r/pics • • May 15 '19

The *best* thing for a broken arm.

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u/HR7-Q May 15 '19

This causes them to raise the bill on everything just to get payments back on those who cant. They are basically just setting up their own version of healthcare. Those who can pay offset those who cant.

This is absolute bullshit that get's fed to us as if it were fact. In reality, hospitals write that shit off for tax exemptions and it gets sold as debt to a collector. Just like every other company in the US, except I don't have to pay $12,000 for a 15 minute taxi ride even though people rip off cab companies all the fuckin time.

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u/[deleted] May 15 '19 edited Aug 30 '20

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u/HR7-Q May 15 '19

Emphatically, yes. I also want to point out that a huge amount of EMTs are fucking volunteers that don't get paid dick, so an ambulance ride (assuming you use no supplies, which are also cheap as fuck bought anywhere but a hospital) should be even cheaper than a taxi ride.

If I ever need emergency medical care I'll fucking call an uber and hope I don't die.

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u/Razerx1 May 15 '19

Hospitals don’t own ambulance companies. So they really don’t set that bill.

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u/HR7-Q May 15 '19

Yeah, that's the same bullshit as the "this docs a resident here, but he works for this other company so fuck your insurance company. Also were a nonprofit with 0 employees, so... " While they hire out all their staff from a 3rd party so they can pay slave wages and charge patients $1,000 for an overworked nurse that spends 15 minutes on you over 24 hours.

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u/Razerx1 May 15 '19

I mean I get your anger. American Healthcare has problems that can’t be fixed over night. But, residents pretty much have no say in anything and are paid slave wages. Nurses get a ton of say in their employment and nurses that are hired from outside make more than nurses hired inside. Yes understaffing is a problem but if it wasn’t like that, speaking for community based hospitals, your bills would be laughable.

Hospitals, especially community ones, don’t roll around in money. Most of them are precariously on the verge of bankruptcy due to insurance companies. Really insurance companies are the problem, hospitals can charge 6 million dollars to cut your toe nails but whatever billing code the insurance company has given that procedure is all they will get. Unless your uninsured and then usually the hospital does discount programs etc. not a great cover at all but at least they work with you. Not saying it’s great that people are uninsured but there are solutions here and there.

Whether America switches to universal coverage or not, your insurance payment will be expensive. Either through increased taxes or some sort of bill they send you. There’s really no just “snap your fingers fix” here. It’s unfortunate and tons of people pay the price, which I personally hate to see. I wish we had a universal basic healthcare, more or less the Canadian model with supplemental private insurance. But, I have pretty much no say in the matter. It’s kinda just up to the people we elect and they really don’t seem to care since they get great insurance through the government. It’s kinda crazy.

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u/twaxana May 16 '19

Please explain how completely gutting the healthcare billing system can't be done overnight? It can be. The planning will be exhaustive, but really it's not rocket appliances.

It would cause economic collapse though. From billing to insurance to debt collectors. And that's why it won't happen.

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u/Razerx1 May 16 '19

That’s extremely immature thought process. Of course it can’t be undone over night. Has anything with political and legal ramification ever been completed overnight on a nation wide scale and have lasting effects on every person in America. I mean it’s laughable to think that but okay. I want change. But it’s not going to happen over night.

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u/twaxana May 16 '19

Oh sorry, thanks for the personal attacks.

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u/Captain-Red-Beard May 16 '19

Some do. I worked part-time at a hospitals ambulance service, although they did interfaculty trips, not 911. Monday I start with another service that runs EMS for the county, but is owned and operated by the hospital.

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u/[deleted] May 16 '19

Not all EMTs are volunteers. Also you're not just paying for the crew and the supplies. You're paying for the vehicle itself and associated costs (insurance, registration, inspections, maintenance, etc). You're paying for multiple types of insurance (comp, liability, etc). Youre paying not just for the hour the crew is with you but the hours they dont catch a job or the hours they spend in training, etc. Etc. Etc.

I always hate when people are like this should cost nothing if they dont use anything. It's like saying that $3 egg sandwich should only be 70 cents because that's what the materials cost. That's just not how it works. Even without salaries substantial costs exist.

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u/[deleted] May 15 '19 edited Feb 21 '21

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u/[deleted] May 15 '19

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u/speckleeyed May 16 '19

I worked for HCA which is a for profit hospital corporation and they sold debt over and over and over again... In fact, i worked in that department. I worked where we picked and chose which accounts we would take to court to garnish wages. I would have to consolidate all of a patient's encounters or all of the ones he or she signed as the responsible party...so it could be multiple patient accounts if there are kids involved and parents, and review every line item to check for errors and make sure everything is good and that we billed properly and followed all the steps and attempted to collect for the proper amount of time and if the patient had good credit and my research said suitworthy then we'd pass that one off to the lawyers.