The wealth of the 1% just hit a record $44T
cnbc.com
cnbc.com
Ambulances are either free (if part of a low annual fee Ambulance cover network) or capped at affordable, or subsidised if unemployed | disability | etc.
In Australia my brothers trip to hospital for an emergancy stent following a blocked heart artery involved an ambulance, two and days in hospital, and keyhole surgery.
Total cost to him, $400 for ambulance due to no cover, hospital + surgery free via public cover (from his taxes).
[edit to add this]
I did hear on the radio that a bill was passed in California recently to help fix this to some extent but I don’t recall the details. I believe it goes into effect mid-2024.
$7K USD for ambulance in US? I thought the OP "while ten more people file for bankruptcy because they took an ill-timed ambulance ride to the ER." was being sarcastic.
And below it wrote ambulance with insurance only cost few hundred. So in US without insurance equals waiting to die or bankrupt?
Wasn't there a thing about Obamacare a while ago? I mean That was the first time for many NON-US Citizen to know US doesn't have Universal Health Care system. ( Which a lot of us take for granted )
My family’s most expensive ambulance bill before insurance was $6k, but that was intensive care transport for our newborn. I believe we paid $250 out of pocket for that.
It’s true that having to pay anything out of pocket affects when people call for ambulances.
Also, keep in mind high car ownership rates mean most people drive or are driven to the ER. Ambulances are typically only used when there was on-scene medical care provided, that continues on the way to the hospital, or when transporting a patient between facilities. A minority of Americans use ambulances because they don’t have personal transportation.
Here’s one: https://www.reddit.com/r/personalfinance/comments/16ixoc8/i_...
And another which links to the California Assembly Bill to try to prevent this: https://calmatters.org/health/2023/12/surprise-ambulance-bil...
I didn’t receive any notice of the bill until nine months later and was told it would go to collections in 30 days. My insurance company decided to reconsider whether they would pay anything after I called them, and they told AMR they would review the case which put the clock for collections on hold for about six weeks until the insurance coughed up $3k or so.
People with huge bills before insurance are either receiving advanced care (like my infant daughter) or being transported long distances.
CMS has negotiated average basic transport down to a few hundred. I’d like to see this proliferated. Dispatching keeps ambulances from refusing service in the way CMS pricing dries up proactive care availability.
Certainly share your pain dealing with medical bills and receiving them after they’re overdue. I’m good at it but I know most aren’t, and they come at an overwhelming time. Also, many ambulance companies use crappy overbooked billing call centers so it’s hard to talk to someone. Reforming medical communication is part of the whole solution.
Thank You. While not perfect may be sanity is still a thing in the US.
Also that's just for the ride. If they need to stabilize you in any way it's going to increase drastically.
When my ex-wife was pregnant with our first child she caught valley fever and we went to the emergency room.
While there a tatted-up tough as nails gang-banger came in cradling his elderly dad in his arms. He was crying hysterically that his father was having a heart attack and please help.
The lady at the front desk tossed a clipboard at him and told him to fill it out and have a seat.
His father was turning blue. He cried please help he's dying and her response was he should have taken an ambulance.
He replied his dad didnt want to cuz he cant afford it. While crying while holding his dying father.
An EMT was coming out from just having dropped someone off. He heard all this go down and told the guy to call 911. He did while the EMT took his father and placed him on the gurney to wheel him outside.
He then turned around and came right back in, past the receptionist screaming at him and wheeled dude's father to the back while ignoring her.
This same hospital that night told my 7 months pregnant wife with coughing fits and lesions on her legs to go home they dont have a treatment for valley fever and tried to charge us for an overnight stay and stabilization.
Fuck the healthcare system in the US it's completely insane.
I have way too many horror stories I've experienced personally to ever have faith in it.
But they're required to provide emergency services even to people without insurance, and the cost isn't set in stone. It can be reduced (happened to a family member, he called and asked and I think he said they just did it even without proof) or "financial assistance provided" (says this right on a recent one I have).
Haggling isn't really much of a thing here so I'd guess most people don't know those are options, or if they do are embarrassed to let people know they have financial troubles.
That’s a major asterisk. People usually lob this complaint with the context of not having any insurance or somehow their insurance not covering the particular ambulance. Your story does not disprove the others.
Doesn't seem like such a big number any more. I'd bet many people on HN have more wealth than that.
Actually, I'd bet many people on HN are in the top 1% of wealth globally.
I think many would earn that much if they work in Magnificent 7.
And it is surprising because frankly speaking $550K isn't a lot.
> the top 1%, defined by the Fed as those with wealth over $11 million
That makes for about 335k people, having 130M USD each on average.
Seems like an out of control infection at the moment.
A revolution might be a good bet, but it probably will be thwarted like in China or Russia. Too many people also believe the money is well earned.
Without law enforcement, there is absolutely no way these people could hang on to their wealth.
> If those enforcing the law are poor enough, they will take what they require. So they should IMO.
I guess we'll never know what words mean.
If inequality gets to the stage where there was 1 million starving people, or a billionaire who owns a lot of farm land with food on it, I'm pretty sure the 1 million are going to take some of the farm land and food. Maybe all of it.
Is it the starving, or the one who does not share the actual criminal?
The law should be enforced but if things became severely skewed towards protecting a few and letting the rest suffer, then I think the law needs to be adapted. Maybe through taxation or something else.
Is that a difficult concept to grasp?
Let me describe it; poor people looting and beating up employees.
America today is living the problem at a small scale.
I’m not saying it’s their fault. 100% the fault of a the general public as a whole for continuing to buy into promises of arbitrary meat suits projecting non-existent authority (society’s laws are not immutable physics).
IMO the Tim Leary approach is 100% the correct approach. Less than 1 million sworn LEO inclusive of local, county, state, federal agencies. That small a police force in the land of 2A rights has no chance. Probably not even needed, just a sincere threat and the gerontocracy would have to pay attention. It does not so long as the market bears it.
160 million of Gen Alpha, GenZ, and Millennials have little to lose since they can’t afford anything and the vigor of youth on their side. They have little to fear from a handful of aging rich.
This is a great way to put it.
IMO, if you really believe that high wealth inequality is a bad thing for society, your best bet is to simply move to another society where your values are more in-line with the people and social structure there.
I guess the trick would be timing your exit properly, and choosing your new country carefully.
So they really cannot go against larger global economy, as without it they have quite little purchasing power.
Today, in the USA, it's roughly ~40. Versus ~35 in the 1970s.
~35 would be pretty sweet.
GINI Index for the United States https://fred.stlouisfed.org/series/SIPOVGINIUSA
It measures income distribution without regards to absolute measure. For example, Tunisia has a much better Gini coefficient at 33, than the US which is 40.
As a poor person, or even middle class, would you prefer to be in Tunisia or the US?
What is a better measure?
More importantly, how would you address inequity?
The article even says:
>Since 2020, the wealth of the top 1% has increased by /.../ 49%.
>Middle-class Americans have also seen a rising wealth tide, with the middle 50% to 90% of Americans seeing their wealth increase [by] 50%.
What really matters is absolute wealth, specifically what goods and services you have access to.
Median income is a very important one. As well as cost of living.
Managing to target inequity value, by whatever measure, would moot the endless food fights over the tax code.
We should be arguing about the kind of society we want. Not fighting over implementation details, divorced from outcomes.
Nothing as in, no house because the prices are out of reach, no stable jobs because late stage capitalism/AI/the current crisis/whatever, no good furniture (IKEA, if we're lucky), no quality goods (because enshitification), no public infrastructure (becase late stage capitalism), no healthcare (because exorbitant charges and, in countries that had it, the slow killing of public healthcare), no voice (because politicians could not give less fucks for anybody who is not a sponsor), and even our software we don't increasingly own, we just rent...
But some on HN make $250K/month and higher, so "everything is fine", it's not like there is a huge majority in the situation I describe. Why even acknowlegde the rest of the population exists, unless it's for virtue signalling about caring for the underprivileged on some status update?
I'm not saying everyone can do this but I think a LOT of people, no matter their situation, can improve things a lot out of their own hard work, ingenuity and determination.
Your comment about relying on rubbish like IKEA is what spurred my comment. There is so many cheap second hand super high quality tools and building materials available now that you can practically build anything you need for very cheap. So much knowledge available for nearly free about how to stay healthy that it's ridiculous.
Just because most people rely on modern convenience and buy into that system, doesn't mean you need to.
> I don't make anywhere near ($250k a month btw)
Is this a typo? 250K/mo is filthy rich money.
Map that to today and I am sure 500 years from now, people will look with the same disgust on todays society.
I am pretty curious what will come in between.
Even if wealth distribution doesn't change?
* Most people are unaware of the scale of disproportionality at all.
* The average income of Americans has not scaled at the same rate.
* What kind of (purchasing) power that is at odds with any sort of social reform.
There is an implication that US capitalism has bred what economic models always do. A caste system.
You can't expect the content of an article to be summarized completely in a short title, or this response. I have not summarized the article either, just some casual implications. There's an expectation that you read about the article to understand the context, but I can understand not wanting to read a CNBC article.
If it's besides the point why make it the headline?
> Most people are unaware of the scale of disproportionality at all
The biggest issue is that the top 1% is not a static group! People move into it and out of it all the time - the churn is quite high.
There was an analysis of US tax payers and most people will only enter the top 1% for one year out of their entire life.
Nonsense. In theory, any one person can pay off all the debt, given enough favors. For example, if I was hypothetically $2 in debt to you, but there is only $1 in existence (which was owned by you), I can do you a favor in exchange for that $1, and immediately pay you it back for 50% of the debt. I can repeat this a second time with a second favor, and there is now 0 debt. (It doesn't matter if I started with the $1). In other words, having less money than the debt owed doesn't really matter.
Debt is really just the flip side of money; both a measure of who owes whom a favor.
Now that said, we could go on to debate who owes what and what is fair, but we all know that won't get anywhere...