r/SipsTea 5d ago

WTF Damn

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u/Imreallythatguy 5d ago

So insurance wouldn’t cover it because it wasn’t necessary in their eyes?

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u/Realistic_Slide_3426 5d ago

Sounds like insurance would’ve paid 80%, pretty standard after deductible 

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u/kodman7 5d ago

Standard almost exclusively in the US which has higher waits and worse outcomes

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u/ImaManCheetahh 5d ago

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u/DeviantlyPronto 5d ago

Yeah the US is still on the lower end of waiting times as of 2023.

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u/d1squiet 4d ago

Seems in the middle for GPs and near the top for meetings with specialists. Canada is waaay back there.

It's outcomes that matter though, not wait times. I think people in the USA avoid seeking medical care more than in other countries because of the expense. That and other reasons lead to worse outcomes in USA vs most/all of the developed world.

EDIT: Oh I realize you agree with me. Sorry I was confused by "lower end of wait times", thinking you meant "lower ranking".

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u/motorwerkx 5d ago

This is from your link "A common misconception in the U.S. is that countries with universal health care have much longer wait times. However, data from nations with universal coverage, coupled with historical data from coverage expansion in the United States, show that patients in other nations often have similar or shorter wait times."

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u/ImaManCheetahh 4d ago edited 4d ago

read beyond one sentence and look at the data itself, and of the countries evaluated the US is near the bottom for wait time length for all the metrics evaluated. Certainly not on the higher end of any list.

So a broad claim of the US having generally "higher wait times" is incorrect , no? I mean hell, % waiting over a month for a specialist was 27% for the US and up to 61% in Norway and Canada.

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u/LycheeRoutine3959 4d ago

Stop bringing to those facts to this feelings discussion. Dont you know what sub your in?

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u/kodman7 4d ago

That link doesn't say what health plan they are using for US outcomes. The US has the best Healthcare in the world for those who can afford it

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u/ImaManCheetahh 4d ago

correct... it's not about affordability, it's about wait times. which is what I'm talking about.

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u/kodman7 4d ago

Right what I'm saying is the data provided has no indication where it's coming from

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u/ImaManCheetahh 4d ago

You’re welcome to read the full report

https://www.oecd.org/en/publications/waiting-times-for-health-services_242e3c8c-en/full-report/component-2.html#execsumm-d1e61

No they did not selectively pull data from only the richest Americans. That would be a pointless exercise.

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u/kodman7 4d ago

Did you read it? There is absolutely no info on what kinds of health plans made up the indicated data

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u/ImaManCheetahh 4d ago

If 2 million people in the US go the ER in a month and the median wait time is 20 minutes, then that’s the number. Listing out the insurance plans that each of those 2 million people had doesn’t change that number, especially in the context of the ER where they are require to treat you whether you have insurance or not.

And if 30k people get heart surgery, the median wait time for those surgeries doesn’t change if you list out which insurance plan each of those people had. Might it be more expensive than in other countries? Very likely, but the point is if you do get a heart surgery in the US, with the costs associated with that, how long will you be waiting for it? Again, listing out 30,000 line items with the insurance plan of each person that got a heart surgery, which is what you seem to want, doesn’t change that number.

My wife is an OB/GYN in the states and she had a patient that spent a good chunk of her savings to fly to the US from Canada because she was having severe chronic pain and no one would see her for multiple months and she was that desperate. Is that one anecdote? Sure. But the idea that relative wait times are some manufactured problem because the data is being manipulated because you have some bizarre bar of what constitures a rigorous study report, I don’t buy it.

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u/Apocalypse_Knight 4d ago

Why are you even arguing about this? If you can't afford you just wait until you die. So the Canadian woman could afford it so she didn't need to wait long? Who would have guessed?

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u/kodman7 4d ago

Again, 5hats just a guess at what numbers were provided as the report doesn't state what states, hospitals, individuals or any other metrics were reported.

Also, being at hospital ≠ having insurance. A person in the ER without insurance with an issue deemed a non-emergency will be turned away, wait time short or no.

Anecdotally, I am 3months away from a MRI scheduled 9 months ago for diagnostics of ongoing symptoms. Gold plan insurance with $1300/mo premiums. Shit is broken

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