I spent half that time in Critical Care (much of that on a ventilator, a small amount sedated), and most of the rest in a specialist neuro-rehab unit. I would have died otherwise.

Fortunately it cost me nothing - Thank Bevan for the NHS - but if I were in the US I imagine I would be financially crippled!

  • booly@sh.itjust.works
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    14 days ago

    The average cost of a hospital stay in a U.S. hospital is about $3,000 per day, but it varies significantly by location. So long stays like yours might cost between $250,000 and $500,000.

    If your insurance covers it (and about 92% of Americans have health insurance), you’d be looking at your annual out of pocket max, which the law caps at $18,000 for family plans or $9,000 for individual plans, but which most people on employer sponsored plans (around 60% of Americans) have out of pocket maxes around $4,000 to $5,000. Source

    So for most Americans, your hospital stay would’ve probably cost the individual patient about $5,000. Insurance would’ve paid another $350,000.

    But for some Americans, they’d be looking at a $360,000 bill and then would just file bankruptcy, start over with close to a net worth of zero, at least for non-exempt assets (people generally get to keep their homes, cars, and retirement accounts in bankruptcy so it won’t actually be starting from zero if you’re well into a middle age in the middle class).

    Or worse, the hospital would realize they’re not getting paid, and then would find a reason to kick you out as soon as you’re stabilized. They have to keep you alive even when you can’t pay, but don’t have to treat you beyond that for free.

    • slate@sh.itjust.works
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      14 days ago

      And if you do have insurance and get a bill over a few thousand, there are pretty good odds insurance will deny paying for it and drag you through many levels of confusing and auto-denied appeals over the course of 6+ months! Even if your procedure is clearly covered in your summary plan description or required by law.

    • AlexLost@lemmy.world
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      14 days ago

      With the recent changes to the medical insurance landscape in America, and thousands upon thousands of people losing their jobs due to various factors, your 90% figure is pretty generous. Add in the fact that most insurance is tied directly into employment, Americans have much less options than the rest of the free world, unless you are filthy rich.

  • selkiesidhe@sh.itjust.works
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    14 days ago

    That is bankruptcy, pure and simple. There’s no way you’d financially recover from a four month stint in the hospital.

    People have literally unalived themselves here over hospital bills like that.

    Thank God you weren’t in a shit hole country, like the US.

    • gilgameth@lemmy.world
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      14 days ago

      This is not YouTube, don’t make it so. You can -and in my opinion, should- say suicide, kill, etc.

          • stringere@sh.itjust.works
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            14 days ago

            As someone who just last week attended a wake for the suicide of an 11 year old who lived two houses down from us and was one of my child’s friends :thank you for saying that.

            • CalipherJones@lemmy.world
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              14 days ago

              Crazy that suicide even crosses the mind of an 11 year old, let alone them actually going through with it.

          • P00ptart@lemmy.world
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            14 days ago

            This is a result of communication being penned in by social media rules. We largely can’t even discuss this serious topic on an open level so unfortunately cutesy nicknames are required when talking about serious issues these days.

      • Phoenixz@lemmy.ca
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        14 days ago

        So much of this

        I don’t understand the need to find alternative words for words we already have. What, in 20 years we need to find alternative words again because the next generation feels insulted by the words this generation came up with?

        Just use the words. Suicide. It is what it is. Its ugly, it’s sad, it shouldn’t be needed, but here we are. Don’t make it more palatable by censoring yourself

    • andrewta@lemmy.world
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      14 days ago

      Or get insurance and then the bill is significantly smaller. The much smaller amount can be put on a payment plan if needed or even haggled down to something you can pay.

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    14 days ago

    That depends.

    Are you wealthy? If yes, you’re fine. If no, you’re fucked.

    Are you a veteran? Same answers.

    Are you poor? You probably died in the waiting room.

    • papalonian@lemmy.world
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      14 days ago

      Are you a veteran? Same answers.

      Ha. Hahaha. Yeah. No. Not necessarily.

      Source: knew way too many vets with awful, untreated ailments from my time in US healthcare.

      • Geodad@lemmy.world
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        14 days ago

        I have heard that VA hospitals are better in some places. I really have had better care from the VA than from public health care.

        • tux7350@lemmy.world
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          Most people don’t know but you can get the best of both. You can push for what called “community care” through the VA. If the VA admits there isnt a VA doctor close enough to you, they will send you to a private doctor of your choosing and pay for the whole thing.

          I was able to get back surgery by the best doctor in the region this way. I refused to work with the VA doctor due to a bad appointment. I waited weeks to see this doctor and he spent 5 minutes looking at my chart to say I was too young to be helped. Could’ve just told me over the phone. Went back to my primary and complained and they signed me up for community care since they were the only other in the area.

          • Geodad@lemmy.world
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            14 days ago

            Yes, I’ve tried community care.

            I actually got worse care 9/10 times. The wait times are sometimes longer to get established as a patient in the public sector.

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    14 days ago

    Haven’t seen anyone mention maximums. Sometimes insurance plans will straight up stop covering you after a certain price. Like, for the rest of your life. Imagine running up a cancer treatment bill in your teenage years and being cut off until you either die or somehow live long enough to get a job with different insurance.

  • jordanlund@lemmy.world
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    Honestly, it would depend on what kind of insurance you have in the US. Each employer has a different set of plans.

    No insurance? Absolutely screwed. With insurance?

    End of 2018 I had a heart attack and open heart surgery with really good insurance.

    Emergency Room - $150
    8 days in the hospital + open heart surgery from the head of the cardiac department - $100
    Drugs and all the oxygen I could carry - $100

    Roll forward to January 2019… my company has been bought by a giant company. Health insurance changes. I lose my existing hospital and all my doctors and have to start over in a new system.

    7 days in the hospital draining fluid from congestive heart failure - $6,500 - the annual out of pocket maximum for that insurance.

    Good news though, hitting the out of pocket maximum on Jan 15 meant all my other medical care the rest of the year was covered at 100%.

  • OBJECTION!@lemmy.ml
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    14 days ago

    How marketable would you say your illness was?

    Your options would be: begging strangers on the internet for money and going viral, being rich enough to pay out the ass for really good insurance when you were healthy, declaring bankruptcy, and playing Luigi’s Mansion.

  • DarkFuture@lemmy.world
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    14 days ago

    If you spent 4 months in a U.S. hospital and didn’t die, you would spend the rest of your life wishing you did.

  • BigTrout75@lemmy.world
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    14 days ago

    Hmmm. Probably like $500,000. It would be cheaper, but good affordable rates are only available to insurance companies. But with a GoFundMe plan you might save up to a $50,000. Best bet is to get on the evening news with you in total shambles. The good news is you can haggle hospitals here, no joke. Not acceptable anywhere else in the US unless you’re buying something hot.

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      My brother smashed and broke his thumb.x ray, er visit, blah blah blah. They call him a month later to talk about payment. I cant remember how much, he had shit insurance though. He said, I’d love to pay, but I can only afford 20 a month. I’m willing to pay 20 a month for the rest of my life. Hospital told him dont worry about it. We got a fund for that.

  • fluxion@lemmy.world
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    14 days ago

    All the screwed. And now as of this month medical debt will be part of your credit reports, so good luck on getting a home loan or job

    • Technoworcester@feddit.uk
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      14 days ago

      Why on earth would debt effect getting a job? My employer doesn’t know my credit rating.

      Mortgage and loans I understand but not the job bit.

        • Technoworcester@feddit.uk
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          13 days ago

          That’s bonkers. My employer has No reason to know my credit rating and unless I’m working in some kind of ‘protected’ industry not sure why I would require a background check.

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            13 days ago

            I’m speculating here, and don’t think for a second I’m in favour of this, but probably so your employer knows how desperate you are for a job and therefore how much they can push you.

      • ExploitedAmerican@lemmy.world
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        14 days ago

        Even then how whats your deductible or your out of pocket cost before insurance kicks in and then your doctor will have to prove you needed it they might stick you with a bill anyway and 4 months in IC will likely be $5009-15,000 per day maybe more depending on any surgical procedures. The land of the free run by the POTUS- Pedo of the United states, what a great time to be dying

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    15 days ago

    my insurance paid $100k for 5 days in critical and 3 in regular room in 2014, 4 months should be 12 times that, plus add inflation

    • Mouselemming@sh.itjust.works
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      14 days ago

      I’d bet, although the hospital billed that amount and insurance covered it, they actually paid less to the hospital. Because they negotiate lower “allowed amounts” in exchange for keeping the hospital in their “preferred provider” group.

  • Ms. ArmoredThirteen@lemmy.zip
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    14 days ago

    My hospital stay billed insurance like $300k for a 5 day stay. It was not critical care but it was specialized. Insurance covered all but like a thousand, I also have a $5k out of pocket max that goes into effect in some situations.

    So if my hospital stay was 4 months and I didn’t get a bulk discount we’re looking at like $7mil USD but with insurance I’d instantly hit my out of pocket max and only be out $5k. Because there are lots of ways insurance can fine print you from actually hitting out of pocket though I don’t know

    • Brkdncr@lemmy.world
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      Unless anything was out-of-network and that bumps you up into a much larger out-of-pocket max.

      • Dozzi92@lemmy.world
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        14 days ago

        But you planned for that. You went to the hospital you specifically knew was in network before you entered your coma.

        Problem is they brought in a doctor they knew was out of network. You didn’t choose him, they did. Now pay up!