| Obligatory Vimes quote: The reason that the rich were so rich, Vimes reasoned, was because they managed to spend less money. Take boots, for example. He earned thirty-eight dollars a month plus allowances. A really good pair of leather boots cost fifty dollars. But an affordable pair of boots, which were sort of OK for a season or two and then leaked like hell when the cardboard gave out, cost about ten dollars. Those were the kind of boots Vimes always bought, and wore until the soles were so thin that he could tell where he was in Ankh-Morpork on a foggy night by the feel of the cobbles. But the thing was that good boots lasted for years and years. A man who could afford fifty dollars had a pair of boots that'd still be keeping his feet dry in ten years' time, while the poor man who could only afford cheap boots would have spent a hundred dollars on boots in the same time and would still have wet feet. This was the Captain Samuel Vimes 'Boots' theory of socioeconomic unfairness.” Source: http://www.goodreads.com/quotes/72745-the-reason-that-the-ri... |
Once you've saved up a decent amount, it makes much more sense to go with a very high deductible plan. Sure, you might lose 10k in one year through some disaster, but on average you'll pay much less than that, such that it's cheaper to forgo insurance for everyday health expenses.
If you're poor, though, having to spend 10k out of pocket will throw you into a spiral of debt, bankruptcy, and poverty, on top of the associated health problems. Even 1k out of pocket can ruin you.
Over decades, you can reasonably expect to save tens of thousands of dollars on health insurance with a high deductible instead of a "comprehensive" plan.