Monday, March 11, 2013

Pete's BLOG-Day 26,411. Still more medical horror stories.

Today is Monday, March 11, 2013. My stats today: 10 minutes of yoga, 10 minutes of lifting weights and 36 minutes of walking = 2.0 miles for a March total of 22.7 miles. My weight was 162.8 pounds.

QUOTE from Jim Doyne: "One good thing about middle age spread is that it brings people closer together."

My THOUGHTS  today continue with medical care in the U.S. This story is about Emilia Gilbert, a school-bus driver who slipped and fell on her face one summer in the small back yard behind her house in Fairfield, Conn. Her nose bleeding heavily, she was taken to the ER at Bridgeport Hospital. "I was there 6 hours, until midnight," Gilbert recalls, "and  most of it spent waiting. I saw the resident for maybe 15 minutes, but I got a lot of tests."
In fact, she got 3 CT scans (head, chest and face) that totaled $6,538 (Medicare would have paid $825 for all three.) Plus a doctor charged her $261 to read the scans - she had a hairline fracture of her nose. Gilbert got the same troponin blood test that Janice got - the one Medicare paid $13.94 for and for which she was billed $199,50 at Stamford Hospital. But Bridgeport Hospital charged her 20% more = $239.00.
She was also charged for: basic instruments and bandages and even the tubing for an IV setup. Medicare and insurance refuse to pay anything at all for these. They are supposed to be part of the hospital's facility charge, which in this case was $908 for the emergency room.
Emilia Gilbert' total bill was $9,418. Her health insurance carrier, Starbridge, only paid  $2,500 for the  hospital visit, leaving her on the books for about $7,000 of a $9,400 bill. Gilbert's $1,800 a month in earnings was too high for her to qualify for Medcaid. She appealed to the hospital for help and was turned down. A judge ordered her to pay $20 a week for 6 years.
Oh, how wonderful our health care system is in America.

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