"Insured, but Bankrupted by Health Crises"


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mad4clark's picture

NY Times

.....Too many other people already have coverage so meager that a medical crisis means financial calamity.

One of them is Lawrence Yurdin, a 64-year-old computer security specialist. Although the brochure on his Aetna policy seemed to indicate it covered up to $150,000 a year in hospital care, the fine print excluded nearly all of the treatment he received at an Austin, Tex., hospital.

He and his wife, Claire, filed for bankruptcy last December, as his unpaid medical bills approached $200,000.

At St. David’s Medical Center in Austin, where he went for two separate heart procedures last year, the hospital’s admitting office looked at Mr. Yurdin’s coverage and talked to Aetna. St. David’s estimated that his share of the payments would be only a few thousand dollars per procedure.

He and the hospital say they were surprised to eventually learn that the $150,000 hospital coverage in the Aetna policy was mainly for room and board. Coverage was capped at $10,000 for “other hospital services,” which turned out to include nearly all routine hospital care — the expenses incurred in the operating room, for example, and the cost of any medication he received.

In other words, Aetna would have paid for Mr. Yurdin to stay in the hospital for more than five months — as long as he did not need an operation or any lab tests or drugs while he was there.

Meanwhile...

Senate Dems Compromise with Themselves to Weaken Public Health Plan

Leaked trial balloons from the Senate Finance and HELP Committees on their respective versions of a public insurance option tell me Senate Democrats have no intention of adopting a robust public plan or any other reforms that will challenge the corrupt structure of the current system......

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.....Why is this happening? The Republicans' obstructionist conduct made them irrelvant and gave bipartisanship a bad name. That gave the Dems an open running field to solve the fundamental problems of a rogue industry and runaway costs. But instead the Dems have chosen to fumble the ball, mollifying their own confused members who want kick it in the wrong direction.

Who's coaching this team? Who did the recruiting? As Bernie Sanders told Ezra Klein,

The Coalition of the Willing sounds a bit strange to me. You have a Democratic president and a Democratic majority in the House and 60 votes in the Senate, and the coalition that is determining health-care policy are seven people, including four Republicans? . . .

So I think, with all due respect to Max and his hard work, it's the wrong strategy. I think the strategy should be to say to all 60 members of the Democratic caucus that even if you don't want a public plan in the final bill, you should commit to ending the Republican filibuster. You don't need 60 votes to pass legislation. You need 60 votes to end the filibuster. And if we do that, we can get a strong public plan that will be real change.

Reform requires the Democrats to challenge a deeply entrenched industry, it's structure, it's market power, and its incentives. Pretending to do so doesn't get it. But apparently there is no leadership in the Senate that cares enough about genuine health care reform.

Reform requires the Democrats to challenge a deeply entrenched industry, it's structure, it's market power, and its incentives. Pretending to do so doesn't get it. But apparently there is no leadership in the Senate that cares enough about genuine health care reform.

So the President needs to explain why any of us should support an effort that looks increasingly like a multi-trillion dollar bailout to those who've been fleecing America's businesses and citizens. Why should Americans give trillions more to a failed system and bloated industry that is literally bankrupting the nation and killing its people?

Excuse me whilst I go bang my head against a brick wall. Aaarrghh!

mad4clark's picture
Submitted by mad4clark on July 1, 2009 - 1:07pm.

Via The Coalition of the Obvious....

....During my time in Venezuela, I developed a cough that went on for three weeks and progressively worsened. Finally, after I had become incredibly congested and developed a fever, I decided to attend a Barrio Adentro clinic. The closest one available was a Barrio Adentro II Centro de Diagonostico Integral (CDI) and I headed in without my medical records or calling to make an appointment. Immediately, I was ushered into a small room where Carmen, a friendly Cuban doctor, began questioning me about my symptoms. She listened to my lungs and walked me over to another examination room where, again without waiting, I had x-rays taken.

Afterwards, the technician walked me to a chair and apologized profusely that I had to wait for the x-rays to be developed, promising that it would take no more than five minutes. Sure enough, five minutes later he returned with both x-rays developed. Carmen studied the x-rays and informed me that I had pneumonia, showing me the telltale shadows. She sent me away with my x-rays, three medications to treat my pneumonia, congestion, and fever, and made me promise to come back if my conditioned failed to improve or worsened within three days.

I walked out of the clinic with a diagnosis and treatment within twenty-five minutes of entering, without paying a dime. There was no wait, no paperwork, and no questions about my ability to pay, my nationality, or whether, as a foreigner, I was entitled to free comprehensive health care. There was no monetary value connected with my physical well-being; the care I received was not contingent upon my ability to pay. I was treated with dignity, respect, and compassion, my illness was cured and I was able to continue with my journey in Venezuela.

This past year, a family friend was not so lucky. At the age of 56, she was going back to school and was uninsured. She came down with what she thought was a severe case of the flu, and as her condition worsened she decided not to see a doctor because of the cost. She died at home in bed, losing her life to a system that did not respect her basic human right to survive......

"Misogyny,..is bullet-proof. It’s not merely tolerated, it’s openly celebrated ...Except for a puny consortium of bruised and contused blamers ...even the victims of this oppression embrace it."


mad4clark's picture
Submitted by mad4clark on July 2, 2009 - 10:08am.

Go Ahead, Tax those Benefits, it's Central to the Health Plan

Read the whole thing. It's amazing that they even think the public will be behind something like this.

Bottom line "Be patriotic, don't go to the doctor."

"Misogyny,..is bullet-proof. It’s not merely tolerated, it’s openly celebrated ...Except for a puny consortium of bruised and contused blamers ...even the victims of this oppression embrace it."


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