To be fair most hospitals have charity care you can apply for and will work with the patient as far as taking payment plans based on affordability. The ER prices are ridiculous but that speaks to a bigger issue caused by health insurance existing in the first place that brought the prices out of wack, and market distorted to begin with. Federal regulations limiting insurance competition isn't helping either.
I understand the want for a universal healthcare but that solution would have trade offs that include inferior healthcare across the board for all and increased deficits that would have to be made up somewhere else and could bring about the increase of gas prices through taxes or much higher percentage of taxes will be paid by all including a possible vat or simply insane margins on income tax for all.
Which is why I advocate for an alternative solution based on market principles which a much smaller true "charity" available for those who don't have an income or who's income makes it impossible.
There has to be a solution that covers everyone and doesn't have dire trade offs
Bro what we have now is the best the market can offer us. Their priority is profit, which doesn't necessarily line up with providing the best care. In fact, profitability often means working hard to find reasons to deny coverage. I have had a few ER visits (motorcycle accident and some unpreventable stomach shyt), and both times they tried to deny me coverage. Not paying out is the most profitable move.
ALL the countries higher than us on the scale of competitiveness have a public option. OPTION. Yes the public option wouldn't provide as good care as a Cadillac health plan, but guess what, MOST Americans don't have a Cadillac health plan. The folks with regular insurance get so-so care at a high cost, the folks with no insurance are too scared of the costs to utilize care until it is damn near too late. A public option would lower costs by creating a bigger pool of risk, and being structured to encourage PREVENTATIVE care (i.e. regular doctor visits + blood tests) rather than REACTIVE care (not going to a doctor for 15 years and then heading to the ER for a preventable heart attack).
And of course, it's an OPTION... if folks feel like the public option is not enough, this is America, I don't think there would be any laws forbidding people to choose a private plan. Folks on Medicare often buy secondary coverage because the baseline doesn't cover everything + has copays. Folks could get supplemental coverage from private providers, or get their full coverage from a private provider if they wanted (if the public option had high deductibles/copays for example). There are DEFINITELY ways to structure it to cost less and not remove the private sector from the equation.... but as is, we are getting the best the private sector has to offer, and for everybody- the folks w/sky high premiums who are relatively healthy + low cost and the folks w/no insurance responsible for those high premiums (because they can't afford coverage)- it
sucks. Get off the almighty private sector's dikk, it is not the be all end all of every problem.