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Insured, but Still Owing $109K for a Heart Attack

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Re: Insured, but Still Owing $109K for a Heart Attack

#21
post #14

40k for four plastic tubes. Why on earth are medical supplies so fucking expensive?

Because the markup is arbitrary. An NPR article notes that the average price paid for the stents by hospitals is $1,153.

https://www.npr.org/sections/health-shots/2018/08/27/6408918...

Re: Insured, but Still Owing $109K for a Heart Attack

#22
post #7

> UPDATE: Monday, shortly after publication and broadcast of this story by Kaiser Health News and NPR, St. David’s said it was now willing to accept $782.29 to resolve the $108,951 balance because Drew Calver qualifies for its “financial assistance discount.” Sounds all fine and dandy until you realize that these charges will just be made up for by people that aren't able to get NPR to publish a story about them.

> Sounds all fine and dandy until you realize that these charges will just be made up for by people that aren't able to get NPR to publish a story about them. No, St. David's has already fully recouped their costs and then some. They were simply trying to extract as much money as the stone could bleed.

Yes, but OPs point is they will still do this to people who can't get media attention. It continues to be a systemic issue that must be fixed.

Disclaimer: Universal healthcare advocate

Re: Insured, but Still Owing $109K for a Heart Attack

#23
> Industry analysts and consumer advocates say St. David’s has a reputation for exorbitant billing and for trying to collect big payouts as an out-of-network provider.

Sounds just like St. David’s Medical Center in Austin, TX is run by crooks. I like the take-home message that "Faced with a surprise bill or a balance-billing situation, don’t rush to pay any medical bills you receive."

Re: Insured, but Still Owing $109K for a Heart Attack

#27
post #3

All this is a bit surreal (Canadian here), but it prompts the question: why won't people sue in a class action to refund money they gave to the insurance in the first place? I realize it's a complex subject, but at the end of the day, the insurance companies advertise and sell: insurance.

Any insurance policy will have clearly stated the difference between out of network and in network benefits.

Re: Insured, but Still Owing $109K for a Heart Attack

#28

Well, it doesn't have to cost that much to take care of a heart attack. Remove the AMA from the equation and it'll clear up. The real problem is that we restrict the supply of doctors. Without that, competing hospitals can arise that will compete on price.

I'm not sure if our patient here was quite in a mood for price shopping, with the whole ongoing heart attack thing.

Re: Insured, but Still Owing $109K for a Heart Attack

#29
I curious to know the details of his health. He just did an IRONMAN 5 months before. Why was he unaware of the status of his clogged “widow-maker” artery? Why was his artery clogged? high cholesterol? What does his diet consist of?

Use of ultrasound imaging to measure the thickness of the inner walls of the carotid arteries that supply blood to the brain. Increasing carotid artery intima-media thickness, or CIMT, indicates a build-up of fatty deposits, known as plaque, in crucial arteries to the heart and brain. Plaque build-up in the arteries, which is usually affects adults, can restrict the flow of blood, causing heart attacks or stroke.

Re: Insured, but Still Owing $109K for a Heart Attack

#30

Well, it doesn't have to cost that much to take care of a heart attack. Remove the AMA from the equation and it'll clear up. The real problem is that we restrict the supply of doctors. Without that, competing hospitals can arise that will compete on price.

Supply of doctors is definitely an important issue. But prices are high not because they can't find doctors. It is high because they have no real competition. When someone is suffering from a heart attack what options do they have than to go to the nearest hospital? Even in non-emergency situations people chose to go to the healthcare provider nearest to them. Also even if we assume people magically able to chose any healthcare provider in the country by teleporting themselves. On what basis they are going to make decision? Prices of healthcare services are opaque and almost secret until they surprise you with 6 figure bill.

That is why i laugh at republicans (Ben Shapiro et al) argument that healthcare competition is what making it the "best" in the world. Don't compare it with restaurant business.

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