Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

A Band-Aid, a $629 ER bill, and a hard truth about American health care

Back in January of 2015, Malcolm Bird took his 1-year-old daughter, Colette, to his local emergency room. His wife had accidentally cut the tip of the young girl’s pinky finger while clipping her fingernails.

“There was an enormously large amount of blood,” Bird says, “The blood was all over Sarah and all over Colette and it was like, ‘Oh, my god what have you done here?’”

They were first-time parents, and the situation seemed serious.

Fortunately, Colette was fine. The doctor cleaned up her pinky with a wet paper towel, put a Band-Aid on it, and sent the family home.

All’s well that ends well.

Except the story doesn’t end there. A few weeks later, Bird got a bill in the mail. He discovered that the hospital was charging $629 for a five-minute visit and a Band-Aid.

How does a Band-Aid wind up costing so much money? Why are American health care prices so incredibly high?

Vox’s new podcast, The Impact, explores how policy affects real lives. This season, we’re focusing on health care, and we wanted to begin with one of thorniest questions in the American health care system: prices.

In this episode, we look at how the American decision not to regulate health care prices leads to $629 Band-Aids and $3,170 fees just for visiting the emergency room.

We talk to doctors who think these prices are totally justified and a health economist who doesn’t buy it. And we take a trip to the drug store to find out how much a Band-Aid should really cost.

Like what you’re hearing? Subscribe on Apple Podcasts, Stitcher, Overcast, or wherever you get podcasts. And you can always email us your feedback to impact@vox.com.

Hospitals keep ER fees secret. Share your bill here to help change that.

More in Politics

The Logoff
Is the Strait of Hormuz really open?Is the Strait of Hormuz really open?
The Logoff

A busy day of Iran news, briefly explained.

By Cameron Peters
Politics
An expert forecasts how the Iran war could hit your budgetAn expert forecasts how the Iran war could hit your budget
Politics

The Strait of Hormuz is reopening. But the war’s impacts on the food economy could linger.

By Eric Levitz
The Logoff
Trump’s ceasefire announcement, briefly explainedTrump’s ceasefire announcement, briefly explained
The Logoff

An Israel-Lebanon ceasefire is set to take effect Thursday evening.

By Cameron Peters
Podcasts
What to know about the Israel-Lebanon conflictWhat to know about the Israel-Lebanon conflict
Podcast
Podcasts

A journalist explains what it’s like in Lebanon right now.

By Avishay Artsy and Sean Rameswaram
Today, Explained newsletter
Trump’s bungled Iran negotiations didn’t have to go this wayTrump’s bungled Iran negotiations didn’t have to go this way
Today, Explained newsletter

Wendy Sherman helped Obama reach a deal with Iran. She sees several areas where Trump is going wrong.

By Caitlin Dewey
The Logoff
Trump’s DOJ wants to undo January 6 convictionsTrump’s DOJ wants to undo January 6 convictions
The Logoff

How the Trump administration is still trying to rewrite January 6 history.

By Cameron Peters