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Message

re: Stealing medical services.....

Posted on 4/25/14 at 11:56 am to
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 4/25/14 at 11:56 am to
quote:

I can sympathize with getting blindsided by a bill higher than you expect


If it were emergency surgery, sure. But it seems that in this case she had time to make inquiries.

Maybe the reason there isn't an up-front price list is that hardly anyone asks ahead of time.
Posted by Hawkeye95
Member since Dec 2013
20293 posts
Posted on 4/25/14 at 11:56 am to
quote:

Maybe in Iowa.


I thankfully do not live in Iowa.
quote:

Medical billing is a pretty fricked system too


It was ridiculous. I probably would have paid it if they had say billed me within a year of the procedure. But 5 years, give me a fricking break.

I got a bill for $200 last year, and I didn't know what it was for. So i called them, and they didn't know either and said that I should know. And I should call the doctor to find out what it was for. It was ridiculous. It was legit and I paid it but to ask me to do the research.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
28896 posts
Posted on 4/25/14 at 12:03 pm to
quote:

f she had obamacare, it would be paid for and she wouldn't be posting this.
You haven't a clue. Obamacare still has deductibles, co-pays, and co-insurance. Her max out of pocket is north of 6K. That max out of pocket does not include services not covered so she could pay more. A LOT MORE.
Posted by cave canem
pullarius dominus
Member since Oct 2012
12186 posts
Posted on 4/25/14 at 12:49 pm to
I do not think most people mind paying the doctor a fair price for his labor however being billed 6 months later for advil st 60$ a pop or a fricking robe for100 that you never had leaves a bad taste in peoples mouth. This leads to them saying screw the hospital or doctor and their bullshite bill. Next guy comes along and they raise his bill to cover the last and the circle continues.
A better question is, how moral is it of a hospital to steal from its patients by overcharging.
Posted by upgrayedd
Lifting at Tobin's house
Member since Mar 2013
135180 posts
Posted on 4/25/14 at 12:53 pm to
quote:

I do not think most people mind paying the doctor a fair price for his labor however being billed 6 months later for advil st 60$ a pop or a fricking robe for100 that you never had leaves a bad taste in peoples mouth. This leads to them saying screw the hospital or doctor and their bullshite bill. Next guy comes along and they raise his bill to cover the last and the circle continues.
A better question is, how moral is it of a hospital to steal from its patients by overcharging.




I think this is a legit question. Met a guy that had an emergency room bill and while he was looking into it, he noticed he got charged $250 for "mucous control". Turns out they were referring to a Kleenex they gave him.
Posted by Taxing Authority
Houston
Member since Feb 2010
57517 posts
Posted on 4/25/14 at 1:07 pm to
quote:

A better question is, how moral is it of a hospital to steal from its patients by overcharging.
The hospital isn't pocketing the "overcharges". They are covering the ones that don't pay.
Posted by Adam Banks
District 5
Member since Sep 2009
32178 posts
Posted on 4/25/14 at 1:07 pm to
Too many hands in the pot for majority of drs to give an idea of how much it would cost. They don't know how much the hospital will charge, anesthesia, etc. This was an elective procedure and there should be plenty of time to get in touch with all parties involved. Also taking into account everything I said it should be assumed expensive several thousand heck most TVs are >1000$ I just really don't get how 8 would cause sticker shock for what was being done. If it was 50-60k maybe but it was 8 to operate on her back.
Posted by cave canem
pullarius dominus
Member since Oct 2012
12186 posts
Posted on 4/25/14 at 1:25 pm to
They are pocketing the overcharge regardless of whether they got stiffed before or not. They are not sending it to the united way or unicef are they? Good example, I recently had a short outpatient surgery done, I found the price beforehand sorted the billing out with the md and insurance, and paid my part beforehand. 6 months later I get a bill for incidentals ie. Advil and robe, the insurance will not cover so it is on me. What other business tries to change its prices after the service is provided and the bill has been paid? Would I have been a deadbeat had it gone unpaid? Prices should be given upfront if possible and stuck to.
Posted by Taxing Authority
Houston
Member since Feb 2010
57517 posts
Posted on 4/25/14 at 1:46 pm to
quote:

They are pocketing the overcharge regardless of whether they got stiffed before or not.
medical facilities ran a whoopin 3% profit as an industry.

quote:

They are not sending it to the united way or unicef are they?
Nope. They are treating "the poor" with it.

quote:

What other business tries to change its prices after the service is provided and the bill has been paid?
The see one that people don't pay for until after the service? There is an easy solution next time don't have the procedure if you think its lot worth the cost.
This post was edited on 4/25/14 at 1:47 pm
Posted by SpidermanTUba
my house
Member since May 2004
36129 posts
Posted on 4/25/14 at 1:58 pm to
quote:


Do these people walk into Ruths Chris, order steak and then proceed to skip the check when they see it's an expensive meal?


I've never heard of a $100,000 steak that I have to buy or I get a crooked leg for the rest of my life.

I've never heard of Ruth Chris raising the prices of their steaks for the customers most unable to pay. Sounds kind of backwards but hospitals do it all the time - its like an inverse sliding scale - you don't have insurance? Well frick you, the price just went up 10 fold! ha ha ha ha!!!!



I do know a guy who wiped out in a skiing accident and had no health insurance. THe bill for fixing his leg was $10,000 - the hospital bill was $100,000 for a 3 day stay. He paid the doctor who fixed his leg the 10k in cash and went home. Wouldn't you know it - a few months and a bankrupcty lawyer later and the hospital is willing to settle for exactly what he has in the bank - 25k.


Of course - this would never happen in most of Europe - but we're iNSane here.
This post was edited on 4/25/14 at 2:00 pm
Posted by SpidermanTUba
my house
Member since May 2004
36129 posts
Posted on 4/25/14 at 2:00 pm to
quote:

back surgery isn't typically an emergency thing. why the frick did she get back surgery when she couldn't afford it?


Excruciating pain all the time and forever vs. bankruptcy.

If the injury were debilitating and the surgery was promising - I'd take bankruptcy.

Is money really worth that much to you?
This post was edited on 4/25/14 at 2:01 pm
Posted by Taxing Authority
Houston
Member since Feb 2010
57517 posts
Posted on 4/25/14 at 2:31 pm to
quote:

Is money really worth that much to you?
Good question. Apparently the subject of the OP feels it's not worth $8,850 to be pain free.
Posted by Adam Banks
District 5
Member since Sep 2009
32178 posts
Posted on 4/25/14 at 2:36 pm to
quote:

Good question. Apparently the subject of the OP feels it's not worth $8,850 to be pain free.


I don't think this can be reiterated enough. The required skill and resulting benefit to other purchases at that price point that should be zero shock whatsoever.
Posted by TrueTiger
Chicken's most valuable
Member since Sep 2004
68822 posts
Posted on 4/25/14 at 2:43 pm to
quote:

The hospital isn't pocketing the "overcharges". They are covering the ones that don't pay.


Yes, they are socializing the cost.

When refusing medical treatment becomes illegal, the private sector is forced to do the socializing among its patient pool.
This post was edited on 4/25/14 at 2:44 pm
Posted by Roger Klarvin
DFW
Member since Nov 2012
46617 posts
Posted on 4/25/14 at 3:26 pm to
quote:

Is money really worth that much to you?


Apparently, the woman in question doesnt believe so.
This post was edited on 4/25/14 at 3:27 pm
Posted by WildTchoupitoulas
Member since Jan 2010
44071 posts
Posted on 4/25/14 at 4:27 pm to
quote:

I guess the doctors should work out of the kindness of their hearts. This is EXACTLY what many people believe. They think we're supposed to be completely benevolent, altruistic and have no concern whatsoever for our well-being or that of our families. We are merely there to serve the public when they get sick and should feel bad for expecting to be compensated for our efforts.

There's another side to this.

I was discussing the possibility of a procedure with my doctor and when I asked him how much it would cost, he looked at me like I was crazy. "This is your health we're talking about" as if money should be no object for me. I told him I would rather die rich leave a legacy for my family than live a long life in poverty, "so tell me how much it's going to cost." He said he didn't know.

He didn't fricking know how much a procedure was going to cost me. If these guys want to operate in some sort of market place, they'd better know how much the products and services are going to cost the customer. How am I supposed to make an informed decision? I mean the muthafukka could just as well have asked me back, "Well, how much have you got?"

Just what I need, a supply and demand health care system. What is the market demand for Life? Everything? If you want death, well, that's going to cost quite a bit less - but it's still going to cost you!

It's a freakin madhouse.
Posted by Srbtiger06
Member since Apr 2006
28303 posts
Posted on 4/25/14 at 4:36 pm to
quote:

I do know a guy who wiped out in a skiing accident and had no health insurance.


Sounds like an idiot.
Posted by CamdenTiger
Member since Aug 2009
62702 posts
Posted on 4/25/14 at 5:03 pm to
quote:

He didn't fricking know how much a procedure was going to cost me.


What Doc would? I bet he knew what his DRG pays him, but what the Hospital bill would be is a mystery to all Docs. Now, if you go to the Hospital and negotiate a price, its usually more predictable. Then, there is insurance to deal with, which is a crazy middleman factor, that confuses everything...
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 4/25/14 at 6:06 pm to
quote:

He didn't fricking know how much a procedure was going to cost me.


There isn't a reason for him to know. Very few ask the price beforehand, everyone simply assumes insurance will "take care of it".
Posted by ProbyOne
Louisiana
Member since Dec 2004
1915 posts
Posted on 4/25/14 at 8:15 pm to
quote:

What Doc would? I bet he knew what his DRG pays him, but what the Hospital bill would be is a mystery to all Docs. Now, if you go to the Hospital and negotiate a price, its usually more predictable. Then, there is insurance to deal with, which is a crazy middleman factor, that confuses everything...


Very few would. I think that is one of the points being brought up here. The healthcare industry in general is not (has not previously and is not currently) functioning efficiently.

It should not be this way.
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