Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

Seriously. I want to live in a country where if you have a 1 in a million disease like this, you shouldn't have to worry about how much it's going to cost to get treatment.

Everybody needs healthcare/health insurance, and we are all the same species. Every single person in this country should be paying the same monthly fee for coverage. If wind up in a hospital, you should never even have to think about how it's going to be paid for.

Unfortunately in this country, we have people that will yell out "let them die" at a presidential debate about what to do with the uninsured, and why we shouldn't force people to pay for healthcare.



Just my story, so you can see how well it CAN work:

I live in Australia. Last year I was diagnosed with aggressive nodular melanoma. In a matter of weeks/months it spread to all the lymph nodes in my left leg. I've been through a solid year of treatment so far with half a dozen CT and MRI scans, 5 major surgeries, 3 minor (day) surgeries, chemo, constant physiotherapy and rehab, more medication than i could list, and dozens of specialists. I'm out of pocket by about $1000 total (mostly got the gap fee for one of my specialists).

If I was in the US or elsewhere, I've been told it would be in the hundreds of thousands of dollars. Money I never could have paid.

We have optional private health cover here, but I didn't have it. All my stuff is done under the Medicare system which we pay for with our taxes.

I owe them my life. Literally.


Thanks for sharing, similar story:

Here in the UK a program was started sending out postal tests for bowel cancer to men and women of an at risk age.

One arrived for my father, he wasn't going to bother, he felt fine, and to do the test you had to paste a bit of poo into the kit and post it back, which grossed him out a bit. My mother persueded him to do it, and 3 weeks later he was called up by the hospital, as they'd detected blood.

2 weeks later he was having internal test and a month after that had a tumour and a couple of feel of colon removed.

It's now 3 years later and thankfully the tumours have not returned, though he has 6 monthly check-ups until the 5 year mark, then down to yearly.

All this was free (well paid for by tax). By pre-emptively catching the cancer early the NHS was able to both save a mans life, and also save a huge amount of money that could have been spent on late stage care.

I am forever indebted to the NHS and universal health care. As a self employed artist my father wouldn't have been able to afford private care, and I hate to imagine the state of care he would have received in another country, where universal free healthcare did not exist or was underfunded. The money we pay here in tax is far less than that paid in other countries in insurance, and covers everyone equally.


> If I was in the US or elsewhere

Just the US, if you restrict yourself to "advanced economies".


This story is NOT about someone who could not pay medical bills and/or didn't have insurance. It clearly states in the article that the money was needed because the parents quit their jobs and was to be used for living expenses. Please do not recast the story to suit an agenda.


And for a ridiculously difficult procedure like this? Doesn't it make sense in a way for health care to pay for it?

The parents needed to quit their jobs because they needed to move to NC. They needed to move because of the procedure. Yes it might be a grey area but I'm okay with exceptions like this.


> Yes it might be a grey area but I'm okay with exceptions like this.

It's not really a gray area, a number of countries either have a concept of "caretaker leaves" or let parents use sick/parental leaves to take care of young children (in Sweden for instance, parents can take their paid sick leave — 364 days @80% then 550 days @75% — to care for children under 12)


You make a fair point, but either way, people in this country shouldn't have to worry about financial hardship as a result of a required medical procedure. Relocating the parents to be where a very young child needs to get treatment is all part of the same medical expense, as far as I'm concerned.


In countries with UHC, parents can usually get paid medical leaves (or "caretaker leave", depends on the country) to take care of sick children.

Therefore, in most countries with UHC they'd have been taken care of and likely would not have had to do a fundraiser.


Having lived in a country like you describe, cost still plays part in it. Suddenly, you're on waiting lists. Waiting lists that are years long. And this is regardless of what your doctor says. Need a treatment within the year or you'll suffer the rest of your life? Tough, you can wait 3.

Oh, you can go the private route. But you're still paying the cost of the public option. And both combined? Yeah, far more than what we pay here in the US.

The above isn't made up, it's just a small sample of why I left Canada. I could never subject my children to that horrid system again without feeling as if I was abusing them.


I would have thought that the number of deaths per capita in the US because insufficient funds to pay for healthcare, greatly exceeds the number of deaths per capita in Canada because of waiting times.

And in any case, Canada does not have the only public healthcare system in the world. There are many that do not have such extreme waiting times.

(Of course, this whole discussion is academic, since the US is incapable of implementing any public healthcare system, waiting times or not).


It's illegal to not treat someone who is going to die because they are uninsured. They just get stuck with a massive bill. It's untrue that the US cant implement public healthcare... They have had it for years in the form of Medicare.


That actually depends on the treatment and the ailment.


1. Who was talking about deaths? Sorry, but healthcare is more than just life and death. That being said, your post screams ignorance of universal healthcare.


You contradict yourself.

> Every single person in this country should be paying the same monthly fee for coverage.

> Unfortunately in this country, we have people that will yell out "let them die" at a presidential debate about what to do with the uninsured, and why we shouldn't force people to pay for healthcare.

But what if I don't want to pay that monthly fee? What if I, as a person who isn't you, decide I want to spend my $1000/year on something that isn't health care, and I want to die if I get into an accident that requires expensive surgery? Why is that not an acceptable outcome, given that I know about it a priori?

The real argument about health care cannot and should not be separated from taxation or any other economic issue - it's simply a question about how we, as a society, should subsidize poor people to enable them to pay their premiums. If they elect to do so is another issue entirely.


You benefit from everyone else paying for public healthcare, even if you never get sick. Economically it makes sense to have a healthy workforce, and medically it's a really bad idea for people with infectious diseases to stay away from treatment because they think they couldn't afford it.

I have no problems with a blanket tax on that basis alone. It's not as simple as giving people the option to opt out - by doing so they impose a cost on the rest of society even if they never get in an accident or take their symptoms to a doctor. Being a member of society has always been a quid pro quo, and I can't see why healthcare should be excluded from that bargain.


Because other people have to live in this world with you, and they aren't going to just let you die when they can save your life.


What are you views on medically-assisted suicide?


I think in both cases, the driving force behind it is compassion to other human beings. Needless suffering is truly an awful thing. As I found out in Dying Well, which is an amazing book, is that sometimes extreme pain is so severe it can't even be treated properly. In some cases, medically-assisted suicide might be the best way for a very sick individual to take control of their own destiny.

In the case of mandating healthcare, it's not that I think people should have the choice of whether or not to participate in the system, it's just that the rest of us can't go on just letting our fellow citizens die when they get severely injured. It's just unthinkable.


So you're saying that because you, as an emotional person, cannot let me die, you are going to force me to spend my personal income on something I don't want? That sounds very totalitarian.

Also, I think this debate is a rabbit hole since it is a complete strawman. I would argue that, given the correct subsidies by the government and proper knowledge about health care, almost every person in the world would choose to buy a health plan of some sort. If you don't agree with that, you must have a strange view about how the vast majority of people make decisions.


> I would argue that, given the correct subsidies by the government and proper knowledge about health care, almost every person in the world would choose to buy a health plan of some sort.

I certainly agree with that, and the thing that is going to help us get to a system like that is a mandated system. Do you also think social security should be optional and when people get old and can't work they are SOL and left to rot?


People see universal health care as a single thing, unfortunately. Having experienced it first hand, I can say, when it works, it's fine. But when you really need it, it has the tendency to fall through, and you suffer for it. And suffer bad. Essentially, it creates a false sense of security.


We all have to keep our priorities straight. Most likely, you already pay a monthly fee that's being used to fight wars you most probably don't agree should be fought.

Wouldn't you much rather see that money being used to keep you sure that some medical condition won't drive you and your family into financial ruin? That it doesn't matter what kind of weird disease you may get, you'll get proper treatment?




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: