Join Date: Apr 2006
Thanked 253 Times in 248 Posts
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Re: US citizen working on foreign-flagged vessels
That's a whole other can of worms. Starting with secret contract rates and paybacks, and the inability of customers to get prices before they agree to service. A number of the major insurers have also outright admitted to policies that should have resulted in executives going to jail for a long time--but state regulators will all tell you, if they prosecute, they'll wind up with no insurers doing business in their states.
There are also big differences in hospital services that most Americans are totally unaware of. I've forgotten the program name, but basically, if a non-profit hospital wants to receive any federal funding, they have to agree to provide for income-based billing. So you go to an ER in a private hospital, maybe you get a $10,000 bill. In one of the non-profits, you speak to the billing office,show proof of income, and you might pay $250. Literally. But since all of this is kept secret and not publicized...people get taken over a barrel.
Of course the US could do as the Cubans do, pay a doctor a flat $20/month. That's probably why most of the Carib and northern South America all send their critical cases to Miami for serious issues. Yes, Miami, the only Cat1 ER within a thousand miles of many nations.
The rubes, ergh, voters, can change some of this. Except, they cant change what they cant understand.