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The cost of raising a child in America has soared (2018)

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Re: The cost of raising a child in America has soared (2018)

#71

Earlier quoted context omitted.

1. Not all companies give you such options 2. A lot of the cost is in fine print of things not covered, e.g. during our delivery two of the many many medical personnel were out of network and we ended up paying a huge co-pay for that — but it wasn’t like we could have checked ids for each doctor entering the room etc for insurance acceptance. They entered, they did something, they billed.

I feel like a law should be passed saying that, for any patient with a medical networks, any out of network related charges must be signed off on; individually. Failing that, record yourself telling the hospital staff (or get it in writing) that any out of network charges will not be payed unless expressly signed for ahead of time.

To some extent there is some legislative action (particularly at the state level) that addresses this.

The term commonly used here is “Balance Billing”, though that refers to a variety of “surprise” bills.

Re: The cost of raising a child in America has soared (2018)

#72

I'm having identical twins, classified as high risk. The cost is mind-boggling. I've already paid $7000+ out of pocket, and they have not even been born yet. Costs are mostly related to having to do ultrasounds all the time, and one MRI.

What insurance plan can result in $7k out of pocket for unborn children?

We have a United Healthcare PPO through Apple, it's considered a "good" plan. We paid about $6k out of pocket for a pretty standard hospital birth.

Re: The cost of raising a child in America has soared (2018)

#73
post #59

Earlier quoted context omitted.

> we calculate inflation from some fixed index of consumer goods prices CPI includes housing, healthcare and tuition. The basket isn’t fixed, e.g. 1999 CPI didn’t include cell phone data costs.

The weighting applied to housing, healthcare, and tuition appears to be nonsensically low compared to the fraction of income most people spend on them. Though to be fair CPI is computed nationally and things like housing prices are so localized that it's impossible to come up with a number that makes sense across the whole country anyway.

> CPI is computed nationally

There are CPIs calculated for each metropolitan area. When I'm considering my savings, for instance, I look at New York-Newark-Jersey City, NY-NJ-PA [1] and New York-Newark-Jersey City [2] statistics.

National CPI is useful if you're planning policy. Local CPI is better for individual planning.

[1] https://fred.stlouisfed.org/series/CUURA101SA0

[2] https://www.bls.gov/regions/new-york-new-jersey/news-release...

Re: The cost of raising a child in America has soared (2018)

#74
post #61

Earlier quoted context omitted.

Whatever you do, don't raid your 401k or retirement plans to pay these kinds of debts. I'd also take a very strong position that you're only going to pay up to your out of pocket maximum, and file a regulatory complaint over any balance billing or failure to cover services above that. State regulations matter a hell of a lot here. I'm seriously considering moving to Texas because of debtor laws - any health incident…

> I'm seriously considering moving to Texas because of debtor laws - any health incident can cause one to accumulate a large amount of "debt" in a hurry, and being able to tell creditors to pound sand gives a hell of a lot of peace of mind. Can you elaborate on this? What is so favorable about Texas law specifically as far as debtors are concerned?

Wage garnishment isn't a thing for creditors like hospitals, unlimited IRA protection, homestead exemption in bankruptcy up to at least 10 acres (and case law includes the rented-out portion of duplexes through quadplexes), and annuities get exempted out too. Basically creditors can seize accounts and trash your credit rating, and that's about it in Texas.

Re: The cost of raising a child in America has soared (2018)

#75
post #56

Earlier quoted context omitted.

The counselors at the hospital told me same thing. The out-of-pocket maximum was set to be $5,000 for the insurance. But they also gave us a ceiling (which I don't remember the exact amount at the moment). I was advised that to get Medical which, I did right away, and it is supposed to be retroactive.

This is frightening to read. How is this possible? My wife and I have 3 week old fraternal twin girls (wife is a living, breathing superwoman who carried them to full-term, despite being on strict bedrest from 26 weeks due to pre-term labor scare). We haven't gotten the bill yet but we had assumed that we were in the clear at this point because we've already reached the max (many, many months back, in fact).

You will probably get an insane bill. But don't get disheartened. Our plan had an out of pocket max and several different doctors (like anesthesiologists) tried to bill us directly because they were out of network. It took a lot of back and forth and many months but after all was said and done, we didn't pay a dime over the out of pocket maximum. This is apparently par for the course.

Re: The cost of raising a child in America has soared (2018)

#76
post #53

Earlier quoted context omitted.

The counselors at the hospital told me same thing. The out-of-pocket maximum was set to be $5,000 for the insurance. But they also gave us a ceiling (which I don't remember the exact amount at the moment). I was advised that to get Medical which, I did right away, and it is supposed to be retroactive.

Wow that’s crazy! I thought I was down on my luck last year when I got fired while my wife was pregnant. But medicaid has covered 100% of my daughter bills at the hospital. She’s been in the NICU for 8 months now. So even though I make a software engineer’s salary I haven’t had to pay anything. It’s weird that being unemployed saved me from the same hardship as you. I hope it all gets sorted and wish you all the best…

Wishing the best for your daughter and family as well

Re: The cost of raising a child in America has soared (2018)

#77

Most of this is totally optional. I have a dozen kids, and I'm sure not spending that kind of money per kid. Births are usually cheap. You can go it alone for $0 or get a midwife for $2000 to $6000. Most of us have health insurance with an out-of-pocket maximum. For example, mine tops out around $11,000. Crazy bills can usually be negotiated, with the hospital very aware that you might just not pay at all. Child care…

Are you home schooling? In CA, depending on where you live, it costs the state and tax payers 10-14k/annum per child. That’s for 12 years. Dozen kids would cost about 1.6 million for 12 years of public education. ETA: I just saw that you mentioned homeschooling. If it’s ok to ask, how much are your expenses per month and do you own your home?

My catholic elementary school was only 4k per child in orange county and my high school 10k. For elementary, all kids past three were free and this being catholic school there were several large families. And my brother and I are both successful... Married with kids. My brother retired early actually and owns multiple homes and we'll be buying our first this year. Just a data point that california is overcharging the state for the quality of education provided. My mother was a public school teacher and the money is mostly wasted.

Re: The cost of raising a child in America has soared (2018)

#78

In January of this year, I was blessed with two beautiful fraternal twins. Twins come out earlier and are expected to be preemies usually. The problem was, they were due on March 15. We spent two months in the NICU (newborn intensive care unit). The nurses couldn't be more amazing. They took care of those babies like they were their own. And along the way, they took care of us. They made sure nothing was ever missing…

Isnt there an out of pocket max?

Re: The cost of raising a child in America has soared (2018)

#79

Earlier quoted context omitted.

A very poor one it sounds like. Even a high deductible plan shouldn't have an out of pocket expense that is that high.

All my plans since 2013 have been $12K+ deductible. (Self-employed in Ohio.) Every medical event is a major shopping and price comparison exercise, and nearly every provider refuses to quote hard-and-fast prices. (You also get treated very badly by some practices who act terribly put-off that you'd have the lack of decency to ask about prices. You get that treatment double when it's about a procedure for your kid. P/…

Curious what is your yearly premiums? Is it a high deductible plan?

Re: The cost of raising a child in America has soared (2018)

#80

In January of this year, I was blessed with two beautiful fraternal twins. Twins come out earlier and are expected to be preemies usually. The problem was, they were due on March 15. We spent two months in the NICU (newborn intensive care unit). The nurses couldn't be more amazing. They took care of those babies like they were their own. And along the way, they took care of us. They made sure nothing was ever missing…

Would be "free" in Spain (free in the sense of being paid by the collective taxes of all workers and with price regulated by the government). There is a law to support fathers of premature babies also

Is strange to hear this histories. USA really feels archaic in this sense.

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