The United States spent about $4.5 trillion on health care in 2022, roughly 17 percent of GDP, nearly double what peer nations spend, and still leaves tens of millions underinsured. CMS. I know a teacher who did everything right, had insurance through her district, and still ended up with $90,000 in bills after her husband's cancer because of deductibles, coinsurance, and one out-of-network anesthesiologist. Medical debt is the leading cause of personal bankruptcy in America. Every other wealthy country figured out that you do not let people go broke for getting sick. We pay more for the privilege of worse financial outcomes, and the only people who benefit are the intermediaries skimming between the patient and the doctor.
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PoliticsSep 24, 2026
Should the United States adopt a universal healthcare system?
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The out-of-network anesthesiologist detail is what radicalized me. You can do everything right, pick an in-network hospital, and still get destroyed by one person you never chose. That is not a system, it is a trap.
Same. My appendectomy came with a separate bill from the radiologist I never met. The choice and consumer language around health care is a joke when you are unconscious.