there is something astounding about american bureaucracy and service givers. the entire american irrational fear of socialism and any kind of welfare state manifests it self in exactly what they fear the most, the working class is paying for everyone else to have what they dont deserve, and they themselves get the worst service of all.
in america there is no public health system. every health issue a person might have must be dealt with privately, and services obtained must be paid for in full. for someone like me, who never paid for a medical procedure in his life before, it was amazing to find that a doctors visit costs about 500$, for about 10 minutes. cant imagine what a broken arm costs, let alone some major surgery. but in any case, the doctor, the provider of the health commodity is a private entity. his only motivation in this business is money. a person might buy himself insurance, against any health problems he might have to pay for. this insurer covers most of the payment for a doctors visit, but unless you are extremely rich and pay an exorbitant premium you will end up paying for most if not all of your health purchases in a given year, that is unless you did actually go through some major medical procedure.
in Massachusetts every person must have health insurance by law and every insurer must provide insurance to any one who applys. to make sure this happens there is a third party that consolidates the payments and enrollment to the insurance. the real problem is that none of these three entities have any material connection with each other, and they operate under totally different motivations and goals. this creates a bureaucratic maze that would leave even a veteran soviet ex patriot baffled.
the bottom line is you have to be rich to live here, and you have to be rich in the first place to get rich. i am niether.
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