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Comment by 88e282102ae2e5b | Hacker News Reader

Imagine you didn't have cancer, but I told you that if you killed yourself, I'd give everyone at your startup an extra $200/month for a couple years (or however long you would've worked there). That's it. That's the entire deal.

Would you take it? I imagine not, but that's essentially what you're proposing.

Everyone will want you to survive, and anyone who begrudges you for being human because it cost them a trivial amount of money shouldn't really factor into your health decisions.

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This is a phenomenal comment.

What it ignores though is the interesting part, if the hiring manager knows of his illness.

I'm quite right wing, but that's why imho medical costs should be socialized. But of course, there are many problems that come along with that.

> medical costs should be socialized

I couldn't agree more. Most importantly, our career choices shouldn't be coupled to our health needs. It's ridiculous, and it's even more amazing that the US health care industry has somehow convinced conservatives that this is a good situation. As we can see from the OP, the coupling of job to health care in the US literally stifles innovation and job mobility.

I'm generally conservative too but this won't happen until we have tort reform (which won't happen so long as politics is governed by lawyers).

I heard someone say that health care is completely provided in Australia for about 2% of your gross pay because the leeches have been removed from the process ... is this true?

P.S. Leeches = anyone that inserts themselves into the process without adding meaningfully to the quality of care provided.

Malpractice litigation increases health care spending by 2.4% [0]. Many states have already passed tort reform that limits how and when a patient can sue and recover. There are lots of factors that increase health costs in this country, but litigation barely registers. Getting insurance companies out of the game (the BIG Leeches, in your example, who take 20% of the dollars in the system) would go a much longer way.

[0]http://content.healthaffairs.org/content/29/9/1569.abstract

Health insurance is far less predatory in Australia. We have a hybrid public-private system, where everybody is covered by single payer universal healthcare (including specialists, but not dental), but if people have the means they can opt for private health insurance to cut down on wait times or have things like remedial massage or optical included.

There are zero cases of bankruptcy due to medical illness, or people being denied care because of a lack of insurance.

Even if it's a large amount of money tell them to go stuff themselves.

Well what if this person was unemployed or unable to work? I think that maybe having health care depend on your employer is a bad idea.

Then it would suck to be them.

The healthcare system in the USA has many problems, but this thread isn't about that.

per obamacare, small business health insurance is not medically underwritten

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