zlacker

>>wallfl+(OP)
Healthcare in the US is broken and they won’t let you fix it because the money is too good. Think about the fact that PBMs, which is there to save and manage on pharma is incentivized to promote drug price inflation. That’s just one “small” piece of this clusterf*k. It’s layers and layers of these convoluted system of incentives.

As to OP, the simplest solution is to move out of the US early enough or become “poor” enough and be in a wealthy blue state by the time you get to this predicament.

>>lvl155+rl
Like 5-10% of the US's total GDP gets wasted annually on the layers and layers and layers of healthcare middlemen… for worse outcomes.

>>elgeni+r21
Where did you get that number from? It doesn't even pass the sniff test.

17% of GDP is spent on healthcare. Claiming 60% of that is just "middleman overhead" makes no sense when the highest European countries spend 70% of what the US spends on healthcare.

If you want an actual analysis of why US healthcare costs are higher, I'd recommend the McKinsey study that compared category spending vs OECD countries. Exhibit 2 on page 4.

https://www.mckinsey.com/~/media/mckinsey/dotcom/client_serv...

Administrative costs are way higher in the US, but it only accounts for 15% of the higher cost.

The biggest driver is outpatient care - Americans get way more healthcare and it costs more (quantity * price).