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It's a so foreign concept for me. Needing to rationalize about going to ER. I feel sorry. People are dying and people are tricked into believing it's the better alternative. But There is a better way, and it's only denied because of greed.
The institutionalization runs deep.
The first time I moved out of the US I lived in a socialized medicine country & I just never went to the doctor. My then girlfriend casually went because she wasnt feeling well (a cold), then would go to the pharmacy for a birth control shot (no prescription needed), and finally when I had a fever and a doc came to the house at 2am (we just had to pay the taxi). I had a lengthy stay in the hospital, and a month of rehab, my employer's nurse would stop by the house and give me an injection on his way home. And our son was born in a hospital with private rooms- all i had to pay for was my meals and overnight stay (there was a bed for me), plus the room had a mini bar...no shit.
We moved back to the US to raise the kids and then out again i to another socialized medicine country and I STILL HESITATE to go to the doctors.
Yeah... The Trumpers and other idiots are the ones defending this system. We're talking about something like a third of our population, but it fluctuates.
People outside the US always overestimate these people's opinions for some reason. I think the propaganda machine that is our media works better on foreigners than it does on US citizens. Obviously it works far better than it should on our own people, though...