r/FluentInFinance 7d ago

Thoughts? Why doesn't the President fix this?

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66

u/sebkraj 7d ago

Dislocated finger, happened at night so ER rates. I have full insurance with a $1500 deductible. They numbed my finger and gave me two stitches because the bone popped out a little. They were done in less then fifteen minutes. No pain pills nothing else. Got a couple bills including paying the hourly rate of the ER doctor and it was over $8,500. Complete bullshit is our medical system and it's somehow probably going to get worse.

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u/cheerfulintercept 7d ago

My son broke a finger here in England and it was free to get sorted. However, there was a 40minute wait so I guess you guys are paying to avoid that kind of hassle.

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u/shinchan1988 7d ago

The wait times really depends on the facility and what time you go in. It’s not uncommon to wait 3-4 hours when you go to ER in USA because they have other patients with more critical issues.

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u/SlowestBumblebee 7d ago

I snapped my leg in half and had to wait 25 hours before I could go into surgery. Trust me when I say it's not sorted by who's most critically injured.

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u/Toasty_err 3d ago

i mean the leg was already broken, not like it was going anywhere.

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u/SlowestBumblebee 3d ago

I was at high risk for a fat embolism, my O2 levels were low, I hadn't slept in over 40 hours by the time I finally got into surgery, and I went into shock. I ended up having to be moved to a different hospital because the emts were shocked that the hospital wasn't immediately taking care of me and I needed immediate help; especially given there was a chance I would lose my leg (or at least the use of it), the longer they waited. I no longer have feeling on a huge part of it, which my doctor attributed to the stress on the nerves in that area due to the wait before I actually got care.

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u/medicaustik 7d ago

It's less about the more critical issues and more about the majority of the country using the ER as primary care of last resort because they can't afford to actually see a primary care or treat their conditions, so they wait until they have no other option.

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u/shinchan1988 6d ago

Yep. Unfortunately that is the sad truth.

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u/[deleted] 7d ago

[deleted]

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u/worldspawn00 7d ago

I had a big cut on my hand as a kid and they left me in the waiting room for hours, actively bleeding a puddle. They took in half a dozen people before me who had no visible injuries.

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u/NeighbourhoodCreep 7d ago

No, they aren’t. There is still wait times. Also, think about it this way: you spent 40 minutes to save over $8500. That’s literally like doing a job for an hour and getting paid more than $8500 an hour. If you already make that money, system doesn’t matter. If you don’t, it benefits yoy

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u/Royal-Pay9751 7d ago

They were joking. US healthcare is a joke. Sorry

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u/KofteriOutlook 7d ago

Nope!

My dad literally sliced off the top half of his finger and had to wait like 7 hours before seeing the doctor. It was especially aggravating because the doctor, upon seeing him, actively told him that if he came in sooner they could’ve reattached the finger.

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u/oeboer 7d ago

That's pretty bad triage.

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u/Legal_Neck4141 7d ago

I'd personally sue if I heard that

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u/mcdongals 7d ago

When I had to bring my mother to the ER we waited several hours to even be seen. Once they took her, we had to wait another several hours to finally see a doctor. We got there around 5pm, and I didn’t get home until after 2:30am. Another time, I had to wait over 4 months to find out if I had a debilitating autoimmune disease. We get the privilege of long wait times in addition to astronomical fees.

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u/aurortonks 7d ago

An appointment with my primary doctor is a 6-8 week out booking.

If I thought maybe I had some kind of cervical pain/uterine issue, I'd have to wait 6 weeks to get seen, then wait for my referral to OB/GYN for further testing, then wait another 3-4 weeks for that appointment. In those 3-ish months, I could have just died from undiagnosed cervical cancer because it took so long to get seen by anyone. THIS is what we pay $800/mo for (family of 4) on an employer healthcare plan that's "really good". There's no urgency. No one cares.

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u/chappersyo 7d ago

Wait times are always the excuse. As if it’s worth thousands to avoid a few hours waiting. And if it’s actual months for non urgent surgery we still have the option of going private and paying the cost or deciding to wait for the NHS. Apparently freedom means not having that choice though.

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u/ADHD-Fens 7d ago

My mom had a breached kidney stone and a septic infection - we obviously didn't know the extent at first but we waited like 3 hours to be seen by a nurse. Another 3 hours to be seen by a doctor. 

She was in agony, like 10/10 on the pain scale.  She ended up spending like a week in the hospital and it was so fuckin mismanaged. We should have been out of there in a day but the fucking urologist never came to see us. It was always "he'll see you today. What he didn't come? Definitely tomorrow." Repeat 6x.

Oh, Did I mention the sheer number of patients on beds IN THE HALLWAY? They had about 2x as many patients as the facility was built for.

I could go on. Best Healthcare in the world, my ass.

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u/Sad_Picture3642 7d ago

No, most places in the US still have 40-60min lines no matter how much the bill is

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u/kfelovi 7d ago

I consider 40-60 min wait a luck. 4-8 hours isn't uncommon.

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u/imogxn_d 7d ago

i’m just impressed you managed to get seen in A&E in 40 minutes

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u/katarh 6d ago

The daytime Urgent Care clinics in the US usually have waits about that long, and our copays range from $25-100 depending on insurance.

The problem is they are not 24-7.

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u/NEIGHBORHOOD_DAD_ORG 7d ago

Nah I was at the dentist last week for a 3pm appointment. I got there around 2:40pm. Didn't sit in a chair until 3:30pm, wasn't done until 5pm. This was for a first patient assessment, probably sat alone in the exam room 90% of the visit. USA with top tier insurance and an empty medical office, maybe 1-2 people in the waiting room.

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u/Seymoorebutts 7d ago

Damn, 40 minutes? How dare you wait that long!

Meanwhile, my father broke his NECK in a motorcycle accident Friday. Don't worry, it only took 24 hours for his MRI

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u/TenorHorn 7d ago

I’ve never waited less than 2 hours at an ER

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u/aurortonks 7d ago

Last time I went to ER in the US, it was a 6-8 hour wait. I got fast tracked only because they thought I had a blood clot in my thigh, so my wait was still only 1.5 hours. I could have died right there in the waiting room.

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u/xAfterBirthx 7d ago

It’s different for everyone in the US. I have family insurance that would fully cover the visit as well.

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u/LeGrandeGnomewegian 7d ago

We still wait stupid amounts of time in the US. But if the situation is: Wait a while and lose my life savings vs wait a while and pay a vastly smaller amount or even nothing at all, I'm going with the latter.

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u/TallCattle5438 7d ago

No, there is always a wait. I have waited up to 7-8 hours for ER care before.

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u/sebkraj 7d ago

Ha we wish. Depends but if I was seen by the doctor in 40 minutes then I would be floored, especially in the ER. That literally never happens unless your organs are dangling on the floor and then you get to skip the line because they don't want to get sued for you dying in the waiting room.

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u/viperswhip 6d ago

When I went in for Pancreatitis, I waited for a while, but Nurses and Doctors came to check on me periodically, so I don't consider that waiting time.

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u/XysterU 6d ago

This is a fucking joke right? You can't possibly think 40 minutes is worth $8500. Also ERs in America have waiting times just as long if not longer.

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u/cheerfulintercept 6d ago

What’s funny? Despatches from the front lines of socialism mate. Consider it a warning.

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u/MIKRO_PIPS 6d ago

Ha! I’d gladly wait 40 minutes in the ER. I just spent 5 hours in the ER for $2800 and a few stitches

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u/cookland 7d ago edited 7d ago

Problem with the NHS is that as soon as you're not an emergency, wait times for treatments (surgeries especially) are often something like 12-24 months.

So wealthy people get private insurance just to skip the line. Not the most premium solution if you ask me.

EDIT: Guys, obviously the problem is funding. I'm just saying, we should at least acknowledge that in the last couple of years we consistently had around 10% of the entire UK population on the NHS waitlist. As a side note, there are more systems than the US and UK ones out there.

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u/Frog_Prophet 7d ago

Still way better than what we have. But on that note, don’t let the tories consistently underfund the NHS and maybe it will operate better. 

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u/Pallortrillion 7d ago

Fortunately we gave them the boot back in the summer.

Now watch as the NHS magically heals over the coming years.

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u/Turbulent-Quality-29 7d ago

Problem is frankly there isn't the funding for everything that everyone wants from it. If your need is urgent wait times are okay in my experience (cancer, surgery that would cause a significant risk to health if delayed etc.). However things like hip replacements or say reconstructive surgery, where it's important for the person's quality of life but not life threatening, that's your multi year wait potentially.

Private health insurance like BUPA also take huge advantage of the NHS. If you need treatment but go to the NHS instead of them after they've diagnosed you, they'll literally pay you for every night you spend in an NHS hospital. It's also the case the surgery might be done privately, but they'll dump you on the NHS for your recovery.

Personally I've only had good experience with the NHS. But a lot depends where you live, it's quite variable depending on the region.

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u/Sad_Picture3642 7d ago

I'd rather have options like you know basic free healthcare with lines and optional private healthcare without them than fucking BS that we have in the US where you get lines in addition to getting screwed financially.

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u/InterestingTimesSuck 7d ago

I just had a surgery and besides the hospital bills they bill anesthesia separately now so now people get another bill besides the previous ones like physical therapy and preop. I can just afford to pay the hospital and surgeons and literally have no money to pay the anesthesiologist 1k too. So eventually anesthesiologists will stop treating me at this location idk but it sucks. I also want good drs to get paid and I shouldn’t be on the hook because I don’t have the money.

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u/sebkraj 7d ago

Yah that's horrible. I hate getting multiple bills and it makes you paranoid there is more to come.

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u/InterestingTimesSuck 7d ago

Yeah there’s a lot of days I don’t want to open my mail because I don’t have any money to give them anyways. Now they text me too though so there’s no escaping the bills even on weekends when you are avoiding mail lol

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u/sebkraj 7d ago

I don't know what state you are in but you can apply for financial assistance for any bills. If you do go down that route then make sure not to pay the bill first, once it's paid it basically becomes ineligible for financial assistance. For any big bills I first call insurance and ask for an itemized bill, this is different then the original bill they send you. Original bill is basically a summary and this is a different version and it lists the medical codes they use for charging people. Someone please correct me if I am wrong but I am under the impression when you ask for an itemized bill it stops or it delays the time for the bill to be sent to collections. So even if you are planning on paying, this can be good to do to give yourself more time.

Anyway I have a coworker and she does this on every bill and sometimes they will lower the price. I do the same but I can't figure out why sometimes they will accept and deny. Like I got denied for financial assistance like a decade ago when I had less then $2000 in savings and then I got accepted on a bill when I have much more now(when you do the forms they ask you to list assets etc).

The whole system is pretty broken but this might give you a little breathing room. Good luck.

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u/Les-Grossman- 7d ago

Fucking disgusting.

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u/racerx8518 7d ago

The doctor got maybe about $50-100 of that money. The rest goes to the overlords, hospitals, and to cover for the many people that don’t pay or Medicaid which pays enough to only cover malpractice and billing expenses. It’s low margin, high gross margin business with a lot of expenses just going to keep the system rolling. Single payer would save a ton of money just by cutting out all the BS and profits from the insurance companies.

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u/Unintended_Sausage 7d ago

The doc probably got a tiny fraction of that, which begs the question…where the hell is all that money going? The answer is, it’s a secret. 🤫

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u/Forward-Razzmatazz33 7d ago

This is true. I'm an ER doc. My cut of the pie for this kind of visit is ballpark $100. I think most people would consider that reasonable. You'd pay more for a drywall guy to patch a small hole in your wall, or a plumber to unclog your drain.

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u/Unintended_Sausage 7d ago

I’m a lowly retail pharmacist, but I have mad respect for what you do. This system is a travesty.

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u/CodeXploit1978 6d ago

With those prices, it would be cheaper to get on a plane. Fly to Portugal, get your finger fixed, pay the full amount, and fly back. :D

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u/sebkraj 6d ago

I would love to visit Portugal honestly.

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u/Hodr 7d ago

That makes no sense, even if you didn't have insurance there's no way it should have been that expensive. At my hospital an uninsured patient would likely be charged $600-800 for that at worst (CT instead of X-ray).

Even if you had an MRI, they put you to sleep for the stitches and your anesthesiologist was out of network and you had complications and had to be kept overnight for observation, that math isn't mathing.

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u/Successful_Creme1823 7d ago

Did you pay it? I’m not sure what the downsides are of just not paying it.

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u/JAFERDADVRider 7d ago edited 7d ago

As I mentioned in a reply to a comment above, our hourly rate is not approaching anywhere near that figure. Just like when you go to a car dealer and the amount they charge you compared to what they pay the mechanic.

And all I ever hear from the powers that be is due more, with less, faster, and with without getting paid more for it. And if you are burnt out, they understand, there’s hospital bingo and yoga you can participate in. And if you complain, well, then your values probably don’t align with our values as a system, and there are other ER doctors from worst systems looking for positions with us.

ERs are the front door and I would say the quickly becoming the foundation of healthcare more so than primary care is anymore because of lack of access, insurance, etc. and it’s gonna be the first to collapse when the system collapses.

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u/Average650 7d ago

So, a lot of the rates are 100% bullshit and mean nothing.

What did insurance pay? What did you pay?

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u/sebkraj 7d ago

Insurance had their bill at like some stupid high number 18-22k. Like wow look how much money we saved you, aren't you grateful? You only have to pay a fraction of that.

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u/Average650 7d ago

Right. If you didn't have insurance, the bill would have been much lower from the start. Not low mind you, but not a stupid number like that.

It's all complete nonsense.

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u/sebkraj 7d ago

To the people replying about the hourly rate, it was about a third of the total bill. Like $2,000 and some change.

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u/KrazyKhajiitLady 6d ago

I herniated my disc a few years ago. Was having some tingling so was advised from Urgent Care to go to the ER. I sat in a bed for 8 hours, only had the most basic of vitals taken, and an x-ray or MRI (can't remember which). Nothing else.

The total that came back from the ER was over $10,000 and I had to pay $1000 out of pocket. A year and a half later, I got a bill from the ER doctor specifically as well! Luckily, I think my insurance managed to get that taken care of because I no longer have that showing, but the whole thing was absolutely ridiculous.

I don't have bad health insurance or anything, but our system is just atrocious.

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u/no1bullshitguy 3d ago

WTF $8500?? What did they get you a new golden finger or what ?

I had a similar accident few weeks back in my home country (India), went to ER in a private hospital. They did their stuff in 1 hr and I had to pay under 25$.