Firstup. Wasn't there any walk up clinics in your area. Those are what every insurer ask that you go to first. It's the lowest cost provider. The ER is the most expensive level of initial treatment . Second out of your own free will and volition you chose the highest deductible lowest premium health plan. Point three. You could go to the ER in those smaller, poorer foreign countries but what are your chances of walking back out? Fourth you seem to think that the people in health care aren't worth the kind of money they are being paid. Chances are they feel the same way about what you are making. Number five. If you are going to move overseas to live why should you be concerned about how quality and cost of American health care? Oh just one other little thing. According to an article in that liberal, left wing, communist pinko publication called Time magazine, 50% of the world's total wealth is owned and controlled by just 85 people and only 15% of all investment capital raised by Wall Street investment banks actually gets into the economy. Creating jobs? The only jobs those 85 people might create are floor trader jobs and technology has been slowly eliminating them for years