A couple were told they faced a $200,000 (£146,500) medical bill when their baby was born prematurely in the US, despite them having travel insurance which covered her pregnancy.
Couple left with $200k bill after baby born in US
https://www.bbc.co.uk/news/articles/cx2r7d4gzz1o
285 Comments
shittydwarf@sh.itjust.works · 349 pts · 163d
Do not travel to the US
atro_city@fedia.io · 34 pts · 163d
why would you go there??? this couple was asking for it
thesohoriots@lemmy.world · 67 pts · 163d
Did you see how they were dressed my god
HereIAm@lemmy.world · 23 pts · 163d
If i take a boat and sail to a known cannibal island, where people like me have gone and been eaten before, and I then get eaten, there's no one to blame but me. The US is simply not a good place to travel to at this time. It would have been even more hell for them if they had to over stay their visa.
papalonian@lemmy.world · 6 pts · 163d
I mean, they may have got a free
beatingplane ticket home.The baby though, that's a natural born US citizen. That's staying here.
WolfLink@sh.itjust.works · 29 pts · 163d
The problem in this story wasn’t actually the US this time, it was the Swiss insurance company.
Buffalox@lemmy.world · 109 pts · 163d
I would say the problem also was a very high medical bill of $ 200k.
dharmacurious@slrpnk.net · 44 pts · 163d
Yes. You're right. Our healthcare system is absolutely bonkers bananas insane, and that's before you calculate in the cruelty. And as US citizen, I strongly advise everyone who isn't to avoid this country like the plague.
However, if I travel to Switzerland or Canada or Italy or wherever, as a tourist, I am not covered if I go in the hospital. I still need to carry travel insurance, and if I don't, or if it doesn't cover something, then those countries with their modern, sensible healthcare systems will charge me out of pocket, just like an American hospital. The difference is that in America, even the citizens aren't covered by default, and the amounts are astronomical compared to other countries.
It's a shitty system all around, and frankly, I genuinely believe that if it weren't for America's weird fetish for as much money as you can possibly choke on, we would probably have started building an actual universal healthcare system for the global community, so that you're covered by default even when traveling. But like with most things, the right wing nonsense has held us so far back that that is so unlikely as to seem utterly impossible
alfert@feddit.dk · 19 pts · 163d
Yes if you come here to Danmark from the US you will not be covered. But if you are from a country in the EU you will in most cases be covered and don't have to pay anything for being hospitalized.
rainwall@piefed.social · 26 pts · 163d
Even if you do have to pay something, the cost Ive seen people post in europe are in the hundreds/thousands, not hundreds of thousands like the US.
Maybe this couple woukd have gotten a $200/2000 bill in the EU for a birth? $200,000 is a purely US problem.
ageedizzle@piefed.ca · 3 pts · 163d
ricecake@sh.itjust.works · 5 pts · 162d
It's complicated, because it's American healthcare.
The hospital charges $200k. The insurance agrees to pay a negotiated discounted rate of $100k. $75k goes to the various insurance plans of the doctors and hospital. $15k goes to the people providing care and materials costs (everything is itemized, so then $50 aspirin you see is because it includes the time of the pharmacy tech who got the order, entered it into the system and checked for interactions, the tech who filled the order, the pharmacist who had to sign off on it, and the nurse who carried it to the patient.). $10k goes to the hospital as profit.
The insurance then makes the patient pay their $5000 deductible, which is what you pay before the insurance you pay for pays for anything, then the patient pays their $2500 coinsurance, which is what you pay after the insurance you pay for starts to pay for things but they only pay for half. After that the insurance covers it. The "perk" is that having met your deductible and coinsurance costs you likely have to pay little or nothing for care for the rest of the calendar year, making January to most financially responsible time to have a medical emergency.
In terms of actual "cost", I think the biggest difference is the itemization of everything. Universal healthcare is intrinsically more cost efficient, but it still has to pay doctors and nurses. When that cost is viewed as part of the cost of running a hospital as opposed to part of the service "charged" to the patient it can bring the "list price" down a lot. You end up with the price of a broken arm being the cost to treat a broken arm, not then cost to treat a broken arm and have everyone involved show up and your share of building the hospital room, and the cost of the janitor cleaning the room.
UnderpantsWeevil@lemmy.world · 13 pts · 163d
NICUs are capital and professional labor intensive. I got to meet the team of doctors and nurses who kept my son alive and thriving for the three months between birth and due date. Idk what the magic number to care for him should have been, but I don't think six figures is an unfair estimate in any socio-economic system.
The question after that is "Who paid for it?" And, in my case, it was Medicaid, which was a huge relief. These poor bastards clearly didn't have the option.
Evil_Shrubbery@thelemmy.club · 16 pts · 163d
Why it's so capital intensive is another issue, but the matter of six figures being reasonable is to compare that to costs of similar treatments in other countries (usually it's an order of magnitude more expensive).
Healthcare just can't be free market bcs the demand side cannot be free by definition.
ricecake@sh.itjust.works · 1 pts · 162d
A big part of that is that other countries view to medical staff as a fixed cost. They're not reflected in the "bill", much like how you don't get billed by the fire department. They're simply paid to be there, and costs for treatment are more reflective of the cost of the treatment.
Lemming6969@lemmy.world · 5 pts · 162d
Was likely 2 hours a day actual attended care, 1000 a day, 90k for 3 months, plus rent, food, materials, another 500 a day. That's $135-155k even with conservative care in nicu. In a real nicu that would be 10x
ChexMax@lemmy.world · 2 pts · 162d
My nephew was also in the nicu for three months, and he cost a million dollars. Also picked up by Medicaid. As much as I hate the US Healthcare system, I will be forever grateful to the united states of America for providing life to my nephew when in any other time or situation he would have just died immediately. He is and continues to be a miracle, a very special, bright boy who just scored a goal for his soccer team this weekend for the first time.
echodot@feddit.uk · 7 pts · 162d
If I'm going to be paying $200,000 for medical procedures then they better be replacing my liver or something. How could a pregnancy possibly cost that much money?
They probably asked 6 grand just for pulling out a splinter.
Damage@feddit.it · 6 pts · 162d
They were performing there, it's work .
scarabic@lemmy.world · -12 pts · 163d
I don’t see how this is the US’ fault. Their insurance, who initially denied them, is with a Zurich company. Do they expect any country they visit to cover them medically?
Maybe I’ll pop over to Berlin if I ever get cancer. Surely they’ll pay for all my treatments even though I’m just a tourist. They aren’t barbarians like the US.
Damage@feddit.it · 8 pts · 163d
I'm fairly sure in Berlin they won't charge you two hundred thousand fucking dollars for an emergency procedure, but sure, go on strawmanning. What the hell.
scarabic@lemmy.world · 1 pts · 162d
scarabic@lemmy.world · -6 pts · 162d
Sorry to burst your bubble of USA-hatred but nope. Germany will not decline to treat you but they will bill you. Oh wait… that’s exactly what happened in the US! This was not just an emergency procedure but 3 weeks in the ICU.
This couple’s insurance ultimately decided to pay. So this is a total non story. It would have happened the same in a million places. Tourists do not get major services for free. If they did, people from around the world be showing up with conditions and just reporting straight to the ER and then hop skipping home.
This story was drummed up to tap into people hating on the US for its poor healthcare system. Which is usually valid. But if we judge by whether tourists get free major services, the US isn’t any worse off.
Damage@feddit.it · 3 pts · 162d
The costs are not comparable, otherwise or healthcare systems would all be bankrupt. And here we don't have the same incentives to inflate costs.
scarabic@lemmy.world · -2 pts · 162d
Yes the costs would be different. Perhaps 100,000€ instead of $200,000. The fact remains tourists don’t get free healthcare anywhere.
This is a complete nothingburger of a story. The couple got treatment. Their insurance was billed, exactly as it would have been if they’d been in Canada or Portugal.
Their insurance momentarily denied to cover them. Why aren’t we mad at them? Because this clickbait story was created to stoke a pre-existing “America sucks” narrative and get outrage clicks.
And they seem to have played everyone here perfectly.
stephen01king@piefed.zip · 3 pts · 162d
Maybe they denied to cover them because of the ridiculously high bill, have you ever thought about that?
Edit: It seems the cost of a normal birth in Germany is at most €7500 for a tourist with no insurance.
scarabic@lemmy.world · 0 pts · 162d
Helllllo the baby was 7 weeks premature and in intensive care for 3 weeks. The cost of a normal birth is totally irrelevant. You didn’t read the article, obviously.
I paid literally zero for either of my kids births right here in California.
slothrop@lemmy.ca · 211 pts · 163d
ThePantser@sh.itjust.works · 153 pts · 163d
The unborn child that isn't allowed to have a name yet needs to be named in the document.
albbi@piefed.ca · 51 pts · 163d
You can just imagine whoever made that decision letting out an evil laugh.
Wildmimic@anarchist.nexus · 105 pts · 163d
The legal proceedings had more time to mature than the baby lol
JoshuaFalken@lemmy.world · 115 pts · 163d
As someone that wouldn't choose to travel into or through the United States, I can't say I would be surprised if I got back home after this ordeal and the medical bills started showing up. US healthcare will charge for anything under the sun. I half expect visitors will be sent invoices for travelling in the vicinity of a hospital in the near future.
justme@lemmy.dbzer0.com · 66 pts · 163d
The insurance on question is not American, but from their home country. The ridiculous price is American though
JoshuaFalken@lemmy.world · 7 pts · 163d
I realise that, my connecting thought was that the hospital looking at their insurance policy should have been able to understand the pregnancy was covered. Even with it being unclear due to the contract's wording, it should have triggered the billing department contacting the insurer for clarification.
That's not how America works though, they operate on a 'invoice first, ask questions later' approach. If one in a thousand bills get paid without question, the superfluousness is considered justified. Oh well, I would add this to my list of reasons to avoid the country if it weren't so long already.
AlexanderTheDead@lemmy.world · 7 pts · 163d
You seem confused.
As someone who has worked directly with medical (dental) insurance, the billing hospital/doctor almost definitely sent the bill to the insurance company first, were denied the claim, and then sent it to the couple afterwards.
You seem to think the hospital told them they weren't covered, but that isn't what happened. At least not in this article. They thought it was covered and dealt with until returning to the UK, where the insurer told them they weren't covered.
JoshuaFalken@lemmy.world · 0 pts · 163d
You aren't the only one whose work has involved medical insurance.
From my experience, it was quite uncommon for the practitioner themselves to be preparing and sending an invoice to the insurance company. Typically they would pass this off to the billing department, though in smaller places like a dental office I've seen the 'billing department' just be the front desk. It's a touch misleading to equate the billing hospital with the doctor as if penning invoices is a shared responsibility between the two with each taking roughly equal part.
In any case, it's irrelevant. I'm not here arguing minutia about on which continent the responsibility specifically failed, nor whatever individual made an error. The system failed these people, even if the end result was only a momentary heart rate increase from seeing a medical bill until a phone call resolved the issue.
If my underlying point remains unclear, I doubt I can clarify further.
AlexanderTheDead@lemmy.world · 3 pts · 163d
...right, you still seem confused about what is being said, since the first half of your reply is just... stating that the practitioner themselves usually don't directly send the bill, the billing department does.
I guess I could see how you could misconstrue that from what I said, but it doesn't really address the crux of who was at fault here: the insurance company.
The system failed these people? Uh... sure... the American health care system is hot dog ass and insurance is bullshit. I agree, the system sucks.
My only point here is that your comment directly makes it out to be the US/hospitals fault.
But! That being said! I see where the confusion is, now.
You presumably meant to say "the pregnancy wasn't covered". Because of this typo, it made me think you were saying that it WAS covered and that the hospital made a mistake when reading.
Also:
To be fair, when you say "I wouldn't choose to live or travel through the US", it makes it pretty fair to assume you aren't already there. If you are out of the states, I have no idea how your experiences with a different healthcare system could be relevant? But hey, maybe you should lead with relevant information about why your input has more weight behind it than the average commenter.
That being said... it still doesn't. You spent half your comment acting like I was being misleading because I said "the billing doctor/hospital sent it to the insurance company", when any reasonable person would extrapolate that obviously the staff is responsible for that? I said billing doctor because the hospital sends the bill in the doctor's name. They might not be literally penning the bill, but they are the biller, they are doing the billing.
Edit: also, insurance companies are mostly all closed on weekends and you can't just "call to confirm the policy" in every situation.
JoshuaFalken@lemmy.world · 1 pts · 162d
I don't make it a habit to preface a general comment by preemptively stating why I may be qualified to weigh in on a topic. This is the internet after all, not really a formal setting. My qualifications are just as irrelevant as yours here. While we may have insight that others lack, we aren't doing anything but commenting on an article.
Without going point for point as you have done, it should suffice to say that even now after I have reread this thread and what I wrote previously, the underpinning of my initial comment stands - these people were failed, and it shouldn't have happened.
AlexanderTheDead@lemmy.world · 0 pts · 162d
And yet you still have the opportunity to chime in about how you have televant qualifications, and you haven't.
Yes, like I said, we already agree that the system is bad. They were failed directly by the insurance company in this case, and there is pretty much nothing additional you could reasonably have expected from a hospital in an emergency situation like a premature birth.
Your original comment put the blame at the hospital's feet, not the insurance company's feet. When called out, you justified it by saying "the whole system was wrong, I'm not here to argue minutia".
Indeed, you are here to force out a point, backtrack and move goalposts when called out, and act as if your messaging has an underlying "the system is bad" message, when you could have just said "yeah, the insurance company sucks in this case. Whole system is bad."
These people were failed (directly by the insurance company), and it shouldn't have happened.
Insufferable. Just learn to back down when you misspeak instead of getting defensive.
Tar_alcaran@sh.itjust.works · 10 pts · 163d
I have both a heathcare insurance and because my hobby is reenacting (ie, travel with really expensive things and doing dumb things like sleep under a hedge for 2 days) a very good travel insurance which includes healthcare abroad.
Both go out of their way to point out I have coverage in the entire world except the USA and active warzones.
JoshuaFalken@lemmy.world · 3 pts · 163d
You sound like stealth camping extraordinaire Steve Wallis.
It's quite funny to think 'expensive thing' could be just anything, like an orchestral harp or some of them jewels from the Louvre, and you're just hanging out under a hedge with a copy of your insurance policy as a pillow haha.
Tar_alcaran@sh.itjust.works · 5 pts · 162d
Oh, no, nothing that ornate. Just like, a historically accurate coat is expeeeeensive if you have to buy one. Mostly because it's handspun wool, handdyed and handwoven into a handsewn fabric.
Like, a meter of historically accurate linen can run over a hundred euros easily. In fact, I'd buy it right now if it's that cheap.
It doesn't get much better for other items. Of course, most of those are handmade by people who aren't charging for it, or trade for it. But if I lost my whole suitcase, it's probably going to cost 10k to replace at least. And that's not counting the armor.
JoshuaFalken@lemmy.world · 2 pts · 162d
Are you a time travelling hedge knight?
What is it you're getting up to that you could have a suitcase full of historically accurate clothing in any place outside a museum? Only thing that comes to my mind is renaissance festivals or similar, but I wouldn't have thought accuracy was taken that seriously.
Tar_alcaran@sh.itjust.works · 4 pts · 162d
Historic reenactment.
It's basically people doing things like they were done in the past, sometimes to the level of "hello visitors, let me explain stuff while in period clothing" to "completely recreating a medieval military campaign from underpants to anything-stew, excluding dying from a minor infection".
But it also includes period crafts, so weaving your own fabric, etc.
JoshuaFalken@lemmy.world · 3 pts · 162d
That's quite interesting. It reminds me of a group of people that are building a castle using period correct construction and material gathering techniques. I saw a Tom Scott video about it, I think they started in the 90's or something.
Very cool to hear about. I'm glad people do these things, even if it's sort of the first I'm learning of it. I'll keep an eye out for such events in my area in the future. Thanks!
quick_snail@feddit.nl · 2 pts · 162d
Give them the address of your hotel in the US.
XTL@sopuli.xyz · 1 pts · 162d
They'll be happy to charge you for all mail forwarded to your home country, any costs incurred, and a little handling charge at the hotel. No extra effort needed, they already have your credit card and photo id.
quick_snail@feddit.nl · 1 pts · 161d
Why would they have your credit card?
bampop@lemmy.world · 104 pts · 163d
Yeah, very sorry I'm sure. Oopsie, we accidentally fought a nine month legal battle to avoid paying out the exact thing the insurance is for
Evotech@lemmy.world · 42 pts · 163d
"We've now strengthened and clarified our wording and guidance so other families travelling abroad at this stage of a pregnancy do not have to go through this experience."
TLDR: the next couple is fucked
buddascrayon@lemmy.world · 16 pts · 162d
No, what this means is that they have increased premiums for anyone at 33 weeks of pregnancy and added something about premature births that will cost more if you're traveling to America. Either that or put in specific language excluding coverage for premature births. Either way, insurance companies are a scam.
sukhmel@programming.dev · 4 pts · 162d
Like ‘hey, your baby is not covered, it's 43 minutes under due’
awfulawful@lemmy.blahaj.zone · 33 pts · 162d
Arguing the care wasn't covered because the baby wasn't named in the insurance despite explicitly covering pregnancy-related care is ghoulish behavior. I can't fathom how you can argue that seriously and not feel like a piece of shit.
InvalidName2@lemmy.zip · 96 pts · 163d
There's so, so, so, so, so much I could say about this topic.
Number 1: Why are any of you cunts even coming to the USA anymore? Sincerest apologies for victim blaming, and obviously my stupid ass has not read the article (gonna do that later).
Number 2: US healthcare costs are a scam.
Number 3: Healthcare insurance is a gamified scam.
NorskSud@lemmy.pt · 17 pts · 163d
The dates are not clear on the article, but it's possible that the birth was even pre Trump.. the couple was touring, they're musicians.
SwingingTheLamp@piefed.zip · 4 pts · 162d
Other articles date the birth to 2022.
quick_snail@feddit.nl · 5 pts · 162d
I think coming to the US to murder Trump is a very valid reason for travel.
StraponStratos@lemmy.sdf.org · 76 pts · 163d
Not trying to victim blame but do not go to America.
quick_snail@feddit.nl · -10 pts · 162d
Also dont have kids
Bloomcole@lemmy.world · -11 pts · 162d
They're Brits
MadhuGururajan@programming.dev · 29 pts · 162d
I don't see how the advice doesn't apply. Do not go to U.S.A
jaxxed@lemmy.world · 1 pts · 162d
Evwn Canadians should recons8der a US visit
Bloomcole@lemmy.world · -2 pts · 162d
Maybe your scummy government should've reconsidered their complicity with the US regime a long time ago.
Their virtue signalling because the big bully you were always friends with and help in their scumbaggery is now temporary bothering you.
hypocrites
jaxxed@lemmy.world · 1 pts · 161d
Which government is my government? I don't live in North America.
Ech, on re-read I see the problem ... my apologies. I was typing too fast for my own good.
I meant that any Canadians considering a US visit shouldreconsider
Bloomcole@lemmy.world · -3 pts · 162d
It means Brits are the closest to the US with Canadians.
They love the banana republic.
Despite the temporary spat they will be back aiding them in their imperialist looting and mass murder
MadhuGururajan@programming.dev · 1 pts · 162d
ah ok yeah I agree. Their elites seem to be quite "chummy" as brits would put it.
expatriado@lemmy.world · 64 pts · 163d
used to be anchor babies, now is trapped in debt babies
avg@lemmy.zip · 24 pts · 163d
Just don't pay, what are they going to do?
Hadriscus@jlai.lu · 24 pts · 163d
I mean given all I hear it would not entirely surprise me that they would hold the baby hostage, at best
wreckedcarzz@lemmy.world · 15 pts · 163d
Hospital: we gonna steal ur baby lol
Parents: oh no, you are going to feed it, bathe it, care for it, educate it, all on your own dime? Oh the humanity
Hospital: wait no not like that-
E: hospital: that's filthy socialism!
albbi@piefed.ca · 9 pts · 163d
Hospital stealing your baby? Just call ICE and they'll depot you!
JoshuaFalken@lemmy.world · 13 pts · 163d
As artists that go on tour, the US leg likely provides a significant chunk of their income. If they were just on vacation, that's a different story.
Worth figuring out for them, as it boiled down to an administrative issue with unclear wording in the insurance contract.
azertyfun@sh.itjust.works · 12 pts · 163d
Convict you in absentia then use the judgement as an excuse to freeze your bank account and ban you from all forms of banking (something that the US has the power to impose on foreigner because they hold every western bank by the balls due to their reliance on the fed)?
I don't know if they would do it, but it certainly wouldn't be unconstitutional; the US have long made it clear that foreigners on foreign land don't have any legal rights whatsoever. I would be having a long conversation with lawyers to get some hard assurances before going down that path.
atro_city@fedia.io · 11 pts · 163d
Exactly. You're already outside of the country. Let them send you bills. They aren't going to send the FBI to kick in your door because of unpaid bills...
mangaskahn@lemmy.world · 4 pts · 163d
ICE, on the other hand, we send them to do all manner of things outside the US.
ParlimentOfDoom@piefed.zip · 7 pts · 163d
Repossess the child.
Ash@piefed.social · 5 pts · 163d
Extradition and imprisonment.
Randomgal@lemmy.ca · 62 pts · 162d
I love the 'Achually, you are supposed to beg the hospitals and rely on your insurance shady deals." Comments in this thread.
Just so we are clear, you know the US is the only country with running water that also charges it's citizens to remain alive, right?
This is NOT normal. Not the amount, the situation.
VitoRobles@lemmy.today · 16 pts · 161d
This is what's so fucked up about being an American. Every time there's a complaint about the system, some "good soul" comes out to explain how you avoid it.
Healthcare is expensive? Oh you have to negotiate with your doctors, your hospital, your insurance, and get it fixed.
Internet is too expensive? Oh you're supposed to call them every few months to have them lower the prices by threatening to quit.
Oh, fast food is too expensive? Oh use the mobile app and take a picture of your butthole to get it back to normal!
captainlezbian@lemmy.world · 3 pts · 161d
Listen, I think we're as barbaric about this as any reasonable person, but we really aren't unique. Mexico, Egypt, and the Philippines aren't doing so great, but they're all modern nations with modern infrastructure in their urban areas. India has even worse health insurance than the US and while yes they're still building out their plumbing systems, Mumbai and New Delhi are modern megapolises.
freddydunningkruger@lemmy.world · -4 pts · 161d
LOL not unique! Where exactly do you think the US stands when comparing their nominal GDP per capita with Mexico, Egypt, the Phillipines, Mumbai or Dehli?
US: #9 out of 193
Mexico.. 71. Egypt.. 134. Phillipines.. 126. India.. 140
Why don't you take a look at the healthcare systems of the countries in the top 10 GDP per capita and make an actual apples to apples comparison, hm?
captainlezbian@lemmy.world · 1 pts · 161d
Yes, we're a profoundly broken country in how we use our wealth. But you were over here acting like no other country that isnt entirely and devastatingly impoverished is failing it's citizens this way, and I'm pointing out that no, once again we fall in line with developing nations rather than developed ones. And for those of us who wish for it to be a functional country, I think my framing is much more useful.
And i apologize for assuming you're a European who knows nothing of anywhere beyond the Eurosphere and assumes developing nations don't even have running water.
freddydunningkruger@lemmy.world · 1 pts · 161d
I'm saying it's ridiculous, stupid and confusing to say "we aren't unique". The US is in the top 10 in GDP per capita but is ranked in the lower 50 when it comes to Healthcare.
But "we aren't unique".
Randomgal@lemmy.ca · 1 pts · 160d
American exceptionalism, unless its about taking responsibility I guess. Lmao
FanciestPants@lemmy.world · 45 pts · 163d
"I don't think we've ever sort of lost the feeling that there isn't a wolf at the door".
This captures the current American experience perfectly.
skuzz@discuss.tchncs.de · 3 pts · 163d
PlutoniumAcid@lemmy.world · 5 pts · 163d
ALL THESE WORLDS ARE YOURS EXCEPT AMERICA. ATTEMPT NO LANDING THERE.Sorry, I could not resist. How ironic that the original American movie quote said Europe (okay, the moon Europa) and now it's basically reversed. (Kubrick, Space Odyssey 2001)
bassgirl09@lemmy.world · 43 pts · 162d
Ah yes, the United States -- Don't get sick or you will have to fight tooth and nail to get your insurance company to pay for necessary medical care. This is a story heard over and over again stateside. If the U.S. was truly the best place in the world to live, this would simply not happen. As a person who has worked in healthcare in the U.S. for over 15 years, I feel this in my bones. I am glad you could get legal help and have the right outcome based on what you paid for. I would love nothing more than to see everyone who comes to the U.S. receive medical care appropriately -- Nobody asks to get sick :(
m3t00@lemmy.world · 10 pts · 162d
i'm glad the medical side tries to stay focused on patient care. i've a friend in Mexico where they check ability to pay before any treatment begins. she was bleeding out and they waited until after her card was verified before doing anything. lower costs, maybe. One thing that being married to an RN has taught me, the billing department sends insanely inflated bills which are step 1 in their insurance negotiation. I got a bill for over $600,000, I laughed while still in the hospital bed. bill got negotiated down to $150,000. Even if there is a ginormous bill, you can postpone threatened collections by sending them anything, like $10/month. it will reset their billing escalation cycle. debts more than 7 years old will get written off. if all else fails, bankruptcy isn't all that bad. shuffle assets to trusted family. the amount of money they waste on greedy negotiations far eclipses any actual cost for treatment. don't stress over the bills. stress kills. let some fat lawyer worry about not getting a new car this year.
RBWells@lemmy.world · 16 pts · 162d
I dunno - my ex burned all the skin off his hand once, the first question at the emergency room was "how are you paying?" and we waited there 5 hours before they saw him, during which time it got so much worse he ended up needing more treatment & therapy. No we didn't have insurance or money back then. They eventually arranged temporary Medicaid for him as he couldn't work with the hand so burned. Which left us without his income (I had just given birth too) so without much food.
Anyway - this was in the 1990s but I am absolutely sure we had to wait because we could not pay, even though it was an obvious emergency.
m3t00@lemmy.world · 4 pts · 162d
some are worse than others. I've noticed going to a prompt care is much faster than going to 'emergency room'. depends a lot on location and how busy they are that day. i haven't been seen w/o insurance since 70s when i broke my hand in a fight. doubt they ever got paid for that cast.
jago@lemmy.ca · 7 pts · 162d
Not germane. Zurich Insurance Group is not a USian medical insurance company.
buddascrayon@lemmy.world · 12 pts · 162d
Just a stark reminder that all insurance, no matter where you get it from and what country it originates in, is 100% a scam.
thebestaquaman@lemmy.world · 11 pts · 162d
That's just blatantly false. I'm all for hating companies that gouge people to make money, but insurance isn't inherently a scam. Insurance, when implemented properly, is paying a low regular premium to offset a risk you can't afford should it hit. I've insured my house against burning down, because I can afford to pay a small amount once a month while a fire (while unlikely) would bankrupt me. Most likely, I'll lose money in the long run by paying for that insurance, but that's not the point. The point is that I can afford to lose money over a 30-50 year period, but I cannot afford to lose my house at any single point during the next 30-50 years.
AA5B@lemmy.world · 7 pts · 162d
It’s a nice ideal. Insurance can in theory help smooth out whatever life throws at you. But in the modern world, their incentives are to not
Auli@lemmy.ca · 4 pts · 162d
The US health care industry is a scam
buddascrayon@lemmy.world · 2 pts · 162d
Yeah give me that line again after your house actually has burned down and you have to fight tooth and nail to get any money from the insurance company that you've been paying to for the last X number of years.
thebestaquaman@lemmy.world · 2 pts · 162d
You are aware that the whole basis for my original comment (and follow-up) was that insurance isn't inherently a scam, right? Any transaction can be turned into a scam if you refuse to hold up your end of the deal, but that doesn't make the concept of transactions a scam in itself.
My impression is that US insurance companies are particularly bad about not paying up, and thereby scamming people. Luckily, I don't live in the US, and don't have any historical precedent that gives me reason to doubt my insurance company would pay up. The problem with insurance (and a lot of other things) in the US is a system that heavily incentivises squeezing consumers at every turn. The problem is not that insurance is an inherently a scam.
m3t00@lemmy.world · 2 pts · 162d
i'll bet you and all your neighbors 100/mo, your house won't burn down this month. send payments on time or else. Meanwhile, i lend you your money to pay for your mortgage with interest. have some more Kool-Aid.
thebestaquaman@lemmy.world · 3 pts · 162d
Why would I take that when I already have a running bet with my insurance company where I only pay ≈ 20 USD / month?
The whole point here is that I can afford 20 USD/month indefinitely. However, having my house burn down at any point would be absolutely detrimental to my personal economy, to the point of bankrupting me and likely preventing me from being able to afford a new house in the foreseeable future. I'm well aware that in purely economic terms I'm taking a losing bet. The point is that the consequences should the bet strike home are so large that I can't afford not to take it.
Of course, you could argue that I would be better off saving that money and being "my own insurance". You would be right, except for the fact that the house burning down is just as likely tomorrow as in 20 years. If I had enough cash to insure myself, I obviously wouldn't need to take this losing bet, but I don't.
m3t00@lemmy.world · 2 pts · 162d
big insurers have millions of your neighbors paying 20/month. all i know is, 'the house always wins'. they are swimming in cash. my dad used to sell car insurance. when cards became mandatory, he had an influx of 'card buyers'. pay one month and get a card. stop paying. because they bet the odds of getting fined for no card were a lot better than odds of getting in a wreck. house wins, sells you 'uninsured motorist' coverage. people gamble on many things. insurance is good when you win. they lose when you win so deny, depose ... I don't know the answer. just try to hedge bets and look for ways to break even for all us non-greedy shmoes. i don't like most insurance co.'s greed. have insurance as required and savings also. i'd never pay for extended warranty on something under $10k. that's some easy bets for them.
thebestaquaman@lemmy.world · 4 pts · 162d
I agree that the house is winning here (as always) and I also hate companies that squeeze us regular people for cash at every opportunity as much as the next person.
My point is that I don't really see buying e.g. house insurance as a gamble as much as I see it as paying a monthly fee for the peace of mind it gives me to know that I won't be financially ruined by a house fire or a burglary. It's not about making money in the long term for me, it's about mitigating the consequences of highly unlikely but absolutely devastating events.
captainlezbian@lemmy.world · 1 pts · 161d
Yes, it's a for profit business that makes it's profit off of trying to have the most accurate odds they can. They charge you slightly more than they expect to lose on you (the house edge) and then they're betting on every roll of the dice. That's exactly how casinos earn money (though casinos try to compete on experience and payout, while insurance competes on price and payout).
The difference is that the casino is attempting to take advantage of your greed and wants you to stay there and bet everything you have. Meanwhile the insurer is selling relief from fear of financial ruin and is asking you to make scheduled bets that you want to lose every month. American health insurance has massive issues and should be replaced with something akin to the NHS before it was defunded, but nobody is losing their shirt buying homeowners insurance unless the area they live in is now being pummeled by the climate crisis like southern California or the gulf of Mexico.
Would government run insurance be better? Yeah probably. But in the era before modern insurance a major part of the draw of fraternal organizations was that they served that role.
bassgirl09@lemmy.world · 6 pts · 162d
I am well aware of that. This couple's experience was in parallel to what occurs all the time with people who have insurance in the U.S.
quick_snail@feddit.nl · -8 pts · 162d
I don't think anyone was sick here.
bassgirl09@lemmy.world · 10 pts · 162d
So, your perspective is that pregnant people who have life-threatening medical conditions arising from their pregnancy through no fault of their own should have to pay out-of-pocket? Additionally, in it sounds like you feel that premature births due to life-threatening medical issues that the mother is suffering from and subsequent aftercare for the mother and premature infant should also be paid for out of pocket?
quick_snail@feddit.nl · 0 pts · 161d
Use condoms.
Avicenna@programming.dev · 42 pts · 162d
Insurance company trying to evade one job it is supposed to do
UltraGiGaGigantic@lemmy.ml · 35 pts · 162d
You get hired to help out a business in a emergency situation. You do nothing and get paid month after month. A couple years go by and finally the phone rings.
Hey man, we really need you right now! Come on in!
"Claim denied, I will see you in court."
insurance
Alaknar@sopuli.xyz · 14 pts · 162d
87Six@lemmy.zip · 3 pts · 161d
Some of them probably don't even have the means to help, they just get lawyers to avoid accountability and write ridiculous terms for their policies, and in the EXTREME case they actually need to fix something they probably outsource it lol
Alpha71@lemmy.world · 8 pts · 162d
"But what about helping our people Bob!?"
bridgeenjoyer@sh.itjust.works · 1 pts · 161d
We need a real life Mr Incredible to do that to every insurance CEO. Throw through 6 concrete walls.
veni_vedi_veni@lemmy.world · 7 pts · 161d
You pay them to keep their lawyers on retainer
lemmydividebyzero@reddthat.com · 37 pts · 163d
That sucks... Born in the US....
EndlessNightmare@reddthat.com · 14 pts · 163d
Bruce Springsteen has entered the chat. And that song is not celebratory
darklamer@feddit.org · 7 pts · 163d
Paying taxes to the US forever!
nlgranger@lemmy.world · 9 pts · 163d
Just checked, it appears you can renounce it :
https://en.wikipedia.org/wiki/Relinquishment_of_United_States_nationality
darklamer@feddit.org · 4 pts · 162d
Progress!
UnderpantsWeevil@lemmy.world · 36 pts · 163d
My son was born at 24 weeks. Modern NICUs are an absolute marvel. They took this tiny little guy at the cusp of viability to a healthy, happy, normal baby boy over the next three months.
The pricetag for this treatment was half a million dollars. But, fortunately, we were eligible for Medicaid. A sum that would have bankrupted us was neatly covered by the state.
Pyr_Pressure@lemmy.ca · 24 pts · 163d
Except tax payers now get to send their hard earned money directly to the leeches that work at insurance companies.
No matter if the system works out for individuals with insurance Americans get screwed with the way it is at the moment.
You all need to fight for universal health care so that shit isn't marked up 5000% so that insurances companies make billions for doing nothing but complicate everything
Tollana1234567@lemmy.today · 5 pts · 163d
private insurance is heavily subsidized by OUR TAXES anyways, but is unvailable or extremely inaccessible to most people. propaganda has convinced the right more than the left that private insurance results in "faster time, appts and guaranteed care" but it does not appear to be in most cases, because insurance can easily nitpick dim/nickle everything of your care(multiple tests, each doctor appointment, what the doctor is doing, who is reading your results,,,,etc)
UnderpantsWeevil@lemmy.world · 4 pts · 162d
We've been fighting for over a century. It's a horrifying monster that's only grown bigger and stronger over time.
Closest anyone has come to slaying the beast is Luigi Mangione and look what happened to him.
corsicanguppy@lemmy.ca · 22 pts · 163d
I was born at 28 weeks 5 decades ago.
$0 .
UnderpantsWeevil@lemmy.world · 5 pts · 163d
Very fortunate
Cataphract@lemmy.ml · 4 pts · 163d
I've been through both experiences with medicaid for one birth and insurance for another which needed NICU support (fucking huge shout-out to the awesome hospital staff that was supportive through it all). The vast differences of the experience is just mind numbing and the stress is through the roof trying to get around all the billing and headaches. I've thought of doing a write-up to share the experience but it's just so much I feel like it would be a whole side project trying to document the whole ordeal over months of anguish.
Formfiller@lemmy.world · 3 pts · 162d
40% of US babies are born on medicad and the BBB just stripped it completely
lambipapp@lemmy.world · 36 pts · 163d
The US: why is our birth rate so low? Also the US: ...
quick_snail@feddit.nl · 8 pts · 162d
The best way to lower birth rates is free contraception. The birth rate in the US is too high..
Formfiller@lemmy.world · 7 pts · 162d
Best we can do is get rid of medicade and charge you for murder if you abort or use plan b. Once you are in debtors prison Your baby will then be transferred into a Mossad run sex trafficking and jerky processing operation
bridgeburner@lemmy.world · 5 pts · 163d
Interestingly it is still higher than a lot of European countries which have affordable healthcare
Swedneck@discuss.tchncs.de · 9 pts · 162d
different causes: people are having less kids in the US because they're living in misery, whereas in europe we've long had fewer kids because better education and less need to have 8 kids so one of them survives and can take care of you as you get old.
ricecake@sh.itjust.works · 7 pts · 162d
It's actually the same in the US. Misery increases the birthrate.
Our birthrate is higher because we traditionally have had a higher immigration rate from countries with higher birthrates.
echodot@feddit.uk · 4 pts · 162d
Yeah in most European countries at least half the kids survived to adulthood now. So if you have four kids at least two of them will survive and that's all you need to pull the ox
Sunflier@lemmy.world · 32 pts · 163d
That poor child will now have to suffer dual citizenship in the US. That kid's tax stuff will be a PITA when it starts working.
Swedneck@discuss.tchncs.de · 8 pts · 162d
can you really not reject citizenships?
quick_snail@feddit.nl · 14 pts · 162d
You can, but you have to pay fees and forefit a percent of your net worth.
The baby should do it now, while their net worth is $0
thethunderwolf@lemmy.dbzer0.com · 5 pts · 162d
What if it doesn't get rid of its citizenship? If it never goes to the US, the US system can never do anything about it simply not paying US taxes.
JcbAzPx@lemmy.world · 8 pts · 162d
If they never go to the US or try to do business with the US, sure. It is, however, an unnecessary limitation on their future. Best to renounce the citizenship as soon as possible if they don't want to keep it.
mattyroses@lemmy.today · 4 pts · 162d
In the US, the penalty for not filing is in addition to whatever to is owed.
If you're a US citizen, you need to file once you're 18 pretty much. If you don't go to the US, and don't live in a place with lower taxes, that's it.
quick_snail@feddit.nl · 2 pts · 161d
The US has planes and guns. They have invaded many foreign countries and stolen money from banks that didn't comply with the US laws on KYC/AML in the past
Sunflier@lemmy.world · 6 pts · 162d
You can, but it's a pain in the ass.
Alcoholicorn@mander.xyz · 6 pts · 163d
As long as they spend at least 330 days per 12 month period in non-US countries, they can deduct 130K/y via FEIE, and it adjusts with inflation.
Hope they don't get a job that keeps them in international waters tho.
mattyroses@lemmy.today · 3 pts · 162d
That's in addition to a deduction of taxes they pay in their country.
craftrabbit@lemmy.zip · 30 pts · 163d
I'm curious, what happens if you just don't pay? What if you just go back home and never come back?
Khrux@ttrpg.network · 44 pts · 163d
Honestly if you never go back, not much. It wouldn't even impact your credit rating, and your country likely doesn't have the means to enforce it. I could imagine you get harassed by us debt collection agencies but they can't do anything about it either. If you're never returning to the US, it's fine.
You could likely even still holiday in the USA. It won't impact your visa as it's not a criminal offence either.
I'm not a lawyer, and could be totally wrong, but I asked my dad who is also not a lawyer.
KelvarCherry@lemmy.blahaj.zone · 27 pts · 163d
After 7 years without any payment, most debt including medical debt and standard loans are discharged. The non-payment is key. Even sending a cent will restart the obligation to that debt
buddascrayon@lemmy.world · 10 pts · 162d
If the debt is large enough, the companies will use a myriad of tricks to keep the debt alive long after it is supposed to expire.
explodicle@sh.itjust.works · 4 pts · 162d
Like what?
buddascrayon@lemmy.world · 4 pts · 162d
They will actually make a payment in your name to the account and that will keep the debt alive for at least a year or two.
KelvarCherry@lemmy.blahaj.zone · 4 pts · 162d
That would be fraud. I'm sure it happens, and it's going to be hard to prove it did. This whole system is undoubtedly rotten, and I'm not excusing any part of it.
hector@lemmy.today · 15 pts · 163d
They are bringing back debtor's prisons in some states, those debts they sell as unrecoverable are bought by shady companies, as in Utah, that sue for them in the big city, and if the defendant doesn't show up they get a default judgement and then get the judge to hold them in contempt, and jail them. If they pay they get out right away. After they get out of jail the holder of the debt can just file for another action and contempt you again, as I understand it.
And they aren't the only state either I hear, they were one of the first to end run around the prohibition, I think case law, on debtor's prisons, over 10 years back.
possumparty@lemmy.blahaj.zone · 6 pts · 162d
Utah still has the firing squad, yeah?
hector@lemmy.today · 11 pts · 162d
They just brought back that form of execution, and it's an improvement over lethal injection as it is practiced, or the electrical chair or gas chamber.
Lethal injection could be humane, they choose not to make it so. Nothing would be more humane that a hot shot of opioids and benzodiazapemes and the like. They want them to suffer and use their other formulation that does cause pain even as it makes the person unable to show that pain, as I understand it.
The electrical chair is grotesque, as was the gas chamber as practiced that not only is disturbingly similar to nazi shit, but also operated as with the lethal injections.
So firing squad is much more humane, hanging is humane, guillotine, etc would all be better. Obviously though we can't trust the system to convict the right people so we shouldn't have the death penalty. But certain exceptions could exist, for people that would use corrupt influence to get their conviction overturned, cancelled, and do more harm, politically connected people, the super rich.
And yes, shady companies like these, are the perfect recipients of said penalty with due process as they would pay off higher ups to get it cancelled and abuse more people.
0x0@lemmy.zip · 3 pts · 162d
TL;DR slavery
modus@lemmy.world · 12 pts · 162d
This guy is correct. IANAL.
tazeycrazy@feddit.uk · 7 pts · 162d
I would say the hospital would sell it to a debt collector in the UK. If it gets to court you could argue incorrect jurisdiction as the contract would have started in the US but that's risking a lot on a technicality. You would also need to fork out for a solicitor, barrister and court costs. I think they did the right thing in shaming the insurance into paying rather than fighting the debt collector who has no shame.
hector@lemmy.today · 5 pts · 163d
They can sue, and then try to seize your assets, at least inside the country. Most hospitals don't, but some do. Garnish your paychecks too. Not sure how that would work in another country.
quick_snail@feddit.nl · -6 pts · 162d
ICE gonna come to get ya
echodot@feddit.uk · 9 pts · 162d
I doubt any of them have passports and probably couldn't point to the UK on an atlas, so I think you'd be relatively safe.
0x0@lemmy.zip · 1 pts · 162d
You sure about that?
MadhuGururajan@programming.dev · 3 pts · 162d
and do what? Ensure the U.K also denounces the U.S as an ally?
Asfalttikyntaja@sopuli.xyz · 29 pts · 163d
So.. that baby is basically came to USA without approval? Should it be detained in the concentration camp or something?
hOrni@lemmy.world · 12 pts · 163d
No, it's white.
quick_snail@feddit.nl · 5 pts · 162d
They have been murdering white people too
excral@feddit.org · 8 pts · 163d
Doesn't that baby have birthright citizenship, being born in the US?
ayyy@sh.itjust.works · 4 pts · 162d
Maybe if we had the rule of law instead of a Republican dictatorship.
DeathByBigSad@sh.itjust.works · 2 pts · 162d
I mean... there's an injunction on the executive order so for now.... but we'll see how the court case goes... 👀
JcbAzPx@lemmy.world · 2 pts · 162d
Yes.
badbytes@lemmy.world · 28 pts · 162d
US health insurance pulled the same shitty tactic on me with my first born.
mattyroses@lemmy.today · 18 pts · 162d
Both our kids were charged 6,000 to be born . . . Fun trick, where they charge the baby, since the mother has probably hit their out of pocket max, and that lets them jack it to the family max.
More Luigis please.
kkj@lemmy.dbzer0.com · 8 pts · 162d
I feel like you should be able to tell them to go fuck themselves, since children can't sign contracts.
mattyroses@lemmy.today · 4 pts · 162d
Oh, that's the fun part of it - it's your debt, but on the children's insurance. They're moving the care from one patient to another (to max out family out of pocket charges), but the parents are on the contract and can be sued.
Decq@lemmy.world · 3 pts · 162d
Can't you declare bankruptcy for the kids then? Though that would probably fuck with the credit score? But I have no clue how that works.
SaveTheTuaHawk@lemmy.ca · 24 pts · 161d
Travel insurance is a scam. I used to pay Allianz for cancellation insurance every trip but the one time I needed to claim it they denied it.
It's not safe to travel to the US while pregnant or sick, they will take everything from you.
87Six@lemmy.zip · 13 pts · 161d
It's just not safe to travel there ever
NickwithaC@lemmy.world · 3 pts · 161d
I'm certainly not going back until at least 2029. Let MAGA eat itself over the Epstein files and the next president reform the gun laws (as both sides are now talking about it) and then I'll think about it.
plyth@feddit.org · 5 pts · 161d
Until Trump they also claimed the baby as US citizen which is dangerous because they demand taxes from their citizens whereever they are on this world.
Nomorereddit@lemmy.today · 1 pts · 161d
Traveling in 3rd trimester is already medically dangerous.
Everyone knows blood attracts sharks, now we have sharks on planes.
Thanks obama.
BarneyPiccolo@lemmy.today · 23 pts · 163d
"Hey, man, we told the kid not to be born, that we couldn't afford it, but he wouldn't listen, and went and borned hisself anyhow, without any permission. So that's on him. You have to sue him.
But you can't, because he's a BABY! And you can't sue a baby! BOOM! CHECKMATE, BITCH!"
That'll work in any court in the nation. Don't even need a lawyer, save your money.
echodot@feddit.uk · 23 pts · 162d
How's the US still a country, how do people just put up with it.
buddascrayon@lemmy.world · 22 pts · 162d
Around 50 years of near constant propaganda from our media convincing people that the government paying for anything is destructive to the economy and that taxing rich people more that poor people is not fair.
mattyroses@lemmy.today · 11 pts · 162d
And that Black people will get benefits if we have social programs, and can't have that.
DeathByBigSad@sh.itjust.works · 7 pts · 162d
Military Industrial Complex
kent_eh@lemmy.ca · 6 pts · 162d
Bread and circuses still works.
UltraGiGaGigantic@lemmy.ml · 2 pts · 162d
Hope to die, survive till it happens.
gravitas_deficiency@sh.itjust.works · 20 pts · 163d
Sounds like skipping the bill and never returning to the US is a great option here, tbh
orbituary@lemmy.dbzer0.com · 5 pts · 163d
So is reading the article.
thethunderwolf@lemmy.dbzer0.com · 1 pts · 162d
They're touring musicians. It would mean forfeiting a lot of income.
pineapplelover@lemmy.dbzer0.com · 19 pts · 162d
That's one expensive citizenship
pelespirit@sh.itjust.works · 19 pts · 163d
And they wonder why our population is free falling. Between trump and it's too expensive, why would the wise ones do that?
quick_snail@feddit.nl · 1 pts · 162d
Unfortunately it's not?
pelespirit@sh.itjust.works · 1 pts · 162d
Dude, look at any chart before idiot in office started going after the only ones having babies.
JcbAzPx@lemmy.world · 18 pts · 162d
Only $200k? They got a deal there.
graycloud@leminal.space · 19 pts · 162d
"Why is no one having babies anymore?"
pachrist@lemmy.world · 3 pts · 161d
Gotta be al that avocado toast.
RememberTheApollo_@lemmy.world · 15 pts · 163d
The shitty American medical system being what it is I gotta blame the travel insurance. If their insurance was supposed to cover it and didn’t, that’s an insurance problem.
Dozzi92@lemmy.world · 17 pts · 163d
And the insurance did end up paying, but nine months later after what is referred to as a legal battle. So presumably these folks had to go into their own pockets for it. Typical bullshit.
RememberTheApollo_@lemmy.world · 7 pts · 163d
That sucks. I mean, I’m glad it eventually worked out, but that’s a lot of BS for them to put up with because insurance didn’t want to pay.
ricecake@sh.itjust.works · 3 pts · 162d
It's time entirely likely they never actually paid anything out of their own pocket. Situations like this are awfully common, so hospitals pretty easily mark a bill as in legal dispute and move on while it gets sorted.
Part of the horrible cycle is that bills are high to cover costs while bills are disputed, which makes them more likely to be disputed.
Viceversa@lemmy.world · 4 pts · 163d
The American medical system charged their case with that astronomical amount in the first place.
echodot@feddit.uk · 3 pts · 162d
Apparently if you ask for an itemised bill (Which they have no right to refuse) they tend to lower the price because they can't actually justify the random numbers they came up with.
RememberTheApollo_@lemmy.world · 2 pts · 162d
Then the insurance is incorrect for the situation. IOW if you know the US charges stupid prices then insurance should be commensurate. Or not go to the US. Not blaming the people, just an insurance company that is inept.
TigerAce@lemmy.dbzer0.com · 14 pts · 162d
From what I've heard from Americans working in hospitals is that this bill is what the hospital writes but they only charge a small amount and declare the rest at their own insurance as a loss. So the couple would end up with a bill of a few hundred dollars, nothing more. This is common practice, is what those people told me. I don't know if this is the case in every state though. But it sure is one weird fucked up system.
yannic@lemmy.ca · 11 pts · 162d
Is that a legitimate business strategy?
I just send my customer a bill for a ridiculous amount, then my customer negotiates for something significantly less, and I can write off the difference?
There must be more to this. It's too good to be true.
VitoRobles@lemmy.today · 1 pts · 161d
It is for the people who are getting paid, which is the insurance companies.
If it wasn't, it wouldnt be the awful dystopian norm for the past 40 years here this stupid country.
markko@lemmy.world · 4 pts · 162d
I've also read stories from people who have negotiated how much of their bill they paid. Fucked up indeed.
victorz@lemmy.world · 8 pts · 162d
Our first baby was born 5 weeks early and had to spend about 3 weeks in the NICU before we could take him home. Nothing major, just monitoring and a careful feeding regimen to make sure he would make it, as sensitive as they are when born that early.
My wife had to pay $30 for the 3 days she rented a bed in the maternity ward ($10/day). That was our total bill.
Second child we paid nothing.
Nothing negotiated, just how it works in my country. ✌️
veni_vedi_veni@lemmy.world · 4 pts · 161d
And we have people in Canada that want to go to the American system.
Is made me realize there are a lot of people who will vote against their own interests as long as their neighbors can't possibly get undue benefit.
victorz@lemmy.world · 1 pts · 161d
Insane 😢
SaveTheTuaHawk@lemmy.ca · 1 pts · 161d
Well, they can fuck right off to Florida, please.
chiliedogg@lemmy.world · 3 pts · 161d
Insurance companies make deals with hospitals along the lines of "We'll pay 1k for this procedure which should cost 300 bucks, or 40% of your standard rates, whichever is lower." So the standard rate becomes $2500.
Then the insurance company will require a 40% "copay" based on the standard rates, and the patient ends up paying the $1000 and the insurance company doesn't pay shit despite collecting hundreds a month in premiums.
If you tell them you don't have insurance they'll frequently discount the fee to the $300 it should cost.
captainlezbian@lemmy.world · 1 pts · 161d
And this is embraced because profit is capped to a percentage of payouts
HubertManne@piefed.social · 12 pts · 163d
insurance in general in the us is increasingly security theater. Not just medical.
EndlessNightmare@reddthat.com · 11 pts · 163d
Aren't you supposed to avoid air travel during the later stages of pregnancy?
Tar_alcaran@sh.itjust.works · 25 pts · 163d
She was 7 weeks early, that's easily a good month before she is "recommended not to fly".
EndlessNightmare@reddthat.com · 12 pts · 163d
Huh...I didn't know you could cut it that close. I figured it was more like "don't fly during the 3rd trimester."
Shows what I know.
ecvanalog@lemmy.world · 4 pts · 163d
I think “during the third trimester” is essentially folk wisdom because who wants to push their luck?
echodot@feddit.uk · 6 pts · 162d
We'll also historically people weren't very good at keeping track of when they got pregnant so it was a bit hit and misses to when the baby would be due.
asret@lemmy.zip · 2 pts · 162d
Most travel insurance policies exclude cover once you're in your third trimester. The article mentioned that they'd be clarifying this in their policy as well.
Insurance policy limits are dictated by profits, not doctors' recommendations.
quick_snail@feddit.nl · -5 pts · 162d
Tollana1234567@lemmy.today · 10 pts · 163d
isnt advisable by studies for pregnant woman to not travel outside thier country to avoid situations like these.
Agent641@lemmy.world · 28 pts · 163d
It's advisable not to travel to, over, or near the United States regardless of pregnancy status
Sunflier@lemmy.world · 7 pts · 163d
It really depends on various factors like how far into the pregnancy she is (travel when you're 2 months in is vastly different to travel when you're 8 months in), how urgent the need to travel is (traveling to go to an anime convention is vastly less urgent than traveling to lay your mom to rest), how far you're traveling (a weekend saunter to the next town over is different than traveling half way around the globe (which it sounds like she did)), whether the doctor overseeing your care says its okay, and other stuff.
ricecake@sh.itjust.works · 5 pts · 162d
It's less to avoid situations like this and more to avoid the stresses of travel and having something come up in a situation where medical care might not be available, or leaving you far away from your usual care team, or in a situation where you have a very fresh baby and you live 5000 miles away, which can make for a very rough trip home or a difficult recovery in a faraway place.
ragebutt@lemmy.dbzer0.com · 9 pts · 163d
I have a friend who had a c section birth that otherwise had no complications (other than requiring a c section. They were in the hospital 4 days iirc, way less than a week. Insurance was billed for 98,000. They had a 10k out of pocket max, thankfully
Mouselemming@sh.itjust.works · 8 pts · 163d
For most US medical bills the number you see and what the insurance company will actually pay (even to completely settle the bill) are entirely different numbers. Although this isn't medical insurance per se. I bet they negotiated it down though.
quick_snail@feddit.nl · 2 pts · 162d
Link?
Mouselemming@sh.itjust.works · 3 pts · 162d
I'm not going to send you my personal info, but it's no secret that anyone with US health first gets a bill with a huge number $$ that's marked THIS IS NOT A BILL, then some weeks later we get another one from the insurance company which shows that number, and then a much smaller number "allowed" by the insurance which then shows as paid by them, then whatever "copay" we might have, usually about $30 with my insurance. Then there's "your responsibility" which is just the copay if the doctor/hospital is in your insurance network. In that situation the provider has to accept what the insurance allows and no more. If they're out of network, you may have to pay the difference between the original bill and what the insurance paid. Which can be a lot, so the first thing you should do is request an itemized bill. This will often be lower to start with, and gives you information to negotiate/contest items. Hospitals will also work with you to make a payment plan at that point.
In the OP case it was Swiss travel insurance not US health insurance and they finally agreed to pay the NICU bill, good work by the couple's lawyer.
Tollana1234567@lemmy.today · 2 pts · 163d
thats usually why private services charges something that high, they know insurance is good on paying a percentage of that bill if not most of it.
Venus_Ziegenfalle@feddit.org · 7 pts · 162d
Time to head home and never look back 😅
Triumph@fedia.io · 7 pts · 163d
Part of why medical bills in the US are so high is because if you don't pay them, they sell the debt to collections at pennies on the dollar.
Which means that the people who do pay the high prices are paying for those who don't or can't or won't.
Stop paying.
SnarkoPolo@lemmy.world · 5 pts · 163d
This is the Greatest Country In The World, sunny Jim, and you better thank Republican Jesus for our for-profit system! Otherwise you might be forced into free socialist health care, where you have to get vaccines and stuff for nothing, and only a godless communist wants that. /s
Fedizen@lemmy.world · 5 pts · 161d
It sounds fake but its real. If they got a car and ran a baby over they'd have paid 1% of this. Our system is so deeply fucked up.
Nomorereddit@lemmy.today · 2 pts · 161d
Lol, even better. Usa credit cant hurt them abroad. They can just never pay it.
Nomorereddit@lemmy.today · 4 pts · 161d
Usa: dear tourists, the old have a baby in usa trick will also be tarrrifed and taxed.
UK tourists: how u gonna do that?
Usa: evil grin
Gammelfisch@lemmy.world · 4 pts · 163d
Priority goes to UK citizenship.
DeathByBigSad@sh.itjust.works · 3 pts · 162d
Not sure if TERF Island with a Great Firewall is exactly better
pyre@lemmy.world · 3 pts · 161d
$200k? did the hospital make the baby?
white_nrdy@programming.dev · 1 pts · 161d
Sadly that's low for some cases of births. I've heard of people being charged >$1M before insurance (so that number might be BS insurance negotiations, but still)
pyre@lemmy.world · 1 pts · 160d
if that happened in my country I'd cut my dick off just in case
trongod_requiem0432@lemmy.world · 3 pts · 161d
Just out of interest: Would U.S.-Americans be allowed to found a non-profit health insurance organization?
Malfeasant@lemmy.world · 9 pts · 161d
Allowed to, sure. But it would quickly be crushed by the companies that have way more resources to draw on...
captainlezbian@lemmy.world · 3 pts · 161d
Yeah the better option is for a multi state compact for a public option. I know Washington has a bit of a public option. That said, you get no subsidies if your employer offers minimum contributions to the health insurance of their choosing.
Edit to finish the thought: we need universal single payer, but barring that we need public options and real choice, including choice over where to apply our employer's contributions. It wouldn't fix everything that universal single payer would, but it would enable you to have the freedom to not need to change doctors every time you get a new job.
Ageroth@reddthat.com · 3 pts · 161d
Allowed? Technically yes, in the same way people are allowed to start local broadband co-ops or like grocery stores or whatever else.
The problem comes when you have to actually make people aware you exist and have a service or product for sale, and "compete" with the national/multi-national corporation who have infinitely more resources than you do.
Just look at how Walmart and now Amazon have put just about every mom and pop shop out of business. They can move in, drop prices so low locally long enough to put you out of business because they have other areas locked down already and covering the losses. Then once they have the market locked up they can charge whatever they want because you have no other options.
Almost certainly there already exists a non-profit health insurance organization, they just don't have the resources to advertise on all the major channels and across the interwebs like all the predatory ones do.
Etterra@discuss.online · 3 pts · 163d
Just don't pay it.
ArmchairAce1944@discuss.online · 2 pts · 161d
Oh wow and people wonder why people aren't having kids...
discocactus@lemmy.world · 2 pts · 161d
If you paid protection money to another gangster but then they didn't protect you what would likely happen?
Fedizen@lemmy.world · 4 pts · 161d
The gangster apologizes and deeply regrets the situation but does not return your money.
jaykrown@lemmy.world · 1 pts · 162d
I stopped paying for health insurance a couple years ago, one of the best decisions I've made.
Smoogs@lemmy.world · 5 pts · 162d
Which country are you avoiding health insurance from?
jaykrown@lemmy.world · 1 pts · 162d
USA
Auli@lemmy.ca · 1 pts · 162d
Don't travel when close to your due date.
glorkon@lemmy.world · 22 pts · 162d
Let me correct this sentence: Close to your due date or not, don't travel to the USA.
white_nrdy@programming.dev · 1 pts · 161d
JFC
fierysparrow89@lemmy.world · 0 pts · 161d
🤦♂️
m3t00@lemmy.world · 0 pts · 163d
A friend living in Mexico fell off a horse and slashed a wrist on a fence. They wouldn't even treat her until checking her credit card. She moved back to us.
AA5B@lemmy.world · -1 pts · 162d
This is not as big a deal as the headline shows. No one would pay that much.
The unfortunate reality is American healthcare is geared to generate humongous bills but that’s just the starting point. Normally your insurance company will then negotiate it down. If you don’t have insurance, you can usually get them to write off huge amounts.
One of the underlying problems is not everyone has insurance but everyone will get at least emergency care. Hospitals know there will be a lot of bills that can never be paid, so their initial bill to everyone needs yo account for that loss.
That and the general extractive nature of the us health care system, the massive number of layers and middlemen that all need to show a profit
But clearly the problem here is the non-us insurance company not dealing with it until forced to nine months later
Worst case scenario- go home and never come bs k. That bill is not following you to another country
0x0@lemmy.zip · 4 pts · 162d
That's par for the course as far as insurance firms go. Most of the times you have to at least threaten them with legal action for them to do their fucking job.
That depends, there may be international agreements.
bridgeenjoyer@sh.itjust.works · -2 pts · 161d
I mean not if you go to those not really a hospital "clinic" things they have then its like $12k.I know people doing that.
I'm guessing if something goes wrong at one of those then you're royally fucked though.
Plus a lot of people aren't vaccinating their babies now so no need for the hospital. I know these people.
I hate Americans.
Nomorereddit@lemmy.today · -10 pts · 162d
Getting cum in is a choice. Sorce me (m) and my bf.
quick_snail@feddit.nl · -10 pts · 162d
quick_snail@feddit.nl · -19 pts · 162d
shneancy@lemmy.world · 3 pts · 162d
play stupid games - live
win stupid prizes - receive financially bad healthcare
???
you're not making much sense
kkj@lemmy.dbzer0.com · 2 pts · 162d
You could charitably interpret the stupid games as going to the US when you could be in literally any other developed country.
explodicle@sh.itjust.works · 1 pts · 162d
They never say "don't impregnate anyone".
TrumpMAGA@lemmy.today · -47 pts · 163d
ebolapie@lemmy.world · 17 pts · 163d
I agree, the TWO HUNDRED THOUSAND DOLLAR BILL is completely reasonable, it's the insurance company's fault alone, there is literally nothing wrong with way we do medicine in the USA.
On an unrelated note I wonder why Americans aren't having babies? It must be the queers.
The_v@lemmy.world · 3 pts · 163d
Its a U.S. medical bill.
The hospital asks for whatever the fuck it wants after it does the treatment.
Then insurance says "we only pay a negotiate rate" and pays $25-$30K."
I had intern from France a year back when I worked in research. He went skiing and broke his leg around 6 months in. The French healthcare system sent him a check for how much the medical treatment would cost in France. It was around 10% of the bill. He paid the 10% to the hospital.
The hospital kept billing him and sent some of the bills to collections. He asked me what to do about it. "Tell them they have been fully paid by the French health system and to take it up with them. Then go back to France in 2 months and forget about it."
He laugh and said they immediately stopped bothering him after that.
Evil_Shrubbery@thelemmy.club · 2 pts · 163d
Yes, but insurance companies benefit from large bills as well bcs the premiums go up, it's the main reason why over the years their profits are soaring. Their backoffice negotiating the bil is purely b2b shenanigans (same as recreational denying of coverage, them are just little profit optimisations). And it's not like their b2c approach differs that much.
If non-free (healthcare) markets aren't regulated this is a normal, logical thing to occur.
A broken leg costs (xray/mri, blood work, a cast, labour) are very low, like a couple of hundred monies.
TrumpMAGA@lemmy.today · -16 pts · 163d
slothrop@lemmy.ca · 4 pts · 163d
I'm in Canada.
Which makes you an ignorant, lying troll.
ebolapie@lemmy.world · 3 pts · 163d
Good point, so long as the system still technically works, it doesn't matter if it's too expensive for 25% of Americans to use it.
toomanypancakes@piefed.world · 4 pts · 163d
25%?! Oh I wish it was that low.
ebolapie@lemmy.world · 4 pts · 163d
Oh wow, you're right. It's 36% now per this KFF article: https://www.kff.org/health-costs/americans-challenges-with-health-care-costs/
Still, a small price to pay to keep the poors-- I mean, uh, the government out of our hospitals.
trxxruraxvr@lemmy.world · 16 pts · 163d
In no first world country would the bill reach even half that amount. That is definitely a US problem.
TrumpMAGA@lemmy.today · -10 pts · 163d
x00z@lemmy.world · 0 pts · 163d
No medical procedure should cost more than 10k.
slothrop@lemmy.ca · 16 pts · 163d
Nope.
It's definitely an issue with the USA.
Thanks for the proof.
AbsolutelyNotAVelociraptor@piefed.social · 9 pts · 163d
Pergenat?
Quadrexium@sopuli.xyz · 11 pts · 163d
Pregananant??
AbsolutelyNotAVelociraptor@piefed.social · 10 pts · 163d
PREGANTE!
W98BSoD@lemmy.dbzer0.com · 5 pts · 163d
Starch masks.
Nangijala@feddit.dk · 3 pts · 163d
Gregnant
Evil_Shrubbery@thelemmy.club · 2 pts · 163d
Pregregorian
bus_factor@lemmy.world · 3 pts · 163d
It can be both.