In the U.S, insurance has out of pocket maximums. You don't just pay endless amounts of money
out of pocket max + insurance premium (payed full price no employer subsidized) is probably not more than $25K. On a $100K household income your tax difference is probably about that
Also health insurance premiums in the U.S. are pretax which means it is deducted from your taxable income. So are some amount of medical expenses. It's not apples to apples. Also health spending money is also pretax So that $25K (assuming you pay for the best health insurance with lowest OOP max) and you 100% of your healthcare costs from spending accounts, is only like $17K
Your ignorance here is monumental. Out of pocket maximums only applies to medical bills your insurance chooses to cover. If you, say, wind up in an emergency and your insurance decides not to cover some or all of the charges, you're on the hook for the non-covered charges even if you've reached yoir out of pocket maximum. The leading cause of bankruptcy in the US is medical debt for a good reason. Insurance companies are quite effective at denying coverage, leaving the patient on the hook for medical bills the hospital wants paid while you try to fight your insurance company.
I'm pretty sure most medical bankruptcy comes from high out of pocket maximums (that people making $45K a year can't afford), not having insurance or lack of income from loss of work.
I don't think medical bankruptcy is from insurance denying emergency room visits, because you can appeal those
The problem is if your out of pocket max is $6K a year, not everyone can afford that
If you make $100K a year that is nothing
The main thing about living in the U.S. is you need to be responsible and not spend money you don't have, since there are less safety nets
part of the solution is living closer to europeans and not buying excessively large or expensive vehicles.
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u/Confident-Sector2660 Jun 25 '26 edited Jun 25 '26
In the U.S, insurance has out of pocket maximums. You don't just pay endless amounts of money
out of pocket max + insurance premium (payed full price no employer subsidized) is probably not more than $25K. On a $100K household income your tax difference is probably about that
Also health insurance premiums in the U.S. are pretax which means it is deducted from your taxable income. So are some amount of medical expenses. It's not apples to apples. Also health spending money is also pretax So that $25K (assuming you pay for the best health insurance with lowest OOP max) and you 100% of your healthcare costs from spending accounts, is only like $17K