Most forms of insurance in the US

Service as a subscription, for me. It used to be you bought a product and then you owned it. Now if you want practically anything from streaming media to freaking car washes, you have to “subscribe”.

Chiropractors.

Private health insurance is the biggest fucking scam ever. The private insurance companies benefit by getting the aggregate healthiest population into their plans (working adults). The most likely to be expensive people, i.e. old people (on medicare) or poor people (on medicaid, or not even on an insurance plan) are on government, tax payer insurance plans. There is literally no reason except for corporate profiteering that Medicare should not be expanded to cover all people.

Also all those conversations, especially in the 2020 election period, were totally bullshit. You say something like M4A will cost 44 trillion dollars or whatever, which sounds like an insane amount of money. What is often left out of the discussion is that estimated cost was 1) over 10 years and 2) has to be weighed against the current costs we already pay for insurance. So the deal was very simple: the overall costs would go down because the overall spending would be less, and at the same time millions of people without coverage would be covered, and at the same time you don’t have to contemplate stupid bullshit like in network, out of network providers. Or ever again talk to your insurance about why something is or isn’t covered. Boils my blood when I think too much about this.

Not even gonna weigh in on things like how medicare can’t negotiate prescription drug prices (https://www.nytimes.com/2023/07/23/us/politics/medicare-drug-price-negotiations-lawsuits.html), or how dental, vision, and hearing are treated separately from general healthcare, or how med school is prohibitively expensive, or how the residents after med school are overworked because the guy who institutionalize that practice was literally a cokehead. Those are all just bonus topics. The point is we are getting fleeced.

Subscriptions.

People pay every month but most don’t use the sub to it’s full value, and forget how expensive it becomes over the years. And you don’t own anything on a subscription, you just borrow it.

Also trial periods that prolong automatically into subscriptions.

My personal top 3:

• insurance
• subscriptions
• Google and similar data hungry companies (while not a financial scam but moreso a privacy scam, companies like Google and Meta profiteering on our personal data without our knowledge or awareness)

The stock market and publicly traded companies. The idea that a business that is making consistent profits isn’t good unless those profits are increased each quarter is asinine. This system of shortsighted hyper focus on short term quarterly growth for the sake of growth is the cause of so much pain and suffering in the world. Even companies with amazing financials will work to push workers compensation down, cut corners and exploit loopholes to make sure their profits are always growing. Consistent large profits aren’t good enough.