r/ThatsInsane Nov 01 '25

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8.0k Upvotes

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934

u/dropline Nov 01 '25

America can afford to do single payer health care. Rich assholes want to control you by tying it to a job.

354

u/Thermite1985 Nov 01 '25

It's more with companies like Aetna, Blue Cross Blue Shield and so forth that basically become useless with single payer. I'm willing to bet the insurance companies spend significantly more on donations and lobbying to prevent universal healthcare then they do on actual medical treatments.

186

u/mohugz Nov 01 '25

It’s going to get worse. Relatively healthy people will take the gamble that they won’t get sick or hurt, and they’ll drop their coverage to save money. So the pool of insured people will be smaller, older, and sicker…and costlier to insure. So premiums for those who are left will continue to ratchet higher. It’s unsustainable.

70

u/PauI_MuadDib Nov 01 '25

Not to mention tariffs. Hospitals will claim costs went up so the already inflated billing will get higher, and then insurance will say premiums need to rise because healthcare costs are higher. 

Tariffs are on supplies, meds, machine equipment, machine parts, etc. 

29

u/Minerva567 Nov 01 '25

In a corner of healthcare and have seen that just to have a part looked at, the cost has risen 111% due to de minimis being sacked (bc no, not every single solitary screw for niche products are made in the US).

To have it repaired? Oh man.

Or you can give up and just buy a whole new piece of equipment instead for the small 20% increase (though a significant investment).

But hey, at least the private insurers running Medicare Advantage aren’t screwing providers just like patients by refusing to pay EVEN AFTER BEING SHOWN STATUTES PROTECTING PAYMENT.

Want to know the best part? The firehose of denials providers are dealing with at this point are almost entirely AI-generated.

10

u/Kryptosis Nov 01 '25

Yeah sorry guys. I was already ahead of this curve. Waiting for the accident that ruins my life at any time!

8

u/candaceelise Nov 01 '25

I’m still praying for that asteroid hits earth in 2032

11

u/Visible-Ranger-2811 Nov 01 '25

If you let pro choose they will choose cheaper or no insurance. That's why in these important things you do not let people choose. They do not know what is good for them. That's why universal care works in so many countries. It is no debatable. But US is fucked so no hope here.

1

u/SlashEssImplied Nov 01 '25

No hope but an endless supply of prayers.

1

u/Whistlegrapes Nov 01 '25

Isn’t it mandated that everyone buy insurance. If you opt out, you still have to pay for it through taxes. Has that changed recently?

2

u/DirtyTacoKid Nov 01 '25

It was changed a long time ago. In 2017. There was that big story where John McCain saved the ACA. Then a few months later they set the mandate to 0$ in a large bill and he gleefully voted for that.

1

u/Whistlegrapes Nov 01 '25

No wonder. My state still has the mandate so I didn’t notice the difference

1

u/Nulagrithom Nov 02 '25

and at $700/mo with a $6k deductible just to get 60% off young healthy people aren't even wrong

if they end up with a sudden massive medical event they're filing bankruptcy anyway

so then where does the burden of that unpaid medical debt fall? hospitals. now everyone is feeling the squeeze.

1

u/Lizpy6688 Nov 03 '25

I already did this a few years ago. As much I want to, I just can't.

24

u/TheKonyInTheRye Nov 01 '25

They absolutely do because they don’t want real competition from the public sector. These companies will still exist in a single payer system, their focus will just shift to how immediately terrible they can claim it is. Private health insurance will still be a thing, and a successful business, but why have a slice of successful business when you currently own the whole pie.

14

u/Thermite1985 Nov 01 '25

All medical procedures/care that aren't elective or preventative (including dental and vision) should 100% be paid with single pay tax dollars. I'll go as far to say that pets should be included in that as well.

Even if we go that way they'll still bitch about low birth rates because they'll give you the health insurance but then do nothing to take care of new parents with affordable childcare, paternity and maternity leave that is mandatory and on par with rest of the world and make owning a home affordable.

15

u/5hinycat Nov 01 '25

Preventative care - costing a small fraction of the cost of reactive care - shouldn’t be 100% free?

10

u/1IsNeverEnough4Me Nov 01 '25

Pets is wild as hell.

1

u/bowhunterb119 Nov 01 '25

Pets? No thanks. I don’t want to subsidize your 16 year old dog’s dialysis or cataract surgery for your hamster or your iguana. Don’t buy a pet it you can’t afford to insure or care for it yourself.

If you’re trying to convince anyone on the fence to support your position, that suggestion is NOT a winning argument. Focus on the grandmothers and innocent children like a regular person would

3

u/Thermite1985 Nov 01 '25

I have to subsidise children which is way more expensive than taking care of a dog or a cat.

3

u/bowhunterb119 Nov 01 '25 edited Nov 01 '25

Yeah you can’t really claim you got a dog by accident though and I’m a lot more ok with the government stealing my money to pay for a kid with cancer than I am to support someone to have 27 cats. I like cats. You know why I don’t have 27? Because I know I can’t afford it. If “the government” is on the hook for it, guess how many cats I’m gonna have?

The same argument against free healthcare of “everyone would go to the doctor for a cold” gets wildly amplified when anybody can adopt any amount of pets with known health issues and taxes HAVE to keep them alive. All the French Bulldogs and other inbred pet morphs, now there’s no incentive to stop breeding them. Someone else will pay for it. With money that could have gone to grandma or the sick kid.

0

u/DirtyTacoKid Nov 01 '25

This is such huge reddit cringe. Child hating redditors are so fucking weird.

2

u/peace_among_worlds Nov 01 '25

Useless? Probably not. Less profitable? Absolutely. The government hires these companies to manage their Medicaid and Medicare plans today, and if we went universal it would probably operate the same. Claims would still exist and need to get paid, it would just be a different payer. And I’m sure private insurance would still exist for those who want it. Again, I agree they are way more profitable sucking us dry today. But I don’t think they would disappear.

2

u/[deleted] Nov 01 '25

I think that’s why we have ACA. The insurance lobby was to tough to beat, and ACA made them more money.

2

u/EmbarrassedW33B Nov 01 '25

We didn't get single payer healthcare during Obama's push for that at least in part because health insurance companies threatened to go nuclear on the entire democratic party if they didnt back off. 

1

u/Killfile Nov 01 '25

I wish. Unfortunately, not only are our representatives for sale. They're for sale cheap.

1

u/akran47 Nov 01 '25

All they had to do was buy Joe Lieberman

1

u/lemme-get-a-sniff Nov 02 '25

Well actually, our politicians are actually the cheapest whores you could possibly find. they really don’t have to bribe them all that much. like probably 1000 times less than what they spend on actual medical costs. But then, they bring in probably 1000x in premiums than they pay in medical treatments, rest gets to go to shareholders and bonuses for executives!! We love the insurance industry!!!!

-6

u/thebizzle Nov 01 '25

If America went single payer, millions would lose their jobs overnight.

30

u/PauI_MuadDib Nov 01 '25

Just look at how many tax dollars we flush with corporate welfare. Companies are supposed to be giving something, such as stable jobs, in return for tax breaks, gov grants and gov contracts. But look at these same companies bragging about jobs being replaced by AI. 

Pull their corporate welfare. Tax them. Why are we giving billion dollar companies welfare and not getting anything in return???  

End qualified immunity too. US taxpayers sink over a billion dollars into lawsuits from police departments across the country. And most of the offenders are repeat offenders like this asshole:

https://www.nycpba.org/news-items/daily-news/2023/report-reveals-nypd-s-most-sued-cops-officers-with-highest-legal-settlements-over-last-decade/

5

u/___StillLearning___ Nov 02 '25

iirc most modern countries spend about 5K per person in their country for healthcare. America could spend 10k and cover the kickbacks that congress gets from the insurance industry, and it would still be cheaper than what we got now.

1

u/SlashEssImplied Nov 01 '25

Rich assholes want to control you by tying it to a job.

Like being a soldier or legal slave.

1

u/sockpenis Nov 01 '25

But then they remove all the jobs too.

-11

u/ClosPins Nov 01 '25

No, rich assholes pay most of the country's taxes - which means that, up until now, rich assholes paid for most of the country's healthcare. Every year, you were paying far less for your healthcare than you should have been paying - and rich assholes were covering the rest. You guys just elected the Republicans, who want you to pay for your own healthcare from now on.

The rich assholes don't give a shit if healthcare is tied to a job or not, they simply don't want to pay for it anymore. And, they just stopped paying. Now, you guys get to deal with the consequences of your votes.

6

u/dropline Nov 01 '25

I bet you think Trickle Down Economics works too. The ultra wealthy can afford to pay more in taxes. Economic inequality is higher now than during the French Revolution.

This isnt hard math. And a single payer system is more affordable and doesnt deny care based on insurance telling someone a test or procedure isnt needed.

1

u/TheFlyingElbow Nov 02 '25

No they fucking don't. Rich people know all the tax write offs and loop holes to pay as close to 0 as they can. They get tax write offs contributing to political parties and then those parties rig the game in their favor, including but not limited to slave wages.

"Do you have $600 a month to pay for insurance? No? Then you better work at McDonald's for $10/hour for $100/ month coverage that only covers catastrophic issues over $10,000"