<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>viknesh</author><text>This is such a short-sighted take. Who do you think pays for your $0&amp;#x2F;year premiums? You do, through reduced wages.&lt;p&gt;The main difference between US healthcare and socialized health care is that in the US, nobody is responsible for lowering healthcare costs... and so they go up. Why do you think PE loves buying up healthcare facilities?</text><parent_chain><item><author>hackernewds</author><text>while employed Premiums = $0. while unemployed, premiums = $3600&amp;#x2F;year for $0 deductibles for private insurance. would you rather pay 10% of your income in higher taxes like so-called universal healthcare providing countries maintain?</text></item><item><author>koolba</author><text>&amp;gt; Nobody actually pays those sky-high drug prices themselves. It’s a scheme to extract as much money as possible from insurers.&lt;p&gt;Alternatively, we all pay those sky high prices. It’s baked into our premiums.</text></item><item><author>Aurornis</author><text>Nobody actually pays those sky-high drug prices themselves. It’s a scheme to extract as much money as possible from insurers.&lt;p&gt;Companies often have programs that provide the drug free of charge (or at a nominal price) to people without insurance. They might also have “copay assistance” programs where they reimburse patients for their copay to bring the out of pocket costs down.&lt;p&gt;The goal is to maximize the amount billed to insurance companies. They’ll go out of their way to reduce the amount billed to the patient directly, because that results in more patients signing up and enabling them to bill more insurance companies.&lt;p&gt;It’s not a good system, but it’s how things work right now. Nobody pays that $100-300K price themselves. Well, we all do through higher insurance costs.</text></item><item><author>squeaky-clean</author><text>Please tell me insurance pays for most of that?</text></item><item><author>bdcravens</author><text>The pricing is more like $25-30K&amp;#x2F;month. It&amp;#x27;s taken twice a day, in pill form. (I have CF and take Trikafta)</text></item><item><author>gustavus</author><text>My wife has several family members with CF. They have started on trifekta and it has changed their lives radically to the point the disease barely effects them day to day.&lt;p&gt;It truly is a miracle and a breakthrough, and the only shame is that these brave pioneers are only getting $3 million for their heroic efforts.&lt;p&gt;Meanwhile the actual cost of the medicine is $10k a dose.</text></item></parent_chain></comment><story><title>Cystic fibrosis treatment wins Breakthrough Prize</title><url>https://www.nature.com/articles/d41586-023-02890-1</url></story>
<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>viciousvoxel</author><text>Yes, personally. Instead of my employer paying for my healthcare (and that being factored into base salary), I would rather receive that money as salary and pay higher taxes. The idea of employers paying for health insurance in the US only came about in the first half of the last century as a way for companies to attract employees without having to raise&amp;#x2F;compete on salary.</text><parent_chain><item><author>hackernewds</author><text>while employed Premiums = $0. while unemployed, premiums = $3600&amp;#x2F;year for $0 deductibles for private insurance. would you rather pay 10% of your income in higher taxes like so-called universal healthcare providing countries maintain?</text></item><item><author>koolba</author><text>&amp;gt; Nobody actually pays those sky-high drug prices themselves. It’s a scheme to extract as much money as possible from insurers.&lt;p&gt;Alternatively, we all pay those sky high prices. It’s baked into our premiums.</text></item><item><author>Aurornis</author><text>Nobody actually pays those sky-high drug prices themselves. It’s a scheme to extract as much money as possible from insurers.&lt;p&gt;Companies often have programs that provide the drug free of charge (or at a nominal price) to people without insurance. They might also have “copay assistance” programs where they reimburse patients for their copay to bring the out of pocket costs down.&lt;p&gt;The goal is to maximize the amount billed to insurance companies. They’ll go out of their way to reduce the amount billed to the patient directly, because that results in more patients signing up and enabling them to bill more insurance companies.&lt;p&gt;It’s not a good system, but it’s how things work right now. Nobody pays that $100-300K price themselves. Well, we all do through higher insurance costs.</text></item><item><author>squeaky-clean</author><text>Please tell me insurance pays for most of that?</text></item><item><author>bdcravens</author><text>The pricing is more like $25-30K&amp;#x2F;month. It&amp;#x27;s taken twice a day, in pill form. (I have CF and take Trikafta)</text></item><item><author>gustavus</author><text>My wife has several family members with CF. They have started on trifekta and it has changed their lives radically to the point the disease barely effects them day to day.&lt;p&gt;It truly is a miracle and a breakthrough, and the only shame is that these brave pioneers are only getting $3 million for their heroic efforts.&lt;p&gt;Meanwhile the actual cost of the medicine is $10k a dose.</text></item></parent_chain></comment><story><title>Cystic fibrosis treatment wins Breakthrough Prize</title><url>https://www.nature.com/articles/d41586-023-02890-1</url></story>