The Structure & Cost of US Health Care: Crash Course Sociology #44
ฝัง
- เผยแพร่เมื่อ 27 ก.ย. 2024
- In our final episode of Crash Course Sociology we are going to talk about what the health care system in the US looks like, the five A’s of health care accessibility, and a couple of contributing factors to the affordability of health care: fee for service care and the structure of our health insurance system which encourage higher spending.
Thanks everybody for joining us for the past year on Crash Course Sociology!
Crash Course is made with Adobe Creative Cloud. Get a free trial here: www.adobe.com/...
***
References:
Sociology by John J. Macionis, 15th edition (2014)
Distribution of U.S. Health Care Providers Residing in Rural and Urban Areas, US Department of Health & Human Services www.ruralhealt...
Protection from high medical costs www.healthcare...
***
Crash Course is on Patreon! You can support us directly by signing up at / crashcourse
Thanks to the following Patrons for their generous monthly contributions that help keep Crash Course free for everyone forever:
Mark Brouwer, Nickie Miskell Jr., Jessica Wode, Eric Prestemon, Kathrin Benoit, Tom Trval, Jason Saslow, Nathan Taylor, Divonne Holmes à Court, Brian Thomas Gossett, Khaled El Shalakany, Indika Siriwardena, Robert Kunz, SR Foxley, Sam Ferguson, Yasenia Cruz, Daniel Baulig, Eric Koslow, Caleb Weeks, Tim Curwick, Evren Türkmenoğlu, Alexander Tamas, Justin Zingsheim, D.A. Noe, Shawn Arnold, mark austin, Ruth Perez, Malcolm Callis, Ken Penttinen, Advait Shinde, Cody Carpenter, Annamaria Herrera, William McGraw, Bader AlGhamdi, Vaso, Melissa Briski, Joey Quek, Andrei Krishkevich, Rachel Bright, Alex S, Mayumi Maeda, Kathy & Tim Philip, Montather, Jirat, Eric Kitchen, Moritz Schmidt, Ian Dundore, Chris Peters, Sandra Aft, Steve Marshall
--
Want to find Crash Course elsewhere on the internet?
Facebook - / youtubecrashcourse
Twitter - / thecrashcourse
Tumblr - / thecrashcourse
Support Crash Course on Patreon: / crashcourse
CC Kids: / crashcoursekids
That was a very brave try at making the health care system in the US sound non-insane.
Yeah... they want too easy on the system
Nice job Nicole! Hopefully we will see more of you in the future. About a year ago I thought to myself " I really don't know much about sociology, I wonder what's on TH-cam?" And what I found was episode 1 of this course shortly after it was uploaded. I've watched every one since. Thanks Crash Course people!
Thanks Nicole Sweeney and the whole CC team... You guys were awesome during the entire course... And I learnt a lot... sure i am going to revisit this series many times in future...
Great job.. 👍👍
+
Since I'm studying social medicine as a subject at the moment, I found it amazing that health was tackled under the circumstances of social factors if nothing but in at least 3 of your videos. Most people find the subject extremely boring and non crucial for a future medical knowledge but social medicine actually in reality is the background of everything that happened, you can't even write a common scientific paper without tackling some of the important health indicators these days. Thanks for making them and I really expect to see more cause book studying this is much harder and there are only a few videos on this subject than for example anatomy or biochemistry or any clinical branches. Best wishes from Serbia
Healthcare in rural areas is the pits. I have been recommended a certain type of therapy, but can't get it because the nearest specialist is 2-3 hours away.
Being from the UK I think its absurd that you'd have to pay to not die or suffer from a painful injury
you guys pay for your food, dont you? do you think its absurd to pay to not die of hunger as well? or to have a roof over your head?
the way i see youre paying for it as well, but through taxation. whats de difference?
Unfortunately nothing comes for free but I would say we have it better here
i live in brazil, its the worst of both worlds: i have to pay twice, because the governments health care is terrible
Same in Italy. Ok we pay a bit higher taxes but then for health care we pay almost nothing. Health care should not be a business in which doctors charge astronomical bills and if you can’t pay you can die. Greedy American doctors and hospitals should be controlled.
She had great energy in covering this topic.
The US: Total healthcare cost, all parties included, about $9850 per citizen per year.
Norway: Total healthcare cost, all parties included, about $4400 per citizen per year.
(2016 numbers)
I'm perfectly fine with paying slightly more taxes than the average US citizen, in order to have full and "free" access to some of the best healthcare in the World. :)
I way prefer the Norwegian system, but i have to note that this stat is skewed because it doesn't consider the other "safety net" costs Norwegians pay in taxes that act as secondary supports for healthcare, like housing and food subsidies, etc, which have major positive benefits for the overall health of the nation
and lead to more disposable income as you don't need to worry about covering a lot of that stuff yourself
The Bandog as someone making 6 figures and paying taxes for it, I'm fine with it.
I'm not. I pay about $700 for health insurance in the US plus some amount for Medicare which I don't get to use. If you want it in taxes, more power to you. I don't. Pay for your system yourself.
James Adams If you pay insurance, you pay for other people's healthcare as well. The difference from gov taxing paying for healthcare, is that _everyone_ has access. And it's cheaper for you, as _everyone_ are contributing. It's also quite possible that the fact that private companies aren't setting the prices on healthcare, makes it even cheaper for you.
Bottom line is, in either case you pay for it "yourself". But you don't.
It’s so crazy to think that some countries deny people of healthcare if they can’t afford it. In the UK we never pay for any treatment or visits to the doctor, we just pay for prescriptions and those are capped at like £8 per item. It just comes out of our income tax. How is it not covered by income tax there already? 🤦🏻♀️
Science with Katie Because taxation is theft and the 1% already pay over 45% of all taxes here.
Led Floyd if you get something for your tax money (like roads, public services, education, government), how is it theft?
luftwaffle96 Because it's an involuntary contract. I never agreed nor consented to have my money taken from me. If I refuse to pay taxes than I'll be kidnapped and thrown in a cell. The fact of the matter is that the private sector could provide nearly everything that taxes give us but even better.
Jack Turner Trust me, if I could legally stop paying taxes and stop using public services I would.
Taxation is theft? No, *profit* is theft.
Although I first watched it for learning English, this sociology courses gave me more what I thought.
Thanks, Nicola. Your smiling style made my motivation for learning higher. And thanks for all of the operators. I readily understood the contents with thought bubbles.
The US healthcare is crazy!! Here in Malaysia a "third world country" we have universal healthcare. i broke my hand when i was 18. i went to a government hospital and they charged me RM1 (about 25 cents US).
Watching this series on my own time has been so much fun, I’ve learned so so much, thank you!
As an aspiring cultural anthropologist I really enjoyed this course! Cultural anthropology and sociology really do have a lot in common, so it was really cool to hear about some of the same things we've discussed in my classes. Crash course always makes every subject very interesting and thought-provoking!
I find the very concept of 'a very costly illness' to be absurd. Every time I hear about the American "system" I feel so grateful to have grown up taking universal coverage for granted. I hadn't even heard the term universal coverage, because that would mean non-universal coverage was a possibility and it's not. It's not a discussion, it's not up for debate: health care is a right.
Han Silly - no it isn't a right, it is a privilege. There, I have turned it into a discussion and debate. It cannot be a right because you don't have the rights to other people's time and effort. If you believe that you do, you essentially believe in a version of slavery. Or at the very least indentured servitude.
JoinTheTemple I like how people try to rationalize not nationalizing healthcare, hah hah.
Hm, that was an interesting way to spell 'hyperbole'. Did I say health care providers wouldn't get payed for their work? That would be pretty dumb, wouldn't it! Good thing it's not like that at all!
By 'right' I mean that we, as a society, have decided that all citizens should have equal access to health care, that basic health safety is an essential part of the freedom to live a good life. We all collectively pay for this through taxes (which I suppose you could view as a macro scale insurance pool, if you want). So I guess if you're one of those people who think all taxation is theft then you wouldn't enjoy this system, but here, as I said, it's not even up for debate (and not because it's a totalitarian communist dictatorship either, but because it's a foregone conclusion and any politician to question it would be out on their arse pretty much immediately)
I'll agree with you on one thing though: it is indeed a privilege to live a place where medical bankruptcies don't exist.
JoinTheTemple Rights are things we decide are rights, natural rights don't exist.
You American's have your "rights to...", for instance, the right to bear arms. The rest of the world is more interested in "rights from..." like, say people with mental health issues, or a history of violence, having access to firearms. Herd immunity may sound like "godless socialism" to you. That's OK. Our life expectancy is greater than yours.
Wait, you can be fired in America for being sick? In Australia, it is against the law to do that, and paid sick leave is mandatory if you are not a casual worker.
Noooo. I still have so much more to learn. Don't stop now. I really liked this course!
Thank you for your time, expertise, and enthusiasm.
7500 dollars for a broken leg?! Does that come with a titanium bone replacement or something? Maybe a diamond encrusted cast? WTF...
6alecapristrudel
That’s p normal. My broken arm cost more than that
Goslin
Idk man, I'm not from the US and that just sounds insane.
I would bet that's a low estimate. There's likely a visit to the emergency room, x-rays, surgery to set the bone (might use titanium in the reconstruction), time in the hospital, casting, physical therapy, follow ups with additional x-rays. I'd be shocked if the total price came in under $20K. The out of pocket to someone in the US with good insurance might come to only $2K. And yes, our health care system is insane.
Your average hospital stay would cost a US citizen $1200 per night. I'm not sure if that includes medicine or not. I forget.
In the US you would be lucky if you only had to pay 7500.
Great course! Thank to Nicole, all the writers and the rest of the team. You never forget being awesome!
I enjoyed this course! Thank you, crash course and you, nicole
Thank you so much for this great series!!
These videos are interesting and educational, but also I'm frequently distracted by a) how fabulous Nicole always looks and b) how every single item in her wardrobe coordinates with her purple glasses which wow seems like a lot of work???
Insurance is basically like a fee to enter a club where your lifestyle determines the rate the club in this case the insurance company will charge you based on the things you do in your life in this case it could be skydiving regularly or smoking which have higher chances of something happening etc ….
Thanks a lot! really really~ I enjoyed this with crash course sociology, although it took my several months to get through
A sincere thank you to the crash course sociology team!!
this channel deserves more views
Thank you so much for this series. I know there were some haters (judging from the thumbs down, I don't read the comments). I hope you can return for another series!
Great job, people.
I just joined Kaiser, an HMO I've always thought was a good thing. But now I notice that since they run their own pharmacies, they have an incentive to prescribe more pharmaceuticals. The more meds you are on, the more money they make. Not as ideal situation.
Thank you for your service. Just finished the whole course.
Thank you so much for creating CC Sociology. I have always wanted to understand more about society and this really helped me a lot. I have grown more interest about sociology and will definitely read more onto it.
thank you for this video, it really helped! and most importantly thank you for talking about the Hmong people. I am Hmong myself and was surprised when you recognized our ethnicity! Thank you!
Thank you for this course! You all did such a great job!
Thanks for the video the host was crisp & clear 🙌
This taught me a couple things, sociologists use loads of terms and explanations they don't need to sound like scientists, the US has terrible Healthcare, and I didn't learn about actual structures, just the tree sectors, which are pretty obvious.
Thanks for this course... I know this has not bin the most popular show, the was a bit of a drop out over the course. But i found it interesting. Especially the more general topics with a lesser focus on the US.
somehow i know less about the US healthcare system after watching this video than i did when i started watching it. nice job writers.
HAPPY VALENTINE!
Hi my teacher shows y’all to us and we love it,keep up the AMAZING work!
I want more sociology! I absolutely loved this crash course. Thank you, crash course team. You guys are awesome
So LONG....Thanks a lot for the clarity and effort. Greetings from Mexico.
those glasses are awesome
A big THANK YOU for this course! Really, really enjoyable! :)
Thank you - I enjoyed learning Crash Course Sociology.
Unlike many other markets, demand for healthcare is not discretionary, when your ill you either access healthcare or get worse. Key Government role is in ensuring the wellbeing of the whole population. This is why most developed countries have a tax/centrally collected funded healthcare system. It's just more effective at delivering better health outcomes affordably to everyone and protects the weak, vulnerable and poor.
False. Most care is not emergency so people can shop around and prepare for their expenses. Further, there is no such "role" of government. And also wrong about government being more effective. It isn't.
James Adams good luck with your healthcare, I am quite happy with with ours.
Thank you, and I wish the same to you. If you don't want me to be forced into your system, you're much more decent than most, and I appreciate that.
Healthcare in the US is hell. If I have to choose between the State and greedy insurance companies/lobbyist to manage my access to health I'd choose state any time. Things here in France run smoothly, there are problems, of course, but they are just small annoyances if one compares.
And that's your choice, so long as you're not forcing it or its costs onto unwilling participants.
Thank you so much for this wonderful course! Hope to see more when possible.
Everyone should just move to western Massachusetts. Give us more electoral votes while enjoying MassHealth and the best education system in the world.
thanks for teaching us nicole!
Thank you so much for this series! :D
Thankyou for the course !
Thanks for the series
reimbursement, practice, research...
A really good series! I learned a lot!
I just wonder what to expect in terms of changes in the healthcare systems (if any)
I have visited the USA for the first time and was amazed how bad the whole healthcare system is. I wear contact lenses and to get them in there costs way more and I needed a +150dollars eye doctors-note in stead of just buying them cheap in many stores like I can in the Netherlands. I had type of aspirin with me what also seemed to be a task to just buy there. heard personal health horror stories like a girl who could not go the the hospital when our plane got canceled because it would cost her tons of money instead of just going to the hospital for free in her own country. Just because the plane had a delay so she had to risk it. I also was amazed by the amount of different laxatives in stores and that I could buy. Or diabetic equipment at wallmart what I do need to get from a pharmacy. And the questionable medicine commercials on tv for things that are as far as I know clearly are not a thing like "stress sweat" or other problems I never even heard about, and that all seemed to be able to kill you if your unlucky with the side effects. Other then that, I had a great trip!
nice video - quite an eye opener in healthcare
Just broke my wrist. No insurance, total cost is $484. Didn't get a cast, just a brace. In my case it's not the cost itself, it's missing work that's the killer. 6 weeks is really going to eat away at that nest egg.
This was a great crash course
LOVE LOVE LOVE your purple sweater!! Where did you get it??
It's funny how as soon as people are educated on how health care operates in the U.S. and other countries, they are immediately all for public healthcare... *sips tea*
Please make a crash course anthropology 😊
Good watch. Thanks.
thankyou so much......
Thank you so much for the series /\ i loved it.
Thank you so much. I learned a lot. :)
If I've learned one thing in this whole series, it's that it's hard to be a non-white non-male in society.
(but yes, I've learned a lot of other things, too. This was a great series!)
Thank you so much! Thanks :D
REALLLLLLLLLLLLLLLLLY HOPING FOR SEASON TWO :D
It's awesome ;)
thank you!
United health care
And aarp are not
For seniors ....
Complexity of the system is inversely related to the role of third party payers. When docs and patients had a direct contract for payment, the system was much simpler.
well, if the number of questions that remain unanswered is unending you might as well continue the show
What is the nature of Social Alienation?
Oh no...need more warning when shows end! :-(
If in the US health care is harsh I’ve lost hope on Brazil!
Can you lie when getting insurance? Like, can you be a smoker and say you don't smoke so your premium doesn't go up?
Like, legally. Not ethically.
How can they prove these things besides having a doctor do invasive tests? Is there a repercussion for lying when getting insurance? Thanks for any help that anyone can offer these questions.
2.05
Pharmaceutical companies are absolutely ruthless, and the best way to deal with them is to unite as a single buyer.
I live in a country with universal healthcare. A government purchasing body buys our drugs from the pharmas, then sells them to the public. Almost everything is US$3 per prescription - from aspirin to HIV medicine (but not cosmetic things). And the pharmaceutical companies aren't coerced, they sell voluntarily. Turns out they still make a profit at lower prices. They charge more in the US cos they can.
The US could go half-way to a proper public healthcare by keeping private doctors and private hospitals, but establishing a govt purchasing body to deal with the pharmas. Cos I hear hospitals in the US will charge you guys like $4 for a single tylenol! And all this happens because of corrupt legislators and corrupt think tanks that pump out propaganda that flies in the face of all other developed nations.
if you can be add languag arabic i would be present this courses in my university because is so good plz
Another reason why the US needs universal healthcare.
and Universal Employment mandates.
I'm from Britain and I can tell you universal healthcare is fantastic, until the right wing take over and deliberately under fund it and sell parts off
Why should I pay people health treatment?! That is unfair. Justice is each one paying for their one treatment.
Johann Christoph Friedrich von Schiller You may be right that it's not the FAIR thing to, but that doesn't mean it's not the RIGHT thing to do. Like it or not, the health of others doesn't just affect them; it can have an effect on society as a whole. If there is a large enough group of people who are scared away from clinics because of medical costs, then production over the whole society begins to decline. If you want your society to be as successful as possible, then isn't it then worth it to pay a little bit to ensure that it happens?
What you just said makes no sense :D
We put our money in a risk pool, and as soon as you break your leg, your insurance company tells you that you didn't sign the proper form that no one told you about, but it was on display in a cellar with no light or stairs in a locked filing cabinet in an unused lavatory with a sign saying "beware of the leopard." And you don't find out they're not going to pay their share of the bill until AFTER the unpaid portion of the doctor's bill has been forwarded to a collection agency whose only purpose it to bother people to pay mystery bills like an overaggressive televangelist who has your home phone number. Meanwhile, your leg isn't getting any better, but you're still expected to buy health insurance, like a con that turns into a robbery halfway through. At the same time, the doctors aren't worried about their patients not being able to pay their bills, because some money is going to eventually show up from somewhere, so what's the risk to them if they charge a zillion dollars for the air that you breathed in the waiting room, and... you know what? Maybe it would be simpler if they just came up to me with a gun and demanded my wallet every time I felt a little sick.
Man I am disappointed that you ended this here. Why? This course has been exclusively America-centric (not counting the theories, which were mostly a history lesson). Isn't there some place I can get sociology information on, say, European, Asian, or African countries? Knowing about the inner workings of other societies is extremely important when confronting issues with ours.
Great
Great....!
Thx Nicole!!😊❤️❤️
I just can't wrap my head around the fact that having no paid sick leave can actually be legal in a country as rich as the US :/
Aka how not to do healthcare
Who goes to the doctor for a fever?
Equality Four people with universal healthcare
PseudoJW Oh, yeah...
Everyone who needs a confirmation about sickness for school/work.
surprisingly low number of dislikes. i guess healthcare really isnt that controversial?
Hey crash course what is replacing sociology ?
We're taking a few weeks off on Mondays, but next month we're starting History of Science, hosted by Hank!
And now I go cry because this course is over.
Can we just say glow-up from the first episodes?
When I have a fever I suck it up and wait it out
I didn't learn anything. Don't you have any philosophical ideas on how to improve the system? Crash Course should be like Star Trek, forward thinking from multiple perspectives. Not Wikipedia on a video, we already have that.
Ah yes... US Health Care, or the art of how to spend twice as much as everyone else and get worse health stats in return.
I will miss you
Study to be a nurse and you don’t need to go to the doctor that much.
Notification Squad!
I need Arabic translation
“After the fever has gone and you get the bill...”
The rest of the civilised world would find this funny if healthcare as a commodity wasn’t so intrinsically horrific.
"Here's your fever suppressants, and would you like fries with that?"
Healthcare is a service just like any other. Calling it "horrific" doesn't absolve the economic idiocy of treating it like it isn't.