Healthcare in the U.S.

Hey there crazies. It’s been a while. I warned you I might disappear from the vlog
because of all the doctor’s appointments. The last year has been pretty hellish for
me, but as you can tell I’m feeling a little better. Anyway, I wanted to stop in to share some
things I learned about medicine in general and about how the medicine works in the U.S. Some of it is good, some of it is bad, and
some of it is middlest. Prepare for some nuance! Let’s start with insurance companies. They suck! Just to clarify, I don’t have insurance
through any of my jobs, because part-time, but I do have personal insurance for my wife
and me through the marketplace. Though, we don’t really get the actual perks
from the Affordable Care Act because, apparently, we make too much. Anyway, I’ve had a personal plan
directly through an insurance company for many years. On top of a bunch of little glitches that I’m always calling them to fix, Premiums go up every year, so every 2 to 3 years
I have to downgrade my plan so I can keep affording it. For the record, that’s not because of the
ACA. Premiums always go up. It has more to do with insurance payout forecasts,
than it does with government policy. But let’s set premiums aside for a minute
and talk about actual medical bills. Anyone who has a personal plan knows that they
barely cover anything at least until you meet your deductible, which
of course is never. Insurance companies always make sure that those
are sufficiently large. However, they are still helping you every
time you get a bill, sort of. Even if the insurance isn’t actually paying
anything, they do negotiate prices. For medical and dental care in 2017, I paid
a total $5,125. That’s the total cost my insurance company
approved not the amount that hospitals and doctors tried
to charge me. The original bills in 2017 came to a grand
total of $24,764, almost 5 times what I actually paid. Thanks insurance company! Even if you include the premiums I paid: $600/month
for 12 months comes to $7,200. Add that to the $5,125 from earlier and I still only paid half of what I would have
paid without insurance. This is why people without insurance get totally
screwed over in the U.S. Although, I put negotiate in big-whopping
air quotes for a reason. What the insurance company is really doing
is saying “no” to fake prices. Let me give you an example. Last August, I got a CT scan. The hospital tried to charge me $4,473, not including what a doctor wanted to charge for reading the results. Just for the scan, which is ridiculous! There’s no way that CT scanner
costs $4,473 to run for a few minutes. So what happens next? The hospital bills the insurance company. Then the insurance company comes back and
says “no, that’s ridiculous.” Then the hospital says “You know, you’re right. Here’s a more reasonable amount.” The insurance company approves it and pays whatever
they were going to pay, which, remember is probably nothing. And the hospital bills you for the rest, which
is probably everything. The amount that finally got approved: $447.26. Literally 1/10th of the original amount. 1/10th !!!!!! Which means the hospital knows they can charge
$447.26 and still make a little profit, but they tried to charge 10 times that anyway. Ladies, Gentleman, Non-Binaries, that’s
what we call: “Price Gouging.” I know how a CT scanner works and I could
believe it could cost a few hundred dollars to run it. Totally believable. The $4,473 is a fake price. Hospitals have fake prices like these for every
procedure code, all in a record called a master ledger,
grand master charge master! It’s called a charge master. The hospital looks like it’s giving the
insurance company a huge discount, the insurance company looks like it’s negotiating
a price way down for you. It’s a win-win
except for you and me. Last year, I got half-off of the fake prices,
but paid almost 2.5 times the real ones, because we can’t get the real prices without
paying insurance premiums. They’re helping you with a problem they
created, but we can’t do anything about it. This will continue without proper government
involvement. Government involvement that asks the right
questions and actually solves the right problems. In the meantime, vote accordingly and get
insurance. It’s a necessary evil. Last, but certainly not least, medical diagnosis. I mentioned at the beginning of this rant
that I’ve been having health trouble. I have had an unimaginable number of blood
tests, urine sample tests, stool sample tests, a CT scan, a tilt table test, a heart ultrasound,
an endoscopy, and a colonoscopy. Everything has come back negative, except
the tilt table test. So I, for sure, know that I have Vasovagal Syncope. Basically, my vagus nerve is super sensitive. Unfortunately, that nerve controls a lot of
unconscious activity in the human body, so, if it gets overly-stimulated, I get dizzy and pass out, among other things. And, for the test to work, they had to induce
it while I was hooked to a bunch of equipment. It was the worst medical test I have ever
experienced. I’m grateful I don’t have to do it twice. Anyway, it doesn’t solve all my problems. My nerve is still getting triggered for some reason
which no one can figure out. But it did let the doctors know to get me
on some medication that raises my blood pressure, so I don’t pass out and, let me tell you, huge improvement. I feel like a new man. I do still have some symptoms to figure out, but they’re the more mild ones. I feel like I can actually function while
we try to figure the rest of this out. And this brings me to my last bit of knowledge: Doctors aren’t stupid. They know what they’re doing and they know
a lot! They just don’t have all the answers for
everything. Nobody does. Anyone who tells you they have all the answers
is either delusional or they’re lying. Medical diagnoses is hard. Especially for someone like me with lots of
symptoms and very few definitive signs. I’m being passed off to some super medical
specialists but they’re booked out for, like, 6 months, so
that appointment isn’t until this summer. In the meantime, I’m on medication that makes
me a functioning human being. I hope this video helps some of you
understand how medicine works in the U.S. or at least helps you understand what’s going on with me lately and, as usual, I’ll see you in the comments.

79 Replies to “Healthcare in the U.S.”

  1. Nick, I really hope your health gets better now that you have a diagnosis. Medical science evolves like all other science. I am Canadian, so I really don't know much about billing and negotiation of bills, but it seems to me to be an inefficient way of managing healthcare, never mind the stress it puts on ppl while they're sick. Imagine if you were uneducated, how badly you could be taken advantage of.

  2. Glad to hear you are doing better. Those fake prices are crazy. My wife had a standard series of lab tests and they billed us $1000. We ended up paying $70 after getting the "insurance discount". Of course no one wants to do anything about it for some reason. I really don't get it.

  3. Grats, Nick. Glad to hear you are feeling better. A bit of a personal story. About a year ago a hospital erroneously diagnosed my daughter with a very serious medical problem and life-flighted her to a tertiary care center in another state. At the second hospital the truth was discovered that she was perfectly fine. The bills ended up being about $72k. Our insurance company really went to bat for us telling the first hospital they weren't going to get paid, and they (the first hospital) would be paying for the transport and all subsequent evaluation expenses. We didn't pay a dime.

  4. Oh man, that sucks so much! I’m glad you are feeling better and hopefully those fancy doctors can patch you up. As for insurance companies, don’t get me started! I’ve had the hospital come at me for payment because the insurance company forgot to pay! They had one job!

  5. Hello Nick! I have been interested to hear about your medical difficulty and and curious to see what treatment you might receive and have waited to see what might happen. As I expect you know by now, you are young to be experiencing problems with vasovagal syncope and I hope that you find out more about that and how you can get help and learn more about living with it. On the matter of payment for medical care you might be interested to hear that my daughter was diagnosed with an auto-immune rheumatoid condition18 months ago and and has received treatment since then.

    Cost so far:

    Consultation with a General Practitioner (misdiagnosis though) – no fee
    Referral to and examination by a Ph.D podiatrist (don't ask – it worked) – no fee
    Hospitalisation for 1 week and treatment for plural effusion – no fee
    Hospitalisation in a specialist centre (two weeks) with correct diagnosis – no fee
    X-Rays x 5 – no fee
    Ultrasound scans x 3 – no fee
    Helical CT scan – no fee
    MRI brain scan x 2 – no fee
    ECG and strobe test – no fee
    Expert interpretation of the above and throughout – no fee
    consultation x 2 with a senior neurologist – no fee
    consultation x 3 with a senior clinical psychologist – no fee
    Kidney biopsy at a nationally recognised centre of excellence (three days) and ambulance transport to get there and back – no fee
    consultations with a rheumatologist X 10 – no fee
    blood tests (very, very many) – no fee
    Respiratory function tests in a specialist facility – no fee
    drugs to treat the condition – no fee
    constant contact on request with a specialist nurse – no fee
    Lots of other stuff I can't remember – no fee

    Guess which country?

    Thank you for making physics engaging in a way that I have not experienced since finding Feynman. Oh yes my friend.

    You are right – it's OK to be a little crazy.

    Best wishes


  6. Nick, glad you have a diagnosis and are able to feel like a new man. Also, not sure why you are working part-time unless you cannot relocate? I would think there would be plenty of full-time jobs with great benefits out there that you are more than qualified to do…

  7. Didnt know you were sick, just 'discovered' you on sienceasylum so … But you deserve(d) to get well. Thats obvious!

    I think in the US the biggest disgusting uhm how you say in English .. well scams, crimes even, massmurders .. are your painkillers epidemic causing pharmacies. The "people" who own those pharmacies deserve lifetime in prison! Or even death! … insurances? Yeah guess its always been that way globally. Money, money, money.

  8. thumb down for NOT SCIENCE….this is you seeing that insurance is a 'fuck U over' industry that screws you at every turn,. They have done this for many decades..this isn't new. Maybe your realization of it is new, but it is an OLD normal practice for insurance companies.

  9. Democrats were doing well in the political arena till they started trying to take guns away from other democrats then everything went wrong. The moral of the story is when Rahm Emanuel says to shut the f#"#@ up about guns people should listen.

  10. hospital: it costs this much

    insurance company: but then I have to do my job

    hospital: ok I'll charge everybody else a lot more so it looks like you're doing your job

  11. At least now you know the main reason, have treatment for it and can research further, so I can say it's a little victory 🙂
    We have free (prepaid from what has left from stolen tax money) healthcare in Russia, but it generally sucks too. It is more or less decent in Moscow and large cities and gets worse with distance (lack of doctors, awful condition of facilities, etc.). There are commercial clinics where one can get decent service for money, but it becomes way too expensive if one needs lots of procedures to do.
    We also have health insurance, I think the prices are comparable. The good thing is that basic healthcare covers hospitalization, so person won't be left to die, because they cannot pay. It's more complicated for severe cases (cancer, transplants, heart operations, etc.), but still doable, because there are quotas and one can still get operation without additional fees.

  12. I love when science youtubers go even slightly political and the conservatives immediately get butthurt.
    I dunno if it would help any but consider getting a genetic screening yet?
    Anyways, good luck Nick!

  13. So you are treated by your symptoms. Keep looking.
    We need you healthy and crazy!

    Take care.
    I mean, other than paying bills, we need you.

  14. Glad you feel better. It’s quite horrible to learn the way your healthcare works. It sounds like a way to pump money out of sick people. Capitalizing on pain to make cash. I don’t understand why the US doesn’t get something like here in France or the UK or Sweeden. Your president seems quite fond of swedish people after all…
    Anyway. Can’t wait to get more videos now that you feel better 😉 keep up the good work

  15. Capitalism is horrible. My country currently has free health services for all. but for some reason people here are stupid and aspire that we become more like America. when that happens I hope I could easily immigrate to a better place :"(
    Anyways, good to hear you are feeling better!

  16. I'm so glad that you are feeling better and things seem to be more sorted. Seeing those figures of $12k…they're eyewatering. I live in the UK, and we have the National Health Service. It isn't perfect, but wow, it's still amazing. Three years ago I had a major heart scare on top of the other joyful diagnoses that I have. I was given amazing care, and referred for surgery, which I had a few months later – it wasn't urgent – and since then things have been much better in the cardiac department. Amount I paid: £0. I don't work because of my health, but even if I did work, I wouldn't have to pay anything up front apart from for my prescriptions, which would cost a maximum of £104 for a year, no matter how many items, providing you purchase the pre-payment certificate.

    I don't know what you hear about the NHS over there, but I know the more right-wing press would having it said that it's killing people because of money. It's not. As I said, it's not perfect, but heck, compared to over there, I know which I'd sooner have.

    Take care – I love the videos. Thank you also for sharing your life with us. Bless you.

  17. This is why Norwegians are no longer emigrating to the U.S. And perhaps because of their pensions … and 6 weeks minimum paid vacation … and free college tuition. lol.

  18. I known it`s off topic, but im dying to ask someone
    Is gravitational waves subjectve to Reflection, Refraction and Diffraction? what could cause those?

  19. A very helpful video, a great job digesting and discussing the topic. Consider taking a trip to Mexico as a medical tourist. Years ago it was cheap and productive. Take care.

  20. They only tried to charge you that cuz the government got everyone insurance, and they try to get as much from the insurance company as possible. It's a distorted market. It's not a market.

  21. Cheer up! Trump, the Republicans, and the Democrats are working like a well oiled machine to solve not only our healthcare problems, but ALL our other problems too. They're unified spirit of teamwork will surely make America great again.

  22. As it happens, I am on my way to a special doctor in a minute. But I am not getting any better. Actually worse. I might not be around for much longer.
    I am Danish, and although health care is "free" in Denmark, and we have some of the worlds best hospitals and doctors, there is a limit to what they can fix.
    Just subscribed to this other channel of yours, Nick. As always great content.

  23. Holy shit, Insurance companies and healthcare in the US sounds like criminals to me (In my country average wage is 600euros a month). That aside, we all hope you get better.

  24. Then now I understand why people are always says that we are lucky in Canada
    Even thought med are no more (or less) covered by the governement

  25. I couldn't agree more. I had the same experience with insurance companies. When I asked for the same price that insurance companies pay for a procedure, they said I couldn't have that price because I didn't negotiate it. So I told them I wanted to negotiate just as if I was buying a car. Then they told me they don't negotiate with individuals. So they have rigged the game right from the starting gate. Like you said, the government needs to oversee this to make it fair.

  26. You could spend a little more time being grateful for your medical care. And for your relatively healthy body. I've had a real serious liver disease (no, I didn't drink my way there) that went on for 11 years before I got a liver transplant. Very early on, I lost my long-sought-after career – and of course, money to support myself. You have never had to apply for disability through Social Security and been treated alternately like a lying criminal or a real dumbass. Both of those were hard to take since I'm a hard-working, intelligent, multi-degreed person. But they did it anyway. Then awarded me a pittance to live on. Which then meant I had to lean on family members (and still do – boy, humiliation has a high price – I'd much rather be able to pay your human-sized medical bills) and friends. So I went from a very active, thriving 58-year-old to a now 70-year-old woman who has prodigious job skills (including writing and editing) who can't even get a part-time job to get me through the second half of the month. How much was my transplant? $300,000. Medicare has paid for most of it. And now I can't pay a penny of it to the hospital that provided it for me, and yet who I remain so grateful it feels like my heart could burst sometimes. There are people with a lot worse medical issues than you are. Even so, I am sorry for the medical problems you do have. We all want perfect health. Take care, Nick. And calm down, okay? You've got it pretty damn good.

  27. Here in Greece, we have public health services, even when we are not covered, 6-7 years ago, before that change, we had the option, if we where not covered by any insurance, to get the price of the coverage of the insurance, not fake prices and shit. e.g 7 euros the hospital charged the public insurance, 7 euros you will pay if you where not covered.

  28. Thought I broke my foot today. Went to the ER 4pm. Got an X-ray (not broken) and hobbled out of there by 5:30pm No Charge! It’s definitely way better up here.

  29. Keep getting better. When medical fees are reduced by insurance, the medical industry can claim it as bad debt to lower their profits for tax purposes.

  30. Nick, one thing you said might not be right. You say people without insurance are screwed by fake prices and can do nothing about it. In my opinion, that's not true. In fact, those people will have an easier time to negotiate. Last year I helped a friend to hospital, which had a CT and X-ray for him. Only took 2 hours. Hospital bill was $6000+. My friend revealed that he is insurance-less and asked for a discount. Hospital quickly dropped the price to $400 and he paid the bill. I can expect if I had gone thru the same process, my insurance company would have "negotiate" down to like $2000, and I would be grateful to pay that $2000.

  31. I've always assumed that since the insurance companies partially base what they pay on the average charged in a region, then the providers will always try to charge more than average so that the average always goes up. It's not a true free-market system so the usual theories of competition to counter the pressure of rising costs/prices don't apply. Whether a true free market system could work is a whole other discussion. I'm a new subscriber and heard about your videos ( I think) from a link having to do with Alan Alda, Anyway, now I have to buy some shirts and whatnot from your store since our universities seem to prefer football over actual higher education. DAMNIT. I will this weekend. Not just because I freakin' love The Science Asylum, but I live in Canton and am probably almost your neighbour. No, I did not flip you the 'bird' on Michigan Ave. At least I hope I didn't. As I often say, "If you don't like the way I drive then stay the 'ell off the sidewalk!"

  32. Nick, I love your Science Asylum videos! I have struggled with vaso-vagal syncope since I was a child (now in my mid-40s). Fifteen years ago, my doc sent me to a cardiologist who correctly diagnosed me and put me on a beta-blocker. It worked wonders. Controlling my anxiety of certain triggering situations also helped. After ten years, my cardiologist weaned me off the beta-blocker. I still can lose consciousness under extremely stressful circumstances, but I have learned to recognize the symptoms. I immediately lie down, get my head lower than my heart, and begin controlling my breathing and my thoughts. I know what you are going through. Hang tough, man!

  33. I just finished my taxes and was shocked to find out that wife had spend $9,000 out-of-pocket on healthcare. I have Medicare, which I like, but wife, who is healthy, has to buy a private plan through the marketplace. The premiums for a 62 year old senior are insane. Worst than that, they deny coverage all the time which shifts the burden to the patient. It would be cheaper to pay the hospital and doctors directly in cash, but as you said, they won't give the patient the same discounted price they give the insurance companies. Price gouging on a grand scale. How is this legal?

  34. How can you trust a doctor who is trying to rob you? Three years ago I had a problem with my spine. I wanted to make a CT scan very quickly. So I decided to just to call the hospital and take a "commercial" rate that allowed me to do the scan the next day. The price was 207$ including radiologist interpretation. 207$ is considered a high price here in Cracow Poland.

  35. You video is accurate but miss-titled. The problem is not the health care in this country, because it's excellent, it's the financing that's the issue.

    My doctor explained to me how it all works. He said if he asks the insurance company how much they will pay for a medicine for a shot the insurance company will come back and say they will pay 50%. So if he buys the medicine for $50 he will charge $100 so the insurance company will end paying the full amount of $50. His advice to me was if I don't have insurance tell the providers that you will pay them what the insurance company pays.

    I had a colonoscopy last month the total bill was > $9k but the insurance company only paid out about $850 in total. That tells you what the real cost is.

    As a side note years ago I had a sizeable medical bill because of a visit to the emergency room and I was able to negotiate a payment plan to pay the bill off that was $10 a month with no interest.

    Glad to hear you got your condition identified and under control… 🙂

  36. Man I wish I could help you, get more subscribers and build your channel as fast as possible… having said that I am 100% confident you are going to make it big…. I'm talking millions of subscribers… you're totally unique and excellent at your brand of humour/education.. flawless… I really really hope people manage to find out about your channel, you deserve the success. I've only just subscribed but seen all of your videos at least twice over if not more… and you've shot to the top of my favorite science channel list straight away.. we're talking over the likes of Veritasium, PBS space time, Issac Arthur…. the big hitters… you're just better and I'm pretty sure it's because of the comedy element… but your content isn't bad either (I'm being modest) I've been watching YouTube videos on GR and quantum mechanics for over 10 years.. and I've only just started to see GR in a more coherent light thanks to your videos.. keep it up my man and best of luck with the channel 😉 (Could easily see this show being on TV) oh one thing I wanted to ask… so your real name is Nick Lucid?

  37. God bless you, Nick. You have a way of boiling things down to more "comprehensible" terms whether you're talking about the theory of relativity or health insurance. It is still mind blowing. Prayers for you and your wife… your financial situation and your medical needs. Glad to know you're feeling better.

  38. Wow, that system is sicker than you are. And what you have is bad. I would suggest to ask if it is possible that a neuro physician try to calm down the nerve with a hormone treatment (injection into the nerve, not pleasant). It usually calms down the nerve for a few weeks. No idea if I talk nonsense, but it helps to calm down my nerve because of a dislocated disc. Nerves have the nasty habit of functioning better and better when they get too many inputs. That is one of the ways people learn. Come to the Netherlands. Adults (children under 18 free) pay 150 dollar a month Insurance (and 40 for dental care) and a national uniform deductible of 500 dollars per year. No matter who you are, or what you earn.

  39. Ok, so this is actually MOL my field, so gonna go ahead and make some [very general and very oversimplified] comments.

    First, your premium goes up about every year. True. But to say the ACA had nothing to do with it, false. For example, when from 2010 to 2015 your premiums were $10.00, $10.10, $10.20, $19.00 and 19.10, you can [honestly] say that your premiums were going up before and after the ACA, so the ACA doesn't really have anything to do with it. BUT… Should we look at 2013? (this is an example, not actual dates and numbers).

    Next, the "Billing" example is not quite accurate, or at least, it's was oversimplified. Much like many of the physics examples you see. Healthcare, like a car, is a purchase. The hospital / car dealer charge a price. The payer (insurance company or car buyer) then says "this is what I am willing to pay. If the 2 agree, there is a deal. If not, there isn't. This is because everything with insurance companies runs on a contract. There are different types of contracts (DRG, PERBIL, Per Diem), but the hospital knows what they will get up front, period. So why bother charging a higher price? Sorry, this isn't an accounting video. The caveat is what is included in that price. To charge $4K for a CT, they are charging not just for the CT machine, but the building (ALL of it, including the parking lot, morgue, OR, ER, waiting room…), the labor, the utilities, THE MALPRACTICE INSURANCE. So don't forget what goes into the price they charge, whether or not they get it.

    Moving along, to say the insurance companies "make it look like they're saving you money" is false. Insurance companies would like nothing more than for healthcare to cost a fraction of what it does. That way, they could make a bigger profit. And it you think the government will fix it, REALLY WRONG. Midicare (government insurance) is awesome. It pays more than any private insurance. Providers love it. Facilities would take a Medicare patient over a private payer patient any day. Why do you think that is? Again, everything in healthcare is open and up front, and IT'S CONTRACTED. You could have probably gone to a different facility for your CT and paid less.

    Lastly, YOU'RE SPOT ON. You actually hit upon another reason healthcare is so expensive. But aren't you happy they [finally] found out what was wrong? No one can tell you 100% of the time what's wrong. That's just how it is. And for all those tests that came back negative, someone still has to pay for them.

    Listen, the American Healthcare System is broken. That's a fact. I see it every day. I could give you plenty of real-world examples right now. But I could also take those examples and tell you that it's not the insurance company, or the hospital, or the patient that is at fault. If you want to learn more about the system, there are plenty of places you can do so. Just remember, healthcare is a business, so treat it as such and shop around. It's not always practical, but it's very possible, and it could save you lots.

    Thanks for your videos and what you do. Hope they "fix" you so you can keep making videos and sharing your knowledge with the rest of us. Be well.

  40. Medical "tourism" might be worth checking out for anything non critical but serious.
    Fly to eastern Europe or Russia, pay 500 euro and you get a full round of visits at every specialist you want with full checkups, let them do all the diagnostic work and take the results home, claim you got sick abroad, show the results, let them file a prescription, do not run additional tests to confirm, they will try to milk you, get just the prescription.

    Yes those prices are ridiculously predatory BUT you forget the biggest cost of all in every western made product or service, LABOR.
    The raw materials and energy costs are usually a joke %, often less than 10%-20% of the total price you get to pay, the biggest part is wages, hell, if we were talking drinks the bottle and packaging costs 6 times as much as the actual product contained in it.

    Europe has a fair and reasonable healthcare system but my country pays 280 billion to healthcare out of a total annual budget of 360 billion and that is a semi-privatized system where both the government and the citizens pay and without maintaining an army which is capable of anything remotely close to world dominance as is the case in the US. Demographics are a bitch, it is not sustainable either, we live too long and it costs too much and all the populist rhetoric of more fair healthcare isn't going to help making it affordable or sustainable, if you want higher wages, more "workers rights" and cheaper healthcare you don't understand shit about current economics and national budgets but it sure sounds nice and easy to swallow in holier than thou election rhetoric.

  41. In the UK, we have the national health service – left over from when the UK was a socialist country. It did work well, and was one of the best health care in the world, all you did was pay national insurance out of your pay and you got free health care. It's not, or wasn't, a profit making organization so the weekly contribution was very low. The Vagus nerve can effect you heart (usually because of stomach problems) causing palpitations or ectopic heartbeats which can effect your blood pressure – lowering it.

  42. "They're helping you with a problem they created." The only difference between this and a mob shake-down is that the mob used to have to operate under the radar of the law. Now the healthcare industry mobsters have so much control of "our" government that not only are their crimes legal, but the government protects them from *us*.

    Time for democracy *by any means necessary*, friends.

  43. Oh man I hope you're feeling better since the recording of the video!!! And… I do remember that is "OK to be a little crazy" but this prices and bargaining about people's health is unbelievable.
    Greetings from a country where nobody needs to pay to have the best medical care.

  44. It's very expensive the health system, I can't believe it. I know in u.s are the best doctors in the whole world, but it's ridiculous. In my country, just having a job, you can access to a good medical care. And if you don't have a job, you can go to the public hospital. Dental care, glasses, ct scan, x rays, even birth and neo are for free.

  45. I hope you find answers and get feeling better. I really appreciate and enjoy you videos I am always interested in knowing the why and how of the working of….well everything.

  46. Well,you were saying about college fees,medical has gone through the roof.I had a hernia operation in 1987 which was billed at $1,750 .I have had another in 2014 exactly the same thing but was $24,950
    And it didn't work because of the mesh.I have had 3 more
    Hernias since then.If the government takes over,there won't be a need for insurance companies.However,they should place price restrictions on hospital charges

  47. CT in Serbia costs around 100$ but I would prefer MRI and it costs like 200$ and you wont risk your health. For the rest of the money come and visit Belgrade and share a bottle of my wine it will rise your blood pressure, and even make you happy! P.S Also had problems with vasovagal syncope's in youth.

  48. Thanks for saying this. We need Medicare for all: No more profiteering on the financial aspect of preventing and curing ailments and death, making for lower medical care prices overall. No more pretending it's okay to let some people rot or die because they can't afford it (the US can afford it), notably: children who don't often have insurance through their jobs (time to get a job, kids!) No more price gouging by hospitals and Pharma conglomerates who work hard to make a buck for the stockholder but couldn't care less about us or our health. Forget about putting our health in the hands of corporations. Let's take back our power (and health, and dollars).

  49. The problem is the same as the ridiculous unsustainable welfare system of forcing people who make less than $50k to pay more than $50k in welfare benefits to those who refuse to contribute to society other than breeding more welfare recepients and criminals. I can solve all our problems. Stop attaching healthcare to employment and allow our capitalist system to do it's job. Same with welfare, those that want parasites to have their money can pay it directly to them. Same goes for schools, parents can pay a teacher for their childrens education and hire a teacher based on what they do, whether they carry a gun or whatever requirement they want. It's called capitalism people. These problems are 100 years beyond being fixed by voting. Sad but true.

  50. health "care" is inseparable from the food industry, I like you so I will let you in on a secret, change your diet. the rest of you keep eating bacon and pepperoni and cheese. I don't know why people find it hard to "go" vegan even for a week, but if they did they would find empirically most of their symptoms disappear. misanthropic by nature I don't usually proselytize, but give it a try, what have you to loose but a few pizzas.

  51. Hum.. glad you're better. There may be no cure for what you have. I had a brillant student with the same diag. I interpreted it as consequences of high brain activity. You've got too many neurons and the circuit can't cope with the intensity generated. Many "geniuses" (like Einstein and his famous small brain) have other parts of their brains dysfunctioning – thus the crazy scientist stuff. They sometimes suffer from ADD or else. You're paying the price for not being a total nut job. My interpretation…

  52. Glad to hear your symptoms are at least under control Nick. I think you are a hugely entertaining, informative and most of all – reflective teacher. I recommend you to my foundation physics students. Heres hoping the medics tie your problem down soon.
    Yet it was so dissapointing to hear you decribe the process of care in the US as a blunt commercial negotiation. So much waste on all those salaries for people who know nothing about medicine. I had a triple A a few years ago and the UK NHS did a fantastic job of saving my life. There was no bill at the end of it ($240k estimate for it stateside according to my US contacts). But as I tell my many students from overseas, it was not free. As someone who has paid 40% tax for many years, I know. I would not change it but I recognise that no system is perfect.
    All the very best to you. P.

  53. Wow! I'm glad I live in the UK! And by the way, all across of the EU it is much better and cheaper compared to thet what you explained! Much!
    My father lives in Hungary (EU), he is retired and he got recently a lot of tests (CT ect.), and receives expensive treatment totally free of charge!!!!
    I whish you a strong health! We need you here! 😉

  54. I’m really late to this party but feel compelled to wish you well anyway and to thank you for sharing. I’m appreciating your work more with every video. Educating people about medical billing practices (crimes) and the health insurance industry is one of the most useful things we can do.


  56. Wow, that was interesting in my country if someone tries to charge you £4000.00 plus pounds for a service that's only worth £400.00 it's called robbery and the perpetrator will find themselves in court,. So the US has some interesting rules health care. That what I like about the UK NHS you can have a £50000.00 operation/treatment and you don't pay 1 penny extra on top of your tax/national insurance contributions

  57. In my country CT scan costs less then 100$ and doctor read you results

    U can do it for free in a public hospital but u have to wait few month

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