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healthcare costs

Apparently, losing your job without notice is an American phenomenon.

When you live in one country your whole life, it's easy to form ideas about what's "normal" and what's not. Cultural standards and accepted norms vary country by country, though, sometimes in dramatic ways that we wouldn't even think of.

That's why when someone asked, "What’s a very American problem that Americans don’t realize isn’t normal in other countries?" the answers were eye-opening. Seeing major aspects of American life that are not realities in other countries, especially other wealthy, developed nations, is wild. It's also a good reminder that we all have things to learn from one another and the things we might think of as impossible actually aren't.

from AskReddit

Lots to think about here as we ponder our quality of life and what's worth trying harder to change:

The cost of healthcare and medical bankruptcy

"Was in Germany with food poisoning. Drove myself to the ER. They were SHOOK when I told them I did. They then quietly told me you don't pay for ambulances there."

"I’ve never understood why police and firefighters get covered but we get a bill for ambulances. You'd think anything related to 911 is covered by our taxes."

ambulance ride, er visit, emergency room, medical costs. emergencyAmbulance rides can cost a pretty penny in the U.S.Photo credit: Canva

"First time I was living in Japan (didn’t understand the healthcare yet) and took a cab to the ER. They were so concerned and confused why I would do that. I was seen immediately, given IV, six medications on my way out: it only cost my like 60$USD. My friend apologized for how I had to pay so much as a non-citizen. I was shocked it was so cheap."

"I had a cancer diagnosis in 2019 and I joined an online support group. Americans were worried about the costs or losing their job because of missed days for treatment and doctors appointments. I'm Canadian. None of that stuff was any part of my worries. FYI, we got it all. I'm good."

"Yea the amount of GoFundMe’s for just like routine life medical s__t is wild."

"Breaking Bad would not have happened anywhere else but the US."

Prescription drug commercials

"I can’t even afford to go to the doctor. What makes you think I would book an appointment to see a doctor and ask for a drug that could give me 'blindness, or even death.'"

list of side effects, gif, America, drugs, problemsSide effects from drugs, GIF by Eternal FamilyGiphy

"I really love the ones that can give you 'potentially fatal disintegration of the perineum.'"

"This sports game brought to you by a prescription drug with a long list of horrifying side effects!"

Losing your job without notice

"That you can lose your job without warning. No notice period where you can get paid while looking for something else. Just getting thrown out of a workplace you've been at for years, with your belongings. And that this can lead to losing your right to proper health care because of insurance. Basically, no rights and no safety net. Only the rich seem to get severance packages."

"In my first job in Europe, I and the university screwed up majorly with my visa and I ended up stranded in Canada for a couple of weeks waiting to fix it. When I wrote to my boss to tell him what happened, I reassured him that I knew I'd probably lose my job over this etc. He was shocked that I even thought it was a possibility."

being fired, losing job, lay off, America, being laid off with no noticeOther countries have policies that prevent being let go with no notice.Photo credit: Canva

"Here in Ireland, there's been multiple instances where American-run companies think they can fire/lay off employees just like in America, and end up getting legal proceedings taken against them as a result."

"In Norway 3 months notice with pay is the standard."

No guaranteed maternity leave

"I still can't believe paid maternity leave is not a standard thing. And shit like women going back to work two weeks after giving birth. What is going on?"

"I know of a company that was bought out by an American company. They tried to enforce American rules on maternity leave. It did not work out well for them."

Pregnant woman, maternity leave, pregnancy, America, american parental leave policiesPaid parental leave is not guaranteed in the U.S.Photo credit: Canva

"The company I worked for denied my maternity leave and then approved it and then fired me for a system error that I begged them to fix for month. One that I didn’t cause. The maternity leave wasn’t even paid, it was just so I could return to work."

"I'm sorry, not an American. How are people meant to deal with raising a child without a maternity leave?"

Vacation time is seen as a luxury

"Getting time off. 2 weeks here feels like a lot. You work a bunch to get some more time off after x number of years. Other countries can get a month off no issue it seems like."

"I'm in the UK, I get 6 weeks plus bank holidays. I want more, asked for more, so my manager checked with HR. He now can approve another 3 weeks unpaid every year without needing further approval.

Also my American colleagues get the same benefits including 6 months paternity leave (full pay). He used it and he said his family genuinely questioned if he'd been fired and was trying to hide it. 😂"

"The law in France forces me to take 2 consecutive weeks between May and October of each year. After that I still have almost 6 weeks of vacation left on top of public holidays. You can take 3 weeks in a row without issue, but 4+ requires some negotiation, but it really depends on your job and company, for some it's a non-issue."

vacation time, time off from work, sitting by the pool, relaxingVacation time is seen as a given, not a luxury, in Europe and Australia.Photo credit: Canva

"I get 4 weeks Annual Leave a year + 2 weeks sick leave [in Australia]. They accrue and the annual leave must be paid out when you leave the company. I also get Long Service Leave (13 weeks at 10 years of service and 1.3 weeks every year after that.)"

"A friend of mine has like 5-6 weeks vacation per year in the US. Hasn't taken more than a week off within a year for years now. And I don't even think it's a full week as a block. He just takes 5 days max within the year."

Gun violence

"Guns. So many guns. So much gun violence. Just not an issue in other countries."

"Active shooter drills for kids in school. Bullet proof backpacks."

"One of the things that may surprise Americans, is that over in Europe and other places in the world, we don't do gun drills at schools or other places. We don't simply need to, because firearms offences are so low."

Protesters, holding signs, advocating unity, action, anti-gun sentimentsGun violence and active shooter drills are not the norm in other developed nations.Photo credit: Canva

"There are a lot of developed countries with a lot of guns. Canada, Switzerland, Finland, for example. Heck, even the UK has a lot of shot guns in the countryside.

The American culture of gun violence is unmatched in the developed world. It's not quite as bad as some Central America or under developed countries, but it's definitely an outlier in developed countries...I guess that is just America in general."

There are lots of wonderful things about the United States, but that doesn't mean there aren't places we could improve. Sure, some of these things are enormous, systemic things that are difficult to change, but knowing they're not "normal," only normal for Americans, might give us an extra push to advocate for what we really want as a people.

via Terrance Daniels / Twitter

Michael Flor, 70, miraculously survived a two-month hospitalization for COVID-19, but when he received the bill for his hospital stay, it nearly gave him a heart attack.

"I opened it and said 'holy shit!' " Flor told The Seattle Times. "I had to look at it a number of times… to see if I was seeing it right," said Flor. He spent 62 days in an intensive care unit which included an induced coma. At one point his situation was so dire a nurse put a phone to his ear so his family could tell him goodbye.

"He was as sick as you can get, with basically every organ system shutting down," said Dr. Anne Lipke, a pulmonary and critical-care specialist at Swedish Medical Center in Washington, according to The Seattle Times.


Flor's 181-page bill had nearly 3,000 itemized charges. His room averaged about $9,700 a day and his ventilator about $2,835 per day. Drug costs account for about a quarter of the entire bill.

via PixaBay

The total cost for Flor's illness will be even greater than his current charges. The current bill doesn't include his time in a skilled nursing facility, dialysis and the individual doctors who treated him.

According to America's Health Insurance Plans, the average cost to treat someone with COVID-19 is around $30,000.

The good news is that Flor won't have to foot much of the bill, if any of it. He's insured by Medicare and Medicare Advantage through Kaiser Permanente. The insurance company says it will waive most out-of-pocket costs for COVID-19 patients in 2020.

The federal government also has put plans in place to help pay for the medical costs associated with the crisis. The Families First Coronavirus Response Act (FFCRA), Coronavirus Aid, Relief and Economic Security (CARES) Act require that "private health issuers and employer group health plans cover COVID-19 testing and services furnished during the pandemic, with no out-of-pocket expense."

Congress also pledged more than $100 billion to help insurance companies and healthcare providers defray the costs of the pandemic.

via UrbanBohemian / Flickr

Flor's incredibly massive bill is another example of the high costs of healthcare in the United States. Even though the money won't necessarily come out of his pocket, the cost will be paid for by U.S. taxpayers and insurance companies — which are eventually shared by everyone.

Americans pay almost four times as much for pharmaceutical drugs and double the administrative costs of citizens in comparable developed countries. Health care providers in the U.S. also charge significantly more for their services.

If the country enacted laws that would help cut down the cost of healthcare, it would drastically decrease the price we pay for private insurance and as well as social health programs such as Medicare and Medicaid.

Flor is happy to be alive, but the tremendous costs incurred by his hospitalization have put a damper on the joy he should feel after his recovery.

"I feel guilty about surviving... Why did I deserve all this? Looking at the incredible cost of it all definitely adds to that survivor's guilt," he said.

"It was a million bucks to save my life, and of course I'd say that's money well-spent," he told The Times. "But I also know I might be the only one saying that."