Cost of Medical Care... Seriously?!?!?!

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By blogging2


Well, here I am writing while my husband sits with two butterfly bandages on his chin that I put there, so he doesn't talk and keeping our fingers crossed that the bleeding on his chin stops... This is my world for the past 3 hours.

Let's go back 3 hours shall we? My husband went surfing this afternoon. Something he does any time he gets a chance. With the hurricane the gulf is getting some really good waves. Well he sees one, paddles in, overshoots the wave and the wave crashes on his head. In the process his face smacks the board and his tooth exits through the front of his lip.

Normal people would say at this time go to the ER. Right? Well we are in that group of people who can not afford health insurance. I called the ER, to find out what I could do for him, and how much it would cost if he needed to get 3-4 stitches the max it could need. (Remember I am a Certified Licensed Athletic Trainer, I have seen busted lips enough in the training room to know what it is.)

The hospital's response: "You need to bring him to the ER, we can't give you an exact price without seeing him."

My response: "I understand that, I just need to find out if we can afford the 3 stitches. That is all he needs, his pupils are dilating and contracting as normal, there was no metal involved, he has no broken bones, he has no loose teeth, all he needs is 3-4 stitches."

Hospital response: "Well we can't answer that because if he comes in he will be required to have X-rays, get a tetanus shot, do some blood work, and then they can decide if he needs stitches or not."

Me: "OK, I didn't make myself clear. We don't have insurance and he does not need all those things. He just needs 3-4 stitches. Can you please tell me how much 3-4 stitches would be?"

Hospital: "Well we don't have a price list for stitches, but I can tell you that to sign in and see a NURSE, the cost is $899.95."

Me: "Excuse me? Seriously? It should not cost that much for stitches... we are talking about 3-4 small pieces of string. There is no way we can afford $900 for a NURSE."

Hospital: "You can come in and we will bill you for anything else that they do."

Me: "Like what?"

Hospital: "Well if he needs to see a Dr. that is more. If he needs a tetanus shot that is more. If the Dr. determines they want an X-ray that is more. And if they decide he needs stitches of course that is more."

So what is a person to do? I budget extremely well, and consider us to be doing OK. We are in our early 30's raising our daughter on our own, not asking our parents for money, working hard, paying our bills, not in foreclosure, but to do these things there is nothing left over.

Insurance for our family would cost at least $175 per month, and that is if we had an absurd deductible per person. So each year we would have to make an extra $2100 and have the deductible of over $6000 ready for an emergency.

Now, others will say, why not apply with the state? They offer help to people like you. Right? Wrong! If I make more than $2,500 per month combined income with my husband and myself we don't qualify. Now shall we do a little math? My mortgage is $1,400 (includes taxes and insurance escrow, we did not buy out of our means, just got hit with taxes and insurance after the fact), food is $250 this is being conservative with the price of food now, electric $175 (going up 7% by the end of the year per the electric company), gas $500 (my husband drives with his job and the price of gas we all know is a killer), internet $45 (have to have for work), cable we can't afford, car insurance $231 per month (mandatory), phone $45 (required for work), cell phones $99 total (required for work). So according to the government to be eligible for any help we would have to make $245 less than our bills.

Yet, here is the kicker. They use the parent's verifiable income to determine if a child is qualified. Is a parent's immigration status part of eligibility?- No. The Florida KidCare application does not ask about parents' status. If my daughter could be covered by one then I would at least know she is protected even if her father and I aren't. But because we are citizens struggling to make ends meet we are disqualified from any help.

Today really scared me. I can honestly say I have no idea what to do... I do the budgeting in the house. I know what money we have and what we don't. There is definitely not an extra $175-200 per month for insurance available. It just isn't there. And then something like today happens and I say, "Holy Crap!" Excuse the language please, but this is serious not just for me but for many other American Citizens as well.

The election scares me more than many can realize because I am self employed this puts me on a major chopping block if the Democrats get in office, and none of the money they want to take from me is going to be used to help my family. The hospital used to be a place where you went for help, now it is a place that I dread because no matter what I am screwed if I ever have to walk through it's doors.

If the Dr.'s don't kill me, the cost will make it where there is absolutely no choice but to declare bankruptcy. It does not surprise me that they don't get paid on many of their services. They are so over priced no one can afford it, and it doesn't matter if you owe $1.00 or $1 million it will hit your credit the same. Why bother?

Sorry for the rant, but this is a serious issue in the country today and I cannot believe it was meant that we have the worst statistics of any country in the world on everything medical EXCEPT emergency medicine, yet so many can not afford it.

Well, it looks like my husband's bleeding has stopped for the moment. Please keep us in your thoughts and prayers as he tries to eat for the first time since he did it.

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Melissa G profile image

Melissa G  says:
15 months ago

Ouch, sorry to hear about your husband--glad he only hurt his lip!

Why would you be worried about the Democrats in office? One of the platforms Obama is running on is affordable healthcare for all Americans, and he plans to offer tax breaks for all but the wealthiest families. Do you think Republicans in office would be better?

And for what it's worth, I have friends who are fully insured, and they recently brought their son to the hospital for a few stitches on his bottom lip, and since he needed plastic surgery, their part of the bill came to $2000! So, even insurance only offers so much protection.

Anyway, however you look at it, $899.95 is a ridiculous price tag for three stitches.

blogging2 profile image

blogging2  says:
15 months ago

Thanks for the kind words for my husband, and you are right thank goodness it was only his lip!

Honestly I don't really believe Obama at all, I dislike that he won't answer any personal questions. The position he is going for is one that opens up scrutiny and he gets offensive and I have yet to hear anything positive about him except he is not Bush. (Don't get me wrong I am not a big fan of McCain either!) BUT the tax breaks everyone keeps telling me about with Obama are if you work a regular job. I don't and haven't in over 5 years. I am 100% against welfare and the entire system the Democrats support. I see their platform as a bunch of the same and scarier I see it as they want to take people's money who work for it to give it to those who don't.

In order to pay my bills I won't qualify for any lower insurance rate out there. That is what the US has become unfortunately. I don't think Obama or McCain are going to really go after the people who put them in office whoever gets there and those people are the ultra rich (including themselves). There will be no tax breaks for any of us "regular" people reguardless of who gets in office, I consider that all retoric.

Back to what I originally posted about (sorry for that little rant), your friends are the situation I was talking about with my husband last night. He and are a ADAMANTLY against going to the Dr. except in emergency situations. We won't take over the counter medications and have already discussed if we were diagnosed with something like Cancer (God forbid), neither of us would concent to chemo. It kills more people than the cancer does. So how in the world can a normal US Citizen expect to get care?

What are we paying for? The Dr. or the malpractice insurance? They charge so much I am convinced just to try and get you to the deductable so they can get something from the insurance company if you decide not to pay. Yet another thing that really needs to be fixed in our country. If people are paying $1200-2400 per year for insurance (if not more), they should be able to get something for what they are paying for!

Melissa G profile image

Melissa G  says:
15 months ago

I pay about 1500 a year for insurance, but I recently had a wisdom tooth pulled and my insurance refused to pay about $500 worth of the charges, which makes me wonder why I'm paying so much to begin with... for the $300 they covered? It just doesn't add up.

And yeah, I don't think either political party is perfect, and don't even get me started on the welfare system! But at least Democrats seem interested in helping the poor and ending the war, while the Republicans seem mostly interested in digging their hands deeper into the pockets of big oil and the corporations that rule the world.

blogging2 profile image

blogging2  says:
15 months ago

The more I keep looking at the insurance the more I wonder what good it really does...  I mean that seriously...  In order to get a plan where you don't have to pay more than $5k out of pocket (and of course this is per person), you are looking at a cost of $300 per month, or $3600 per year.  Now if you are accident prone by all means this is for you!

Personally I can't stand going to the doctor and if I do where I don't call about finances that means I am dead if I don't go.  So money doesn't really matter then, and I would just file bankrupcy after.  I am sure I would be left with no choice... And even after paying for insurance all that time I am sure they would try to find someway to not pay for the care I needed in order to live.

Man this is a mess, I like the days when I didn't think about this stuff!  Now I have a daughter and have no choice!

Shadesbreath profile image

Shadesbreath  says:
15 months ago

You just wrote the absolute 100% exact scenario of my household.  Make too much to get anything for free, and can't afford to pay for a family of five, not without living in a trailor and eating ramen. 

You said, "The hospital used to be a place where you went for help, now it is a place that I dread because no matter what I am screwed if I ever have to walk through it's doors. "   THAT is such an incredibly succinct and powerful way of putting it, I cannot applaud this piece of precise writing more.  That is what language is supposed to do.

Now, with that, I can't help but share a story at this point, just because, well, I can't, so you can stop reading now and I'll just vent.. but:

I went in to get my eyeglass prescription filled (it had been 8 years, and, regardless of no coverage, it had to be done, full out of pocket, fine, I get it, here I am, get me some new ones, thanks.)

So the chick is all selling me on extra services (add-on sales as we called them when I was in automotive) and I was saying, "No, can't afford it" and "Do I need that for real or just precaution?"  She was honest enough to admit stuff was a good idea but not mandatory due to any "conditions" I had, but she did suggest that glaucoma is a real problem and, well, I was really taking a risk not having that tested.  So, after feeling like I might be in danger somehow from this, agreed to let her put some yellow drops in my eyes that would "make my eyes feel heavy" for a bit and would allow her to do her thing.

When I woke up the EMTs were all around me and I had wires sticking on me and all kinds of stuff.  Apparently I had some kind of reaction to this chemical.  I was groggy but fine when I woke up, but they insisted I go to the ER.  They wanted to put me in an ambulance.  I had to litterally throw a fit, explaining to them I did not have the 1800 bucks for an ambulance ride, much less the ER.  I literally had 2 fire fighters and an optometrist sitting there arguing with me for like ten minutes.  "You could die!" they said.  "Yes, well, I'll die of exposure in the streets when I declare bankruptcy and lose my home, making our whole family homeless." (an exaggeration, but you get the point.)

Needless to say, it still cost me... get this $1900.00 bucks to go in there (my wife drove me, the EMT's insisted I couldn't drive), wait for five hours for a doctor to tell me, "Whelp, I reckon you had a reaction to the chemical, maybe fainted or something" and to get an EKG that said my heart is beating exactly as it is supposed to.

The optomitrists office told me that they have no responsibility for the ER costs, as "such things happen sometimes" but that they "do hope everything is ok now, oh, and did you want to come pick out your new frames?"

/sigh

blogging2 profile image

blogging2  says:
15 months ago

Wow Shade, isn't it amazing how even though they give us the stuff they aren't liable? Seems no one is anymore. I can not tell you how seriously I thought of going in and telling them we had no ID and didn't kow who we were. They can't refuse care, but I couldn't bring myself to do that.

Talking to my father he brought up a point of lawyers are killing our society. They are the reason for all the malpractice which is why we can't afford anything and they want to do all these extras.

Shadesbreath profile image

Shadesbreath  says:
15 months ago

Lawyers are the only ones who actually know how the system works.  And yeah, I can't pretend I don't know who I am either... that's because you and I, the backbone of America, have too much pride and honor to sponge off the system.  We're the only ones who actually give a shit about the system.  Everyone else is just sucking it dry until it finally colapses and the two of us and our ilk are buried in the rubble.

blogging2 profile image

blogging2  says:
15 months ago

It is sad, I wish I could abuse the system I feel like life would be eaiser, but I either have too much pride or am too stupid :) Seriously though I do sometimes wish we could go back to simplier times... Or at least a little common sense but it seems like all the cents are going to the politicians and lawyers when it used to be that lawyers were shuned, the political arena was a hardship, and doctors were there to help the people. I know many doctors who are getting out of the field because even though the bills paid are so high that is all going to medical mal practice (of course mal practice is the number one killer in the US today), but they are so afraid to do anything that they are now allowing people to treat themselves and prescribing things to cover themsevles that cause reactions etc. Kind of scary...

Misha profile image

Misha  says:
15 months ago

Well, putting aside system abuse, your car insurance seem a bit high to me. IDK, another state, etc. - but still, I am paying about half of yours for three cars! And I don't think Virginia where I live is among the cheapest states. In fact, it is probably among the most expensive. Did you try to shop around for cheaper auto insurance? Esurance? Unitrin Direct?

Also, I am not sure if you know this, but only liability part is mandatory. Comprehensive and collision are not.

blogging2 profile image

blogging2  says:
15 months ago

Misha thanks for the comments and yes I have researched and checked others, but I was told (and I quote here), "you have a high credit score, which shows that you have revolving credit and a home loan so you are a high insurance risk."  I am not sure how in the heck that works!

And yes, I do know that liability is the only thing that is mandatory, but that should have been wha the other guy had.  He was liable, he hit us from behind (and then fled the scene the woman he almost ran over got his plate for us and waited for the cops).  His insurance company (Progressive) claims that his insurance expired 10 hours before the accident occured.

Though this falls more under my "It's just not fair!" rant :)

Misha profile image

Misha  says:
15 months ago

Yeah, that's something. I feel for you, really.

Progressive sucks.

If you have spare time, I may have some part-time job for you, send me email through my profile if you are interested. :)

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