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Medicine Twitter

A Viral Post on Social Media Will Clear the Medical Debt of Strangers (msn.com) 221

"To celebrate my life, I've arranged to buy up others' medical debt and then destroy the debt," reads a posthumous tweet posted Tuesday after the death of 38-year-old Casey McIntyre.

The Washington Post explains... McIntyre, who served as publisher at Razorbill, an imprint of Penguin Random House, was diagnosed in 2019 and proceeded through treatment without taking on debt, [husband Andrew Rose] Gregory told The Washington Post. But many fellow cancer patients she met were in more precarious financial positions, Gregory added. "We were both so keenly aware that Casey had great health insurance through Penguin Random House," said Gregory, 41. "Casey had no medical debt...."

About nine months before McIntyre died, her husband came across a video online about members of a North Carolina church who purchased nearly $3.3 million of local residents' medical debt for $15,048 in a "debt jubilee," a historical reference to ancient stories about personal debts being canceled at regular intervals. The couple chose to make monthly donations to RIP Medical Debt, the same organization that partnered with the North Carolina churchgoers. The nonprofit organization aims to abolish medical debt "at pennies on the dollar," according to its website. For every $100 donated, the company relieves $10,000 of medical debt. As of Saturday, nearly $200,000 had been donated to RIP Medical Debt in McIntyre's memory, which would wipe out approximately $20 million of unpaid medical bills. [By Sunday afternoon it had risen to over $334,000...]

Allison Sesso, president and chief executive of RIP Medical Debt, said her organization found out about McIntyre's case after McIntyre's posthumous social media post went viral. Sesso said the pace of donations was record-setting for her charity. "What an incredible gesture to the world as you're exiting," Sesso told The Post. "This final act of generosity is blowing up. The amount that they're raising and the rate at which this has gone is not something that we're used to."

McIntyre's post on X has now received 65,400 likes — and 3,086 reposts.
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A Viral Post on Social Media Will Clear the Medical Debt of Strangers

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  • by RobinH ( 124750 ) on Sunday November 19, 2023 @05:37PM (#64016893) Homepage
    Is America just the country of people who wrack up enormous amounts of debt and default on it?
    • by whoever57 ( 658626 ) on Sunday November 19, 2023 @05:38PM (#64016899) Journal

      Medical debt is the most common reason for personal bankruptcies.

      • by RobinH ( 124750 )
        So... if you declare bankruptcy, isn't the debt gone, or no? I don't know how bankruptcy works.
        • I believe your Estate has to pay off outstanding debts before it can pass anything onward to your spouse, children, or anyone else specified in your will.
        • by UnknowingFool ( 672806 ) on Sunday November 19, 2023 @06:26PM (#64016975)
          Some debts can be discharged; some debts cannot be. Student loans for example are not automatically discharged and a court has to decide that on a per case basis.
        • Re: (Score:3, Insightful)

          by fahrbot-bot ( 874524 )

          So... if you declare bankruptcy, isn't the debt gone, or no? I don't know how bankruptcy works.

          For more information, ask former President Trump, he declared bankruptcy on 3 casinos, 1 hotel and 2 casino holding companies:

          How Many Casinos Did Donald Trump Bankrupt [celebmix.com]:

          He reported bankruptcy of his three casinos in the early 90s when various places in the United States were going through tough times due to the Gulf War situation.

          After that, he declared the Manhattan Hotel and two other casino holding companies to be bankrupt.

          Donald Trump Owned Several Atlantic City Casinos That Went Bankrupt [yahoo.com]

          By the early 1990s, the financial situation of Trump’s casino empire had become critical. Multiple bankruptcy filings ensued: the Trump Taj Mahal in 1991, followed by Trump Plaza and Trump Castle in 1992 and later Trump Hotels & Casino Resorts Inc. in 2004.

          • So... if you declare bankruptcy, isn't the debt gone, or no? I don't know how bankruptcy works.

            For more information, ask former President Trump, he declared bankruptcy on 3 casinos, 1 hotel and 2 casino holding companies

            a bit surreal the lasting power trump has on some minds, with those who view him positively and with those who view him negatively.

      • by Entrope ( 68843 ) on Sunday November 19, 2023 @06:02PM (#64016929) Homepage

        No, it's not [washingtonpost.com].

        Even the paper [cohealthinitiative.org] that everybody probably thinks of when they claim that doesn't say half of bankruptcies are caused by medical debt. The survey they rely on has that number at 29%, and the authors added in a LOT of other factors -- most notably "did this person lose income because of illness, either their own or a family member's" -- to get to the headline number of "medical bankruptcies". The flaws in their paper were legion, and better analyses (like the one mentioned in my first link) find something like an order of magnitude fewer medical bankruptcies.

        Lots of others [nytimes.com] also criticize that 2005 paper:

        Amy Finkelstein, a professor at M.I.T. and one of the authors, said the Warren paperâ(TM)s approach is akin to trying to find out how to be successful in business by interviewing big technology entrepreneurs about how they got their start. Such a study, she said, might lead to the conclusion that you need to drop out of college to succeed, even though most college dropouts do not become billionaires.

        • Re: (Score:2, Insightful)

          by youngone ( 975102 )
          The key point there is that no other countries even need to have that debate.
        • Re: (Score:2, Interesting)

          by whoever57 ( 658626 )

          Strawman, much?

          I did not write that medical debt caused half of all bankruptcies, which is what that WP opinion piece article attempts to disprove.

          That opinion piece quotes some research that ignores many, if not most cases where medical debt was a factor.

          • by Entrope ( 68843 )

            No strawman at all. I, and the pieces I linked to, made it quite clear that income loss is a more common cause of bankruptcy than medical bills are. You, in contrast, have not cited any data or research on the subject.

        • did this person lose income because of illness

          I don't think I care if I go bankrupt because of debt or bankrupt because of lost income due to the medical system not getting me back to work in a reasonable time. In either case the medical system is broken.

          The flaws in their paper were legion, and better analyses (like the one mentioned in my first link) find something like an order of magnitude fewer medical bankruptcies.

          An order of magnitude fewer is still several orders of magnitude higher than other western countries. I don't call myself a pacifist because I *only* punched 20 people yesterday while someone else accused me of doing more.

    • I would explain it to you but you are named after a bird.

    • by Midnight_Falcon ( 2432802 ) on Sunday November 19, 2023 @06:01PM (#64016925)
      No, it's our broken medical system. For example, I had a friend who was hurt at a climbing gym -- possibly broken ankle. Gym freaked out and called ambulance and made her get in. Got to the nearest hospital, seriously Zuckerberg Medical Center in SF, which does NOT contract with private insurance. She had no choice and was brought there. Month later she received a 120k bill for "activating the trauma surgeon". -- she didn't see the trauma surgeon, but they thought she had a chance of needing him so his team started getting ready. On top of another 30k bill for her treatment , despite having good private insurance. She's still paying off this debt.
      • by Entrope ( 68843 ) on Sunday November 19, 2023 @06:05PM (#64016931) Homepage

        That's what lawyers are for. If she didn't consent to treatment, they didn't have any basis to bill her. Her insurance company should have told the hospital to pound sand.

        • by Midnight_Falcon ( 2432802 ) on Sunday November 19, 2023 @06:51PM (#64017019)
          She consented to treatment, as anyone would in excruciating pain with a broken ankle! What was she going to do, walk to another hospital? She thought she was fully insured with a Platinum health care PPO plan. The ambulance had a policy of only going to the nearest ER. Lawyers cost money, and maybe to litigate and possibly win would cost 30k. This has happened to numerous others: https://www.newsweek.com/zucke... [newsweek.com]
          • by Midnight_Falcon ( 2432802 ) on Sunday November 19, 2023 @06:52PM (#64017021)
            From the above article: Emergency room patients attempted to reduce out-of-network bills as part of a 2009 class action brought against Zuckerberg San Francisco General, but the ruling was not in their favor, since the hospital's billing system is legal in California.
          • by Entrope ( 68843 )

            You should probably move to a different state if it's legal in California to bill somebody for services they neither asked for nor used.

          • by Cyberax ( 705495 )
            It doesn't matter if the hospital doesn't accept private insurance. Emergency care (even out of the network) is always covered by insurance policies, so her insurance company should have reimbursed her.
            • Unfortunately, that's just not true. This article contains numerous stories contradicting your statement: https://www.vox.com/policy-and... [vox.com]

              But the bill for this visit was quite different than the others because the hospital was out-of-network with her health insurance plan, Cigna. The hospital billed Rodriquez $12,768. Cigna paid only $2,767, leaving her with a bill just over $10,000

              When Dang first got her $20,243.71 bill, she turned to her health insurance plan, asking it to pay a higher portion of the fees. But the insurance denied that appeal, stating that it had already paid a reasonable fee to cover the services provided.

              • by Cyberax ( 705495 )
                This is a different loophole. The insurance pays what it thinks is "reasonable" for the care, which might be very different from what the hospital charges. The law doesn't allow this, but you have to sue both parties.
      • How does this work when the injured is unconscious? Do you guys have bracelets with your insurance plan?
        This sounds seriously disfunctional, not to mention and insane...

      • it called drive by doctoring and you have to fight each bill on your own

      • Why not sue the rock climbing gym where she sustained an injury? They are liable and likely carry insurance. Those bills would 100% be covered by the gym. This story is likely missing parts and if not then your friend is an idiot who knowingly put herself into debt for a sob story

      • Comment removed based on user account deletion
        • by Calydor ( 739835 )

          You have never been made to do stuff while in a state of shock and pain and thus not thinking clearly?

      • by hoofie ( 201045 )

        Why would you need a Trauma team for a suspected broken ankle ? One it's an Orthopaedic job and two it's not where near urgent or life threatening.

      • Gym freaked out and called ambulance and made her get in.

        Patients have a right to refuse treatment. A climbing gym can't make her get in an ambulance. Not the point, I know. :-)

        Month later she received a 120k bill for "activating the trauma surgeon"

        That's ridiculous. That calls for a response to the hospital like "I hear you almost provided treatment. Here's my check for $0.00. I almost paid you for it."

      • Got to the nearest hospital, seriously Zuckerberg Medical Center in SF, which does NOT contract with private insurance. She had no choice and was brought there. Month later she received a 120k bill for "activating the trauma surgeon". --

        Isn't that what out of network coverage is for?

        • Insurance only pays what they believe is reasonable. If the hospital sends a massive bill, they pay up to a certain point and then say you're stuck with the rest. For many at Zuckerberg this was about ten percent of their total bills , usually in the tens of thousands.
          • Unless the patient signs something that refers to the hospital's chargemaster, they can't just charge what they like. Charges where there is no agreed price must be reasonable.

            There was a podcast about this -- perhaps it was an episode of This American Life. It's changed now, but some years ago, hospitals often did not refer to or make the chargemaster available, which meant they could not enforce these outrageous bills.

      • Really, there's a problem with this on multiple levels with "emergency care". For example, it was pounded into our collective heads for years not to go to the emergency room for "non life-threatening issues". Use the Urgent Cares instead. Great! But not always feasible. For example? My daughter recently thought she'd broken her wrist. Gave it 24 hours or so and pain kept shooting up her arm so she finally decided we better get x-rays. Called every Urgent Care in the city and surrounding 3 cities. Only *one

      • This lady got a 113K bill but managed to get it down to so far 31K. Still outrageous ofc. Esp because the rest was covered by the insurance so someone is paying nonetheless. https://www.vox.com/policy-and... [vox.com]
    • You can choose not to wrack up debt. Just die like a good 3rd world pleb of your treatable condition and you don't need to worry about medical debt. Presumably this is what the forefathers had in mind for land of the free.

    • Yes, land of the free, home of the broke.

    • A common technique (Score:4, Insightful)

      by rsilvergun ( 571051 ) on Sunday November 19, 2023 @06:17PM (#64016955)
      Is to make an offer to buy the debt for a fraction of the total value. Medical debt is still fairly difficult in most states to collect so that works in a lot of cases. I think if you go down south it doesn't work because their debt collecting laws are pretty terrible. But certainly places like California and New York and Massachusetts have the kind of laws that mean medical debt holders will often take what they can get.

      The only exception seems to be ambulance services. Those guys are relentless to the point where it's not uncommon for people with severe injuries or medical conditions to call an Uber or to drive themselves in. Debt collectors for ambulance services or legendary for being some of the worst loan sharks in the country. I think I might rather borrow from the mob.

      As for why we can't seem to fix this it's because our private insurance companies don't need to exist but they make a ton of money so every time there is the slightest chance of us doing away with them they will spend any amount of money on advertising because there are fighting for their lives and because they can always just recoup the cost by raising premiums on people. Also to be blunt we give socialized medicine to old people in this country because the insurance companies don't want to have to insure them and you can count on every person over the age of 65 to come out and vote against giving healthcare to anyone under the age of 65... Although I think it's now 67 for anyone getting it now and are right wing party is already proposing raising it to 70 or 72. If they get their way you'll have to be 95 before you qualify for socialized medicine in America.
    • Yes. They learned from their government ($32 Trillion, and still.growing).
    • by sdinfoserv ( 1793266 ) on Sunday November 19, 2023 @06:27PM (#64016979)
      IIt's more insidious than that. In the US, doctors, hospitals, and insurance hold hostage the dying children of parents forcing them to mortgage their future in an attempt to save their children... If you default, or go through bankruptcy, your credit is crashed. With bad credit in the US you can't buy anything, rent an apartment, or house, get a loan, a car or credit card, or possible get job. Some jobs require good credit be maintained and you will get fired if your credit score drops. Meanwhile insurance companies rake in huge profits, some "not for profit" health systems are flush with cash This is the beauty of capitalism and "for profit healthcare.
      • You can buy anything you have the money for even with bad credit.
        • Except you have nowhere to live because no-one will rent you a house and you can't get a mortgage either.
          Unless you're proposing paying cash for a house. Only rich people can do that, and rich people don't need to care about this stuff, because they're rich.
    • The govt has already made laws that medical debt defaults cannot affect your credit score and collectors cant hound you for medical debt. So there is no need for personal bankruptcy for medical debt. Also Hospitals have already inflated their fees under the assumption 20% of people can not/ will not pay. They put the inflated fees into a charity fund and use it to pay for those who cant pay. Due to these reasons medical debt is almost unrecoverable and is sold at pennies on the dollar. What this charity is
  • Imagine... (Score:5, Insightful)

    by PerfectlyCromulent ( 10488300 ) on Sunday November 19, 2023 @05:52PM (#64016917)
    Imagine being so scared of "socialism" that you would rather re-mortgage your house to pay off a heart attack, or leave your children nothing because your Estate is liquidated by a collection agency, instead of agreeing to pay taxes into a system that helps everyone in need when their time comes.
    • Re:Imagine... (Score:5, Insightful)

      by sdinfoserv ( 1793266 ) on Sunday November 19, 2023 @06:18PM (#64016957)
      We don't have to imagine. This is the belief system of US conservatives
    • If you probe it deeply enough, what you find is something a lot uglier than that: Conservatives aren't afraid of socialism. They're not even afraid of being taken advantage of. What they're actually afraid of...is helping someone who isn't white. It's utterly insane, but that's what's in their heads. Most of them.
    • In America, hospitals cannot bill insurers more than they bill uninsured patients. They must charge the same. But insurers can use negotiating leverage of "we drive business to your hospital" to insist on contracts that give them significant discounts. Because of those discounts, the hospitals raise the rates (to compensate). Since they raised the rates for insurers, they must raise the rates for the uninsured too. That spiral ultimately results in rates that can completely destroy middle-class or lowe

    • I lived in Italy, Germany, US, and used each of their healthcare system. No, I didn't visit those countries as an exchange student, I worked and lived there for decades in each. Conscious of its imperfections, I'd still choose the US system (Kaiser in particular, so insurance and provider are one, no paperwork to care about). There is nothing about "socialism" in my preference, just experience for me and my family.
      • I've had similar experiences to you and the American system would be bottom of my list.
      • Conscious of its imperfections, I'd still choose the US system

        Okay, let's run with this. Be specific about why you think the US system is so much better. While formulating your justification point out that Germany doesn't have a concept of medical debt, has better health outcomes, better life expectancy, better aged care, a better ranked health system over all and a more efficient one with significantly lower cost to achieve all of this per capita, all while being 100% socialised.

        I'm just dying to hear why you think the USA is better. Or at least I would be if I lived

  • by Opportunist ( 166417 ) on Sunday November 19, 2023 @05:55PM (#64016923)

    The funny bit is that it's exactly the opposite in Europe. You'd rather get the US to repeal the second amendment than you find us agreeing on taking away our blanket medical insurance. Because you can literally take only that from our cold, dead hands... and only because when you're dead, you have no use for it anymore.

    Frankly, if I had to choose between the two... I'd take medical insurance. Not only 'cause I get into the age range where it starts to pay out more than I pay in.

    • by gweihir ( 88907 )

      People are generally not smart and do not understand how things work. Takes just one evil person to give them the wrong ideas and then they fight for what massively harms them. bad education and a polarized society (both likely created and maintained to keep the masses better under control) aid in that.

      • The problem is now that this bites us (not only the US, because yes, that's been the staple of politics around the world) in the ass. Keep them stupid and they'll believe your bullshit works great... until you're not the only bullshit peddler anymore and suddenly you have competition from someone who actually tries to harm your country instead of just having a different idea of how it would run better.

  • Meanwhile everyone in the UK, Australia and most of Europe is scratching their heads wondering how you can run up huge debts for medical treatment.

  • I mean, that factor of 200x shows that medical billing is a complete rip-off and not about actual cost. They could just sell the medical debt back to those in debt at that 200x markdown. But instead they sell to sharks, destroying lifes in the process. The very opposite of the idea of a medical system, I might add. It does not get much more perverted than this. But since too many people are profiteering and since the US prays to the mighty Dollar above anything else, this does not get fixed.

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