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Sick and struggling to pay, 100M people in the U.S. live with medical debt

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Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#151
post #117

Earlier quoted context omitted.

The money going into medicare is enough to extend coverage to all americans provided the system is run with the cost efficiency of the typical EU healthcare system.

But then people go into debt to pay the tax to pay the other guy's medical debt.

I'm not entirely sure you understand how taxes work.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#152

Also known as 100M people who may have died without medical care, but were provided it despite their inability to pay for it. If you remove the ability for medical workers to seek payment for their services, most medical workers are just gonna say fuck it and not work for free. Medical care providers have families they have to feed too.

Not everything is binary. 10k for an emergency X-ray and sitting on a bed for 3hs is very far from not getting paid. That gray area in between is what needs to be looked at.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#153

> Elizabeth Woodruff drained her retirement account and took on three jobs after she and her husband were sued for nearly $10,000 by the New York hospital where his infected leg was amputated. I'm not sure what sort of retirement they had planned to have on less than 10k, but it looks like in this case the hospital knew they could afford to pay but preferred not to. When people use number of jobs rather than hours wo…

Your entire post is really rather uncharitable and judgmental towards these people but, anyway: > Why are they putting medical debt on credit cards? Doesn't say they did - reads to me like they built up debt on the credit card with regular living expenses while servicing the medical debt.

Medical debt is very low recourse. If you don't pay your electric bill they shut the power off, they won't unamputate your leg if you fail to pay. If you don't have substantial assets, taking the credit hit is the better choice. I can't envision a situation where it makes sense to trade low recourse medical debt for high recourse credit card debt.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#154
post #97

not that it honestly matters. the whole cabal of private healthcare has become such a teetering house of cards post covid that credit reporting agencies no longer count medical debt in your score. https://www.forbes.com/advisor/personal-finance/medical-debt...

My wife had a decent chunk of medical debt when we got married which was long before COVID. Even at that time medical debt didn't count terribly against her. Maybe a 10 pt drop in her score. And eventually the debt fell off her credit.

So did she/the two of you pay it eventually? If not, were there any collection efforts/judgments/garnishments or anything like that?

Simply walking away from medical debt if there is only a minor impact on credit score seems like a decent option if not.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#155

> Elizabeth Woodruff drained her retirement account and took on three jobs after she and her husband were sued for nearly $10,000 by the New York hospital where his infected leg was amputated. I'm not sure what sort of retirement they had planned to have on less than 10k, but it looks like in this case the hospital knew they could afford to pay but preferred not to. When people use number of jobs rather than hours wo…

From both the context and the picture it's clear she's not actually, you know, retiring. The amount in someone's retirement account is meaningless unless you know their age and their income. Yeah, $10k isn't a lot if you're in your 60s and living a lifestyle that costs 6+ figures a year; it's a lot if you're making $30k a year and are in your 20s, and quite understandable if in your 30s at that income level. Three jobs are quoted because yeah, they probably are part time (and just saying "works 60 hours a week" or whatever doesn't carry the same punch), but -they may not be able to get a full time job-. Or else...you know, they might have healthcare.

The emergency room has ludicrously high costs, and none of his medical history. You're literally saying "don't expect to be able to see your primary care provider, go to the emergency room instead" -because of existing debt-.

You're making a lot of assumptions...all of which miss the point. Why is life shattering medical debt a common thing we tolerate in this country, given every other Western country has managed to make it a rarity? But, to your assumptions - maybe and she gave birth prematurely and ended up being seen by a hospital who were out of network and her insurance didn't cover it. Or even went to an in-network hospital, but was seen by doctors who were out of network, as frequently can happen, especially in emergencies when you can't personally vet the doctor is in network for you before you see them. Certainly, something unexpected happened (maybe even the pregnancy itself! Something to look forward to with the Supreme Court set to overturn Roe v Wade), and insurance wasn't there. Why is that acceptable in this country?

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#156
This is not intended to be political - all politicians are corrupt. That said, if only we could've saved a few of the billions we sent to Ukraine or Iraq and use that to pay for healthcare for common Americans.

Fortunately as an engineer, shelling out $4k a year on top of my basically "free" health insurance through my employer is more of a nuisance than something I lose sleep over. That said, people in this country need better healthcare. Doing this will unsaddle startups and businesses from having to provide it directly. Healthcare is something I would pay more taxes for, but above all I command the government to spend in ways that BENEFIT the American people not just corporate donors.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#157

Earlier quoted context omitted.

The entirety of the US economy is tuned to create debt; healthcare is just one example of it.

Well, yeah -- once you've squeeezed all the money out of poor people, how else are you supposed to squeeze even harder?

As implied in another comment, the real solution is one people don't want to consider - forbid people from taking debt on in certain circumstances.

But this immediately appears as "unfair" even if predatory lending is a huge problem.

Meanwhile those who already have some money wouldn't be affected by it much, for example, a law requiring all credit cards that charge interest on balances to be secured ones (where if you have a $1k credit line you must have $1k cash/cash equivalent in the bank).

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#158

Earlier quoted context omitted.

Basically the way things work in the US is that even if you can get an overwhelming majority of people to agree that something is a problem, you will never get them to agree on a solution. In this instance, the two proposed solutions are: make healthcare the government's responsibility like many countries that don't have this problem, or do nothing because that solution isn't perfect.

Further, neither side (seems to) accept incremental change and loves making the perfect the enemy of the good -- especially, imo, the left -- so they get nothing and complain about it.

You're going to have to elaborate on that one, considering that the ACA came from the Obama administration and was about the smallest incremental change possible. Not that republicans didn't try to repeal it several times anyway.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#159

> Elizabeth Woodruff drained her retirement account and took on three jobs after she and her husband were sued for nearly $10,000 by the New York hospital where his infected leg was amputated. I'm not sure what sort of retirement they had planned to have on less than 10k, but it looks like in this case the hospital knew they could afford to pay but preferred not to. When people use number of jobs rather than hours wo…

You don't know their whole story, stop judging people from your high horse.

> You don't know their whole story

I'm pretty sure that's on purpose.

Re: Sick and struggling to pay, 100M people in the U.S. live with medical debt

#160

Just watched John Q (2002) last night, and can't believe that despite all the attention it gets, nothing has changed at all. Can't say I'm surprised though.

The healthcare sector is still quite profitable despite the debt, slow payments, and defaults. What is their motivation to change?

Nationalization.
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