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People should be allowed to be fat. But if you're so fat you need 2 airline seats, you should pay for 2 seats, just like a non-fat person who wants 2 seats.

People should be allowed to use drugs and be drug addicts. But if you're so drugged up that you shit in the street and attack other people, you should go to jail, just like a non-drug user who shits in the street or attacks people.



And how about payment for surgery for coronary artery disease/type 2 diabetes medications/etc?


I guess for you that might be an upside of the American Healthcare system - fat people pay more for health insurance, and have to pay money out of pocket for their surgery and medications.


No, they do not. After age 65, the federal government picks up the hospital tab via Medicare, and depending on how many qualified assets you have, Medicaid helps with the rest.

Before 65, health insurance can only use a few factors to determine premiums, but none are related to one's health.

https://www.healthcare.gov/how-plans-set-your-premiums/

>Factors that can’t affect premiums

>They also can’t take your current health or medical history into account. All health plans must cover treatment for pre-existing conditions from the day coverage starts.


The ACA changed the insurance cost, but it doesn't change having to pay for the surgery and medication.


Out of pocket maximums are a drop in the bucket compared to the cost of open heart surgery and other emergency healthcare related to bad eating and exercising habits. And those events mostly happen after age 65, after which Medicare takes over.

Yes, those with assets do have to pay a bit out of pocket, even after age 65, but nowhere near the costs of the healthcare they receive.


good thing their life expectancy will soon be below 65, no?


That is absolutely false in many states. That is false for Medicaid, that is false for Medicare.

Not even sure under what circumstances it is true, post-Obamacare.




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