>
"it still is de facto heath insurance"But without "automatic decline" conditions, which were critical to tptacek's point.
> "nominal charges of 40k is small potatoes"
Sure. But the cover story of CHM's latest newsletter [0] is a woman with a $300k bill that was reduced to $20k. Elsewhere in the newsletter is a request for donations to cover about $60k of a bill that has had $200k of reductions. There are, occasionally, bills that break the $1 million mark, though they usually come with reductions in the $500k+ range. Point being, very substantial reductions and charitable donations are common.
Again, I'm not specifically defending the status quo. I'm just saying, there are definitely options that allow some people with pre-existing conditions or catastrophic illness to avoid bankruptcy.
[0] https://www.chministries.org/downloads/newsletters/CHMSeptem...