this post was submitted on 28 May 2025
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I know expensive, shitty healthcare in the USA is a stereotype, but in my experience it's also largely true. Maybe it's because I'm not wealthy or connected enough to have access to the good stuff, though?
The bills for my latest medical emergency are rolling in now.
The $1,000 USD ambulance bill is almost a relief, since I've heard others say their ride cost several times more than that. I declined pretty much all medical care in the ambulance and all offers for medication/treatment, though, so maybe that's part of it. Had I lost consciousness, I likely wouldn't have been able to say no.
The $2,000 USD emergency room bill? That's just the part that I have to pay out of pocket. The actual price they charged my insurance is $6,000+ for my slightly more than 90 minutes on a stretcher in the hallway. And it doesn't seem to have covered anything specific because the imaging (which I didn't even need), treatment, medications (which I would have refused if I knew how much they charged but they don't know that and can't tell you ahead of time), individual nurses, etc are all billed as separate line items. I was even charged thousands of dollars by a doctor I never even saw in person. I joked in another thread recently about $45 tylenol, but that's actually true. I'm paying $45 for 800mg of tylenol.
Months later, the billing part isn't even finalized. New claims/bills showed up literally 2 days ago, well after I thought I was done paying. Thousands of dollars out of pocket, on top of paying a thousand dollars a month for insurance.
At least the medical professionals that treated me were great.
last time i was in the hospital in the states the nurses and the hospitalist intentionally tried to kill me via malpractice.
I've had good hospital experiences, but not in the last ten years.
As someone who hasn't been to a hospital since he was 13 I would love to hear wtf I'm in for when it inevitably happens. Why would they do that? What did they do? Was it subtle? Stupid?
I've worked in a few US hospitals (in the lab, but we worked closely with nurses and doctors) and by far the biggest danger I observed (other than insurance practicing medicine without a license) was nurses and doctors making mistakes due to sleep deprivation. Doctors and nurses will work 14 hours, get called in to the ER multiple times throughout the night, and then try to work another 12 hour shift without sleep.
Another huge risk factor was overworking nurses by giving them too many patients to care for. Nurses need patient caps of 5 or 6 because each additional patient increases the risk of someone dying by 20%