better than the their for profit competitors.
        
             | nothrabannosir wrote:
             | Dutch system and original Romney care (and early versions
             | of Obama care) had a lot in common. Health care providers
             | are private, insurance companies private, gov dictates a
             | basic list of treatments which count as "basic care" and
             | _must_ be covered by insurance, sets max deductible  /
             | copay etc, insurance companies are not allowed to refuse
             | any customers, everyone must have insurance, if you can't
             | afford it gov will pay for your insurance.
             | 
             | Afaik that's the gist of it. The ACA has been maimed on
             | various fronts (e.g. the mandate "everyone must have health
             | insurance" is no longer practically in effect), but it
             | originally started out very similar. Far more than to,
             | e.g., the UK's NHS which is fundamentally quite different.
        
         | bluGill wrote:
         | Government does not have to run it. Gokernment needs to ensure
         | it is run well but there is no reason they have to run it.
        
           | reactordev wrote:
           | Oversight doesn't work, look at the finance markets.
        
             | vjvjvjvjghv wrote:
             | It works in other countries
        
         | bradleyjg wrote:
         | It's not a matter of acceptance. We can't accept the cost of
         | anything consistently growing at a rate faster than GDP. That's
         | just math, not ethics or political choice theory or anything
         | else. Health care cost growth is going to slow one way or the
         | another.
        
           | reactordev wrote:
           | Watch what happens to the GDP if they don't tackle the health
           | care problem. You think it's expensive now? Negotiating drug
           | prices isn't going to solve the problem. Having "health
           | insurance" isn't going to work when an AI decides whether
           | your illness warrants saving you.
           | 
           | You _all_ need to think about what's going to happen to you
           | when you can't move anymore. Will you have enough money?
           | Triple it. Maybe 6x it. Only the rich will be able to live
           | healthy unless you're diligent about your own health or
           | strike it rich in an IPO.
        
           | toomuchtodo wrote:
           | But growth is also going to slow due to demographics, and
           | this is unavoidable. Are we going to prioritize caring for
           | humans? Or line goes up? Because line goes up is going to hit
           | the demographic wall eventually.
           | 
           | https://www.mckinsey.com/mgi/our-research/dependency-and-
           | dep...
           | 
           | https://www.cato.org/cato-
           | journal/spring/summer-2018/demogra...
           | 
           | https://www.cato.org/commentary/clear-eyed-look-our-
           | demograp...
           | 
           | https://www.sas.upenn.edu/~jesusfv/Slides_London.pdf
        
           | wredcoll wrote:
           | What part of the cost of healthcare involves providing
           | profits for middlemen?
        
           | fnordpiglet wrote:
           | It has more to do with demand than being anything. Demand for
           | healthcare is highly inelastic. If the price of Pokemon's
           | grew faster than GDP consistently we would be fine. But if
           | the price of a necessity for life does, we will not be fine.
           | 
           | This is why life necessities are often treated as a public
           | responsibility. Health care is one of the few that is treated
           | as a luxury.
        
         | gosub100 wrote:
         | Computers and software used to be extremely expensive about 30
         | years ago, yet private industry advanced the state of the art
         | and brought the prices down.
         | 
         | There seems to be very little talk about making medical
         | education cheaper and more accessible. Why wouldn't it be
         | cheaper if we had more MDs and nurses? What if we made it
         | easier to become an MD ?
         | 
         | The insurance system is a cartel and they are greedy. However
         | the regulations (upheld by the government) enable it.
        
           | throwawayqqq11 wrote:
           | Without relgulation, the profit seekers would remain in power
           | and the same applies to more medical staff.
           | 
           | The insurance system is a profit seeking institution, that
           | functions as intended. Why dont you talk about that BURNING
           | aspect?
        
             | gosub100 wrote:
             | You didn't address a single thing I said
        
           | Spooky23 wrote:
           | Because your congressman gets lots of donations from doctors
           | and hospitals. Doctors like to drive fancy cars.
           | 
           | In places with Catholics, you usually get the bishops
           | advocating for the local Catholic hospital system.
        
             | gosub100 wrote:
             | So government (my congressman) IS the problem! Thanks for
             | reinforcing what Reagan said 40 years ago.
        
               | wredcoll wrote:
               | Sure, but what these types of people fail to understand
               | is that the only way to solve the problem is also
               | government.
               | 
               | It turns out the real world is a big complicated messy
               | place and there's rarely a simple answer like "delete
               | government!"
        
               | esseph wrote:
               | This cult of personality in American politics is such a
               | curse.
        
               | Spooky23 wrote:
               | [delayed]
        
           | aerostable_slug wrote:
           | We've done that to some extent via the legal enablement of
           | nurse practitioner and physician assistant led care. Of
           | course, largely speaking all they do is supervise the
           | recording of patient metrics and prescribe drugs in label-
           | consistent ways, but that often works out reasonably well for
           | the patient. When the patient needs specialty care then the
           | NP or PA simply punts them into the winds of referrals and
           | insurance justifications.
           | 
           | I'm not sure there's any realistic way to enhance the
           | availability of specialists. You can't 'stub' your way
           | through providing the care of a skilled gastroenterologist by
           | substitution with a NP, though PAs in specialty care are
           | becoming common.
        
             | gosub100 wrote:
             | Why not open more medical schools? And eliminate the
             | matching system? If you want to be an ____-ologist, here is
             | the list of requirements. Meet the requirements and you are
             | the ___ologist. Not whether or not a practice group likes
             | you, or your parents knew which colleague to talk to. Don't
             | allow the supply of MDs to be constrained.
        
         | tiahura wrote:
         | This isn't about health care. Please read the article.
        
           | i80and wrote:
           | Elder care and memory care are under the umbrella of
           | healthcare.
           | 
           | That they're nonsensically broken out as a separate insurance
           | category is intrinsically linked to the problems the article
           | describes
        
         | vjvjvjvjghv wrote:
         | (1) is not correct. The US spends more than other nation per
         | capita on health care
         | 
         | (3) isn't correct either. It needs to be regulated in some way.
         | Government doesn't have to run it. I think it should be treated
         | more like a utility
        
           | byryan wrote:
           | Your first point doesn't mean that universal health care in
           | the US would not be expensive. It definitely would, not that
           | the USG couldn't afford it, but it wouldn't be cheap.
           | 
           | Agree with your second point.
        
       | bluGill wrote:
       | You need to get this long before you need it, but also ensure it
       | is good plan that will take care of you. The person in the
       | article is lucky to have kids doing that, if you don't have kids
       | who care who will care for you.
        
         | vjvjvjvjghv wrote:
         | "ensure it is good plan that will take care of you. "
         | 
         | That's basically impossible. You will only know if you made the
         | right choice once you are actually starting to use the
         | insurance.
        
       | lvl155 wrote:
       | Healthcare in the US is broken and they won't let you fix it
       | because the money is too good. Think about the fact that PBMs,
       | which is there to save and manage on pharma is incentivized to
       | promote drug price inflation. That's just one "small" piece of
       | this clusterf*k. It's layers and layers of these convoluted
       | system of incentives.
       | 
       | As to OP, the simplest solution is to move out of the US early
       | enough or become "poor" enough and be in a wealthy blue state by
       | the time you get to this predicament.
        
         | wnc3141 wrote:
         | I think the broader extrapolation is that the social contract
         | has emerged around giving private enterprise wide latitude to
         | promote the public welfare. However that does mean that the
         | quality of said welfare entirely revolves how profitable you
         | are to said enterprise. While great for airline tickets, its a
         | tragedy for healthcare.
        
         | silisili wrote:
         | Healthcare is little more than a jobs program at this point.
         | 
         | I believe it is the largest industry by employment in every
         | single state now.
         | 
         | That compounds the problem even further. Really fixing it would
         | put a double digit percentage of people out of work. I'm all
         | for it, but I can see why politicians are hesitant.
        
           | Avicebron wrote:
           | > Really fixing it would put a double digit percentage of
           | people out of work. I'm all for it, but I can see why
           | politicians are hesitant.
           | 
           | I'd love to hear what you think "really fixing it" is, please
           | share.
           | 
           | I can report that all (almost all?) of the hospitals and
           | their networks both big and small in the area I am in have
           | had layoffs this year of admin staff and healthcare
           | professionals (nurses, doctors, etc). They have reduced bed
           | counts, and cut programs and treatment options available. All
           | of this was done in the name of the "affordability crisis"
           | and is kind of like the 3rd wave of this kind of
           | consolidation, belt-tightening behavior. And..prices haven't
           | gone down, and they keep cutting.
        
             | silisili wrote:
             | I don't know all the answers, but I can tell you that
             | cutting doctors and services is not what I had in mind.
             | Mainly the behemoth that is everything tangential to that,
             | namely insurance and pharma, for two. I worked on the
             | insurance side(in tech), and most people wouldn't believe
             | the number of people involved between the doctor getting
             | money from the patient.
             | 
             | On the contrary of your statement, I would also do
             | everything I could to allow more (capable, of course)
             | people to become doctors each year, though I'm not sure
             | what all that would entail. It feels criminal to me that we
             | limit residency while a) every doctor I've ever visited is
             | way oversubscribed and in a hurry, and b) specialist
             | appointments are months out.
        
               | Avicebron wrote:
               | Ok, I pretty much agree with everything you suggest.
               | 
               | Browsing HN has conditioned me to react to sentiment like
               | "healthcare...it's a jobs program...solve it by putting
               | people out of work (the market will magically fix it)" to
               | essentially be code for "I support continued abuse and
               | further deprivations against the poor"
        
             | A_D_E_P_T wrote:
             | > _I 'd love to hear what you think "really fixing it" is,
             | please share._
             | 
             | I'm not that poster, but there's a really easy fix: Just
             | model the system after Hong Kong's.
             | 
             | There's a tax-funded public system available to every
             | citizen, so that everybody gets treatment. In practice,
             | this is mostly utilized by the poor, and for emergencies
             | like broken bones. You can see specialists via the public
             | system, but there can be a wait of weeks to months. This is
             | all effectively free. You'll never see a bill, or the bill
             | will be extremely small. (e.g., $100 for four days of
             | inpatient care.)
             | 
             | There's a private system for those willing to pay. This is
             | unrestrained capitalism with little regulation and no
             | parasitic middlemen. Want to see a specialist _right now_
             | -- like later this afternoon, or first thing tomorrow
             | morning? Sure. It 'll usually be $200 or $300 out of
             | pocket. _No insurance necessarily involved._ Diagnostics
             | are also super fast -- same day or next day, usually. If
             | you want an elective surgery, or if you want a superior
             | tier of care (like a nicer hospital room, better food, more
             | flexibility re scheduling,) you can pay for it privately...
             | And usually without getting insurance companies involved.
             | 
             | There is effectively no "prescription" system. With very
             | few exceptions for narcotics and certain stimulants, if you
             | need a drug of any kind, you can buy it OTC. This includes
             | steroids, weird nootropics, viagra (lol at needing a
             | prescription for this), and all kinds of stuff. This vastly
             | reduces the burden on the system.
             | 
             | Hong Kong's system is superior in every respect, and it's
             | especially better at treating you like an adult. The
             | American system is simultaneously complex and
             | infantilizing.
        
               | llbbdd wrote:
               | Aside from the prescription part, this is exactly 1:1 how
               | it works in the US. I say this having myself and my
               | family utilize all of it extensively, public tax-funded
               | emergency treatment, inpatient coverage, private doctors
               | and specialists.
        
               | A_D_E_P_T wrote:
               | The public system in Hong Kong doesn't really cost
               | anything. It's not that you get costs "waived" if you
               | whine hard enough that you ought to be a charity case
               | (which, by the way, is degrading,) and it's not that
               | costs are passed on to a middleman. Medical treatment is
               | transparently priced and simply inexpensive -- so it's
               | simply not a cause of bankruptcy in Hong Kong, whereas,
               | in the US...
               | 
               | > https://worldpopulationreview.com/country-
               | rankings/medical-b...
               | 
               | Also, perhaps because it's a lot more laissez faire, the
               | private system in Hong Kong is almost unimaginably
               | superior to the private system in the US. It's far
               | cheaper because pricing is transparent and most people
               | pay cash! (Cutting out that middleman.) It's higher
               | quality because there's a lot more competition, rather
               | than collusion among a few major providers.
        
           | 2OEH8eoCRo0 wrote:
           | My father's doctor says she doesn't want healthcare reform or
           | more doctors because then their salaries will tank.
        
             | EvanAnderson wrote:
             | This was the reason behind the AMA lobbying for the freeze
             | on federally-funded residency slots back in the mid-90s
             | (which is still being felt today, even after AMA has
             | changed their tune).
        
           | JTbane wrote:
           | >Really fixing it would put a double digit percentage of
           | people out of work.
           | 
           | Eh, I kind of disagree. It would put a lot of insurance
           | people and hospital admins out of a job, but the boots-on-
           | the-ground providers would be fine.
        
           | wahern wrote:
           | > I believe it is the largest industry by employment in every
           | single state now.
           | 
           | This made be curious, so I looked around. FWIW, healthcare
           | constitutes ~11% of the workforce in the US. It's ~16% in
           | Germany, ~10% in the UK, and ~5% in France.
           | 
           | As a percentage of GDP healthcare is far higher in the US, of
           | course.
        
             | silisili wrote:
             | It's actually a really hard thing to track, and BLS does a
             | poor job of it in my opinion. That 11% covers most but not
             | even all people at a clinic or hospital. It counts people
             | from doctors to records specialist, but not say, janitors
             | or IT, and nothing outside of that like insurance. And
             | that's not necessarily wrong to do, but makes it hard to
             | grasp the whole size.
             | 
             | If you add in everyone in insurance, pharma, devices, and
             | the jobs those support, that number seems to be closer to
             | 17% of the workforce from what I could put together.
             | 
             | Not sure if those in Europe do it similarly, but it just
             | feels like a huge number of people. Maybe that is the
             | result of demographics and a topheavy population, though.
        
               | victorbjorklund wrote:
               | Doubt european numbers count insurance (public or
               | private) pharmacy etc or all the jobs that support
               | healhcare in general (powerplants, construction workers,
               | restaurants, etc)
        
               | mjevans wrote:
               | It also doesn't count family members providing care for
               | loved ones 'unpaid'.
               | 
               | Nor does it count any of the people who really should
               | have more or better care but don't get it.
        
           | esseph wrote:
           | I'm not so sure.
           | 
           | If we fix healthcare costs we can spend more on hospitals.
           | With more hospitals means more jobs and more competitive care
           | costs.
           | 
           | In addition, a lot of those insurance jobs are facing
           | pressure from "AI".
        
         | elgenie wrote:
         | Like 5-10% of the US's _total_ GDP gets wasted annually on the
         | layers and layers and layers of healthcare middlemen... for
         | worse outcomes.
        
           | emchammer wrote:
           | That is crazy. That is more than the defense budget.
        
           | loeg wrote:
           | Eh. Most of the US' "worse outcomes" are upstream of the
           | healthcare system and would be upstream of it under any other
           | country's healthcare model too. (Diet/exercise, and vehicle-
           | related injury.) Feel free to criticize the spending, but the
           | worse outcomes angle is kind of disingenuous.
        
       | malshe wrote:
       | I wonder if moving his father to an assisted living facility at
       | some point will be a better option. I have little experience with
       | this topic so I am genuinely curious.
        
         | thepryz wrote:
         | In my experience, these facilities are all in crisis. They
         | can't find people to staff the facilities and provide care and
         | when they do, they can't afford to pay them.
         | 
         | My father has a neurodegenerative disorder and we've struggled
         | to find a place that will provide consistent care. My mother, a
         | retired nurse, is the one who tends to do a significant amount
         | of the work to feed, clean, and otherwise care for him despite
         | paying over $10k/month. It's infuriating.
        
           | malshe wrote:
           | Oh wow, that's frustrating! I hope you find someone to
           | provide consistent care at a reasonable price. Btw do your
           | parents live in a state with high cost of living or this is a
           | general situation across the country?
        
             | thepryz wrote:
             | Midwest, so cost of living is relatively low to moderate. I
             | don't have firsthand experience elsewhere but it's my
             | understanding that what we experience isn't uncommon.
             | 
             | This is the third facility he's been in and options are
             | limited because a lot of facilities aren't staffed to
             | provide memory care. Unfortunately, there just aren't many
             | options unless you're wealthy enough to have in-home care.
        
       | WarOnPrivacy wrote:
       | My youngest and I were discussing how removing zoning barriers to
       | ADU (in-law suites) can be a big win for families and small win
       | for housing in general.
       | 
       | In short, build an efficiency apartment on family property for an
       | alone-living relative. Family can better provide support; the
       | relative's residence goes back into the housing supply.
       | 
       | The municipality provides usual construction inspections but
       | doesn't prevent the construction for non-pragmatic reasons.
       | 
       | ref: https://duckduckgo.com/?t=h_&q=zoning+to+allow+ADU%2C+in-
       | law...
        
       | mud_dauber wrote:
       | his notes are EXACTLY my experience. bookmark it.
        
         | wrs wrote:
         | Same here...three times so far.
        
       | dehrmann wrote:
       | > they each paid about $14,000 in annual premiums for 10 years,
       | and the daily benefit started at $200 per day.
       | 
       | Insurance companies have to make money, but that's not that good
       | of a deal, and the payout isn't that high ($73k annually)
       | considering you won't be doing much else.
        
         | SoftTalker wrote:
         | Consider also that by the time you need a nursing home or some
         | other form of continual skilled care you are probably going to
         | die within that year.
         | 
         | "Long-Term" is sort of a scare tactic that is used to get you
         | imagining that you're going to be needing expensive skilled
         | care for years. That can happen, but isn't normal.
        
           | lazyasciiart wrote:
           | Severe dementia id exactly when it does happen, though. Most
           | patients die within months of moving into a nursing home.
           | Dementia patients average ten years.
        
           | squigz wrote:
           | Given that my only experience with such homes is indeed long-
           | term, I'd be curious to see actual statistics on this
        
         | forrestthewoods wrote:
         | $140,000 in premium and $73,000/year in payout seems like a
         | terrible deal for the insurance company.
         | 
         | Two sets of my grandparents have needed daily helpers for
         | _years_. And that's just for regular day to day care. Not in
         | response to a particular trauma.
        
           | getnormality wrote:
           | It _has_ been a terrible deal. These policies have been a
           | disaster for the industry. They 're very expensive _and_ they
           | 've raised premiums to cover rising costs, which causes
           | people to drop the policy unless they're sure they'll need
           | it. And then those people often require care for many years,
           | generating massive losses.
           | 
           | Insurance is wonderful when it works, but the conditions for
           | it to work can be quite fragile.
        
             | dehrmann wrote:
             | Certain types of insurance can be funny because of how much
             | information asymmetry there is.
        
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