Assuming nobody else is at fault

268 points

They’ll fix everyone at the ER.

But you get a ridiculous bill, then likely “settle” for a much lower amount of if you’re truly pennyless, you just never pay it and eventually the hospital gives up and uses it as a tax write off.

It’s a shit system

permalink
report
reply
112 points
*

It’ll also wreck your credit, and if you’re unlucky they’ll sell your debt off to debt collectors to harass you and your family. Even if they’ve died. And then the truly desperate will sometimes commit heath insurance fraud making the system even more immensely fucked for everyone except for the hospitals and insurance companies

permalink
report
parent
reply
33 points

Not exactly. Medical debt is different compared to retail debt like credit cards. It still sucks but the rules are different to protect people at least a little bit.

permalink
report
parent
reply
25 points

Yep. Medical debt is often not calculated into your credit score by the credit agencies, either, though not in all cases. Or if it is calculated in, it is heavily weighted against so it doesn’t cause much damage.

And it makes sense. Credit score is supposed to be a judge of your credit worthniess based on your history seeking credit and repaying debts. While medical debt is legitimate debt, it isn’t credit seeking behavior in the way an auto loan is. You didn’t choose to take it on, it would be inaccurate to take a trip to the ER into account when determining your credit seeking habits.

permalink
report
parent
reply
9 points

Mind you, that is a recent change and there are some places that still illegally do so and it is a pain in the ass to get it removed.

permalink
report
parent
reply
13 points

The big story in my city a while back was a shitty debt collector that stole money from a guy’s bank account.

‘It is like robbery’: A debt collector wrongly wiped out an Oregon man’s entire bank account

According to court records, the debt collector said Salazar owed money for treatment at Providence Portland Medical Center in late 2007 and 2008. Providence claimed it sent 26 billing statements and six financial assistance applications to the home address provided by the patient. The unpaid bills for six emergency room visits originally totaled $4,750 but have since ballooned to more than $14,000 after costs, fees and interests associated with the debt collection.

Salazar tried explaining to Professional Credit Service that he didn’t have the money to pay, but a customer service representative seemed unsympathetic.

“They did not care if my brother is sick and this is going to put us on the street,” explained Salazar. “They did not care.”

In April, Salazar filled out court papers challenging the garnishment. It temporarily froze his bank account, preventing the debt collector from taking any more money. At the same time, it kept Salazar from accessing much needed funds, including his paycheck, which is electronically deposited into the account.

https://www.kgw.com/article/news/investigations/debt-collector-wrongly-wiped-out-bank-account/283-01681963-8fe0-4b44-a57f-c076e4521b22

permalink
report
parent
reply
3 points

it’s relatively common for some hospital systems to sue patients for non-payment if their bills are high enough.

permalink
report
parent
reply
3 points

I feel like a lot of people ignore collection agencies when they advise others to “just not pay.” Yeah you could probably get away without paying, but you and your entire family will be harassed nonstop. There’s been few things more chilling to me than a stranger calling me out of the blue with my sister’s name and info telling me to get her to settle up (thankfully just a small amount).

permalink
report
parent
reply
62 points

I’ve been telling people that the notion that the ER lets poor people die in the US is false; instead, they make you wish you did.

permalink
report
parent
reply
26 points

The ER might not let you die but fuck you if you need some sort of medication you can’t afford.

permalink
report
parent
reply
9 points

Part of the reason it’s like this is because insurance companies try their very hardest to avoid paying, but that means you have to do the same if paying yourself.

permalink
report
parent
reply
79 points
*

ER patches you up, you get a large bill, you declare bankruptcy, life goes on.

The question you should ask is, what happens if you have no insurance and you develop a serious chronic illness.

permalink
report
reply
10 points

How does “life go on” with a bankruptcy and health issues?

permalink
report
parent
reply
28 points

The point of a bankruptcy is to move on. You start off at zero again, but you can start building up assets again.

As far as the health issues go, because of the bankruptcy and the ACA you probably qualify for medical care under one of the programs.

Yeah, you get fucked over pretty good. Life goes on because you’re not dead. But everything you had, everything you worked for, is gone. You are left literally with life, not with your life.

permalink
report
parent
reply
4 points

For all its faults the ability for an individual to declare bankruptcy sounds like a rather good thing in the US and something we don’t have in Finland. Granted we don’t have that level of healthcare bills either but if you somehow get youself millions into debt here it sticks with you your whole life.

permalink
report
parent
reply
7 points

My parents went bankrupt like 4 times and it never seemed to make any difference to them. They’d just move on with life and have new credit debt racked up within a few months.

permalink
report
parent
reply
6 points

For some, it can be an unbearable long and leasurely spin around the drains perimeter.

permalink
report
parent
reply
65 points

Emergenty rooms in hospitals are legaly required to help all patieints, so you would recieve care. Usually until you are able to leave the hospital. You would not receive followup care without going to the emergecy room, or paying cash. You would be billed for all services, usually at a higher rate than insured patients

permalink
report
reply
15 points

What kind of care is the question. Often times stabilize and terf em is the name of the game.

permalink
report
parent
reply
11 points
*

My wife worked in the ER for a few months and had to change departments because of a mental breakdown.

Understaffed, abused, and a huge chunk of people who are in the ER are desperate and came there as a last resort because of our fucked up healthcare system.

Not to mention the unstable. Say what you want, but I can count a dozen times where patients threatened to harm my wife for providing care.

permalink
report
parent
reply
1 point

That is awefulv I have no words

permalink
report
parent
reply
59 points

Holy shit what the actual fuck is your health care system America. This thread is nightmare fuel.

permalink
report
reply
19 points

It’s like reading dystopian sci-fi

permalink
report
parent
reply
10 points

We’re a cruel people, and the majority think you’re not entitled to anything you can’t pay cash for.

permalink
report
parent
reply
2 points

It’s certainly not the majority.

permalink
report
parent
reply
10 points

welcome to our personal hell

permalink
report
parent
reply
7 points

This is what voting right wing does to a country, but hey let’s all stick our heads in the sand and blindly hate immigrants.

permalink
report
parent
reply
56 points

If someone calls an ambulance and you’re unconscious they will take you the hospital for treatment. You will be responsible for the bill. Including the thousands of dollars for the ambulance ride.

And no, even though you were unconscious and not able to consent to treatment willingly you will still be responsible for the bill. There are ways of dealing with it, but one accident is all it takes for a ruined credit score for some people. It is as fucked up as it sounds.

There are ways of waiving bills, getting financial assistance etc but it’s a total nightmare dealing with hospital billing departments

permalink
report
reply
11 points
*

If I’m unconscious indoors in a safe place then leave me alone I’ll wake up eventually

permalink
report
parent
reply
30 points

And if you don’t, then the problem has still resolved itself!

permalink
report
parent
reply
15 points

Insurance companies hate this one simple trick!

permalink
report
parent
reply
16 points

Unless you are out for a very brief period of time, being unconscious is a seriously bad sign. Like brain hemorrhaging which left untreated will kill you.

permalink
report
parent
reply
9 points

You hope.

permalink
report
parent
reply
2 points

With the looming medical debt, I’d actually hope not.

permalink
report
parent
reply
1 point
Deleted by creator
permalink
report
parent
reply

No Stupid Questions

!nostupidquestions@lemmy.world

Create post

No such thing. Ask away!

!nostupidquestions is a community dedicated to being helpful and answering each others’ questions on various topics.

The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:

Rules (interactive)


Rule 1- All posts must be legitimate questions. All post titles must include a question.

All posts must be legitimate questions, and all post titles must include a question. Questions that are joke or trolling questions, memes, song lyrics as title, etc. are not allowed here. See Rule 6 for all exceptions.



Rule 2- Your question subject cannot be illegal or NSFW material.

Your question subject cannot be illegal or NSFW material. You will be warned first, banned second.



Rule 3- Do not seek mental, medical and professional help here.

Do not seek mental, medical and professional help here. Breaking this rule will not get you or your post removed, but it will put you at risk, and possibly in danger.



Rule 4- No self promotion or upvote-farming of any kind.

That’s it.



Rule 5- No baiting or sealioning or promoting an agenda.

Questions which, instead of being of an innocuous nature, are specifically intended (based on reports and in the opinion of our crack moderation team) to bait users into ideological wars on charged political topics will be removed and the authors warned - or banned - depending on severity.



Rule 6- Regarding META posts and joke questions.

Provided it is about the community itself, you may post non-question posts using the [META] tag on your post title.

On fridays, you are allowed to post meme and troll questions, on the condition that it’s in text format only, and conforms with our other rules. These posts MUST include the [NSQ Friday] tag in their title.

If you post a serious question on friday and are looking only for legitimate answers, then please include the [Serious] tag on your post. Irrelevant replies will then be removed by moderators.



Rule 7- You can't intentionally annoy, mock, or harass other members.

If you intentionally annoy, mock, harass, or discriminate against any individual member, you will be removed.

Likewise, if you are a member, sympathiser or a resemblant of a movement that is known to largely hate, mock, discriminate against, and/or want to take lives of a group of people, and you were provably vocal about your hate, then you will be banned on sight.



Rule 8- All comments should try to stay relevant to their parent content.

Rule 9- Reposts from other platforms are not allowed.

Let everyone have their own content.



Rule 10- Majority of bots aren't allowed to participate here.

Credits

Our breathtaking icon was bestowed upon us by @Cevilia!

The greatest banner of all time: by @TheOneWithTheHair!

Community stats

  • 9.6K

    Monthly active users

  • 3K

    Posts

  • 120K

    Comments