Predatory healthcare
For the second time in a week I have been told my insurance is not going to cover my care. I settled this last week on July 2 at 2:48pm, spoke with a representative at Empire Blue Cross Blue Shield, wrote her name down and everything. I had a feeling this would happen again. It’s all a game between hospitals and insurance companies. They like to play tennis, see if one can rip a winner past the other, unfortunately patients are the ball.
I learned a few things at my last visit, I learned my brother isn’t a match, I learned that for a bone marrow search to be started it takes $6000 deposit, I learned my insurance doesn’t “cover that expense.”I learned the hospital needs it to be covered by me— no worries they take credit card.
There are people in a worse spot then me, less money, no insurance, less educated, more children, and a worse diagnosis, what do they do? I have a second plan of treatment, what if someone does not? I asked one of the marrow match coordinators that today, she couldn’t produce an answer. I asked if at this facility, life-saving treatment was held up for money. She couldn’t answer that either.
My mother spoke to a family friend who works in hospital/insurance relations,the friend reaffirmed my suspicions.
It’s all a game, they just see if they can get you to pay, in the end they would never withold treatment, she said.
I don’t see how that makes it any better.
It’s predatory healthcare, they know the severely ill are too tired, too sick to fight a massive system. Easy prey, just roll over and take out the credit card.
And sure if you really argue, the hospital will find other routes, ” well you could apply for a grant…” They hand the already overwhelmed a thick packet of papers to go along with a thick packet of stresses, and say “fill these out.” It may sound lazy but when your sick you don’t want to go through endless paperwork, you want to get better. You know in big beuracratic systems paperwork moves from desk to desk, from pen to pen, and it all takes time. Too much time. Sick people don’t have time.





July 14th, 2009 at 3:37 pm
Hi Matt:
Sorry to learn of your diagnosis and troubles. As a cancer survivor, I can empathize with your situation, though I did not need a transplant, and did not have insurance issues.
May I recommend that you consult with the national marrow Donor Program Office of Patient Advocacy, who may be able to assist you with your insurance problem. Find case manager contact info at http://www.marrow.org.
Lynn Treadwell
Be The Match, operated by National Marrow Donor Program
August 6th, 2009 at 7:15 pm
I’m so sorry about this – how awful.
Here in the UK we have the National Health Service. Thank God for it. Free healthcare at the point of delivery, paid for by our taxes.
Sorry, I’m commenting a lot. Your PICCline blog is a bit of a lifeline, I admire your pragmatic yet feisty attitude to all the crap.
From a UK family who just got the news – thanks for this blog.
August 6th, 2009 at 7:27 pm
Riz,
Your system is certainly much different then ours here in the States. I’m always curious to ask those in England their feelings on the NHS? You seem to be happy with the system, which is wonderful.
Are there any common complaints from the public directed at the system? Or are the English by-and-large happy about how healthcare operates?
-MCS
August 8th, 2009 at 8:48 am
There is an enormous amount of goodwill towards the NHS here, we all have a stakehold in it because it is paid for by our taxes, and I think most people are very proud of it, and of the the dedication and care of the people who work in it.
There is a great deal of bureaucracy and an over-complicated management system, with complaints about ‘target’s set by the Government that make more bureaucracy, and there are hospitals where the standard or hygiene or care is not as good as it should be; there have been outbreaks of C.Dif and MRSA. But there are also many hospitals with world-class standards of research, care and teaching, and the staff are in general, wonderful.
Historically, waiting times have been too long.
There is certainly a trend towards more people paying for private healthcare to allow them to jump queues
There has been a move towards ‘public-private partnership’, which many have criticised. One criticism is letting private firms run the car parks outside hospitals, so anxious visitors or families returning regularly to see inpatients can run up big parking bills, which is very upsetting at a time of anxiety. But compared to the US system, with all its attendant stress of healthcare insurance and having to pay for treatment, we are very fortunate, I think.
I can’t understand why the US is so opposed to nationalised, free-at-point-of-delivery healthcare paid for by taxes and with a private system running alongside if people want to pay for it.