Yeah I guess the kind of Single Payer model I prefer can be conceptualised as "insurance." But it feels more like health care is taxpayer funded. The similarity to insurance is just details for the detail nerds.

I do pay for my medical expenses out of pocket, because I can’t keep insurance long enough to ensure consistent cate.

I’ll give an example. Back in 21 I signed up for medicaid because I was poor enough to qualify. I get an email from my psychiatrist’s office “We can no longer treat you at this office because of your new medicaid status. We are not allowed to treat people on medicaid.” I asked, and they’re not even allowed to treat me if I pay out of pocket.

This is a new medicaid rule. Now if you’re on medicaid you can only see medicaid-approved providers.

So I canceled my medicaid. And I continue to pay out of pocket.

I’ve tried using other government-assisted programs before, with disastrous results. I’ve been kicked off the rolls before, at random, and I’ve had to go through the crash involved in stopping my medication, because while these government programs are helpful, they’re also buggy as fuck and can’t be relied upon.