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Wendell Potter

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Park City Vantage Point Puts Tragedy of American Health Care in Vivid Relief

Posted: 01/23/2012 12:13 pm

The journey I embarked on when I made the decision to leave a successful career in the health insurance business was a spiritual one. I can trace the decision to a true epiphany, to the very moment I saw hundreds of people standing, soaking wet, in long, slow-moving lines, waiting to get medical care that was being provided in animal stalls at a fairground in Wise County, Virginia.

It hit me immediately that had my circumstances been a little different when I was growing up near there, I could have been one of those people. It also hit me that the work I was doing as a spokesman for the insurance industry was making it necessary, at least in part, for those people to resort to such humiliation to get basic medical care. One of my responsibilities was to persuade Americans of the lie that most of the uninsured are that way by choice, that they have shirked their responsibility to themselves and their families. Nothing could have been further from the truth. Our so-called health care "system" had simply left them behind.

I cannot tell you why I felt compelled to drive from my parents home in Kingsport, Tennessee to Wise County -- a distance of about 50 miles -- on that late July day in 2007. What I can tell you is that stretch of U.S. Highway 23 turned out to be my Road to Damascus. For the past few years, I have been dedicated to spreading the truth about how health insurance companies really operate in this country.

Last year my new career attracted the notice of Matthew Heineman, a documentary filmmaker in New York. He and his team interviewed me for a movie, Escape Fire, that premiered Friday at the 2012 Sundance Film Festival here in Park City. I have not seen anything that better captures just how dysfunctional our system really is and how urgent it is for us to transform it.

I was invited to the premier and to be part of a town hall-type discussion with others who were interviewed for the film, including famed cardiologist Dr. Dean Ornish and Dr. Don Berwick, who served until recently as head of the U.S. Center for Medicare and Medicaid Services.

As fate would have it, I am staying in a hotel with a magnificent view of one of Park City's most famous ski slopes. Had I been here just a few days earlier, I very possibly might have witnessed a tragedy that sent shock waves through the sports world.

While training on that halfpipe slope, Canadian freestyle skier Sarah Burke suffered a torn vertebral artery in her neck that caused bleeding in her brain, an injury that she would die from last Thursday, the day my family and I checked into the hotel. Just 29, Burke was considered a top-flight "acrobat-on-skis," and a medal contender at the 2014 Winter Olympics in Russia.

Instead, her family will be laying her to rest in her native Canada -- and pleading for money to help cover the estimated $550,000 they owe for the medical care she received at University of Utah Hospital over nine days.

The irony is that had the accident occurred in Canada, her family would not be having to come up with more than half a million dollars to pay for her care. Her care would have been covered because, unlike the U.S., Canada has a system of universal coverage.

An estimated 700,000 American families file for bankruptcy every year because of medical debt. No one in Canada finds themselves in that predicament, nor do they face losing their homes as many Americans do when they become critically ill or suffer an injury.

One of the things my colleagues in the insurance industry tried to get Americans to believe was that Canadians flock to the U.S. to get medical care they cannot get in their own country. That is a myth. Yes, some Canadians come to the U.S. for treatment, but not in large numbers. In fact, polls in Canada consistently show high levels of satisfaction among citizens with their country's single-payer system.

I probably would not have known about a fundraising effort that has been started by Burke's friends had my wife not come across a tweet about it Friday morning. I haven't been able to find anything about it so far in any media here in Utah. There was a report about her accident on the morning news, but no mention of the fundraiser.

I did find information about it in the Toronto Star, which quoted family members as saying they were "moved by the sincere and heartfelt sympathy" expressed by supporters worldwide. It is clear the family needs help. Not only are they grieving, they are facing financial ruin, simply because Sarah Burke's accident was in the United States of America.

I'm certain I would not have known anything about this had I not been interviewed for Escape Fire last year, or invited to come to Park City and stay at a hotel with a window overlooking the last slope Sarah Burke would ever ski. My spiritual journey continues.

For information about how to help the family, visit their page on GiveForward.

 
 
 

Follow Wendell Potter on Twitter: www.twitter.com/wendellpotter

The journey I embarked on when I made the decision to leave a successful career in the health insurance business was a spiritual one. I can trace the decision to a true epiphany, to the very moment I...
The journey I embarked on when I made the decision to leave a successful career in the health insurance business was a spiritual one. I can trace the decision to a true epiphany, to the very moment I...
 
 
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HUFFPOST SUPER USER
Marcus1
Trickledownscam
11:17 AM on 01/26/2012
The idiocy of some Americans is truly breathtaking. Americans are bombarded with daily doses of misinformation from your republican party of the evils of universal health care. Here in Canada I have had four major operations as a result of spinal problems each of which would have cost over $100,000.
In the U.S. many would have had to sell their homes and go bankrupt as 700,000 each year do.
Even many poor and middleclass Americans are voting for the idiocy that is your republican party against their very own interests. In Canada we pay less for healthcare than you do in America and everybody is covered. People do not have to give up their homes or their dreams so insurance companies can freewheel profits and conservatives in your country can protect their ideology even when its been proven to be a total failure as insurance companies have not served the people or the country but rather your protected class of rich and CEO's.
schatsie
banks are more dangerous than standing armies
09:49 PM on 01/24/2012
550,000 for 9 days....let me get that right 550,000 for NINE days or 50,000 per day or over $2,000 PER EVERY HOUR....this IS insanity, think about it and this is the hospital bill and does not include PHYSICIAN FEES which will be another $15,000 at least.....$2.000 per hour and if she had her own PRIVATE nurse that would cost maybe $50 per hour....SO WHERE WAS THE OTHER 1,950 spent...... each HOUR......We read our bibles we reallly really do and that is what this country has come to.....
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01:46 PM on 01/24/2012
Mr Potter,

I was unable to buy reasonable insurance coverage due to a childhood injury. I had been working as a consultant, insured under my husband's policy until he died. Despite being a structural engineer with advanced degrees in engineering and physics, as well as being multilingual, I was unemployable.

Few Americans know that potential employers can get access to job applicants' medical histories. One old darling who interviewed me for a job at a family firm explained that if they hired me, my 'pre-existing condition' would cause the company's health insurance premiums to soar.

http://www.nytimes.com/2007/05/05/business/05insure.html?pagewanted=all

After getting a bellyful of lectures on 'shirking responsibility', I'd had enough. I applied for jobs in Europe. Within three weeks I was offered a brilliant position as a senior structural engineer in Glasgow, where my young children and I would be covered under the British NHS.

That was nine years ago. I'm now Company Director. My earnings put me in the top tax band. We're all naturalised citizens of the UK. I have since remarried, had one child, and am due to give birth to another. One of the American-born kids is at Cambridge and the other is studying medicine in France. They all have cute Scottish accents and have learnt Gaelic and Breton, in addition to French.

I would have been shirking responsibility to myself and my family had I remained in the US.
HUFFPOST SUPER USER
cam1002
The People's Budget - It WILL Work
03:13 PM on 01/24/2012
Congratulations on your success. Yours is the perfect example of why we need universal single-payer health care for all, cradle to grave. If all of Western Europe and many other countries including Australia and Venezuela can do it surely we could come up with a plan for us. I don't think the rise in taxes to pay for it would amount to the current cost of insurance premiums, co-pays and deductibles that we pay now. And, of course, it would cover everyone. It would abolish Medicare and Medicaid and perhaps even the V.A. You made a very smart move.
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04:58 PM on 01/24/2012
Thank you. Most kind.

"I don't think the rise in taxes to pay for it would amount to the current cost of insurance premiums, co-pays and deductible­s that we pay now."

You are right. We also get home health care, when needed. Doctors make house calls (though we've never needed that.).

My husband is a widower. His wife died of cancer. She chose to die at home. He could work from home, so she was not alone. However, she was very frail and he couldn't give her the physical care she needed. Nurses from the NHS came to the house for palliative care, and NHS aides came to wash her and tend her other physical needs. How much money do you think these short visits saved over intensive end-of-life care in a hospital?

In addition, we get a lot more for our taxes. In Scotland university education is free. IOW, a bright Scottish kid can go to medical school at Glasgow uni at no cost to the kid.

We live near Glasgow Uni, and I see these kids all over the place. I'm proud to pay my taxes and contribute to their care and education.
schatsie
banks are more dangerous than standing armies
09:50 PM on 01/24/2012
I am delighted for you....jealous also....
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10:30 PM on 01/24/2012
I wish I could take everyone with me. Germany, France. the Netherlands... I could go on. Wonderful places.
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HUFFPOST SUPER USER
IndyFem
11:52 AM on 01/24/2012
Mr Potter...I wonder what our leaders think when they read your articles? Why aren't they made more accessible in the MSM?
schatsie
banks are more dangerous than standing armies
09:53 PM on 01/24/2012
they do not fit into the Grover Norquist, Bush Family, and Karl Rove meme that only the rich deserve anything, that they are entitled to everything and the rest of us are lucky to loose everything including our 401ks and start over with nothing....All the while competing with the Indians and Chinese who are not loaded down with educational debt.....
11:17 AM on 01/24/2012
Do you really think Canada would have given her $500K worth of care, free of charge? Well, they might have because she's famous, but I don't think an ordinary person would get that. If that were the case, Canada would be bankrupt pretty quickly.
DanBest
My micro bio is empty
12:48 PM on 01/24/2012
Canada has a universal healthcare system, so yes, it would have been paid. What rock did you just climb out from under? And can you even grasp that your misinformed opinion is one of the reasons our healthcare system takes in more cash than any other while denying millions any access at all? If you had spent ten minutes getting up to speed on the concept of universal healthare, I wouldn't have to point out how little your opinion has to do with the facts. And you may just conclude that any system that forces people into bankruptcy to pay medical bills isn't a reality: it's obscene.
01:26 PM on 01/24/2012
You are not answering my question. I am not asking whether she would be billed in Canada, I am asking how much care she would have received, which is an entirely different issue.
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HUFFPOST SUPER USER
drkazmd65
Mom Taught me - Question Everything - Thanks Mom!
01:12 PM on 01/24/2012
Yes,... Canada would have done so. Did you read the article? Do you understand what a Single Payer system is and does?
01:30 PM on 01/24/2012
My understanding of the Canadian health care system is that they spend less per capita then us. It is logical to conclude that therefore, that they must use less health care per capita than us.

So my question is, would they have blown through $500K worth of treatment in this case, or would they have been more frugal, since they are spending the public money?
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10:04 AM on 01/24/2012
Hi Mr. Potter, you're my hero!
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HUFFPOST COMMUNITY MODERATOR
LHoney
REINSTATE GLASS STEAGALL!!!
07:52 AM on 01/24/2012
Here is another nail in the coffin of American-style health care. As the 99% become poorer due to loss of jobs, loss of hours, increase in expenses, one thing they are giving up is their prescription medications, which is leading to increased emergency room visits. Our healthcare system is crumbling and no one is doing anything about it. We are in deep trouble...
schatsie
banks are more dangerous than standing armies
09:59 PM on 01/24/2012
People will die prematurely which is exactly what happened in Russia in the 1990s....4 million people....but that WILL avoid SS benefits for those people....so It is a good thing.....right? Some Christian Nation,,,,,USA NUMBER ONE IN HEALTHCARE CHARGES.....and healthcare bankrupcies more than the rest of the world combined......
01:39 AM on 01/26/2012
LHoney,
Obama is doing something about the broken American-style health care; unfortunately the tea-party yahoos would not buy it. The insurance companies are making sure that no one listens to Obama.
09:41 PM on 01/31/2012
Obama certainly tried, but he gave in when the topic of a public option was taken off the table. There was a hidden nugget in that legislation that recently went into effect called the Medical Loss Ratio, which requires insurers to pay out something like 80% of their premiums in coverage. Some folks view this as the nail in the coffin of for-profit health insurance companies as they are today, as they could not afford to keep their bloated executive salaries and happy shareholders very much longer with that kind of payout.
HUFFPOST SUPER USER
Ron Maede
All the World's a stage, Huffpo's my mic check
07:37 AM on 01/24/2012
Umm...lessee here.

You make a living by skiing down hills and jumping in the air and doing a bunch of insanely dangerous stunts, but somehow left the major medical coverage off the list?

This is obviously very tragic for everybody. But even in Michael Moore's movie, "Sicko" his Canadian Aunt and Uncle refused to travel to the US for even a few hours without picking up an insurance policy for the day, "just in case."
schatsie
banks are more dangerous than standing armies
10:01 PM on 01/24/2012
Oh give me a break, she was a young person and these things never happen to themselves....I cannot tell you how many years I went without health insurance because of the expense.....
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HUFFPOST SUPER USER
love2lindy
Progressive Party, NOW!!!
06:45 AM on 01/24/2012
Why are her parents responsible for her medical bills? Ms Burke was 29 years old - an adult.
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HUFFPOST BLOGGER
Wendell Potter
Analyst at the Center for Public Integrity, author
11:10 AM on 01/24/2012
You used the word "parents," not I. She was married, so her husband is responsible for the medical bills. I wrote that her "family" would be laying her to rest.
schatsie
banks are more dangerous than standing armies
10:02 PM on 01/24/2012
If he didn't sign, he is not responsible......but I'll bet they got him to sign....there is a great felllow who does Catastrophic Planning just to cover this type of thing....
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BigBearcatBill
This is the real Bearcat - a Binturong
02:28 AM on 01/24/2012
The USA has become kind of a parasitic state of business, profits are made out of other's ill fates both in medicine and in courts by lawyers and business guys. We dont manufacture much anymore so we make money out of medicine, finance, service industy, paper pushing and other BS that was never meant to be the backbone of the American Economy which manufacturing was. Medicine has the easiest case for ripping people off - it is your life so if you want to live you must pay us a million bucks or whatever we want to charge. Do other country's medical systems pay thier personnel even close to ours, from top MBA hospital managers to MDs, nurses, therapists, and etc.? Do other country's pay as much for medical equipment, supplies and drugs? Every part of the American medical system is made for maximizing profits first - other countries just want to keep people healthy and heal them when needed and not get rich off of doing it.
schatsie
banks are more dangerous than standing armies
10:08 PM on 01/24/2012
In France an LPN or RN makes about 30% less than they do here....But they also work 35 hours per week so that is 5 hours less a week or 12.5% off the top...then they actually get 6 weeks of vacation. which is 2 weeks more than the nurses get here for another 4% off......and then they have decent mass transportation and free healthcare and education......so it is ok....and then they retire at less than 60 on full benefit.....they are also more humane with regard to the schedules, 10 hour shifts, none of those stupid 12 hour shifts...... I think that schedule could be adopted here...but then the hospitals would have to hire more nurses.....and the health insurance cost here prohibits any company wanting to hire more people....
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BigBearcatBill
This is the real Bearcat - a Binturong
02:16 AM on 01/24/2012
A friend's 20 year old daughter in college gets stomach cramps and starts feeling worse over a couple days, sees the campus health center who send her to the hospital. They do the xray CT tests and she has a baseball size tumor in her area around the stomach, but fortunately it is not spreading just a round tumor. Has major surgery to cut out the big tumor, then takes rest of semester off to stay at home and continue with chemo to make sure all tumor cells killed and keep getting tests to check if any left. Fortunately they have insurance and she was on policy and it covered it all except minor deductibles. If no insurance or if she was say just graduated from college and out working at a job with no insurance she would be in big debt, my guess $100-200K. She was feeling fine one month, next month has life threatening baseball size tumor removed at 20 years old. In other countries no worry to not get bills, here one cancer cell can grow into a 20 year old that bankrupts her and possibly her family.
schatsie
banks are more dangerous than standing armies
10:10 PM on 01/24/2012
Exactly, sad but true.....It is a tragedy that even with Medicare, she would have been left on the hook for probably well over $20 grand.....
Democrat in the South
Empathy, the most important word
11:59 PM on 01/23/2012
Thank you Mr Potter for all you do. You have already done more than you know in helping to educate us on what insurance companies have done to our country.
11:35 PM on 01/23/2012
nonsense the family is facing bankruptsty....bill was revised down to 200k btw...monster energy and her other sponsors are working behind the scenes to assist financially....still don't know if she was insured by monster....then we have the IOC and Russian ski assoc offering to help...then there is our bc provincial and federal ministry of health depts offering to help too...add the over 300k the family received on top of these sources noted and they're doing ok...such that excess fees to go towards establishing a foundation for her.

lastly what of her and her mgr/agent's responsibility to have sufficient coverage for her high risk sport occuring event-wise in a foreign country?
12:28 AM on 01/24/2012
So because she is a famous skier her family might come out of this OK. And if she wasn't a famous skier? Doesn't the article actually point to a problem that you have conveniently overlooked?
11:14 AM on 01/24/2012
Since she was an adult over 18 years of age, she alone is responsible for the bill Since she has died, the charge is against her estate. If there is not sufficient money in her estate, they can go pound sand.
12:40 AM on 01/24/2012
Sarah was doing something she loves. Just like a car insurance company a health insurance company can deny you if you're a risk. Which is more than likely what happened.

She took a risk, and unfortunately paid dearly for it, now her sponsors can say "oh well", especially since they don't have to pay her family...they insured her as a product, not a person.
11:24 AM on 01/24/2012
to jannsmore and kbye:
she should have had sufficient coverage...as well as her agent/mgr ensuring such...pretty simple don't you think...and this is from a canuck...many canucks up here are pretty divided on this issue too: while we certainly feel for sarah for the tragedy that happened, it's the responsibility of the individual to ensure adequate coverage.

btw, am sure with all the PR, do you think for a moment monster or other sponsors would NOT have stepped up to the plate? did you see the fallout?
10:56 PM on 01/23/2012
Her sponsors and the facility where this accident took place should be partially responsible for this women's medical bills. Honestly I don't think her family will have to spend a dime. The ski industry is very, very wealthy. They take care of their own kind. And you can believe many well healed people are feeling terrible about this tragedy.
12:37 AM on 01/24/2012
Her sponsors and the facility shouldn't be held responsible. When you take a sponsorship, and you strap on skis or a snowboard, the SECOND you sit on that lift you sign a waiver saying that you don't hold that mountain responsible for any injury or death that may occur.

You might know this if you EVER strapped in, or purchased a lift ticket.
12:39 AM on 01/24/2012
Further more..the ski industry is VERY VERY wealthy? Where are you getting this information? All of the travel expenses in movies and video shoots come from multiple sponsors. Sarah was Sarah...she's not Shaun White...

Get a clue.
10:28 PM on 01/23/2012
Got to love the Canadian queuing. Wait time for hip surgery(160 days), knee replacement (243 days), CT scan (44 days).
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HUFFPOST SUPER USER
Russell Masingale
weary I am of the Astroturf.
11:06 PM on 01/23/2012
and if you dont have insurance in this country the wait time is until you die.
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HUFFPOST SUPER USER
drkazmd65
Mom Taught me - Question Everything - Thanks Mom!
01:16 PM on 01/24/2012
Yep,...
schatsie
banks are more dangerous than standing armies
10:12 PM on 01/24/2012
Exactly...and that is what happens to hundreds of thousands of people each year.....
11:11 PM on 01/23/2012
According to who, rush limbaugh?
schatsie
banks are more dangerous than standing armies
10:12 PM on 01/24/2012
and Barbara Bush....