Every American System is Un-American

Prior authorizations, people as profit, and the pursuit of happiness, liberty, and justice for all.

Matthew Maniaci
Thing a Day
Published in
9 min readAug 6, 2024

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An upside down American flag taped to a wall with “no justice no peace” spray painted on it.
Photo by Koshu Kunii on Unsplash

Let me tell you a story about the American healthcare system that I get to live each and every year.

Every year around this time, I have the joy of wrangling my Nurse Practitioner, the pharmacy, and the health insurance company that covers my meds. The issue at hand? Whether or not the insurance company will continue to pay for my medications. The ones that I need to, you know, live. This is the fifth year that I have the absolute fucking joy of dealing with this.

For those of you lucky enough to live in a civilized nation with nationalized/single payer healthcare, here’s a brief crash course in American health insurance. The short version is that it sucks.

The long version is that everything is privatized, unless you fall into one of a handful of groups that qualify for some sort of government-issued health plan. That means that the insurance companies set prices for what customers pay for everything health-related. This could be anything from a $10 copay (what is owed up-front) for a regular doctor visit to $250 for a 30-day supply of meds.

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Matthew Maniaci
Thing a Day

I write about everything from my experience with mental illness to politics to philosophy. Much of my so-called "wisdom" is from Tumblr dot com. He/him/his.