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Utopia Talk / Politics / US Emergency Care, Not For Wage Earners
williamthebastard
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Thu Jul 30 15:15:51
David Cifaldi, a 32-year-old emergency room nurse from Montana, was impaled by his own trekking pole during a hike. The pole was “jutting at an angle into his left latissimus dorsi muscle, below his armpit, and out through his back,” according to the outlet.

Instead of immediately calling for a helicopter rescue, he endured a painful 10-mile trek over six and a half hours because he was worried about the potentially enormous cost of an air rescue.

The incident has sparked widespread discussion about healthcare costs in the United States, especially the price of emergency medical transportation. While health insurance may cover some or all of the expense depending on the plan, helicopter ambulance bills can sometimes reach tens of thousands of dollars
williamthebastard
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Thu Jul 30 15:18:29
Pic:

http://aka...5746c26e0f48c53c13a4e00887bf63
Forwyn
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Thu Jul 30 18:38:13
Chopper flight for my son (3h drive, ~1h flight) was billed at $17k. I paid about $1k with monthly HSA payments and had zero stress about it.

Younger folks do often opt for high-deductible plans with large caps, and end up spending $5-10k before insurance covers the rest.
Sam Adams
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Fri Jul 31 00:24:21
This is of course a lie, made up by wtb or some other homo eurowuss who couldn't even comprehend in the slightest being a badass able to take care of yourself.

The real story is that this guy is a trained health worker, knew his wound wasn't that bad, didn't hurt much, and he wanted to hike out simply to be a badass, rather than cry for rescue like a eurowuss.

Mountain rescues, including helicopters, in the US are almost always free. You have to have done something egregiously dumb or have it be egregiously unnecessary to get charged, which clearly doesn't apply when you have a trekking pole through you like an arrow in braveheart.


I'm impressed that he was able to insert a trekking pole so far and so cleanly through his muscle... trekking pole tips are usually pretty dull.
murder
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Fri Jul 31 02:12:32

"Pic:"

Holy fuck! How do you even do that? I assume he somehow fell onto it, but I'm having a hard time imagining how.

-
Sam Adams
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Fri Jul 31 05:08:33
Ya that's spectacularly bad luck (or good luck dependimg on your point of view since it also missed anything important).

I'm impressed.
williamthebastard
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Fri Jul 31 05:54:50
lmao, youve gotta laugh whenever Lying Pedophile pretends to be a professional pilot/meterologist/mountain climber rofl!
williamthebastard
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Fri Jul 31 05:58:10
But imagine a country where someone in that situation doesnt dare call emergency services because he cant afford the bill. Its at Sudan levels
Sam Adams
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Fri Jul 31 06:15:09
You've gone back to your mentally ill disconnected blabbering again wtb. I know you don't like being wrong but you don't need to devolve that quickly when you lose.
Forwyn
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Fri Jul 31 16:22:50
Did he even have cell service? This is Montana Granite Peak after all
Forwyn
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Fri Jul 31 16:24:10
Conquering the wilderness and returning safely with a gaping wound with no help is like the quintessential male fantasy. And he's a nurse. He's gonna get so much tail
Habebe
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Fri Jul 31 21:16:52
"Instead of immediately calling for a helicopter rescue, he endured a painful 10-mile trek over six and a half hours because he was worried about the potentially enormous cost of an air rescue."

This shit os fictional stories.

Like literally, Ive never known a single person in my entire life that forwent medical care for fear of medical bills.

------

Who pays most of the bill?
For medically necessary, non‑cosmetic care in the U.S., about 73% of total spending is covered by insurance and public programs (private plans, Medicare, Medicaid, etc.). �
How much do patients pay out of pocket?
Average out-of-pocket (OOP) spending per person: roughly $1,500–$1,600/year. �
But the median is much lower; half of people spend very little (bottom 50% average only $24/year). �
A small group with serious or chronic conditions pays thousands to >$20,000/year out of pocket (top 10% average $6,126, top 1% average $23,700). �
How much care goes unpaid or becomes debt?
About 36% of U.S. households have some medical debt; 21% have a past‑due bill. �
An estimated $194 billion in medical debt was in collection in 2024. �
Around 15 million people had unpaid medical bills on their credit reports in 2023 (≈5% of Americans). �
Even among insured older adults, 7% reported $53.8 billion in unpaid bills in 2020. �
Habebe
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Fri Jul 31 21:19:51
Only a fraction of medical debt is actually collected; most ends up unpaid or written off.
Total medical debt owed: At least $220 billion nationwide (survey-based estimate for 2021–2024 period). �
Debt in active collections: Researchers estimate roughly $194 billion (with a plausible range of $94–$303 billion) was in active collection in 2024. �
Debt visible on credit reports: The CFPB estimates about $88 billion of medical debt shows up on consumer credit reports (as of 2021–2023), acknowledging the true total is higher because not all debt is reported. �
Because the amount in collections (~$194B) is already close to or below the total outstanding (~$220B+), and only part of that is ever recovered, a large share of medical debt is effectively uncollected or only partially collected. � In practice:
Many balances are negotiated down, put on long payment plans, or sent to charities/financial-assistance programs. �
Providers and collectors often write off a substantial portion as bad debt or sell it for pennies on the dollar, with limited actual recovery. �
So while exact “uncollected” totals aren’t perfectly tracked, the best available figures imply that tens to over a hundred billion dollars of medical debt each year is never fully recovered. �
williamthebastard
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Fri Jul 31 21:23:15

I was so close to becoming an American. Warner Bros. tried to get my father to move to Connecticut for business reasons. They even helped him look for houses and schools for us kids.

He was already in the US working 6 months a year back then and they flew my mum over for a couple of weeks to check out the schools and houses etc.
He finally decided he'd miss Guinness and cricket too much and declined. Thank you lord.

There but for the grace of God go I.
williamthebastard
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Fri Jul 31 21:59:28

"Life expectancy ranking, 2023–2025 estimates:

1. Monaco — 86.5 years
2. Japan — 84.8 years
3. Singapore — 84.5 years
4. Switzerland — 84.0 years
5. South Korea — 84.0 years
6. Spain — 83.9 years
7. Italy — 83.8 years
8. Australia — 83.7 years
9. Hong Kong — 83.7 years
10. Iceland — 83.5 years
11. Norway — 83.4 years
12. France — 83.3 years
13. Sweden — 83.2 years
14. Israel — 83.0 years
15. Luxembourg — 83.0 years
16. Netherlands — 82.8 years
17. Canada — 82.7 years
18. New Zealand — 82.6 years
19. Ireland — 82.5 years
20. Portugal — 82.4 years

45–50. United States — 78.5–79 years
Sam Adams
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Fri Jul 31 23:21:08
"Did he even have cell service? This is Montana Granite Peak after all "

Most experienced climbers carry a device that texts over satellite. My newest phone does that... Thanks for reminding me I haven't tested mine in a while... regular cell service also hits high mountains pretty well since line of site is so good. For example Rainier and Shasta, 2 favorite mountains of mine that I routinely visit have had intermittent cell service for the last 10 years.... though Shasta has the interstate nearby do thats cheating.

And in this case the group was in communication with mountain rescue just in case but the guy was a badass so they were not needed. Basically everything wtb said was made up and wrong.

"United States — 78.5–79 years"

Black people and wigwam Indians really drag us down. So do fat rednecks. Much of the US is at 80-85 same as everywhere else.
Habebe
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Fri Jul 31 23:40:33
Yeaj, its sort of like how in parts of france its 74 years (Guiana) but they have low relative populations, so its not a huge impact overall.
Habebe
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Fri Jul 31 23:45:43
Sam, City whites in the US are about 78-82.
williamthebastard
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Fri Jul 31 23:50:45
What the hell fantasies are you inventing to hide away from the real world rofl

"Hispanic Americans live significantly longer than the US average despite, on average, having lower incomes than non-Hispanic Whites.

White Americans are almost exactly at the national average because they make up the largest share of the population."

Not worth reading whatever nonsense you dreamed up about parts of the American continent, i.e. Guiana.


williamthebastard
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Fri Jul 31 23:52:35
rofl

"French Guiana's life expectancy

Overall: about 79–80 years"
williamthebastard
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Fri Jul 31 23:54:55
"French Guianas life expectancy is higher than US whites?

Yes—based on the latest available figures. So while French Guiana is politically and legally part of France, its health outcomes are closer to those of the better-performing countries in South America."
williamthebastard
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Sat Aug 01 00:11:27
There is literally nothing in existence that is too stupid for murcans and the lying pedophile to not lie about it being the fault of brown people.
“A brown person ate my homework, ma’am”

Physiologically incapable of facing reality, they build a dreamworld in their heads and crawl in and hide there forever
Sam Adams
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Sat Aug 01 00:18:51
Take your meds wtb. You are soazzing out after failing to comprehend the meaning of words again.
williamthebastard
rank
Sat Aug 01 00:24:54
Lying Filth doing his best to reduce average
life span:

"can ODD impact life span?

Yes, Oppositional Defiant Disorder (ODD) can be associated with a reduced life expectancy; the increased risk comes from behaviors and conditions that are more common in some people with ODD.

So the evidence suggests that persistent, untreated ODD—especially when combined with other psychiatric or behavioral problems—is associated with an increased risk of premature mortality"

Of course, as the glorious browning of the USA continues and the population under 18 which is now predominantly brown reaches their last years, the higher life span among mexicans will probably raise the average life expectancy in the US, dragged down somewhat by the revoltingly obese white murcan minority.
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