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[–] 116 points 1 month ago (13 children)

Someone once said an ambulance isn’t your personal taxi to the hospital, like my brother in fuck what do you think it is then?

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  • [–] 40 points 1 month ago (10 children)

    At the risk of getting myself a rain of downvotes here:

    An ambulance is an expensive and somewhat rare mini-ER on wheels that's designed to help a small team of expensive and somewhat rare specialists stabilize a dangerous condition on a patient until it reaches a hospital. Since it is important to keep those somewhat rare vehicles and teams in reserve for when they are suddenly urgently needed, you really shouldn't use one as a taxi to the hospital if whatever your condition is doesn't call for that.

    (Asking enormous sums of money of the patient for the privilege is IMHO still wrong. The decision to use an ambulance or not should not be based on whether you can can easily part with a couple thousand dollars.)

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  • [–] 65 points 1 month ago (14 children)

    $1,400 is actually super cheap for an ambulance ride. I think they're typically closer to $14,000

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  • [–] 46 points 1 month ago (4 children)

    Usually more 3-5,000 for the ride. More medicine extra but most ambulance rides dont need extra.

    Also somehow the paramedics doing the care are getting like minimum wage...its such a scam.

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  • [–] 16 points 1 month ago (3 children)

    Some places in the US the EMTs are volunteer-only and don't get paid anything...

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  • [–] 15 points 1 month ago (3 children)

    I checked and 2 years ago the average cost was indeed about $1400:

    https://www.ems1.com/billing-and-administration/u-s-has-most-expensive-ambulance-billing-international-analysis-finds

    Probably more now, although I doubt 10Γ— as much...

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  • [–] 20 points 1 month ago (2 children)

    I think there are two prices There's the price they charge if you are paying "out of pocket" and the price they invoice insurance. It is possible for both the $1400 and $14000 ($6k is more likely) to be true.

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  • [–] 6 points 1 month ago* (last edited 1 month ago)

    Pricing is weird in the US.

    One of the main reasons the list price is so high is because they know the insurance companies will negotiate and reduce the price. It's like if you're listing something on eBay or Marketplace and want $500 for it, you might list it for $600 or $650, because you know buyers will negotiate down to $500.

    However, they can't charge the insurance one amount while charging out-of-pocket customers a lower amount, because they'll be sued by the insurance companies for insurance fraud.

    Because of that, hospitals, ambulances, etc. need to initially charge everyone the same inflated prices, but they'll basically always offer a discount if you say you're paying out of pocket.

    more than double Australia’s $622 average.

    I'm from Melbourne in Australia (but living in the US now). In Melbourne, we pay around $60/year for an ambulance membership, and every ambulance ride (both road and air) is 100% covered.

    It's also included in most private insurance plans. We have a hybrid system where there's both a public health care system (Medicare) that all citizens and permanent residents are eligible for, as well as a private one. For whatever reason, ambulances aren't included as part of the public system.

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    [–] 53 points 1 month ago (4 children)

    My mom had to take an ambulance to the hospital a few years ago. She later got a bill for $2800 although medicare paid for some of that. Turns out the hospital she went to had its own associated ambulance service which wasn't the ambulance service that gave her the ride. She later got a second bill from the hospital's ambulance service, also for $2800, even though they hadn't even given her the ride (medicare naturally enough did not pay for any of this bill). My mom was going to pay this second bill because I guess her generation just pays every fucking bill that shows up in the mail no matter what, but I put my foot down and insisted that she didn't. I had a lot of fun calling them up and yelling at them about this bullshit. They refused to retract the bill and sent it a few more times, but eventually they gave up and didn't send it to collections.

    A fun side note to this story is that the hospital system in question became in danger of bankruptcy and put itself up for sale. A vulture capitalist firm noticed that the value of just the hospital system's real estate holdings was a lot more than the sale price, so they purchased it and ran up a ton more debt paying themselves more than a billion dollars in bonuses. Then they spun off the real estate as a separate entity to which the hospitals started paying rent, which increased their operating deficit and debt still further. Eventually the hospitals declared bankruptcy and were closed down, leaving an entire city (of poor black people, natch) without any hospitals at all. Capitalism is just so awesome.

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    [–] 26 points 1 month ago (1 child)

    Gets out of the hospital, goes to a new school in this strange new place, gets shot, winds up back in the same hospital

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  • [–] 26 points 1 month ago (12 children)

    This comic is such bullshit.

    Ambulances are $3k, minimum. If you need helivac you're look at $20-30k.

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    [–] 22 points 1 month ago (6 children)

    $1,400? That's only a small portion of a US ambulance ride. I've seen over $6k.

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    [–] 21 points 1 month ago

    Japan was mentioned so my brain kept trying to do right to left

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  • [–] 17 points 1 month ago (2 children)

    I wish it was only $1400. My last ride was $3400 for 8 miles. Even more crazy is my plan is $3600 a month for a family of 4. Kiaser HMO.

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    [–] 16 points 1 month ago* (17 children)

    Whoa, I heard that in the US you have to pay for an ambulance, but $1,400? And this is with insurance?

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  • [–] 22 points 1 month ago (8 children)

    Can be. The numbers are basically made up. It’s not uncommon for people to get their X-rays done at a chiropractor and take those to the Dr because it’s cheaper and insurance refuses to pay or it costs more even with insurance. I know someone who realized his wife’s insurance copay was more than if he paid cash for their kids birth. The insurance situation is insane and very complicated. Everything you hear about it is true and happens regularly. I tell people that I would rather have socialize medicine just for getting rid of the paperwork and nonsense. Unfortunately greed and racism are standing in the way.

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  • [–] 6 points 1 month ago* (5 children)

    What's the point of insurance then? Sounds like a waste of money.

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  • [–] 13 points 1 month ago

    Fear. The insurance is not for "oh what if I break an arm and don't have much cash in the bank" it's "if I get cancer, or need to spend even a week in the hospital, all my life's savings will be taken by this. Better give boatloads of cash every month forever to protect what I have against this."

    Then the insurance company does its best to wriggle out of paying anyways.

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  • [–] 11 points 1 month ago

    There's a reason why people often opt for an Uber or just drive themselves to the hospital.

    I made the mistake of calling for an ambulance once, and that's the day I learned that they are owned by private companies in the US. I couldn't afford the bill, so I had to put up with seven years of bad credit before the charge finally disappeared off my record and I was allowed to own a credit card and buy a vehicle without paying for it in full with cash.

    On the bright side, weed is legal and abundant. And unlike in Amsterdam, you don't even have to smoke it because it comes in so many different forms! So instead of going to the doctor, I just drink and vape to my health.

    God I hate living in this country.

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  • [–] 8 points 1 month ago (1 child)

    When I was in college and on my own for the first time I tripped on the stairs and tore a ligament in my foot. I thought I'd broken something and the school called an ambulance. The ambulance drove me 1 mile to the hospital, where I was given an ice pack and crutches and then turned out with no way to get home (I had to hobble my way to a store to pull out cash to take a bus home).

    This entire ordeal was $3000 after insurance. My mom then called me and bitched me out for not taking a taxi.

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    [–] 15 points 1 month ago (5 children)

    Didn't factor in the hospital bill, the doctor bill, the nursing staff bill, the ems bill, the er doc bill, or the overnight fees... and then there'll still be more and all separate.

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    [–] 11 points 1 month ago

    Only $1400 for an ambulance ride? Must be the co-pay on insurance. My last ambulance ride cost me ~$5000 and that was in 2008.

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  • [–] 9 points 1 month ago (1 child)

    I’d totally watch a comedy/slice of life/horror anime about a Japanese person having to go live in America. If for no other reason than to see a whole anime where most of the cast are Joseph Joestar level English speakers.

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  • [–] 8 points 1 month ago (3 children)

    What kind of healthcare system do they have in Japan? I actually have no idea.

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  • [–] 19 points 1 month ago (1 child)

    It's both heavily subsidised by the government and heavily regulated to ensure access to quality care.

    For an otherwise healthy adult, you'd pay ~30% of the cost. BUT there are laws that ensure privately-run healthcare facilities can only charge the same amount as publicly-run ones. So even at full cost, these prices are very low compared to the US.

    There are also caps on how much someone will spend in a month, so even long-lasting illnesses/disabilities won't bankrupt you.

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  • Lol, what a steal. Or maybe this is the 90ies

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  • [–] 6 points 1 month ago

    The US healthcare system is so broken… In Europe government pays nearly everything necessary for the injured or ill people. Kick out your clowns.

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  • [–] 6 points 1 month ago (3 children)

    $1400? Damn I hope I get that lucky if ever need an ambulance ride.

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    [–] 5 points 1 month ago

    I've never seen a better PSA to look both ways before crossing the road

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