They billed her for waiting or what? Using the chair?
They took her pulse, blood pressure and billed her 410 dollars. What a scam.
They billed her for waiting or what? Using the chair?
They took her pulse, blood pressure and billed her 410 dollars. What a scam.
Wait wait wait..... I thought only socialised healthcare had wait times????
Similar thing happened me.
TLDR: Went to two ER's. The first one said they couldn't help us and charged us over $1000, the second went to bat for us with our insurance and got the cost knocked down.
Full story.
I had a daughter (~4-ish) who was experiencing unexplained symptoms that appeared almost overnight.
She had complained of pain when moving her arms and developed, what looked like a sunburn, on her back. I put calamine lotion on it and put her to bed. The next morning, as I was rinsing her off in the shower, her skin just started sloughing off where I had put the lotion. It looked like a chemical burn to me.
It was a Saturday morning. Immediately went to urgent care. The Dx said he had no idea and that it looked like a chemical burn to him too. Said I needed to go to an ER. I went to the closest ER (Houston Methodist Willowbrook Hospital). It was empty. They checked us in, put her in an examination room and took her vitals. After an hour, a doctor came in and said they don't know what the issue is, they don't have a pediatrician on duty, and they can't really help us!? The Dx then suggested I take her to Children's in downtown Houston, and they would arrange an ambulance. Fuck that, I told them no and I took her myself right away.
Got to Children's ER, they put us in an examination room right away. Within 5 minutes, a nurse was in the room and immediately diagnosed her with a stage 4 staph infection (scalding skin syndrome). She gave her an I.V. and they started pushing antibiotics and morphine. (Later had to swap pain meds, because the morphine made her itch and every where she itched, her skin would come away.) I still have to fight back the tears when I think about it. They said if we had waited another 8 hours, she would have likely died. She spent five days in the hospital recovering. But she did recover and is doing very well now.
So, two different stories about hospital billing from this experience.
The first hospital charge us over $1000 for the visit. $1,000 to be told we can't help you, but let us make you sit and wait while this infection progresses in your child.
Children's was out of network for our United Healthcare plan and UH passed the full bill on to us. However, Children's actually went to bat for us and negotiated with them and got them to give us the in-network rate and paid off 80% of the bill. Not before or since have I had a hospital help us like that.
We ignored the bill from the other hospital. Fast forward a few months and the hospital is calling us. I sat on the phone with the lady talking to me and I argued (nicely) that I felt it was unreasonable for them to even accept us, knowing they didn't have a pediatrician on duty, and actually put us at risk by delaying treatment. I actually got her to admit that she agreed that it did not seem right.
Then the bill just went away and never heard from the hospital or anyone else again about it. So I am assuming they wrote it off. I know that medical debt is sold to debt collectors sometimes, but we have not seen or heard from anyone for over ten years.
I get that hospitals are stuck between a rock and a hard place sometimes, especially in the states, but my experience, the experience of the woman in the article, and the fact we spend more money on healthcare, per capita, than countries with a fully socialized system, just proves to me the lie that is sold to us on a fully private system.
Yeah, that is how the health care system works over there. What's the news?
It's almost as if the US healthcare system is some kind of scam designed for profit.
ER triage is driven by risk of death or serious harm, not by level of suffering
In a system of free healthcare services, I would expect patients with more severe outcomes to be treated first...
Hell if they were kind enough not to bill for the privilege of sitting in a waiting room for hours of suffering, then I might also accept that...
But in a system where I'm being billed hundreds of dollars just for the privilege of being triaged and sitting in your waiting room, you can kindly fuck off with that prioritisation bullshit and get to work on the people who came in first.
But in a system where I'm being billed hundreds of dollars just for the privilege of being triaged and sitting in your waiting room, you can kindly fuck off with that prioritisation bullshit and get to work on the people who came in first.
That’s just not how emergency medicine works. The goal is to save as many lives as possible. If your condition is not immediately life-threatening, you can wait longer than someone having a heart attack or who got shot or who has a shattered femur or something.
In principle I do agree with you - ER care should absolutely prioritise the sickest individuals first, to ensure the least loss of life.
But I can only reconcile that in the case where you are not actively being charged for the privilege of waiting in line.
When everybody in that room is being charged hundreds of dollars for the privilege of suffering in line, then that philosophy can kindly fuck off. See the people who started paying first.
I mean I also believe you shouldn't be charged for access to emergency medical help at all (tax payer fund it) - but that's a non-sequitur
The charge isn’t for waiting in line, and it doesn’t increase with time spent in the waiting room. The charge is for whatever they already did. Triaging and vitals are a thing someone is doing. And in emergency medicine, everything is expensive. This is why for those who are able, Urgent Care centers are much more useful than an emergency department. And why we should be prioritizing preventative measures rather than treating the ER like a primary care physician.
(Or, more accurately, why we should become like every other developed nation and have universal healthcare.)
...and insurance probably denied her claim, questioning if she was actually present during the procedure. Then started a probe for insurance fraud.
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