this post was submitted on 28 Oct 2023
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No Stupid Questions

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No such thing. Ask away!

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I’m Canadian. And I’m already sorry for asking an ignorant question.

I know you have to pay for hospital visits in the states. I know lower economic status can come with lower access to birth control and sex education. But then, how do they afford to give birth? Do people ever avoid hospital visits because they don’t feel like they can’t afford it?

Do hospitals put people on a payment plan? Is it possible to give birth and not pay if you don’t have the means? How does it work in the states?

How does it all work?

Again. Canadian. And sorry.

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[–] [email protected] 104 points 1 year ago (6 children)

I can answer this: my son was born in 1990. We were extremely poor.

We had midwives help us out as best they could, to the tune of about $3200 at the time. The birth got complicated due to a variety of health factors, and both my son and wife almost died (not because of the midwives). Luckily the midwives had a direct line to Georgetown Hospital, and the cesarean was done there. The total hospital bill was $58,000, or $138k in today's money, although hospital costs have rose much higher vs inflation, so maybe it would be in the $200k range now. She was in the ICU for a week, hospital for another week, our son for about 3 weeks.

My wife job didn't have health insurance, because it wasn't required back then. Because she was gone a week, her job fired her for an unexcused absence. Oddly enough, this made her unemployed and Washington DC had some law (or rule or something) that immediately dropped the hospital bills because of her unemployment. In the end, we had to pay $15k to about two dozen practices who individually sued us, which took 7 years to pay off and a lot of court visits and wage garnishments. It financially ruined us, pretty much. Both suffered a lot afterwards because we just couldn't afford minimal care. It was hellish. I can't imagine how much worse it would be today. We got evicted from our apartment, and lived in government housing for six years.

So, yeah. Don't have a baby in America unless you can guarantee it will be healthy and you have a lot of money. Most of my friends don't have kids, they simply can't afford it and look at it like the previous generation looked at concepts like summer homes and yachts. Nice luxuries, but way out of affordabilty.

[–] [email protected] 29 points 1 year ago (1 children)

Wow. That's horrible. The US health system sounds like a dystopian nightmare.

[–] [email protected] 18 points 1 year ago (2 children)

And yet so many Canadians seem to want to dive head first in to a fully private healthcare system as if anyone could take that financial hit.

[–] namingthingsiseasy 3 points 1 year ago

It doesn't help that many of the governing bodies are deliberately sabotaging it as much as possible in order to push voters into that direction. Doug Ford is one of the most notorious in this respect, but there are plenty of others too

[–] [email protected] 15 points 1 year ago (2 children)

I'm sorry you and your family had to go through that.

I'm Canadian and I gladly pay more taxes than you so that I and my friends get free healthcare when we need it.

When we watched the fights over "Obamacare" we just shook our heads.

[–] [email protected] 7 points 1 year ago

That's the ridiculous thing. Americans would rather pay a few dollars less in taxes than let people have free healthcare. And it ends up costing them far more than they would have paid in taxes.

[–] [email protected] 9 points 1 year ago (1 children)

What the actual fuck, and this was in 1990

[–] [email protected] 4 points 1 year ago (1 children)

1990 was around the time of Hillary-care and Romney-care, so the politicians knew that they were going to have to fix it sooner or later by that point.

[–] [email protected] 7 points 1 year ago

Hillary's plan was being developed and debated in '93-94, Romneycare in Massachusetts happened in 2006.

[–] [email protected] 9 points 1 year ago

Man.... That is crazy. I'm so sorry for you guys.

[–] [email protected] 1 points 1 year ago (1 children)

Why didn't you have taxpayer paid (State) insurance if you were extremely poor and expecting? Is it because of the lost job and timing? If you are poor and have a family then you can spend a day at the welfare office and get public insurance.

[–] [email protected] 15 points 1 year ago (1 children)

Because we made too much (over minimum wage, dual income household). I was making $13k as a sales manager, my wife was making $8k as an assistant manager, and minimum wage was $3.35/hr or just under $7k/year back then. After taxes, we made about $1200/mo, and our rent was $650 for a single bedroom apartment. No car, we took the bus, barely had enough for food and utilities.

But we were considered way too over the "poverty line," which was I think less than $6k/year then. We had been using birth control but when they say some form of birth control is 99% effective, the DO mean 1% failed. I have no regrets our son was born, because it turned out we couldn't have kids later when we tried. And then later my wife died when he was 22, so if we had kids later, I would have been a widow with younger kids.

I feel awful he grew up poor with us until he was about 10, though.

[–] [email protected] 5 points 1 year ago

Oof, yeah that's rough. The poverty line is really low. I can relate about wishing you weren't poor when your kid was a kid, we had the same experience. We would have been able to give him a lot more had he been born a decade later, but he still had a loving home, which is more than a lot of kids get.

I'm really sorry to hear about your wife. I can't even imagine.

[–] [email protected] -1 points 1 year ago* (last edited 11 months ago)

... "So, yeah. Don’t have a baby in America..."

for more on this subject, and in the spirit of looking on the bright side of s bad situation, see /c/childfree and childfree.cc. Includes talk, and memes, about some of the benefits, of not having children, including but not limited to finances. (also advice and directories about related options for medical things, where thise are wanted or needed).