This outlier is why health insurance exists in most countries.
"Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune the cost of which should be shared by the community."
As an extreme example - you don't 'pay taxes' so that the government will launch a $20 million dollar rescue operation to save your life from deadly illness while on an arctic operation. You're just going to die.
We do a form medial triage on everything (there's an unlimited demand for medical services) and it's largely resources based.
Ex: COVID antivirals - not everyone gets them. They are rationed.
Every service definitely has it's limits, costs get out of hand at the far end of the spectrum on pretty much everything you can imagine.
Which is why 'co pays' are entirely rational - and likely more fair - form of paying for services, in fact it's surprising they are not more common.
A $20K bill for having 'having a baby' is outrageous as it happens in the US, but for '100 medical professionals in attendance' at once isn't unreasonable at all.
Also if somebody on an Antarctic base gets sick and can be evacuated they get evacuated - that is also exactly what you describe.
OFC there is triage but in normal time we have no medical triage aside from a very soft form of it in that non-life threatening and non-urgent procedures are scheduled and delayed as needed.
Co pays for non-elective are only rational if the amounts are negligible even for the most impoverished patient and then its easier and cost effective just to not haver them at all.
Since his attitude is based on how the systems successfully work in other (more "socialist") countries, I don't think that's a fair argument to make.
There’s an argument for paying a token user fee to discourage overuse of the medical system, but that isn’t the case here.
I know what you mean here, but I can’t help but read this as:
> Unfortunately, despite Medicare, she still had to pay $1300.