In the college town that I now live in, I have really been in a good space with healthcare access through the Affordable Care Act…
A smaller town really has stability of networks and providers, in a way that I don’t think you can get anymore if you’re in a larger city, since you have fly-by-night insurers there with narrow networks who come in and leave the market incessantly, pegging the price of the plans too low and decreasing overall subsidies and leaving people who can only afford those plans with substandard access and care and a lot of set-up work every time their provider leaves or they have to switch insurers etc etc etc.
All that has been off my mind for a while now – thankfully! – but, if I think about it, it also probably means that I can’t easily move to a big city again in the U.S., unless I have a job with healthcare attached or an income level that lets me be a bit more selective and choose from the more expensive ACA plans put out by reputable nationwide insurers.
Yet another way I’m trapped where I presently live.
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