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Crushed by Medical Bills
NorthJersey.com ^ | Sunday 12 June 2005 | Lindy Washburn

Posted on 06/13/2005 12:12:37 AM PDT by B-Chan

The sheriff's constable delivered the lawsuit to the neat brick home in Cliffside Park on Valentine's Day. It was a bouquet of heartache from Hackensack University Medical Center.

"GUIDO OSSO," it read. "You are hereby summoned in a Civil Action of the Superior Court of New Jersey."

The reason: Failure to pay a hospital bill of $160,170.35.

The wanted man sat at home, slumped in his wheelchair. His head rested on a television tray and his bottom on an incontinence pad. Since a devastating series of strokes in 1999, the 66-year-old Osso hadn't known what day it was, much less the details of his worsening financial situation.

He'd been a butcher all his working life, cutting steaks and roasts at the Grand Union and A&P. He was a member of his union's health plan. When he felt sick that October morning as he woke up to take his 14-year-old son to school, his family thought only of his health.

Little did they know that his illness could end up costing them everything.

Guido Osso didn't have enough health coverage. It ran out 21 days into his 38-day stay at Hackensack.

From that moment on, everything done for Guido was on Guido's dime.

He was charged the hospital's highest rates - its so-called sticker prices - rather than the heavily discounted fees insurers pay. That meant he was billed nearly twice as much as his health plan would have paid for the same care.

And when he no longer qualified for the insurance discount, the hospital was no longer satisfied with his plan's payment for those first 21 days. He was billed tens of thousands of dollars more for that care, too.

It was all completely legal. The Osso family's predicament was business as usual for the hospital's billing department...

(Excerpt) Read more at bergen.com ...


TOPICS: Business/Economy; Extended News; Miscellaneous; News/Current Events; US: New Jersey; Unclassified
KEYWORDS: costs; doctor; expenses; health; healthcare; hospital; insurance; medicine; patientbills
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Food for thought. Read the whole thing.
1 posted on 06/13/2005 12:12:38 AM PDT by B-Chan
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To: B-Chan

It looks like the union is guilty of providing a lousy policy... maybe if they spent more on better health policies than on donations to Democrats...


2 posted on 06/13/2005 12:19:39 AM PDT by ambrose (...)
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To: B-Chan

The different higher price seemed unethical, after some reduction, I believe the poor fellow would owe though.


3 posted on 06/13/2005 12:20:38 AM PDT by A CA Guy (God Bless America, God bless and keep safe our fighting men and women.)
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To: B-Chan

How would the insurance discount not count for any of the bill just because the insurance couldn't handle all of it?

That is a problem with the hospital and the insurance company. There's no reason the insurance discount and coverage can't be applied for what it really covered. Just bizarre.

Otherwise, they mention the reverse mortgage as a possibility.

I would make a stink about what the stink can be made from and hopefully, it will affect the donations to the hospital, too.


4 posted on 06/13/2005 12:28:04 AM PDT by ConservativeMind
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To: ambrose

Husband got his bill for the emergency room and one night in the hospital and this bill did not include the surgeon: $33,000 and some change. Thankfully he has good insurance so the whole thang including surgeon's fee cost him $900 out of pocket. Heck, the 10 minutes ride to the hospital in the ambulence was billed out at only $1500. Chump change, huh?




5 posted on 06/13/2005 12:30:17 AM PDT by onyx (Pope John Paul II - May 18, 1920 - April 2, 2005 = SANTO SUBITO!)
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To: B-Chan

If only he had claimed to be an illegal alien. Then there would have been no cost to him at all.


6 posted on 06/13/2005 12:33:06 AM PDT by taxesareforever
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To: A CA Guy

If they don't start out with a high sticker price, then insurance companies will seek to negotiate down from the lower sticker price. This is negotiating 101, and I'm not sure how they can get around this.


7 posted on 06/13/2005 12:33:45 AM PDT by ambrose (...)
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To: taxesareforever

Illegal aliens receive the care for "free", because they are judgment proof (lack any assets that can be recovered in a lawsuit - and since they are often paid in cash under the table, nothing to garnish either). This guy/his wife has money available to pay the hospital - they just don't want to.

Moral of the story: either be a flat broke illegal, wealthy, or have good health coverage... but having assets and poor health coverage is a lousy combination.


8 posted on 06/13/2005 12:37:09 AM PDT by ambrose (...)
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To: onyx
Heck, the 10 minutes ride to the hospital in the ambulence was billed out at only $1500.

Well, gas prices have been going up.

9 posted on 06/13/2005 12:41:16 AM PDT by ambrose (...)
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To: ambrose


ROTFLMYKWO! With a good laugh, I am calling it a night.


10 posted on 06/13/2005 12:42:50 AM PDT by onyx (Pope John Paul II - May 18, 1920 - April 2, 2005 = SANTO SUBITO!)
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To: B-Chan

There has to be some sort of way to fix this. I am right now trying to help a friend who will be going through a similar situation. The specialized medical care and upcoming extended hospital stay may not save his life. His small company may fire him, and since he has a pre-existing condition, he cannot get his own policy. He faces certain bankruptcy, and we can't figure out a way around it.


11 posted on 06/13/2005 12:44:17 AM PDT by Snowy (At abortion rally,Maxine Waters said, "I have to march because my mother could not have an abortion")
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To: Snowy

He faces certain bankruptcy, and we can't figure out a way around it.


Dispose of all assets BEFORE he incurs the hospital expense.


12 posted on 06/13/2005 1:00:59 AM PDT by conshack ((Illegal immigration is the #1 threat to Homeland Security))
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To: Snowy

Frankly, I don't see why we see it as a bad thing that some people go bankrupt to pay their hospital bills. Someone has to pay for their care. If you get really sick, you ought to have to pay a lot for your care.

Fair? Sure. Someone has to pay for it, and I'd rather it not be I. And then, if I ever get really sick, I'll pay for it.

The first problem with the whole of the system is that the medical insurance system drives costs up and distorts the cost of virtually everything.

We should ban medical insurance and make everyone pay for medical expenses out of pocket. Watch costs drop then.


13 posted on 06/13/2005 1:02:13 AM PDT by furquhart (Cheney-Bush '08)
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To: Snowy
There has to be some sort of way to fix this.

I suppose that the consumer rights legislation in your state would be a good place to start. It seems unimaginable that you have more protections to repair your car than your body... The auto shop has to give an accurate estimate, yet the hospital gets to charge whatever they please after all services are completed?

The auto shop has to put an hourly rate up on the wall, yet the hospital can charge twelve different rates for the same bed in the same room depending upon how you're billed? A guy at 7-11 will go to jail if he charges $5 for a gallon of water during an emergency, yet a hospital can charge $100 a pint when your life is in danger?

Some lawyer could have a hay day and become a national hero just for applying the laws that apply to every business in a state to a hospital bill. These inane charges are counter to our consumer oriented pricing. Hospitals can fix prices as an industry, unlike any other group, and get away with it. There is no ability for consumers to apply price pressures to these places because you can't compare prices, shop around, choose to go to a less expensive hospital because no one will tell you how much they charge ahead of time.

And it just gets worse every day because we blindly use health insurance or government assistance to ignore these outrageous bills. Our health care system isn't broken, the way we pay for it is.
14 posted on 06/13/2005 1:07:17 AM PDT by kingu
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To: furquhart

I swear I was typing my response before I read yours. :)


15 posted on 06/13/2005 1:08:25 AM PDT by kingu
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To: onyx
I drive my Dad when there's an emergency to the hospital to save on an ambulance. There's nothing one can do about the HMO's no longer covering room and board expenses. The policy now charges $500.00 a day for hospitalization. Great incentive to avoid getting sick, eh? That's why people avoid hospitals like the plague. Besides the inedible food, there's the danger of incurring infections and recuperating is made much harder being away from familiar surroundings. Every one should carry an HMO policy or health insurance but even that may not be enough today to cover catastrophic costs that can wipe you out. Most people are stuck here between a rock and a hard place.

(Denny Crane: "Sometimes you can only look for answers from God and failing that... and Fox News".)
16 posted on 06/13/2005 1:29:14 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives On In My Heart Forever)
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To: B-Chan

17 posted on 06/13/2005 1:37:37 AM PDT by endthematrix (Thank you US armed forces, for everything you give and have given!)
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To: endthematrix
Virtually all of us are responsible and never buy more than we can afford. This story shows us that no one can ever be sure they won't be bankrupted by circumstances beyond their control. The couple couldn't begin to pay off that hospital bill in what's left of their lives and its clearly beyond their means to pay even if they lose their home and all their assets. Yeah that's the ticket; they'll be collecting food stamps and an SSI check after losing their nest egg.

(Denny Crane: "Sometimes you can only look for answers from God and failing that... and Fox News".)
18 posted on 06/13/2005 1:43:31 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives On In My Heart Forever)
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To: conshack
Dispose of all assets BEFORE he incurs the hospital expense.

In many states, and ( I think ) federal laws there is a time limit between disposing of assets and liability...

In Missouri, it is as much as 2 years..
Creditors can make claims on property disposed of less than 2 years prior.. ( that includes state and federal "fees and charges" ..)

How many people know they are going to incur massive medical expenses 2 years from now??

19 posted on 06/13/2005 1:54:35 AM PDT by Drammach (Freedom; not just a job, it's an adventure..)
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To: B-Chan

My parents went thru this. My father lost almost everything he'd worked his whole life for. I don't know what the solution is, or if there is one. I just keep my insurance paid and hope for the best.


20 posted on 06/13/2005 1:55:57 AM PDT by SoDak (I'm just having one of those life's)
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