this post was submitted on 28 May 2025
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[–] [email protected] 23 points 1 day ago

I live in America. But I'm originally from Ukraine. Therefore I have many friends and family from there and because of the current situation I've known many people that came and are still coming over from there and they keep asking the same question: you really have to pay for the ambulance?

Then I tell them ambulances are privet for profit companies. And you can see them loosing all faith in America.

Personal anecdote: my father died of cancer 4 years ago. When they were transferring him from the hospital to hospice the paramedics asked him if he was ready and Dad said yes, he was ready for the last car ride of his life... They sent us a 5000 dollar bill for a 15 minute drive.

We didn't pay it.

[–] [email protected] 35 points 2 days ago (1 children)

Even in Canada and Mexico this mostly works the same

IIRC, an ambulance here in Canada costs 80 dollars, any treatment in hospital is free

A single accident or illness can ruin your life and your family

Spending a single day at school can kill a child

If they live though that day, they might learn that abstinence is great sex Ed

Police officers can kill you without reason with impunity

Your leaders are all millionaires who will do anything to squeeze money out of you and you never even protest?

The US is a god godawful place to live

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[–] [email protected] 329 points 2 days ago (8 children)

I think a lot of people in the US have their head so far up their ass being racist and doing other xenophobia, they'd rather drown in their own shit than than have "one of them" get something "for free".

[–] [email protected] 147 points 2 days ago* (last edited 2 days ago) (7 children)

That's what 60+ years of fascism-directed conservative politics distributed by the likes of Fox News, systematic defunding of public education, and an almost complete halt in wage increases so 90% of the population no longer has any discretionary income and is essentially forced to work paycheck to paycheck has given us. It's working exactly as intended.

"If you can convince the lowest white man he's better than the best colored man, he won't notice you're picking his pocket. Hell, give him somebody to look down on, and he'll empty his pockets for you."
-President Lyndon B. Johnson

[–] [email protected] 25 points 2 days ago (3 children)

The US is an experiment in how much the people will take before they actually start a revolution. Turns out they take it all and they won't start a revolution ever.

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[–] [email protected] 59 points 2 days ago* (last edited 2 days ago) (5 children)

Without exception, every problem with the US has a straightforward and realizable solution being blocked by a piece of shit who cannot accept even the slimmest of chances that someone they consider undeserving might possibly, in some small way, benefit.

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[–] [email protected] 40 points 2 days ago (9 children)

I know expensive, shitty healthcare in the USA is a stereotype, but in my experience it's also largely true. Maybe it's because I'm not wealthy or connected enough to have access to the good stuff, though?

The bills for my latest medical emergency are rolling in now.

The $1,000 USD ambulance bill is almost a relief, since I've heard others say their ride cost several times more than that. I declined pretty much all medical care in the ambulance and all offers for medication/treatment, though, so maybe that's part of it. Had I lost consciousness, I likely wouldn't have been able to say no.

The $2,000 USD emergency room bill? That's just the part that I have to pay out of pocket. The actual price they charged my insurance is $6,000+ for my slightly more than 90 minutes on a stretcher in the hallway. And it doesn't seem to have covered anything specific because the imaging (which I didn't even need), treatment, medications (which I would have refused if I knew how much they charged but they don't know that and can't tell you ahead of time), individual nurses, etc are all billed as separate line items. I was even charged thousands of dollars by a doctor I never even saw in person. I joked in another thread recently about $45 tylenol, but that's actually true. I'm paying $45 for 800mg of tylenol.

Months later, the billing part isn't even finalized. New claims/bills showed up literally 2 days ago, well after I thought I was done paying. Thousands of dollars out of pocket, on top of paying a thousand dollars a month for insurance.

At least the medical professionals that treated me were great.

[–] [email protected] 19 points 2 days ago (1 children)

I know expensive, shitty healthcare in the USA is a stereotype, but in my experience it's also largely true

I had a brain injury from a bicycle accident. The fact that my health has bounced back, but my finances likely never will, tells me everything I need to know about our system. One injury, and I now have a lifetime of bills to pay off. I guess it makes sense in some sick way, I do owe them my life, but man, they don’t let me forget (even if my broken brain tries).

[–] [email protected] 16 points 2 days ago (2 children)

Over 60% of all private bankruptcies in the US are due to medical issues. The system is broken

[–] [email protected] 8 points 2 days ago

Two major studies in California found 70% of the homeless were employed "productive" members of society before injury/illness forced loss of income, then housing. Yes the system is broken.

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[–] [email protected] 13 points 2 days ago (4 children)

This is crazy. I once stayed at a hospital for two months, countless ultrasounds, even an invasive procedure where they sent probes down my veins, two MRI's and the final cost was around 5k... payed by state supplied insurance. I payed 0 and even got payed 80% of my wages... cause that's the law.

[–] [email protected] 11 points 2 days ago

9 months of chemo, countless tests, scans, meds, consults, two stints in ICU....$0

'Straayaaaaa

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[–] Lucidlethargy 73 points 2 days ago (2 children)

In America, it's actually cheaper just to discard the kid and start over.

[–] [email protected] 27 points 2 days ago (2 children)

"Ah, shucks, this one broke! Shame, had a good run too"

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[–] [email protected] 23 points 2 days ago (6 children)

Acknowledging that leaving your dystopian hellhole called home is not a possibility for many people why are these people not on the streets protesting?

Diabetes care is criminal.

Maternity leave is criminal.

Labour laws are criminal.

And yet Americans writ large take it in the ass without batting an eye. Why?

[–] [email protected] 3 points 1 day ago

Americans have been conditioned by media to think that their current state of things is desirable and even meritorious, as if having such services provided was....communist/socialist anit-american shit

[–] [email protected] 3 points 1 day ago

We're slaves, it's hard for slaves to liberate themselves in a police state.

I agree though, we have to fight back

[–] zalgotext 10 points 2 days ago (1 children)

What little care we can receive is contingent on having a full time job. Putting food on our tables and keeping a roof over our heads is also contingent on having a full time job, if not a second job on top of that. Everyone is working all the time. We don't have time to go out onto the streets and protest. This is by design. This is our shitty system working exactly as it's intended, and it's designed to keep itself intact by forcing the people it fucks over to struggle to survive, so that we're so preoccupied with existing that we can't realistically enact change.

And there is much eye batting, don't get it twisted. It's just that batting eyes is about all we have energy for at the end of the day.

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[–] Kecessa 116 points 2 days ago (31 children)

"just whatsapped me"

Lol, fuck off, he sent you a message, not all apps and websites need to become a fucking verb

[–] [email protected] 35 points 2 days ago (10 children)

nah I like to flex that one of my friends Signaled me

[–] [email protected] 24 points 2 days ago (1 children)
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[–] [email protected] 19 points 2 days ago

at least that's an actual English verb

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[–] [email protected] 49 points 2 days ago (17 children)

Odd hill to die on but I'm kinda for it.

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[–] [email protected] 21 points 2 days ago (5 children)

What a weird thing to get angry at.

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[–] [email protected] 151 points 2 days ago (20 children)

Just to avoid any false impressions: healthcare is not free in Germany. You should always get travel health insurance. Having said that, it's pretty affordable. I pay about €80 a year for me and my wife for worldwide coverage.

[–] [email protected] 55 points 2 days ago (7 children)

Same in Ireland but a trip to the emergency room (including ambulance if you need it) sets you back €100 euro which is about $110 USD.

2nd last time I was in one there was an American couple across from us whose daughter had gone into a seizure in their hotel. We ended up chatting a good bit and I honestly was very glad for them that they weren't paying American pricing.

Last time I was in one we had a referral from our doctor so it was free (there's a filtering process to stop people with a cold coming to emergency) Included an MRI for my daughter and we've a follow up coming. Again all free.

So when you say it's not free, it's strictly true but holy moly the difference in potentially life destroying cost and not having to weigh that up. It saves lives.

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[–] [email protected] 30 points 2 days ago (9 children)

I once was visiting Detroit and got very drunk My airbnb. wasn’t far from the bar and I was way too loaded for a taxi to take me back, and it was a nice night so I decided to walk back to the airbnb I made it about 200 steps and felt something Hit me in the head. Someone was grabbing at my pocket and I guess I successfully stopped them from stealth by my wallet since it’s all ripped.

Anyway my head is split open and there’s blood fucking everywhere. I tried dialing 911on my phone. Not sure if you’ve ever tried making a call on a bloood covered phone when you can’t see because you’re blind drunk and your vision is obscured by blood but it’s impossible. Anyway, a couple of people see me and get me an ambulance.

Now, I’m from Canada, and I THINK that I had international health insurance from work but I’m not sure. Anyway, they deal with the blood and tell me I’ll need stitches in the emergency room but I’m still loaded and the bleeding stopped so I ask if I can just leave and they’re like: no.

I call my buddy who shows up to take me back to the airbnb but I tell him: I’m not getting stuck with a fucking American hospital bill. Fuck this. Just walk out and I’ll meet you out front. I wait until the nurse is out of eye sight, crouch low and run past the admissions desk and out into the street, where my friend calls a very kind cab driver who sold us some decent cocaine.

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[–] [email protected] 3 points 1 day ago

I was living in Germany in the '80s. My mom, a civilian US citizen, had to get a hysterectomy. She chose to go to a German hospital (as opposed to the US Military hospital) and just pay whatever it cost. She mentioned the other day she doesn't think they ever sent her a bill.

[–] [email protected] 119 points 2 days ago (10 children)

When Americans do nice things in their country ... they destroy it and call it communism or "woke"

When Americans are treated nice in a foreign country, they act confused and wonder why their country can't do the same.

[–] [email protected] 42 points 2 days ago (14 children)

As an American I know exactly why my country can’t do the same: Because we are ruled by greedy, short-sighted idiots: the voters.

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[–] [email protected] 54 points 2 days ago

This is the most “American abroad” story I ever read lol

[–] [email protected] 52 points 2 days ago

First time in America? Everything is going to be like the new black mirror ep1. Everything subscription

[–] [email protected] 16 points 2 days ago (1 children)

as a European it blows my mind that this is not the norm is many parts of the world :(

[–] [email protected] 2 points 1 day ago

Yeah, this was my take too.

Guy seems amazed by it, I thought I'd missed something...

[–] [email protected] 63 points 2 days ago (2 children)

I had a relative who once had a serious emergent heart problem (not a heart attack) in Italy. Ambulance to the ER, admitted to hospital for several days, ran a gazillion tests and procedures; huge workup. Was billed because no national insurance.

Grand total: €200. Not even worth trying to claim on American insurance.

[–] [email protected] 21 points 2 days ago (1 children)

It does seem to be a bit of a toss-up between countries whether or not you will actually get charged. Supposedly international visitors to the UK are supposed to get charged but no one seems to know how to actually bill anyone, so it never happens. Weirdly the government doesn't seem all that interested in fixing it either, so it kind of just exists as a pseudo international free healthcare service.

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[–] [email protected] 19 points 2 days ago

I once collapsed and lost consciousness in the streets in Russia. Someone must have called an ambulance. I woke up in a hospital with a woman yelling at me for my insurance number. (I am a Russian citizen but I have never lived there, I tried explaining I had a traveller's insurance, but she didn't understand what I meant.) Anyway, after I got treated they released me basically as Jane Doe, I never got billed anything.

Over the course of the years I had to go to a hospital in Russia two more times. Each time they would rather not bother with figuring out how international insurance works (basically, I would pay a bill and then send it in to the insurance company and they would reimburse me - I explained that over and over) and just let me go free of charge.

The treatment was good and professional and stereotypically unkind. I'm still amazed by how they'd rather not bill you because they aren't sure what you're talking about than try to get the money and let you figure out how to pay it. Too much of a hassle I guess.

[–] [email protected] 88 points 2 days ago (7 children)

When Americans travel do other cultures treat them as victims of abuse? Because that's what this sounds like.

[–] [email protected] 61 points 2 days ago (2 children)

This is how every person deserves to be treated.

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[–] [email protected] 6 points 1 day ago (1 children)

And they probably even spoke English with him.

[–] [email protected] 3 points 1 day ago

Of course they did. An US-american speaking any language but their version of English fluently is quite rare, if you don't count the latinos

[–] RowRowRowYourBot 68 points 2 days ago (3 children)

Yeah, in most of the rest of the world people try to help each other out

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[–] [email protected] 19 points 2 days ago

Yeah some of us are poor enough to never forget how obscenely predatory America in general, and capitalism in specific, are.

[–] [email protected] 43 points 2 days ago (1 children)

I showed up in Italy to work on a farm for a month.

Ate the wrong thing one night, and my airways started closing up. Despite my Americanism coming through "dont call the ambulance, I can feel the benadryl kicking in", my hosts called an ambulance.

After a 45 minute ambulance ride, a 5 hour hospital stay including chest x ray, monitoring, and fluids, I was trying to pay up. The doctor lady just laughed at me as a I flashed my debit card. They sent me on my way with some albuterol for $0.

We really do everything we can to enrich health execs here in America. Crazy to think about the mental benefits of knowing you live in a society that at least has the capacity to get you through a medical emergency without bankrupting you.

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