Without Insurance, Man's Defibrillator Battery Ran Out -- Now His Sister Wants Everyone To Know

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First Posted: 10-22-09 06:30 PM   |   Updated: 10-23-09 11:02 AM

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Georgeanne

In 2003, William Koehler of Pittsburgh, Pa. lost his job as an electronics technician. He lost his health insurance, too, but he'd been lucky enough to have the defibrillator battery in his heart changed just the previous year. No insurer would cover him except for one company which refused to cover anything related to his arrhythmia, says his sister.

He survived as long as his battery did, dying on March 7, 2009 at 57. His sister, Georgeanne Koehler, has become an activist, telling the story about how her brother died to anyone who will listen. On Thursday, she traveled to Washington, D.C. from Pittsburgh to join a protest outside a conference for America's Health Insurance Plans, a lobbying group for the insurance industry.

"I blame insurance companies, I blame his doctor, and I blame politicians," Koehler said to a gaggle or reporters asking about her brother's death after the protest.

In an interview with the Huffington Post, she explained that after he was laid off, her brother found part-time work delivering pies for Vocelli Pizza, putting in about 30 hours a week. In 2007, as he was closing up shop, he collapsed. His coworkers called an ambulance, and his sisters joined him at the hospital.

"The doctor said that the defibrillator battery was extremely low, and he needed studies done, but not as an inpatient," said Koehler, who is 63 and works as a unit clerk at a hospital in Pittsburgh. Asked if he needed to pay for treatment upfront, her brother's doctor said he would, and that it would cost thousands of dollars.

"I'm a pizza delivery guy, I don't have insurance," Koehler recalled her brother saying. She said the cardiologist walked to the side of the bed and asked her brother if he put oil in his car. When he said he did, the doctor told him that's what he needed to do for his heart.

"You're talking about a $8.50 can of oil and my battery's going to be ten thousand dollars," Koehler recalled her brother saying. "The doctor said, 'Get your priorities straight and you'll come up with the money.'"

Instead, the lesson William Koehler took from the episode, his sister said, was that "You have to have money to have your health." Over the next two years he'd have episodes where he couldn't catch his breath but he always shrugged off going to the hospital.

Georgeanne Koehler said her brother's boss saw him leaning against a table in the shop on a Saturday in March. He said he was tired, so his boss sent him home early.

"He drove two blocks, swerved a little bit coming to a stop sign, came to the stop sign, put his car in park, and slumped against the steering wheel," Georgeanne Koehler said. A paramedic told her, she said, that it appeared as though the defibrillator implant gave her brother's heart a jolt, but the battery didn't have enough juice to save him.

Koehler said she and her brother had both been lifelong Republicans, but she said he voted for the current president in hopes of health care reform. Now an activist, she travels to rallies with a packet full of her brother's doctor's notes and EKG diagrams. The progressive pro-reform group Health Care for America Now, which heard of her case through the Service Employees International Union, of which she is a member, paid for her bus ticket to and from Washington.

Aside from attending events, Koehler said she's gone door-to-door asking her neighbors to sign rectangular pieces of construction paper. She's been pasting them to poster board in a brick pattern. When the president signs a health care reform bill, she said, "We're gonna take it down to the neighborhood and people are going to take the bricks down."

In 2003, William Koehler of Pittsburgh, Pa. lost his job as an electronics technician. He lost his health insurance, too, but he'd been lucky enough to have the defibrillator battery in his heart chan...
In 2003, William Koehler of Pittsburgh, Pa. lost his job as an electronics technician. He lost his health insurance, too, but he'd been lucky enough to have the defibrillator battery in his heart chan...
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How very tragic that these people did not realize years ago that the Republican Party does not care about them or their health care needs. I hope that she will speak out loud and clear to her Republican friends to let them know to stop voting for the politicians who do not care about or represent their human needs or social justice.
I am so very sorry for your loss. This is a tragedy that could have been avoided with Universal Single Payer Health Care="The American Plan" because it would provide equal and affordable health care access to every single American, your brothers and sisters on the planet. We are all in this together.

    Reply    Favorite    Flag as abusive Posted 01:21 PM on 11/03/2009

Don't you just wish Di..ck's would go out?

    Reply    Favorite    Flag as abusive Posted 12:34 AM on 10/25/2009
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One word...Yes

    Reply    Favorite    Flag as abusive Posted 11:38 AM on 10/25/2009

Georgeanne, we are listening. My heart breaks for your family. We are with you.

    Reply    Favorite    Flag as abusive Posted 12:33 AM on 10/25/2009
- Westof405 I'm a Fan of Westof405 24 fans permalink

People should not have to beg for charity to get health care, plain and simple. Not all expensive health problems are due to "lifestyle choices" as wingers claim; many are due to genetic defects that no one would choose under any circumstances.

Why do people vote against their own interests? Read Thomas Frank's "What's the Matter With Kansas?" for an explanation. The far right uses cultural wedge issues like abortion and religion to mask their economic agenda and get uninformed voters to vote on those issues without really thinking about how they are being used to promote a platform that benefits only the rich. In other words, they get fooled into thinking the GOP is on their side, when it really is not.

This scheme works really well. Anyone who isn't benefiting from the Bush tax cuts or doesn't work on Wall Street has no business voting GOP. They have no interest in you, don't care about you losing your job and don't care if you die because of a lack of insurance.

Do you really think that billionaires like Murdoch or millionaires like Glenn Beck, O'Reilly or Limbaugh care about working and middle class people? Dream on. Their only interest is using you to make themselves rich. You are nothing to them except a way to buy multi-million dollar mansions and fly in their own private jets. These are venal, evil people who are selfish beyond belief and masters at manipulating the uneducated for their own enrichment.

    Reply    Favorite    Flag as abusive Posted 04:56 PM on 10/24/2009
- drumz I'm a Fan of drumz 53 fans permalink
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The real death sentence was the fact they voted republicant all those years. Maybe if they and many like them had not voted against their best interests we would have Medicare E today.

    Reply    Favorite    Flag as abusive Posted 03:11 PM on 10/24/2009
- colette I'm a Fan of colette 27 fans permalink
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Oh c'mon, where's your compassion?

Yes, nobody should have voted Republican in the past 30 years, in my opinion. But plenty of decent people did, as lifelong GOP-ers or just citizens who bought the line. It's not always easy to wake up from a trance, especially when you're part of a culture, a community, a profession that believes certain things.

Let's be more supportive and empathetic to everyday people whose dreams are smashed and lives are ruined than the Republican party is. Let's keep our humanity, and not be smug.....It's the right thing, and also it's the way to win hearts and minds....

    Reply    Favorite    Flag as abusive Posted 12:42 PM on 10/25/2009
- drumz I'm a Fan of drumz 53 fans permalink
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You're right. I do have compassion for them and didn't mean/want to sound crass.

    Reply    Favorite    Flag as abusive Posted 02:18 PM on 10/25/2009

this is absolutely one of the stories that need to be told

    Reply    Favorite    Flag as abusive Posted 07:43 PM on 10/23/2009
- Whitley2009 I'm a Fan of Whitley2009 116 fans permalink
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WE DO NOT NEED HEALTH INSURANCE COMPANIES IN THIS COUNTRY!

    Reply    Favorite    Flag as abusive Posted 05:21 PM on 10/23/2009
- KZA I'm a Fan of KZA permalink

WE NEED UNIVERSAL HEALTH CARE!

    Reply    Favorite    Flag as abusive Posted 08:10 PM on 10/24/2009
- sassafra I'm a Fan of sassafra 19 fans permalink
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this post infruriated me as there is no earthly reason this man had to die. there are state and local aid programs to handle just such situations as these. they merely had to call the state department of social services to find programs which would help them fund the surgery.

    Reply    Favorite    Flag as abusive Posted 05:19 PM on 10/23/2009
- Tiger99 I'm a Fan of Tiger99 18 fans permalink
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"Over the next two years he'd have episodes where he couldn't catch his breath but he always shrugged off going to the hospital."
One trip to the ER and there is a high probability Mr. Koehler would be alive today..

    Reply    Favorite    Flag as abusive Posted 05:25 PM on 10/23/2009
- Rasalom I'm a Fan of Rasalom 3 fans permalink
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Perhaps he was ignorant to these things... One thing a public option would do is to ensure people were educated to their options... People are much more apt to learn something when the shackles of high costs are taken away.

    Reply    Favorite    Flag as abusive Posted 05:32 PM on 10/23/2009

Tiger, you think the ER is free? The sister said that, any way you slice it, this was going to cost him $10,000 that HE DID NOT HAVE and it would have to be paid upfront. Delivering pizza, this guy has ten grand lying around? He'd be just as dead, his family would just be stuck with a huge bill. He shrugged off going to the hospital because he COULD. NOT. AFFORD. IT. Pay attention, would ya?

    Reply    Favorite    Flag as abusive Posted 05:59 AM on 10/24/2009

Do you have any idea of the sort of hoops you have to jump through to get state assistance? Obviously, you do not. You can't have a pre-paid funeral contract, you cannot have a life insurance policy, your car must Blue Book below a certain amount, you must make such a ridiculously small amount of money if you are working and you must report every penny you make, almost constantly, if you work and are asking for Medicaid. And if you make $10 more in any given month than is strictly allowed, they assume you make that much more EVERY month and put you on a medical spend down. He drove pizza delivery, so he gets a buck or two in tips for each order he delivers. He also pays for his own gas and insurance on the car, his employers do not, PLUS they can legally pay him less than minimum wage if he also gets tips. And then, there's the waiting while they decide if you qualify. And they don't give you one big list of paperwork you have to bring. They tell you "We needs This, That and The Other." Add to the fact that each social worker has HUNDREDS of clients and MOUNTAINS of paperwork and totally antiquated facilities and you got yourself a big mess. And, when applying, you have to go down to the offices to bring this paperwork in person, no matter how sick you are. They don't make house calls.

    Reply    Favorite    Flag as abusive Posted 05:55 AM on 10/24/2009

Some of the state aid programs have pretty strict income requirements.

Working 30 hours a week with no dependents, from my personal experience, he probably would have been approved for only 50% aid.

    Reply    Favorite    Flag as abusive Posted 02:23 PM on 10/24/2009
- KZA I'm a Fan of KZA permalink

UUGGHH...S­ASSAFRA...­.HELLO? State and Local Aid Programs!!!!!!! merely call the state???? HELLLLOOO ... is any body home in SASSAFRA's head?

The STATE is the GOVERNMENT...that means he would be calling the government for HEALTH CARE.... but I'm sure you really didn't mean to call a GOVERNMENT OFFICE. That would be socialism...that would be communist....that would be ... be.... totally distructive to our nation ... the sky would come tumbling down...CHICKEN LITTLE, CHICKEN LITTLE...duck and cover....

SASSAFRA....wake up! What we in the Progressive Group want is a PUBLIC OPTION, which would be administered by the government. NOT the Health Insurance Industry. If you really want to be enlightened, try this: go to the web sites of: USAction, Health Care for American Now, etc. Watch and LISTEN to the actual stories by real people that have been screwed by the Health Insurance Industry. This is only one story YOU say, but I met GEORGEANNE at this rally at the Capitol Hilton Hotel. We talked and learned from each other about each of our stories and the other 5 people in the same situation because of the insurance companies. All I can say to you is I hope and Pray you don't end up in our circumstances because of your ignorance to what is happening to tens-of-thousands of our citizens EVERY DAY in our country.

    Reply    Favorite    Flag as abusive Posted 08:29 PM on 10/24/2009
- IDIOTA I'm a Fan of IDIOTA 54 fans permalink

Heart wrenching and infuriating

    Reply    Favorite    Flag as abusive Posted 05:13 PM on 10/23/2009
- M1 I'm a Fan of M1 37 fans permalink
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As the truth surfaces, we find that the insurance companies have been killing us off one at a time when no one was paying any attention.

The republican response is that Capitalism and the free market will provide the best medical care. Yet, the insurance companies are not even exposed to the free market due to their exemption from anti-trust laws. We can not even buy drugs in the National market like Canada even thought it is the exact same product. We are blocked from the free market. If you are lucky enough to have a job that offers medical benefits you have to take what they offer because we have no other options.

We are walled in like sheep to the slaughter by our own Government. They better get this reform done right. This entire affair has been a dark stain on our Nation.

    Reply    Favorite    Flag as abusive Posted 05:11 PM on 10/23/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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Wow this one hits home really hard because it happened to me. My ICD battery ran out and I had no insurance but I had a doctor who was human and an awesome wife who pushed to get me a replacement ICD because they don't just replace the battery. The doctors donated their time, the medical device company donated the device, my wife even got the hospital to write off their costs.

I can't stop shaking thinking this could have been me.

    Reply    Favorite    Flag as abusive Posted 05:05 PM on 10/23/2009
- IDIOTA I'm a Fan of IDIOTA 54 fans permalink

The doctor's cold response to his patient is incomprehensible. How'd he become a doctor? Your doctors? Kudos to them for ethics.

    Reply    Favorite    Flag as abusive Posted 05:15 PM on 10/23/2009
- duhtruth I'm a Fan of duhtruth 13 fans permalink
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If anyone out there is close to Glenn Beck, could you tell him this sad story. You see, Glenn, in his fantasy land, believes that the tooth fairy administers health care to those without coverage. In his land of Oz, the fairy would place a new battery inside the man and dispose of the used one. Everything is fine and dandy. If this wasn't done, it was merely a slight glitch in the system. GLENN WAKE UP FROM YOUR FOG-LIKE SLUMBER!!!! PLEASE GET THE HELP YOU DESPERATELY NEED!

    Reply    Favorite    Flag as abusive Posted 05:05 PM on 10/23/2009
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I always blame the doctors as much as the insurance companies. And EveryOne always jumps down my throat, saying no no no it's not the good kind doctors, they have bills too, blah blah blah. So the doc tells William Koehler of Pittsburgh, PA, to get his "priorities straight" and find the money. And then the doc just walks his self-righteous self away, probably to get into his Rolls and drive to his $2.5M home ... My questions are this: Why isn't that doctor under arrest for murder or negligence or something?!!? Why isn't that hospital being sued or at least investigated for NOT supporting a human being in need of living-saving care? And finally how many other Koehlers are there and lordy will I or my children be the next one?

    Reply    Favorite    Flag as abusive Posted 05:04 PM on 10/23/2009

We better start taxing the super-rich now to pay for all the cardiac and obesity-related procedures that are going to be required. Or put a tax on all processed foods to pay for it. The reality is that technology for extending lives of those who abuse their bodies has surpassed our ability to pay for it. The article here doesn't state why this person had cardiac problems, but most cardiac problems are lifestyle induced.

    Reply    Favorite    Flag as abusive Posted 04:50 PM on 10/23/2009
- warsaw I'm a Fan of warsaw 7 fans permalink

Really? So we screen people now before we treat them? Only those born with conditions get treated?

    Reply    Favorite    Flag as abusive Posted 04:56 PM on 10/23/2009
- orfew I'm a Fan of orfew 12 fans permalink

And you have written how many peer reviewed papers in the field of cardiology? How long have you been a professor of medicine?

    Reply    Favorite    Flag as abusive Posted 05:09 PM on 10/23/2009
- Zonie I'm a Fan of Zonie 12 fans permalink
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source please.

    Reply    Favorite    Flag as abusive Posted 05:09 PM on 10/23/2009
- duhtruth I'm a Fan of duhtruth 13 fans permalink
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Great assessment! They should have a Health Czar with your compassion and understanding. My father-in-law developed cardiac problems as an offshoot of black lung disease developed as he tried to support his family working in a coal mine. Are you a compassionate conservative?

    Reply    Favorite    Flag as abusive Posted 05:10 PM on 10/23/2009
- Norm I'm a Fan of Norm 5 fans permalink

Lakes, you will discover all of your own genetic predispositions as your parents, aunts, uncles and cousins die. I'm quite sure at least one of those predispositions could also be described as a "lifestyle choice."

    Reply    Favorite    Flag as abusive Posted 05:28 PM on 10/23/2009

My husband laughed at me when I mentioned a "potato chip tax". I eat them and know that they are just tasty little grease bombs. Chips, candy, soda and other empty calorie foods are not necessary to survival. As much as I love all that stuff, I would willingly pay a tax on them to finance health care. Folks pay a "sin" tax on booze and tobacco. Why should highly processed snacks be exempt?

    Reply    Favorite    Flag as abusive Posted 04:59 PM on 10/24/2009

She blames the Doctors' the Insurance companies & the Politicians, when you get home tonight
and read these messages, how about the person that vote against their own self interest for maybe
the last twenty five years ?

    Reply    Favorite    Flag as abusive Posted 04:49 PM on 10/23/2009
- M1 I'm a Fan of M1 37 fans permalink
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Ouch!

    Reply    Favorite    Flag as abusive Posted 04:59 PM on 10/23/2009
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