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No health insurance? Not good

Posted Aug 03 2009, 03:08 PM by Karen Datko
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In recognition of the national debate over health care reform, which is about to move front and center, here are two brief histories of bloggers without health insurance.

One is about David, who decided to go without. The other is the story of Leanne at Mrs. Bankrupt, who recently penned a three-part series called "Sick? No insurance. No doctor. You're screwed."

We'll start with David at Goliath Debt, David Income, who was so focused on paying down his colossal debt that he skimped when he shouldn't have -- his wife and his newborn baby aren't insured and it's proven to be quite costly.

First, there were complications during the delivery. "To make matters worse, my wife had an eclamptic seizure on Monday afternoon, something that happens in only rare cases after the birth," he said in a post called "I gambled, and I lost. Big time." "An ambulance ride, three additional nights in the hospital, and thousands of dollars later, I arrive at the end of this week not really knowing where to go from here."

The hospital presented two options for paying the bill. "They said I could either put it on a credit card, and they would give me a discount (about 70%), or they could allow me to send in whatever I could, but it would be for the full amount, and at 18% interest," he wrote. The discounted amount is on his credit card, at 15% interest. Doctors' bills aren't included.

Leanne was undergoing chemotherapy and radiation treatments for a Stage 3 cancer 10 years ago when her husband's business went bust and her health insurance went with it. The marriage failed, the medical bills piled up and she eventually wound up in bankruptcy court.

At the time, she said, "Nearly all the unenlightened told me about the ‘can't-turn-you-down' program my state offered. Based on two kinds of cancer, two life-threatening blood clots, and a latent heart problem, my ‘can't-turn-you-down' premium (would have been) $774 a month AND covered NO preventative care (like the very scans I needed to track any reoccurrences)."

With five kids to feed and limited child support, she simply couldn't afford it.

She's still without health insurance, and the bills are mounting again. "Being uninsured for a healthy person is, I am sure, difficult. Being uninsured for a person who needs 10K a year in scans, blood work, thyroid medicine, and has a low immune system is beyond difficult," she wrote.

David's decision not to insure his family did not go unnoticed in the personal-finance blogosphere.

"He took a gamble without health insurance and is now going to pay through the nose," wrote "LAL" at Living Almost Large. "... I am guessing they are in their 20s, great health, never see the doctor, had an uneventful pregnancy and figured, what could happen?"

"Dog" at Dog Ate My Finances also read David's story. She knew that when she became unemployed, she needed to be insured but faced a complicated decision. She had the choice of an expensive COBRA (the family income is too high for her to qualify for the federal subsidy) or individual health insurance that would exclude her asthma.

She wrote: "I could really use some help here. I feel like I have no idea what I am doing in the wild west of individual health care plans. The fact that I even have to make this choice -- $1,200/month for COBRA, or $200/month with no asthma coverage -- pretty much makes me want to cry." Readers offered lots of advice. You can read about the outcome here.

Related reading:

America's health insurance crisis

Study: 60% of bankruptcies caused by health care costs

Buy your own health plan

10 things your hospital won't tell you

Comments

 

COBRA insurance is not outrageously expensive.  It is what the employer has been paying for covering the employee, plus a 2% handling fee.  People do not realize how much their employer is paying for the coverage they are receiving.  Yes, $1,200/month is high, but I am wondering how much "Dog" was contributing to the $1,176.47 that the employer was paying before she went out of work.  

What did people do when there was no such thing as health insuance? This is just another man made will get you into debt losing proposition.

Some could say part of the problem is people skip paying for health insurance (either on their own, or their employers subsidized cover), until they need it.  That is a losing proposition for everyone - the person, providers, carriers.  I have heard countless times, I am young and never need to see a doctor, so I'll be fine.  No one plans on falling and breaking their leg, car acccident, sudden illness.  Even swine flu is gonna cost a bundle.   Did anyone with cancer actually plan that?  

People want subsidized and/or free coverage.  It is NOT free, someone somewhere has to pay.  I wish Obamas health plan offered a way to REDUCE the cost of health care, not just cover people.  Without reducing the cost, health costs will continue to increase, and it will get even uglier.

Thank you for featuring my blog. I wish it could have been regarding something noble I’ve accomplished, rather than what I’ve lost over medical costs. But in the greater picture, it’s time for stories such as mine to come to light. Too many people have misconceptions regarding health insurance, real costs of medical bills and the uninsured or underinsured in America. I wrote a book, “No Room in the Inn”, based on research and a personal account of the affects of health care costs. As I did so, I was shocked at the statistics. With the rising costs of health care and the high unemployment rates, I fear stories, such as mine, will likewise increase. It’s time to review this system. Doing the same thing repetitively and expecting a different consequence is the definition of insanity. It’s also the definition of our health care situation.

Noelle: yes, things happen, but I looked at the statistics rather than relying on personal anecdotes to make a decision like this.  For my age, gender, and habits, the risk of hospitalization is virtually nonexistent (when you exclude pregnancy).  I already pay for doctors' visits out of pocket; the real problem, in my opinion, is a lack of emergency funds.  I'd prefer to amass savings that I actually get to keep if I don't use.

Car accidents are so frequently cited as a reason to have health insurance, BUT 63% of injuries in car accidents are paid by the person's own car insurance.  Another 55% (adds up to more than 100 because people tend to use more than one source) are paid by the other driver's car insurance.  Car insurance is a bit of a different animal because, according to the USDOT, "the typical driver will have a near automobile accident one to two times per month and all will be in a collision of some type on average of every 6 years."  Car insurance is therefore a much smarter investment for me than health insurance.  Maybe as I get older that will change, but right now this is what makes sense.

This is why we need health care reform.  Let's get all the over charging and ripping off stop.  I'll give you a small example.  Went to a GP. His nurse weighed me, took blood pressure, wrote her little notes, took some blood.  Billed to my insurance ?$550.00  This is why our health costs are so high.  The Doctors are as greedy as wall street.  This is another scam to charge whatever they want, and at this point they can. They see that you have insurance and they milk it.  Same with elderly.  My Dad is covered my Medicaid.  His doctor orders all kinds of test, I'm all for taking care of problems but why order expensive tests that aren't needed.  Why? because they are greedy.  Oh insurance, Oh medicaid or medicare. Let's charge away. They know they can jack up the price.  

We need reform to cap this stuff and make health care affordable for everyone.  

i do not agree with what i have heard about your change. i want you to make the language readable by the masses and let the newspapers and other look it over. i want to hear from doctors....my doctor about this bill. the ama is not enough. they only have less than 10%0f doctors as members.

by the way, who is going to see these 12million more uninsured people ? where are the extra doctors coming from. you going to steal them from other poorer nations? why not produce the doctors first and slowly make some changes as number of doctors increases. stop trying to take money and health care away from the elderly. okay ??!!

don't make me pay for illegals !!! ask mexico to pay the bill......first. how about free oil in return for health care. or....build a few hospitals across the border manned by mex. drs.

Price freeze is the only was to go. Not only for health care but also for oil, food, utilities, how are people who have lost thier jobs suposed to pay for these items when every time you purchase them the price has gone up and up and up? Greed is the real issue. If people would pay off credit cards, live on what they have and not have to keep up with the Joneses we would see a vast improvement in the entire world, and just maybe that is how "World Peace" can come about. There has only been 1 U.S. president strong enough to put that price freeze on these products and it DID make a difference in everyone's economy. Nerve - Obama - where is it?

Yes, let's talk about "free" health care.  "Free" is not free.......someone has to pay.  We need a free economy that will create jobs. And an insurance program offered to all that is of low cost, to meet ones budget.  My medicare and my submential insurance costs my husband and I $650.00 a month.  Even government insurance is not "free".  Obama get out of the way.  

I have a plan based on the method used by Mayo that could be used to insure everyone at very little cost to each individual which has been sent to nine democratic senators and six republican senators as well as many tv stations and  others, Good Morning American, etc. If you are interested I will mail you a copy showing all the  people I have sent it to.

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