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This type of billing practice causes a mess of winners and losers, essentially unless your insurer has good pricing with wherever you end up getting treatment (often not a choice you get to make in an emergency), you can end up holding the bag for the cash price, usually half of the $10k number you mention. Quite ridiculous when other insurers are paying less than half that price, smells of a scam.



My conspiracy theory is it was designed this way over time so that people “needed” insurance (before it was required).


Not too much of a conspiracy theory.

What’s ironic (?) is that by mismanaging a scheme to get everyone on private insurance they’re really working towards socialized insurance. Which good or bad, there is no going away from once you have it.


Agreed, providers are not as willing to negotiate with you as they are with insurance companies. Probably because they've already negotiated...

Just go all cash with an HSA.




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