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Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

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Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#41
post #5

More than 42% of 9.5M people with cancer drained life's assets within 2 years in the US .

Important distinction. Most western countries don't bankrupt you for getting old or sick. Oh boy, did i say something which wasn't Pro-'Merica?

They bankrupt you first for working!

Do lawyers get your money, or do doctors?

Best way forward in my opinion?

- Prevent as much as you can

- Dump all that money into research

- Allow for self-treatment, Lowes for medicine

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#42
post #23

"But none of these is her most gnawing, ever present concern. That would be the convoluted medical bills that fill multiple binders, depleted savings accounts that destroy early retirement plans and so, so many phone calls with insurers and medical providers." Is it like this in other OECD countries? I ask because I'm told that we in America have "the best health care system in the world."

No, my family in Canada and UK don't deal with any of this. In the US, it's not even worth your time figuring out how much your treatment will cost, other than whether or not the provider is in network or not. Assume it's the out of pocket maximum for your insurance, because when you go to a provider, you sign a blank check that says you will be responsible for whatever chargers they make up during the course of your treatment. So your only ally is the insurance company, who has the power to deny payment for things like $15 worth of linens (which was actually a few pieces of paper towel).

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#43
I'd like to know where the patient with the $870 MRI bill was seen. My last MRI was billed at over $7500. Before I started treatment for my brain tumor I got divorced for purely financial reasons and gave all my remaining money to my children. USA is so fucked.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#44
post #5

More than 42% of 9.5M people with cancer drained life's assets within 2 years in the US .

Important distinction. Most western countries don't bankrupt you for getting old or sick. Oh boy, did i say something which wasn't Pro-'Merica?

Most western countries are subsidized by US pharmaceutical innovation.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#45
post #36

This makes me so angry at doctors.

I'd look towards regulations. It costs 2.6 billion dollars to get one single drug through the FDA: https://www.policymed.com/2014/12/a-tough-road-cost-to-devel...

This is a good thing. You don't want to be putting something in you that doesn't work. Drugs need massive R&D and that's why it's effective.

I'm more talking about the majority of your bill where the doctor basically spends 5 minutes with you and charges 2k.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#46
post #8

I hate to be political, but anyone who looks at these numbers, and believe that the system is working properly as intended is absolutely an enemy of American Prosperity.

I would argue that the system is working as intended, it's just not to your or my or most other people's benefit.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#47

This makes me so angry at doctors.

I understand the frustration, but I think the anger should be directed at inefficiencies in the market. You can examine UPMC's Charge Description Master File for their different hospitals, and the cost for Y-90 Sirsphere is $222406.00 in Pittsburgh and $56687.00 in Erie ($150,000 and 2 hours drive difference).

Not bashing UPMC, but this probably applies to hospitals around the country. These hospitals have huge costs due to administrative and pay. As for us patients and potential patients, eliminating high drug costs by making sure people know they're finding equal quality medication at the best price is a step forward in my book.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#48
post #9

I think that's just a corollary of "63% Of Americans Don't Have Enough Savings To Cover A $500 Emergency": https://www.forbes.com/sites/maggiemcgrath/2016/01/06/63-of-... EDIT: My comment is in reference to the old thread title, which was something like "More than 42 percent of the 9.5 million people diagnosed with cancer from 2000 to 2012 drained their life's assets within two years"

That was my initial thought, and it's definitely related, but the term used here is assets which people generally have a lot more of then just raw cash savings.

The abstract to the paywalled study cites the average expenditure being about $92k per person in the study. While it is still ridiculous that people should have to pay that much to fight off an illness, that is a disturbingly low value for an "entire life's assets", particularly considering the study was restricted to people who are 50 or older (with an average age of 68.6).

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#49

Earlier quoted context omitted.

Important distinction. Most western countries don't bankrupt you for getting old or sick. Oh boy, did i say something which wasn't Pro-'Merica?

I live in the Netherlands, if I would get cancer my contracting income would go to zero, I would have to get a government mortgage to eat my home and after depleting all my assets I would get welfare of about €1000 per month. Bye-bye retirement. The upside is that my healthcare expense would drop from about €5000 per year to €500 pear year.

If you are contracting, you should really consider getting incapacitation insurance (arbeidsongeschiktheidsverzekering). It’s normally paid by your employer and not cheap (but deductible), but I would consider it irresponsible not to do it.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#50
I remember the radiolab episode on worth[0]. Is another month of life with cancer worth x amount of dollars? Who should pay 100k for a medication that might let you live a month longer with pancreatic cancer. I imagine most Americans don't look at it that way.

[0]https://www.wnycstudios.org/story/worth

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