For seven of the last eight years, my wife and I have been living in Canada. Last year, however, we were back in the United States. Our twenties are barely visible in the rearview mirror from our present perspective, but we still opted not to buy health insurance in the US when it was offered through my employer. Why? Because the deductibles and premiums were so high that we would need to spend around $7,000 on health care before the insurance even started to cover anything. I would sooner put that money into a health savings account (a concept I loathe given only the wealthy have enough money to spare to make an HSA worthwhile) than flush it down the toilet to pay for insurance that doesn’t really cover much of anything. For a healthcare system to work as it should, everyone needs to buy in and there needs to be no copay or deductible when you visit your doctor. That’s ultimately cheaper and it also has the benefit of being equitable. Everyone gets exactly the same coverage without any financial barriers facing the poor to disincentivize them from making a trip to the doctor’s office whenever it’s necessary.

For an account of the medical coverage we were offered last year read:

US citizen residing in British Columbia, Canada. Degrees include anthropology and environmental studies. Activism, politics, science, nature.

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