This. If you are fortunate to have great employment (100k+, dual income preferred (so breaking 200+), depending on location), with good healthcare, your options are great, and you’ll access a higher level of service than most of the world can get. Great schools, great doctors, great home/car/vacations.
If you don’t have that raw income, and therefore don’t have that support, america is a much much different place.
I’m fortunate enough to have gone from very low class to a much higher strata and I never get comfortable. I’m constantly surprised by shit that just happens…easily.
An example: by having good insurance, I have a very good dermatologist. I have psoriasis and use a biologic injectable to handle it completely. Once, my specialty pharmacy had some sort of shipping issue and I called my doc to check in. They said come by.
They handed me 6 doses FOR FREE, so 6 months of medication, like it was nothing. Each dose is thousands of dollars cash. I pay 25$ with my insurance. I assume a vendor rep dropped a ton off.
Point being, I know there are millions of folks on very expensive meds, who don’t have a high quality doctor relationship, who could never access that perk I did. Literally paywalled customer service.