[HN Gopher] CFPB kicks off rulemaking to remove medical bills fr...
       ___________________________________________________________________
        
       CFPB kicks off rulemaking to remove medical bills from credit
       reports
        
       Author : geox
       Score  : 150 points
       Date   : 2023-09-22 18:56 UTC (4 hours ago)
        
 (HTM) web link (www.consumerfinance.gov)
 (TXT) w3m dump (www.consumerfinance.gov)
        
       | clircle wrote:
       | Get ready for more debt.
        
       | iuhfdsakljhfads wrote:
       | Does this mean I don't have to pay any medical bills unless they
       | sue me? Awesome, that's one less thing!
        
       | seatac76 wrote:
       | Tangential but kudos to Rohit Chopra, he has done a stellar job
       | at CFPB, between the credit reporting changes and the elimination
       | of bank fees alone he has had quite the impact. Just a few years
       | it looked more likely that the CFPB would be dissolved.
        
         | capital_guy wrote:
         | I agree that Chopra is excellent at his job. Unfortunately,
         | It's still in danger of being dissolved. The Supreme Court is
         | hearing a case in October challenging the legality of the
         | agency's funding mechanism.
         | https://en.wikipedia.org/wiki/Consumer_Financial_Protection_...
        
           | voldacar wrote:
           | >Its structure included a director that could not be fired by
           | the President except for cause, and the ability to request
           | funding from the Federal Reserve rather than the United
           | States Congress
           | 
           | I mean, that does sound pretty insane
        
             | majormajor wrote:
             | "director that could not be fired by the President except
             | for cause"
             | 
             | This is the same as the FTC and others.
             | 
             | "This Court, as the majority acknowledges, has sustained
             | the constitutionality of the FTC and similar in- dependent
             | agencies. See ante, at 2, 13-16. The for-cause protections
             | for the heads of those agencies, the Court has found, do
             | not impede the President's ability to perform his own
             | constitutional duties, and so do not breach the separation
             | of powers."
             | 
             | https://www.supremecourt.gov/opinions/19pdf/19-7_n6io.pdf
        
               | pyuser583 wrote:
               | It's different from the FTC because its funding comes
               | directly from the federal reserve.
               | 
               | So it's independent of both the President and Congress.
               | 
               | It's more independent than many courts.
               | 
               | What could possibly go wrong?
        
               | [deleted]
        
               | kadoban wrote:
               | > What could possibly go wrong?
               | 
               | They might accidentally get something done that helps
               | people?
        
               | tivert wrote:
               | >> What could possibly go wrong?
               | 
               | > They might accidentally get something done that helps
               | people?
               | 
               | Since you're missing the point: make me dictator, so I
               | can finally get stuff done that helps people.
               | 
               | Too much independence is a recipe for serious problems,
               | even if (theoretically) it could be used accomplish major
               | things.
        
               | kadoban wrote:
               | If there's serious problems, then Congress can act. The
               | structure just makes it harder for Republicans to kill it
               | quietly for an unsupportable reason.
        
             | [deleted]
        
             | MarkMarine wrote:
             | Its structured this way because it was a reaction to the 08
             | crash and subsequent bailout of wall street. Seems to be
             | the only reform that came out of that area, and measured
             | against how much the banks chafe against the CFPB, I'd say
             | it was working.
             | 
             | This would also challenge the federal reserve structure.
        
             | gmerc wrote:
             | Does it in the light of how the US government actually
             | works?
        
               | leereeves wrote:
               | Trying to prevent some future elected government from
               | changing course? I can see the appeal, but yeah, it
               | sounds like a bad precedent.
        
               | [deleted]
        
               | MarkMarine wrote:
               | Congress could always change the laws that govern it.
               | This just prevents a single executive from replacing the
               | head and neutering the agency as the tides change
        
               | arcbyte wrote:
               | That's not a desirable feature in a representative
               | democracy.
        
               | rightbyte wrote:
               | I think you kinda want some institutional inertia though.
        
               | MarkMarine wrote:
               | Your representatives are in congress
        
           | JumpCrisscross wrote:
           | > _in danger of being dissolved_
           | 
           | Defunded, not dissolved.
        
             | plussed_reader wrote:
             | Same ephemera.
        
             | capital_guy wrote:
             | In government there is no difference.
        
       | kevmo wrote:
       | America needs universal healthcare instead of this weird,
       | expensive, less effective Frankenstein graft machine they have.
        
         | loco5niner wrote:
         | grift?
        
           | jowea wrote:
           | Graft is a word too.
           | 
           | > graft (countable and uncountable, plural grafts) >
           | (uncountable) Corruption in official life. > (uncountable)
           | Illicit profit by corrupt means, especially in public life.
        
       | consz wrote:
       | I'll repost my comment from a recent thread, but this article is
       | a surprise to me, I thought this had already been the case for
       | years?
       | 
       | Reposted comment --
       | 
       | As far as I can tell, this is the correct way to handle this? I
       | haven't paid attention to any medical bills sent in the mail
       | since I started working 15 years ago (I generally pay what they
       | ask at the point of service), and I've never noticed any
       | consequences (no denial of service anywhere, has never shown up
       | in any way on my credit report, etc) -- as far as my experience
       | has shown, any bills sent after the fact are completely optional
       | to pay.
        
         | joe5150 wrote:
         | If the hospital/provider sends your bill to a collections
         | agency, then it can definitely show up on your reports.
         | Especially so if you are actually sued for the debt, in which
         | case the judgement is also a public record.
         | 
         | I've had this happen a couple times in the past when I was in
         | treatment for cancer and underemployed. One agency reported the
         | collections action and it went on my credit report (no
         | indication that it's medical debt or anything else, so I
         | imagine it would be up to the consumer to contest these things
         | with the bureau?) Another collector didn't, so I never paid the
         | bill or heard from them again!
        
           | consz wrote:
           | >If the hospital/provider sends your bill to a collections
           | agency, then it can definitely show up on your reports.
           | 
           | So I agree this was the impression I got _in theory_ , but in
           | practice I've never seen this happen. Why is there this
           | mismatch? I check my credit reports once a year, there's
           | nothing showing up
        
             | joe5150 wrote:
             | It's entirely up to the hospital and the collectors they
             | use (if they use any at all) how aggressively they pursue
             | unpaid bills and whether they will involve your credit
             | report to encourage people to pay. If you've mostly been
             | going to the same places (or as another comment said, live
             | somewhere where it's not as easy to send medical bills to
             | collections), I can see it not really being a problem for
             | you.
        
             | eek2121 wrote:
             | I have, sometimes bills go to collections without me even
             | receiving a bill from the doctor/hospital themselves.
        
         | idiotsecant wrote:
         | Wow you've lived a charmed life, friend. This is not the
         | experience of the vast majority of people. Medical debt is
         | real, and crushing.
        
           | knodi wrote:
           | Yes, crushing indeed. Number one cause of bankruptcies in the
           | US is medical expenses.
        
             | ch4s3 wrote:
             | That's not really true, or at least it would be hard to say
             | for sure. Every source saying that cites the same survey
             | where a majority of respondents claimed that it was at
             | least a contributing factor. Its actually really hard to
             | get good breakdowns of the numbers on this.
        
               | brewdad wrote:
               | It's sort of a straw that breaks the camel's back
               | situation in most cases I would wager. It's less that
               | medical debt caused bankruptcy than it, added on top of
               | housing debt and car loans and credit cards and student
               | loans etc., finally pushed a household to a point where
               | getting out from under it all was too much.
        
         | gwbas1c wrote:
         | I assume you're in the US.
         | 
         | What you're probably seeing are the bills that your service
         | provider sends to insurance, and then your insurance sending
         | you a statement of benefits.
         | 
         | If these were real bills, they would keep sending them.
         | 
         | (Sometimes these can be amusing: I had surgery in 2011, and the
         | hospital billed the insurance company $100,000. The insurance
         | company responded that the agreed cost for services should be
         | $20,000. The hospital ended up getting $20,000. IMO, $20,000
         | was plenty to pay everyone involved.)
        
         | vondur wrote:
         | I have someone in Las Vegas who stole my identity and is using
         | it for medical services. I get collection notices for these
         | services sent to my house (I'm not near Las Vegas) and I have
         | to dispute every one of them. I've had to file police reports
         | on it, but the Police in Vegas don't really care about helping
         | me.
        
         | dheera wrote:
         | Had a echocardiogram that I was told would be covered but
         | insurance didn't pay, and they balance billed me for $5K. I
         | never paid. Got handed to debt collectors. Wrote to them saying
         | it isn't my debt and to cease contacting me.
         | 
         | If they take it to court I'll lawyer up and fight.
         | 
         | In any case, I gave neither debt collectors nor medical office
         | my residential address or mobile number. I suggest you NEVER
         | give your residential address to medical offices either, or
         | they'll happily tell debt collectors where you sleep. Which
         | personally I think should be a HEPA violation but apparently it
         | isn't.
         | 
         | Give them a virtual mailbox or office address where you can
         | receive mail.
        
         | bdcravens wrote:
         | It does go on your credit REPORT. However, the impact it has on
         | your credit SCORE is what varies, especially with newer models.
        
         | rqtwteye wrote:
         | My ex had collectors calling her several times a day for months
         | while she was disputing a bill. It probably depends on whether
         | the hospital writes the bill off or sells it to collectors.
        
           | consz wrote:
           | But I guess that's my whole point is once they sell it to
           | collectors it's equivalent to the bill not existing? My
           | confusion is around wondering if I've somehow fallen through
           | the cracks and got lucky or other people have the same
           | experience.
           | 
           | Why do other people pay bills they receive in the mail?
        
             | datavirtue wrote:
             | I doubt the collection agencies would even purchase these
             | at this point.
        
             | joe5150 wrote:
             | That's not always the case. Some hospitals will still keep
             | a record of the unpaid bill on your account even after they
             | pass the debt to a collector, and the collector will report
             | whether you pay to the hospital.
             | 
             | The practice and billing parts of the system are usually
             | mostly separate, so the person checking you in for your
             | appointments may not know or have any way to see that you
             | have unpaid bills and you won't necessarily be denied care
             | for it, but there's no real standard here either.
        
             | [deleted]
        
           | wizerdrobe wrote:
           | I feel for your ex, I have three (3) in office visits covered
           | by my insurance that are overdue as of August. I've had to go
           | back and forth on the phone in a Kafka-hell to get my
           | insurance to cover a covered visit because of some opaque
           | clerical error (and I write medical insurance review software
           | and I'm still confused as to who is to blame...). Insurance
           | issued a payment last month finally, but the doctor has yet
           | to recognize it so I still get reminders on being "late" for
           | a bill I don't ultimately owe.
           | 
           | I cannot imagine how infuriated I would be if I were being
           | punished on my credit for someone else's clerical error.
        
         | dcow wrote:
         | Do you live in California? I know CA has much more consumer-
         | friendly restrictions on sending medical bills to collections.
         | It essentially can't happen in CA.
        
         | rincebrain wrote:
         | I stopped getting any care at a large hospital near me's
         | outpatient office because they had a bad habit of just sending
         | bills to collections before my insurance responded to them, and
         | then not updating anything once they did, so I'd get a debt
         | collector notice and call the hospital, and they'd say "oh you
         | paid that in full, you shouldn't be getting a notice" "well you
         | should probably tell that to the debt collector".
         | 
         | Over and over again.
         | 
         | So if those started showing up on my credit report eventually,
         | it'd be a significant impact, even though I was not involved in
         | any failure to pay. Fortunately, they never did, but for many
         | people, that's not true.
        
         | xwdv wrote:
         | They are letting the interest build to such a magnitude that
         | they can eventually sue your estate and easily recover the
         | losses and more if you have assets at the time of death.
        
           | singleshot_ wrote:
           | It would be surprising if this worked, given that a creditor
           | who did not mitigate his damages reasonably and instead
           | lurked, awaiting a windfall is not entitled to damages.
        
       | p1mrx wrote:
       | Under this system, what would be the reason to pay your medical
       | bills?
        
         | Eumenes wrote:
         | I haven't paid a medical bill under $1k in years ... it never
         | goes into collections and I never hear about it after the 2nd
         | or 3rd letter in the mail. My providers never mention it, my
         | insurance company never mentions it.
        
         | doctorpangloss wrote:
         | One thing's for sure, the lawyers and finance professionals at
         | the CFPB aren't going to remove your legal defense fees and
         | delinquent mortgage payments from your credit report, even
         | though being in jail and being homeless also massively increase
         | your mortality.
        
         | matthewaveryusa wrote:
         | Your wages can still be garnished.
        
         | toomuchtodo wrote:
         | Why should people pay their medical debt that only exists
         | because Congress refuses to implement a functioning national
         | healthcare delivery system?
         | 
         | If Congress refuses to act, the executive branch can sidestep
         | them providing temporary relief until Congressional reps turn
         | over enough to pass material legislation to fix the system.
        
           | nradov wrote:
           | Why should people pay for food when Congress refuses to hand
           | out free food for everyone?
        
             | toomuchtodo wrote:
             | > when Congress refuses to hand out free food for everyone?
             | 
             | Can you say that when USDA food security and nutrition
             | assistance benefits are around $183B a year? Certainly, it
             | isn't for everyone, _but for those in need_. Why would we
             | not extend similar policy to healthcare in a more efficient
             | manner? No one is arguing for _free_ healthcare (although
             | that phrase is used colloquially), but a more efficient
             | payer and delivery system, versus all of the bloat between
             | patients and providers as exists today (insurance
             | companies, pharmacy benefit managers, etc). Sibling comment
             | by willcipriano touches on this bloat.
             | 
             | https://www.ers.usda.gov/data-products/ag-and-food-
             | statistic...
        
               | dmoy wrote:
               | Note that Medicare and Medicaid budget dwarfs federal
               | food budget
               | 
               | It's like literally an order of magnitude more spending
        
               | bogwog wrote:
               | > versus all of the bloat between patients and providers
               | as exists
               | 
               | bloat _and_ illegal monopolization:
               | https://www.reuters.com/legal/us-accuses-investment-firm-
               | ane...
        
               | jefftk wrote:
               | _> Certainly, [free food] isn 't for everyone, but for
               | those in need. Why would we not extend similar policy to
               | healthcare in a more efficient manner?_
               | 
               | But we do have a similar system for healthcare! If you're
               | poor enough you qualify for Medicaid [1], and if you
               | don't qualify for Medicaid but your income is too low to
               | afford the full price plans the ACA provides pro-rated
               | subsidies.
               | 
               | It's not that different from SNAP, and both are a mix of
               | working well and poorly.
               | 
               | [1] Unless you live in Alabama, Florida, Georgia, Kansas,
               | Mississippi, North Carolina, South Carolina, South
               | Dakota, Tennessee, Texas, Wisconsin, Wyoming, which opted
               | out of Medicaid expansion. Even though expansion had the
               | federal government covering >90% of costs...
        
             | datavirtue wrote:
             | Food is the only thing congress has happened to manage.
             | Prices have been low and stable for generations due to
             | agricultural policies. Everything else has spiraled out of
             | control.
        
             | willcipriano wrote:
             | US citizens, per captia, spend more on socialized medicine
             | than any other nation. Then we pay again for the private
             | system. With those facts in mind I see no moral reason to
             | pay, we already did.
             | 
             | https://data.oecd.org/healthres/health-spending.htm
        
         | DoneWithAllThat wrote:
         | Civil action could be started against you in court. If you
         | don't show up the other party would win a default judgement. If
         | you did you could and likely would still lose and have to pay.
         | At that point your assets could be legally taken from you and
         | wages garnished.
        
         | LapsangGuzzler wrote:
         | My understanding is that medical debt would still be
         | collectible and could be sold to third party debt collectors.
         | It just couldn't hurt your credit report.
        
         | fisherjeff wrote:
         | I mean, getting sent to collections _sucks_ regardless of
         | whether it affects your credit score - see, e.g., patio11's
         | recent blog post[0]. If you don't pay, chances are you will
         | still regret it.
         | 
         | [0] https://www.bitsaboutmoney.com/archive/the-waste-stream-
         | of-c...
        
         | mike_d wrote:
         | Only emergency rooms are legally obligated to treat you to the
         | point of stabilization.
         | 
         | As most doctors are now part of hospital ran conglomerates, a
         | failure to pay your bill for an orthopedic consult can still be
         | recorded in the hospitals system and you could be denied an
         | appointment by your OBGYN.
        
           | wefarrell wrote:
           | The obvious consequence would be that people go to the
           | emergency room for any kind of healthcare. That's a much
           | worse outcome for hospitals so I doubt they would deny people
           | primary care.
        
             | mike_d wrote:
             | Emergency rooms are already the treatment of last resort
             | for the uninsured. Visit any ER on a Tuesday afternoon in a
             | major city and you'll be stuck in a two hour queue behind
             | what are 95% primary care issues.
             | 
             | The $400 Tylenol people love to complain about in the
             | hospital is a direct result of the government mandate to
             | treat thousands of patients a day effectively for free
             | because we can't get our shit together and provide
             | universal healthcare.
        
               | wefarrell wrote:
               | It's terrible for a hospital's business to have their ER
               | clogged by people who don't have emergencies and can't
               | pay. It means they see a much lower volume of people who
               | can pay.
               | 
               | So they aren't going to deny people primary care because
               | doing so will just cause them to wind up in the ER.
        
               | mike_d wrote:
               | > It's terrible for a hospital's business to have their
               | ER clogged by people who don't have emergencies and can't
               | pay.
               | 
               | It is already a big enough problem they don't seem to
               | care. Hospitals in less affluent areas are getting
               | interest free loans from the state to keep emergency care
               | from bankrupting them:
               | https://calmatters.org/health/2023/08/california-
               | hospitals-b...
               | 
               | > So they aren't going to deny people primary care
               | because doing so will just cause them to wind up in the
               | ER.
               | 
               | You seem to be confused that I am speaking to some
               | hypothetical future situation. Hospital networks require
               | you to either pay outstanding balances or meet with
               | someone to arrange a payment plan before you can be seen.
               | Taking away the ability to report to credit is only going
               | to make them more aggressive in this practice.
        
             | mindslight wrote:
             | Have you been to an "emergency" room lately?
        
               | callalex wrote:
               | Nope, and almost everyone reading this hasn't either.
               | This is not a helpful or productive comment. Instead
               | consider saying "at my last visit to the ER, I
               | encountered many people seeking treatment for XYZ which I
               | do not think should be considered an emergency" or
               | something similar so others can learn from your
               | experience that they don't have.
        
           | nradov wrote:
           | That's true from an EMTALA standpoint. But in certain
           | circumstances once a doctor-patient relationship has been
           | established and a course of treatment has started the doctor
           | may be legally and/or ethically bound to either continue that
           | treatment or pass the patient over to another willing doctor.
           | They aren't necessarily always allowed to immediately drop a
           | patient for failure to pay.
        
             | singleshot_ wrote:
             | Keyword: "abandonment."
        
           | dcow wrote:
           | Hospitals and doctors don't do this. It's unethical to deny
           | someone treatment because you're not sure they can pay.
        
             | repiret wrote:
             | Emergency rooms don't do this. Non-emergency health
             | providers of all sorts will deny you services if you have
             | an outstanding balance.
        
             | gensym wrote:
             | It may be unethical, but it happens all the time. My father
             | got cancer in 2020 and died earlier this year. During that
             | time, I was continuously shocked at the delays in tests and
             | treatments that he experienced because specialists wouldn't
             | see him until he had approval from Medicare. Without those
             | delays, I think there's a good chance that we'd be looking
             | forward to another Christmas with him.
             | 
             | (We live in the US if this anecdote didn't make it
             | obvious).
        
             | mike_d wrote:
             | I assume you live outside the United States. Healthcare
             | here is... special.
        
         | jeffbee wrote:
         | Medical "debts" are almost always unilateral fees you never
         | agreed to. No provider will state upfront what the fees will
         | be! I got billed after the birth of my first child for services
         | that had not been rendered by a physician who wasn't even
         | present, which my attorney characterized as "fraud" in a stern
         | letter but that the hospital viewed as "debt". I prevailed
         | obviously but imagine the range of outcomes.
        
           | FireBeyond wrote:
           | The other people to contact there are your insurers.
           | Despicable as some of them may be, they too hate provider
           | fraud. Even if they don't appear to do something to censure
           | the provider, it is on their file, and enough complaints will
           | be problematic.
           | 
           | I had a similar situation with a kidney stone. Transferred
           | from my hospital to another by ambulance - I was moved from
           | the ambulance gurney to the surgery bed in the hallway of the
           | ER, and was billed for a ER visit among everything else,
           | though no care had been rendered, no ER staff had been
           | involved (hospital transport techs), it just happened to
           | happen in the ER, and not even in a room.
        
       | drak0n1c wrote:
       | Hopefully they have a plan for a better mechanism to discourage
       | frivolous ambulance calls and ER visits. Those resources are
       | overloaded by casual abuse resulting in higher costs and wait
       | times for those who truly need emergency care. Without an
       | alternate disincentive that problem will only get worse with this
       | change.
        
         | jkingsman wrote:
         | I think having cost be the anti-abuse disincentive is the worst
         | of all worlds -- cost is clearly not an effective deterrent of
         | abuse given our current state of overutilization. It IS a
         | deterrent in the case of avoidance, or arguably worse, a
         | punishment in the case of attendance, for those who DO need it.
         | 
         | I'm a volunteer EMT and my org runs free clinics staffed by
         | doctors+nurses at major events to handle emergencies. It's
         | truly free -- we don't bill anyone, insurance included -- but
         | I've had people in dire medical distress avoid coming with me
         | because they're afraid of the bill. Hell, I've had people in
         | the midst of full blown psychosis and their single lucid
         | thought is to yell "DON'T TAKE ME I CAN'T AFFORD AN AMBULANCE
         | BILL" and my heart breaks.
         | 
         | The American healthcare system is continuously setting and
         | raising the high water mark for how deeply in failure the
         | system is, but bankrupting people is not the holistic solution
         | we need, in my opinion.
        
         | _jal wrote:
         | The hilarious thing is that the emergency room mandate has long
         | been used as an excuse for opposing universal coverage. People
         | used to say thing like "nobody in America is dying because they
         | can't go to the hospital," as if that was bar.
         | 
         | Now it apparently serves an excuse for claiming ER should cost
         | more. Truly a universal policy, I guess.
        
         | init2null wrote:
         | People make "frivolous" visits because they are legally
         | required to stabilize patients. This is what passes for a
         | social safety net in the US, and we have failed in developing
         | anything better for those not covered by Medicaid.
         | 
         | People often make frivolous ambulance calls if they have
         | trouble getting to the hospital or PCP.
         | 
         | There are often reasons, and we would have a more reliable,
         | more humane system if we focused on cheaper care over
         | penalizing the poor. Providing only guaranteed emergency care
         | is absurdly expensive.
        
           | wilg wrote:
           | IIRC this gap exists in states (guess which!) that opted out
           | of Medicaid expansion. So a solution is available if states
           | take it.
        
             | init2null wrote:
             | To be fair, someone making $25,000 a year will have almost
             | as much trouble paying out of pocket for an MRI as someone
             | making $15,000. But the former won't qualify for Medicaid
             | and the heavily-discounted health insurance won't do much
             | to help with their first $10,000 of medical debt.
             | 
             | Good but worthless advice to the majority living without
             | any savings: don't get sick and don't get injured. Can
             | anyone blame them if they avoid expensive testing? Medicaid
             | is a great bandage, but the US needs a better system.
        
             | LapsangGuzzler wrote:
             | This is a nationwide problem, it's not restricted to states
             | that opted out of expansion. Federal Law requires that ERs
             | treat anyone who comes in, regardless of ability to pay.
             | Until the poor are able to access other resources like
             | urgent care clinics, this is going to continue to be a
             | problem.
        
         | sp0rk wrote:
         | > Hopefully they have a plan for a better mechanism to
         | discourage frivolous ambulance calls and ER visits. Those
         | resources are overloaded by casual abuse resulting in higher
         | costs and wait times for those who truly need emergency care.
         | 
         | Do you have any statistics regarding this? I'm sure there are
         | some people that use the services unnecessarily, but is it
         | really enough that it's a significant issue?
        
         | corinroyal wrote:
         | Imagine thinking a visit to the ER was "frivolous". As if
         | significant numbers of people would subject themselves to an ER
         | for fun. Imagine looking at a situation in which significant
         | numbers of people have no other access to care but ERs and
         | think, "Those freeloaders!" What sort of twisted mirror-world
         | ethics are these? How does one get to the point where they
         | could type this, read it over, and hit send? You'd think the
         | shame alone would be lethal.
        
         | indymike wrote:
         | > Without an alternate disincentive that problem will only get
         | worse with this change.
         | 
         | The ER is the only place that people can get care when they are
         | uninsured and not wealthy. Your family doc will say no.
         | Immediate care will say no. But the ER can't say no. People in
         | this situation are mostly upper lower class and lower middle
         | class who have lost their jobs or fell into an administrative
         | crack. If you are poor, you will qualify for something to cover
         | the cost. It's terrifying and is probably one of the best
         | arguments for reform there is.
        
         | shadowgovt wrote:
         | This is yet another problem that could, hypothetically, be
         | addressed by centralizing / single-payering the system.
         | 
         | With one administrator having access to all that data, it would
         | be straightforward to see where ERs and ambulances are being
         | over-used for non-emergencies and address that in the community
         | with both more funding for preventative care and intervention /
         | education initiatives to get people using preventative care.
        
         | amluto wrote:
         | > Without an alternate disincentive
         | 
         | The problem isn't (IMO) an insufficient disincentive -- it's
         | lack of a credible alternative. I have perfectly fine
         | insurance, and getting an appointment for a merely slightly
         | urgent issue is a pain in the rear. If I'm traveling, it's
         | almost impossible.
         | 
         | COVID made this all worse. Last year, I saw a resort clinic
         | (well staffed by assorted medical professionals) turning away
         | anyone with any symptoms of illness and sending them straight
         | to the ER (10 miles or so away through the snow) because they
         | "might have COVID".
        
         | foobiekr wrote:
         | Urgent care facilities ought to be offloading ERs in most
         | cases. Something as trivial as needing some stitches is an ER
         | visit instead. I think this kind of ends up trivializing ER.
         | 
         | That and drug seeking...
        
       | jorblumesea wrote:
       | [flagged]
        
         | Uvix wrote:
         | We pay for it one way or another. I'd rather pay for actual
         | usage instead of getting taxed for stuff I might or might not
         | have used.
        
           | ericmay wrote:
           | In the US you get it from both ends. You pay for insurance,
           | they decline your claims, you have co-pays, minimums, etc.
           | and then you pay more than you otherwise might because the
           | hospitals have to cover those who need care but don't have
           | insurance. That's why your aspirin is $300. You're paying for
           | lots of other people.
           | 
           | And _then_ you also pay taxes for Medicare and Medicaid
           | programs, the VA, and other various, duplicative programs.
           | 
           | I don't have a strong opinion on either system on its own
           | philosophical merits, but what I see today is that the health
           | insurance industry is a jobs program with extra cost added in
           | for profits and I'm just not really sure what the point of it
           | is.
           | 
           | If we are willing to let people die on the streets and refuse
           | care, let's get the government out and just go all-private.
           | If we aren't willing to do that we should drop the jobs
           | programs and waste (insurance) and just go with tax-based
           | healthcare and eliminate redundant programs (Medicare,
           | Medicaid, etc.) and also the subsidization of insurance
           | companies.
           | 
           | Getting people the care they need to is almost certainly
           | going to lead to a healthier and happier population that's
           | more productive as well, which is another economic benefit.
        
             | [deleted]
        
           | gnulinux wrote:
           | Absolutely not true and this is simply American propaganda.
           | The truth is American insurance industry is an extremely
           | inefficient middleware that makes everything more expensive
           | and worse than other developed countries. [1]
           | 
           | [1] "US spends most on health care but has worst health
           | outcomes among high-income countries, new report finds "
           | https://www.cnn.com/2023/01/31/health/us-health-care-
           | spendin...
           | 
           | Not to mention it's complete lunacy to think taxes are low in
           | the US. I live in US but also pay taxes in a different
           | country (that I'm a citizen of) that has healthcare and all
           | the Federal tax I pay to US is significantly more (the other
           | country is a fraction of fraction of US taxes). Not to
           | mention, US taxes are extraordinarily, out-of-this-world
           | level complicated if you have foreign assets so you pay
           | thousands of $$$ to a CPA as well.
        
           | skyyler wrote:
           | I'd much rather pay a small percentage of my income and have
           | a guarantee that my fellow Americans aren't suffering through
           | treatable illness.
        
       | hnrodey wrote:
       | I think it should be acceptable that unpaid medical debt appears
       | on the credit report. The medical debt should be removed once the
       | debt is paid.
       | 
       | The above is for medical debt only and how I would prefer the
       | system to work. There are other good comments about possible
       | second and third order effects from such changes to debt
       | reporting.
        
       | user3939382 wrote:
       | The newest FICO models already exclude this debt, though this is
       | a much more significant step since most lenders and loan types
       | you care about use very old FICO models that do include it and
       | are unlikely to be updated any time soon.
        
         | nradov wrote:
         | Do you know why lenders still use very old FICO models? Is this
         | just inertia, or are the new models more expensive, or do the
         | old models predict default risk better for those loan types?
        
           | FireBeyond wrote:
           | More expensive, for one. That's why CreditKarma and other
           | 'free score' services often use Vantage, rather than FICO.
        
           | user3939382 wrote:
           | Just a complete guess. Banks and related insurance are using
           | historical data with prediction models to forecast risk. Once
           | the FICO version changes all that data is apples to oranges
           | and the forecasting is less accurate.
        
           | dmoy wrote:
           | I think up until last year it was federal policy for Fannie
           | Mae & Freddie Mac to use fico 5, and the rest of the industry
           | kinda follows.
           | 
           | Now I think they can use a new model, but it's probably some
           | inertia on changing.
        
       | dylan604 wrote:
       | I hope this truly has the effect that it is meant to have. But
       | being the pessimistic type towards US healthcare and insurance
       | and credit agencies, I really expect this to go nowhere, or
       | become so watered down that it is essentially meaningless.
        
       | Madmallard wrote:
       | Great time for disabled people to die because they won't be able
       | to get care. Disabled people can't pay for psychotic medical
       | bills as it is and this will just result in medical providers
       | denying care without upfront pay.
        
         | mehlmao wrote:
         | I've never had a doctor run a credit report on me before, have
         | you?
        
           | Madmallard wrote:
           | organizations will start doing it to protect profits probably
        
       | adamsb6 wrote:
       | What are going to be the second-order consequences of such a
       | policy?
       | 
       | Are providers going to run credit checks on you before they agree
       | to take you on as a patient?
       | 
       | Require that you sign a document that gives them the right to
       | garnish your wages for non-payment?
       | 
       | Require up-front payment for services?
       | 
       | Increase prices to cover the revenue lost to people that realize
       | how little consequence there is for non-payment?
        
         | jfghi wrote:
         | Be less profitable by not price gouging?
        
           | cyanydeez wrote:
           | In America, hospitals cannot refuse emergency care.
           | 
           | So, while price gouging and insurance gouging are a thing,
           | the actual hospitals may be poorly compensated in many
           | places.
           | 
           | That's why rural areas are losing hospitals.
        
             | flangola7 wrote:
             | > In America, hospitals cannot refuse emergency care.
             | 
             | How is that unique to America? What other developed nation
             | doesn't have this rule?
        
             | jfghi wrote:
             | I agree entirely but just don't think that credit reports
             | solve or help anything in this domain.
        
               | JumpCrisscross wrote:
               | > _don't think that credit reports solve or help anything
               | in this domain_
               | 
               | They help hospitals collect. Not saying that makes it
               | right. Just that it has a purpose beyond greed and
               | gouging.
        
               | jfghi wrote:
               | I'd have to see data in order to confirm this is true.
               | Once a delinquency gets placed on a credit report paying
               | the bill doesn't help the person that owes. It also
               | assumes that the people not paying are choosing to do so
               | rather than not being able to. Given the debts are sold
               | at a steep discount, I'd say it's more efficient to have
               | lower prices up front which could potentially be
               | affordable for more of the customers.
        
             | p_j_w wrote:
             | >In America, hospitals cannot refuse emergency care.
             | 
             | Can they do this in any developed country?
             | 
             | >That's why rural areas are losing hospitals.
             | 
             | Maybe a system with only privately run hospitals is a
             | stupid plan.
        
         | bushbaba wrote:
         | Please do upfront pricing. It's so annoying getting a bill
         | afterwards how the fully covered treatment was actually not
         | covered and multiple thousands. Leading to haggling with the
         | insurance company and hospital.
        
           | dheera wrote:
           | Upfront pricing AND optional upfront payment for non-
           | emergency services. If you choose to pay upfront you should
           | receive no further bills, period.
        
           | toomuchtodo wrote:
           | > Starting in 2022, there are new protections that prevent
           | surprise medical bills. If you have private health insurance,
           | these new protections ban the most common types of surprise
           | bills. If you're uninsured or you decide not to use your
           | health insurance for a service, under these protections, you
           | can often get a good faith estimate of the cost of your care
           | up front, before your visit. If you disagree with your bill,
           | you may be able to dispute the charges. Here's what you need
           | to know about your new rights.
           | 
           | https://www.cms.gov/newsroom/fact-sheets/no-surprises-
           | unders...
           | 
           | https://www.cms.gov/NOSURPRISES
           | 
           | https://www.consumerfinance.gov/about-us/blog/no-
           | surprises-a...
        
             | darth_avocado wrote:
             | The problem is that disputing claims is hard and puts an
             | unnecessary burden on the patient at a time when they are
             | struggling elsewhere. Companies operate in bad faith and
             | more needs to be done to regulate companies (hospitals and
             | insurers).
        
             | AuryGlenz wrote:
             | Why the hell shouldn't that apply to people that are going
             | to use insurance? The reason our healthcare costs are so
             | high is because everyone with insurance past their
             | deductible is price insensitive. People might at least care
             | about their copay enough to make a difference.
             | 
             | I know providers will balk because they negotiate with
             | different insurers, but if they know how much they're going
             | to bill after the fact surely they can give you an estimate
             | before.
        
           | flutas wrote:
           | My favorite ones.
           | 
           | "Payment is due at the time services are rendered"
           | 
           | So you pay what they say it costs.
           | 
           | Then months later you get a random bill from them for more.
        
             | thmsths wrote:
             | How can they reasonably expect you to pay in these
             | circumstances? They were clear about wanting payment
             | upfront, you agreed to the price, (presumably) paid them,
             | received the service/treatment. That should be the end of
             | the story. What legal basis do they possibly have to send a
             | bill months later? "We felt like we needed more money
             | because we had a bad quarter" is not going to cut it.
        
               | callalex wrote:
               | Because what are you gonna do about it? They have the
               | ability (unless this goes through) to prevent you from
               | seeking employment, renting, or buying a roof over your
               | head if you don't bend over and do whatever they tell you
               | to do.
        
               | nradov wrote:
               | In many cases the patient has insurance with set co-pays
               | so providers collect only the co-pay at time of service
               | based on a good faith assumption that the insurer will
               | pay the rest of the claim at an agreed rate. But if the
               | insurer doesn't pay by a certain deadline then the
               | provider might bill the patient for the balance. Then the
               | patient has to argue with their insurer over the claim.
               | 
               | This is a screwed up system that leaves patients caught
               | in the middle of commercial disputes. But providers do
               | deserve be paid for services rendered and it would be
               | unfair to just stiff them.
        
               | bb88 wrote:
               | But also, the patient paid for health insurance for the
               | explicit reason that insurance provides protection
               | against surprise costs, often paying thousands of dollars
               | per year for it.
               | 
               | So fuck the patient? That's the current regime.
        
           | YeBanKo wrote:
           | How can you do an upfront pricing for emergency situations?
        
             | FireBeyond wrote:
             | Wait til you hear about how United Healthcare was sued for
             | not covering Lifeflight flights from car accidents because
             | "no preauthorization was obtained"...
        
               | YeBanKo wrote:
               | Can you link to a good source for this story?
        
         | rqtwteye wrote:
         | How about the insurers and providers working together on
         | reasonable billing and not make patients pay random charges
         | over which they had no control and information about cost?
        
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       (page generated 2023-09-22 23:01 UTC)