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Wendell Potter

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Only in America Could Cost of Care Bankrupt Victims of Violence Like in Aurora, Colorado

Posted: 07/30/2012 7:41 am

By Wendell Potter


One of the reasons Americans seem so willing to tolerate the fact that close to 50 million of us are uninsured and 29 million more of us are underinsured is that most of us who have coverage assume we are OK. That nothing truly catastrophic will happen to us, and that, even if it did, our insurance policies will pay our bills and keep us whole.

Who would think that a decision to go see a movie on a Friday morning could change our lives -- and the lives of our families -- forever? That we or a loved one, even with what we believed was decent coverage, might become a victim of violence that could leave us not only disabled for life but also potentially bankrupt and homeless?

That random act of violence in Aurora, Colorado  earlier this month could have happened anywhere in America, of course -- or in any other country, for that matter -- but among the world's developed nations, we live in the only one where the families of some of the injured would have to face begging for money to pay the doctors and hospitals and keep the sheriff and his foreclosure papers at bay.  Talk about American exceptionalism. This is one area where, sadly, we truly are unique.

News reports informed us last week that three of the five hospitals where the victims were taken have said they will absorb most, if not all, of the cost of their care if they don't have insurance. But who will pay for the care they'll need after they're discharged? And who will pay the medical bills of those who were unlucky enough to be taken to a hospital that decides not to be so generous? And what about those who have policies with such limited benefits or high deductibles they might actually wind up in worse shape than those who are uninsured? Having any type of insurance, even if it's essentially worthless, can disqualify a patient from charity care.

Twelve people were killed and 58 wounded in that shooting at the Century Aurora 16 theater complex on July 20. While some have been released, others are still  fighting for their lives in hospitals. And many of them will likely be fighting to stay afloat financially after they're discharged. According to the Colorado Trust, a philanthropic advocacy organization, almost one in three Coloradans are either uninsured or underinsured. The longer those victims stay in the hospital, the greater the chances that they will be facing a mountain of debt when they're discharged -- even those with insurance.

A 2007 study published in the American Journal of Medicine found that 62.1 percent of all bankruptcies in the United States were the result of medical debt, up from just eight percent as recently as 1981. One of the most surprising findings: less than a fourth of the debtors who filed for bankruptcy were uninsured.

"Most medical debtors were well educated, owned homes, and had middle-class occupations," the researchers wrote. "Three quarters had health insurance."

The problem is that more and more of us are finding ourselves in the ranks of the underinsured. The Commonwealth Fund reported last year that the number of underinsured adults is skyrocketing, rising by 80 percent between 2003 and 2010, to more than 29 million.

The Commonwealth Fund researchers said that number should begin to go down once the Affordable Care Act is fully implemented in 2014. That's because the law sets limits on how much individuals and families will have to spend out of their own pockets for care and because it will outlaw the so-called mini-med plans that consumer advocates call junk insurance. Starting in 2012, all policies will have to include a minimum level of benefits that vastly outstrips those mini-meds.

At least that's what Congress intended. As you can imagine, the nation's insurers want to keep selling junk insurance because it's considerably more profitable than comprehensive coverage. One of the key goals of America's Health Insurance Plans, the big PR and lobbying group for the industry, is to make sure that the minimum level of benefits, which will be determined by the Department of Health and Human Services and the states, is so minimal that many more millions of us will become underinsured and at risk for bankruptcy.

Insurers are not putting it that way, of course. Instead, their lobbyists are telling lawmakers on Capitol Hill they should get rid of the parts of the law that would ban inadequate coverage because, unless they don't, insurance will become "less affordable" for many people, especially young people who are the target market for mini-meds.

I'd be willing to bet that some of the young people who went to see a midnight movie in Aurora, Colorado, a couple of Friday nights ago were paying good money for inadequate coverage. For policies that insurers dearly want to keep selling but that will be of little if any help to those shooting victims as the bills start rolling in and the creditors start calling.

Continue this story and read more investigations at iWatch News

 
 
 

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11:28 PM on 08/05/2012
I'm so surprised that the movie theater and other big Colorado businesses are not stepping up and donating to help all these people. You would think especially CO based businesses would want to help.Also how are all the funds collected around the rest of the states being used? I have seen lots of donation sites. where is all that money?
02:58 PM on 07/30/2012
One thing that always disturbed me about the American system of justice is that the victims of crime have no rights , no guarantee of benefits, recovery, or public defender. The criminal, on the other hand, gets legal counsel for free, 3 meals a day, free housing, free medical care, and in many cases, free rehabilitation and educational opportunities. We taxpayers will spend hundreds of thousands of dollars putting these criminals through the justice system. In most cases, we pay to prosecute them, and defend them, and pay for the never-ending appeals.

We throw tons of money at the criminal in pursuit of justice, yet we discard the victim to live or die on their own. If they choose to pursue some other avenue to recoup medical expenses, then they do so at their own expense. Why don't victims get legal assistance to file suit against the perpetrator, or others that might have prevented this from happening. Why don't victims get medical assistance to recover from these injuries?

The victims are victims twice - once at the hands of the criminal, and again at the hands of the legal and health care system.
01:41 PM on 07/30/2012
Sturbridge is an insurance cimpany big corporations use. Save your money. Should not be allowed if we had laws to protect people.
Always read,over paperwork to make sure you opt out of things that benefit corporations but cost you money.
06:30 PM on 07/30/2012
Lack of consumer protection.
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cdecisneros
my micro bio is empty because I went to the micro
01:15 PM on 07/30/2012
News reports informed us last week that three of the five hospitals where the victims were taken have said they will absorb most, if not all, of the cost of their care if they don't have insurance. But who will pay for the care they'll need after they're discharged? And who will pay the medical bills of those who were unlucky enough to be taken to a hospital that decides not to be so generous? And what about those who have policies with such limited benefits or high deductibles they might actually wind up in worse shape than those who are uninsured? Having any type of insurance, even if it's essentially worthless, can disqualify a patient from charity care.
Do not worry, They will just cost shift it to all the other patients.
But this is what we want. Isn't it. We don't want no guvmint interfeing in our health care or guns until one rune into the other.
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AlexNYC
Pumps dont work cause the vandals took the handles
12:23 PM on 07/30/2012
Thanks for another excellent article Mr. Potter. Most people aren't aware that over 60% of the bankruptcies filed in the US are the result of medical costs, and that the vast majority of those have health care coverage. A catastrophic health condition will also often end a person's gainful employment, which will also end their health care coverage. When people in Europe hear of US citizens going into bankruptcy and homelessness due to health care costs, they find it hard to comprehend that the richest nation in the world still cannot provide a comprehensive single payer program that covers all people without restrictions or cost limits. Companies should never be a middle man that profits over denying or covering health care for the people.
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giftsthatpurr
zestful life
06:05 PM on 07/30/2012
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bkvwd57
Dont be afraid of dying be afraid of not living
12:19 PM on 07/30/2012
Thank you, Wendell! We need more people like you explaining the ACA and what it will do for the American people. We do not have a health care system we have an insurance system that controls our medical system and hopefully someday we can change that.
09:37 AM on 07/30/2012
And let's not forget how the GOP managed to con us into changing the bankruptcy laws about 10 - 15 years ago, essentially making the United States government a collection agency for credit card companies. They did this by instituting a "means test", i.e. if you are a WAGE EARNER, you don't really get to have your debts discharged in bankruptcy.

Instead, the government will put you on a payment plan making you an indentured servant to big business for the rest of your life.
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cdecisneros
my micro bio is empty because I went to the micro
01:17 PM on 07/30/2012
Clinton vetoed it. Bush signed it. Who wrote the law? MNBA. Who contributed the most to Bush's campaign? MBNA. Don't you love it.
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cdecisneros
my micro bio is empty because I went to the micro
03:01 PM on 08/19/2012
Where did you find this one? This was from a while ago. Thank you
08:11 AM on 07/30/2012
Having just come back from a 10-day vacation in Spain, I had a conversation with two bartenders. They had heard about the one victim whose medical costs would be more than $2,000,000 and it would bankrupt him. The EXACT TOPIC of this article came up also - that they couldn't believe that b/c of the act of some crazy person, many people would not be able to afford long-term care b/c they don't have insurance (the two bartenders didn't ahve private insurance, BUT their socialized system could cover long-term care and costs). While Spain may be in a "crisis" ("la crisis"), NOT ONE CITIZEN would have to worry about their long term care b/c of an incident like this. I was embarrassed to admit that we "say" (and many "brag") that we have the "best healthcare system" while examples, like the ones in Mr. Potter's article, are more often the case than not - under-insured or not insured)! Profits and Healthcare are a DEADLY / CATASTROPHIC business model!!! If the Aurora incident and its aftermath doesn't SCREAM FOR US to go to a single payer system, I don't know what is!!!
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giftsthatpurr
zestful life
06:04 PM on 07/30/2012
ff
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eilish
Life ain't like a box of chocolates
09:06 PM on 07/30/2012
My kids loved living in Germany where they had 45 days of vacation per year and free government health care. My daughter-in-law was on a drug that completely controlled a thyroid condition, but she's been ill since they moved back to the States a few years ago because she can't get that drug here. Apparently it's German or just not profitable enough to sell here ..... it's sure as hell safer.
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wespenn56
Progressives = progress.
11:11 PM on 07/30/2012
Faved. My brother (a US Army veteran) developed cancer while working in Germany. The German system treated and medicated him until his passing even though he couldn't get covered in his home country. The healthcare system in the states is overpriced, usually unattainable and a complete disaster.