It's not just that it's too expensive. It's the uncertainty. No one knows how much anything costs until you get the bill several months afterwards. Every time you go to the doctor, you're giving them a blank check.
There is a story of my aunt who got bitten by a snake when camping.
She was foolish enough not to take out travel insurance. There was no way she was getting a medevac so a park ranger watched over her for a few days while her body was fighting death.
This is why you should always have travel insurance because outside of Europe the first thing a doctor asks for is a credit card.
Given that 20% of Americans have a net worth above $1M, all of the stats in this article seem way too high.
For example, it says that 85% of Americans have medical debt. I probably owe a copay or two that gets lost in the mail and I eventually pay. Do I count in that 85%?
> Given that 20% of Americans have a net worth above $1M, all of the stats in this article seem way too high.
Net worth includes retirement accounts and equity in homes. There are a lot of people in this group who are "house rich, cash poor", they may have a $500k home and $500k in their 401k, but they don't have $1 million in cash on hand. That's something you might access for an emergency or to cover costs for serious health issues, but it's not the sort of capital you dip into for much less than that.
Medical care in the US is insanely expensive, but also -- at least in some parts of the country -- it can be difficult to get at any price. Good luck finding a doctor that is taking new patients at all in my part of the country.
I don’t believe the headline, full stop. More than 8% of people go to the doctor. I don’t care how they defined “not going to the doctor”, if someone has a painful infection or trouble breathing, they’re going to the doctor.
What counts for the purposes of ‘medical treatment’? Does getting a quote for plastic surgery and not doing it count as ‘delaying care’?
Whatever polling was done is so broad that it’s meaningless, you might as well claim 100% of people forego medical care.
I'm skeptical of the 92% figure as well (I'd guess that 60-70% of people have forgone advisable medical care at least once), but there's no question that a large percentage of people in the US avoid getting medical care because of the cost.
> if someone has a painful infection or trouble breathing, they’re going to the doctor.
That's not a given at all. I know people who have avoided going to the doctor for painful infections because of the cost. I've done the same myself.
"Trouble breathing" is an interesting thing, because there have been more than one instance in my city of people who didn't avoid going to the doctor but did die because they couldn't afford the ongoing care their conditions required.
Pfft. My buddy separated his shoulder snowboarding. Never went to a doctor. 20 years later it’s still janky
It seems like, the more I go to the doctor, the more I need the doctor again.
Doctors are great at finding "treatable" things. If I'd stayed on all prescribed medication I'd be a wreck now, just from side effects and compliance hell.
I stop medications on a regular basis. I found out on Thanksgiving last year that stopping my BP medication was a real bad idea, and that I was also diabetic enough to need all the management rigmarole that goes with it.
In the mental arena, I'm 100% glad I've stopped all medications, and I feel so mentally good that I can confidently tell my psychiatrist to get stuffed, each and every time, and they really, really give the hard sell on medications there. Sure, I can expect BP and diabetes to put me on meds as I age, but nobody needs psych meds for any good purpose, and there's no relapse or decline that would change my mind.
Anyone who's taking medication or managing chronic illness has no choice. Doctors and pharmacies are the gatekeepers for us, and we either meet with a gatekeeper or we don't get the "treatment that we need". 92% is bullshit, and this is a UK article, so why should I believe anything the UK says about the USA?
This number sounds implausibly high to me, and I can’t find any information on the exact survey question. If someone has some muscle aches, but they don’t go to the doctor immediately because it’s probably nothing and they don’t want to pay the copay, is that counted as delaying medical care due to cost?
Given that would never happen in every other OECD country, yes, it does.
So essentially the stat claim is meaningless?