No, I would think it's nearly always a matter of affordability when Americans decide whether to buy health insurance. I have a MSA, which means basically I am self-insured, because I am self-emplloyed.
Regardless, in the US, one's method of payment does not, at least directly, determine the level or standard of care the patient receives.
“No, I would think it’s nearly always a matter of affordability when Americans decide whether to buy health insurance.”
Not in my experience when I lived in California.
“Regardless, in the US, one’s method of payment does not, at least directly, determine the level or standard of care the patient receives.”
Why would the method of payment make any difference to the level of care?