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I’ll give you some anecdotal evidence.
I make okay money. Not great, but I’m not starving. Lower middle class, probably. But I’m a single man, so if I had a family I’d be lower class no question. (This all just to give you an idea of my income without sharing my personal data online, we’re all working class)
I tried getting insurance this year, and the cheapest plan I could find was $700/mo. That means I pay an insurance company $700 every month, whether I go to the doctor or not. Now, if I were going for a general checkup, I’d pay a “copay,” so a base cost for the office visit. Probably $40-$50.
Then, depending on what I get done, tests, lab work, medicine, I’d still probably pay at least a portion of that, the medicine is likely to be discounted.
But then there’s this thing called a “deductible.” That means I have to spend the amount of the deductible in the year out of my own pocket before the insurance company would be paying for anything major. My deductible for this $700/mo plan was something like $7,000. Something like that, $5-$7k. That’s my cost before the insurance company is obligated to pay for anything. Small stuff they’ll probably cover (depending on the doctor I went to…) but before I spend that $7k of my own money in this calendar year, they’re not gonna pay for much of anything, if really anything at all.
So before we get into the absurdity of how much medicinal care costs here, there’s all that insanely stupid system to pay off and figure out.