Look at all these fancypants people spending $40,000/year. I bet you have a solid gold bidet in your bathroom.
Yeah, if you're spending 40k a year, unless you have a very large family then you've got a lot of luxuries you could cut back on if you found the 4% rule wasn't working for you...
In the USA, one of those luxuries is "health care" - which could eat a very significant fraction of $40k. With a family of 3, I'm paying $7k just in premiums - with an employer paying more half.
I'm paying $11,252 for Health insurance , family of 4, I pay it all, plus both are in college.
You should probably get a better job. Or maybe move somewhere that has better options on the healthcare exchange if you use that. I refuse to believe that people are helpless about this kind of situation.
i dont think this post was meant to complain. but until they fix the cost of heathcare problem it doesnt matter who the hell pays the bill. just read an article where the cost of a knee surgery in michigan varied from 44k to 6k depending on the hospital and a birth varied from 12k to 2k - and a C - Section was 25k to 4k ... this entire industry doesnt have any price control that a typical capitalist run society has - its a joke
Perhaps the kids can contribute to their own health insurance once they graduate college and have found their footing financially.
I do agree that healthcare sucks in the US, though - I'm glad to live in the UK, even if the NHS is very overworked right now. As far as I can tell, the US has the worst of all worlds in healthcare (within the set of options in which healthcare is actually good and not "visit the local medicine man so he can get rid of spirits" or whatever): you don't have government-subsidised healthcare, but also, the fact that everyone has health insurance enables hospitals to jack up the cost of everything so that by now, you can only afford complex treatment with insurance, despite the fact that half the things probably don't cost anywhere near what you pay for them. I hope future governments make things better for you all on that front instead of worse. If health insurance didn't cover such large payouts, hospitals would be forced to charge amounts people could actually pay if they wanted to have any customers, possibly.
Regarding mortgages, if your mortgage is a particularly high percentage of your expenditure, you should probably consider a smaller house. Or renting out some of the rooms to help recoup the cost, maybe?
Actually not everyone has health insurance. That's part of why the costs are so high. Because people without insurance still go to ER for treatment and then aren't able to pay the bill. Then the price has to go up so that the people with insurance and those who can pay are subsidizing those who can't/don't pay.
I admit I haven't studied the US system in great detail, but I don't mean I'm under the impression that 100% of people have insurance. In order for what I said to make sense, probably somewhere between 0% and 10% of people might have health insurance? IDK a specific figure, I'm just making up numbers here. But a low percent.
I thought of a better way of explaining my point about costs and insurance, I guess?
Let me formulate it mathematically.
Let h be the cost of health insurance. Let p(h) be the number of people buying health insurance as a function of h.
Let c be the cost to the hospital of treating patients. Let x be the cost to the patient of being treated, once their health insurance has covered whatever it's going to cover. Let t(x) be the number of patients who seek treatment, as a function of x.
Let G be government subsidies to healthcare. Let D be private charitable donations to healthcare.
Let w be wages of a healthcare worker. Let d(w) be the number of healthcare workers as a function of w.
Then in a situation where the healthcare industry makes no profit and no loss, hp(h) + xt(x) = ct(x) + wd(w) - G - D.
As far as I'm aware right now, in the US, hp(h) + xt(x) > ct(x) + wd(w) - G - D, partially due to inflating h and x way above what c is equal to. Now, if hp(h) + xt(x) >> ct(x) + wd(w) - G - D, then social pressure may be able to decrease healthcare costs to the public back to the situation that is current now. But in order for some sort of change in the system to come about, we probably need hp(h) + xt(x) < ct(x) + wd(w) - G - D, which is only likely if p(h) and/or t(x) drop sufficiently low.
Now, in the UK, ignoring the very small number of private hospitals and people with private insurance, what we effectively have is h=0 and x=0, except in the case of prescriptions and dentistry, in which x=a very small amount. So then we have 0=ct(x) + wd(w) - G - D, or ct(x) + wd(w) = G + D. Due to an increase in elderly people with complex conditions, and the failure of G to keep up with that increase, d(w) has, as far as I can tell, been decreasing, creating hospitals that are stressed and have barely enough resources. So hopefully we'll figure out a solution to that at some point.
How does this help people who are at risk of FIRE failure due to healthcare?
Well, firstly, if you keep as fit and healthy as you can, while you might still catch an illness, at least you won't need treatment for type II diabetes or knee and hip replacements. Secondly, if h + x > some constant multiple of your yearly income, consider whether it'd actually be worth paying all that and seeking treatment, or whether it'd be better to make your peace with the illness. Harsh, I know. But it's that or work extra years to pad your stache. Finally, for minor complaints, consider looking into herbalism or something. If you found a herb that worked well to replace ongoing prescription medication, that'd probably save a lot of money.