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Emergency room patients can face steep bills even when treatment is declined

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Re: Emergency room patients can face steep bills even when treatment is declined

#231
post #156

Earlier quoted context omitted.

> without showing any form of ID. That's changing a bit under the hostile environment. https://www.gov.uk/government/publications/guidance-on-overs...

Only if you don't look like you belong. Classic hidden privilege. As a tall middle-aged white guy, I go wherever I want, nobody asks to see any ID, nobody checks why I'm there. If they need to interact with me they start by apologising "I'm sorry sir". Hospitals, government departments, everywhere I go I look like I'm supposed to be there. But behave the exact same way as a 5'6" black teenager and you'll get stopped…

[deleted]

Re: Emergency room patients can face steep bills even when treatment is declined

#232

Just don't pay it. That's the solution. Hospitals have these bullshit inflated fees, once they accept the insurance payout that is all they're getting from me. They're all "non-profits" that scam the system by writing all this shit off as goodwill or bad debts.

Wait, there isn't any penalty if you don't pay (e.g. bankruptcy)?

Re: Emergency room patients can face steep bills even when treatment is declined

#233
post #151
post #85

Earlier quoted context omitted.

You forgot: 3. Canadians pay for their health care in tax, anyways. (However: https://www.investopedia.com/financial-edge/0411/do-canadian... )

You forgot: 4. Americans pay for health insurance through private companies, anyway. And then they still don't get the care they need.

The list was "common argument by American's against the Canadian system", so why would they argue what you are saying?

Re: Emergency room patients can face steep bills even when treatment is declined

#234

Just don't pay it. That's the solution. Hospitals have these bullshit inflated fees, once they accept the insurance payout that is all they're getting from me. They're all "non-profits" that scam the system by writing all this shit off as goodwill or bad debts.

The insurer only pays part of the bill because you entered into a contract with the insurer that specified that as such. No insurer pays 100% of every medical bill, no matter what, with no expectation of copay or deductible. Even if you had that sweet deal, you would be paying premiums that nobody could afford. Do you have a right to receive services from another human without appropriate payment?

So you think I should pay made up bullshit costs, while below saying the individual gets screwed by the hospital and insurance.

Maybe you should make up your mind.

I just play the game. They make the rules. Don't like it, tough shit, I've paid in hundreds of thousands to insurance over my lifetime. So cry me a river that they've created this shit system we've got with their lobbying and private/public monopolies.

Re: Emergency room patients can face steep bills even when treatment is declined

#235
post #232

Just don't pay it. That's the solution. Hospitals have these bullshit inflated fees, once they accept the insurance payout that is all they're getting from me. They're all "non-profits" that scam the system by writing all this shit off as goodwill or bad debts.

Wait, there isn't any penalty if you don't pay (e.g. bankruptcy)?

They can turn you over to collections.

Typically I ask what their settlement price is in the rare instances I've had to use them. So they can take that or send it to collections.

Re: Emergency room patients can face steep bills even when treatment is declined

#236
post #185

Earlier quoted context omitted.

While unfortunate for them (and their child!) that's still a better situation than being in the US.

If they were in the US and gainfully employed, a lot of that extra care would be covered by their medical insurance. Of course, if they lost their job they'd be SOL.

Maybe, maybe not. Medical bankruptcies also happen to people fully insured.

Re: Emergency room patients can face steep bills even when treatment is declined

#237

Earlier quoted context omitted.

> The court case was between his doctors and his parents. The UK government had absolutely nothing to do with it. Is there a difference in terminology here? The courts are part of the government in my mind. And they have the ability to overrule unjust law.

In parliamentary systems, “the government” is often most frequently understood in a sense somewhst similar to the way “the administration” is used in the US, referring to basically the cabinet and their political subordinates who direct policy.

This is probably a bit confusing for Americans because in the UK big cabinet posts in that executive will be filled by people from the legislature. So all the senior jobs go to elected representatives - but the citizens who elected them don't get to pick who gets which job.

Imagine if Mitch McConnell runs the executive, he gets to pick Senators for important stuff like the Secretary of State, and lesser things like the top of the FCC go to Republicans in the House. They're still in Congress, they just are now also running an executive. Just as now all the real work is done by career civil servants, the politicians are there to set political direction.

The Palace where the UK's elected legislators meet is divided down the middle so that members of the political parties that aren't in Government are quite literally "the opposition" - they're facing the members from the governing party.

Because power might shift suddenly a serious opposition political party has to have "shadows" of every major executive role. A Shadow Environment Minister for example doesn't have a huge Department actually governing the environment like the "real" Environment Minister but they need to know what's going on in that department and be able to explain how their party would do it differently, because tomorrow they could be in power.

Re: Emergency room patients can face steep bills even when treatment is declined

#238
post #165

Earlier quoted context omitted.

aren't exposed to crippling debt Whoa there. My family has a good friend whose child was born with a severe genetic disease in Canada. They are paying a ton out of pocket for care for their child since the gov't doesn't pay (night nurse, some physiotherapy). Both parents are having to work full time just to pay the medical bills. For your average Canadian everything gets paid for, but if you have special needs, you'r…

I think you're using an outlier to compare to an entire population, the argument doesn't really hold up. (indeed, it's unfortunate for your friend and I'm sorry that they're in that situation) For the average person though (which, when we talk about American healthcare, is largely who we are discussing), and a for the majority of the population, things work out very differently. Myself and the members of my family ha…

> Kids recently got strep throat and needed a doctors appointment to get a prescription for antibiotics ($42 to cover the prescription) What does that look like in America? (honestly I'm curious about this one, would it be more than a couple hundred dollars for that?)

It will depend upon your insurance plan, but this situation is pretty comparable. You'd likely pay a $20ish copay at the doctor's office and $20ish at the pharmacy.

Re: Emergency room patients can face steep bills even when treatment is declined

#239

No other industry entirely hides the end price you'll pay, or even an estimate, until after you have gone through the service. It's a sad state of affairs but not something we have to be stuck with; most of the time we could get these numbers ahead of time. ER visits are difficult in their own ways; you can be brought in unconscious and go through treatment you can't agree to, you can be close to death and the time i…

> I don't have an answer other than universal healthcare. What about requiring published price lists? Maybe you need twelve procedures because you're in bad shape, but at least the bill won't be arbitrary.

The problem is, it only limits you to the cheapest hospital WITHIN your insurance companies agreed upon network.
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