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2012-12-03 9:09 PM
in reply to: #4520160

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Subject: RE: The $12,000 Ironman.
I paid $25 for a mud run in August - ran 300 yards to a mud pit, jumped in, and tore my ACL. That $25 race has now cost near $30k. Thank god for insurance and a deductible being met. It's ridiculous, but we need it. 


2012-12-03 9:17 PM
in reply to: #4520354


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Subject: RE: The $12,000 Ironman.

jayhawk_sean - 2012-12-03 9:09 PM I paid $25 for a mud run in August - ran 300 yards to a mud pit, jumped in, and tore my ACL. That $25 race has now cost near $30k. Thank god for insurance and a deductible being met. It's ridiculous, but we need it. 

 

That's what I expected. 

 

Here's the deal for all the folks who still bash on US's (admittedly flawed) health system. Even though the bills look astronomical, the vast majority of people (well over 95%) pay nowhere near list price. I'll be that even for those $20,000 medical bills, very few people paid more than $5000, even even half that.  

<$2500 out of pocket for emergency care in the US with ambulance, xrays, possibly CT scan, and labs, is still a good deal.  For most cases, even if the bill goes up to $100,000 due to surgery, as long as you're insured, you're still paying well <$5000.

 

Uninsured people don't get completely screwed in general either - they generally can work out payment agreements that work out to similar or just slightly more than the insured amounts (it just takes a lot of painful paperwork and phone calls.)

2012-12-03 9:23 PM
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Subject: RE: The $12,000 Ironman.
I hope the person who unfortunately had to get the bill was ok after treatment? 
2012-12-03 9:26 PM
in reply to: #4520160


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Subject: RE: The $12,000 Ironman.
And on a sort of related subject, while I'm no expert on the subject, I serious doubt that any hospital or provider is collecting close to list price on their emergency services. Given what Medicare pays, they're likely lucky to even get a third of their crazy bill amounts on average. Gotta keep that in perspective, especially when comparing healthcare systems like Canada vs US.
2012-12-03 9:27 PM
in reply to: #4520341

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Subject: RE: The $12,000 Ironman.
rjrankin83 - 2012-12-03 8:52 PM
bzgl40 - 2012-12-03 9:47 PM

odpaul7 - 2012-12-03 7:35 PM I had an accident with an arm break and severe concussion. The local hospital didn't wanna touch me so they med evac'ed me to another place. $36k for the flight, $18k for preliminary scans like CT and MRI, $1200 for ambulance, couple thousand for sitting in the hospital that didn't wanna work with me, and i haven't even seen the 4-day stay, drugs, and surgery at the second hospital yet. Thank God I'm insured.

But yeah that's an example of a 50 minute chopper ride. They wouldn't even let me look out the window.

Wait, what kind of hospital were you in that they could not treat you for an arm break and a concussion?  That's lame. 

X2. I figure a broken arm and a concussion are pretty much "easy" injuries for hospitals. Don't know what constitutes a severe concussion. My last concussion was snowboarding in Colorado and insurance covered it all. Wasn't bad though. Didn't ruin my vacation but now wear a helmet.

My concussion was "severe" in the sense I don't remember anything 5 minutes prior to impact or a few hours afterwards being knocked unconscious with no after-effects :P It really wasn't that bad, and I didn't NEED to be flown out but they did anyways. Maybe they didn't trust their orthopedic surgeon? Also, I wasn't awake and the few blurry moments I do remember I was under so much morphine I couldn't even think. Didn't really have much a say in it.



Edited by odpaul7 2012-12-03 9:30 PM
2012-12-03 9:31 PM
in reply to: #4520195

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Subject: RE: The $12,000 Ironman.
Tom Demerly. - 2012-12-03 5:30 PM

The situation before this bill was accrued is a good bit different.

 

Do we get to find out the rest of the story? 



2012-12-03 9:42 PM
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Subject: RE: The $12,000 Ironman.
odpaul7 - 2012-12-03 10:27 PM
rjrankin83 - 2012-12-03 8:52 PM
bzgl40 - 2012-12-03 9:47 PM

odpaul7 - 2012-12-03 7:35 PM I had an accident with an arm break and severe concussion. The local hospital didn't wanna touch me so they med evac'ed me to another place. $36k for the flight, $18k for preliminary scans like CT and MRI, $1200 for ambulance, couple thousand for sitting in the hospital that didn't wanna work with me, and i haven't even seen the 4-day stay, drugs, and surgery at the second hospital yet. Thank God I'm insured.

But yeah that's an example of a 50 minute chopper ride. They wouldn't even let me look out the window.

Wait, what kind of hospital were you in that they could not treat you for an arm break and a concussion?  That's lame. 

X2. I figure a broken arm and a concussion are pretty much "easy" injuries for hospitals. Don't know what constitutes a severe concussion. My last concussion was snowboarding in Colorado and insurance covered it all. Wasn't bad though. Didn't ruin my vacation but now wear a helmet.

My concussion was "severe" in the sense I don't remember anything 5 minutes prior to impact or a few hours afterwards being knocked unconscious with no after-effects :P It really wasn't that bad, and I didn't NEED to be flown out but they did anyways. Maybe they didn't trust their orthopedic surgeon? Also, I wasn't awake and the few blurry moments I do remember I was under so much morphine I couldn't even think. Didn't really have much a say in it.

Sounds like maybe the hospital wanted to get you to a place where they could better evaluate, and operate if necessary, for the concussion.  Permanent brain injury=big lawsuit, so the hospital is motivated to get you the best care possible.

This is something that hasn't been addressed in the "Affordable" Care Act; liability reform.  It's estimated that several hundred billion/year is spent on what's called "defensive" medicine; tests and procedures performed to keep the doctor/hospital out of the courtrooms.  I understand that this was what the UK did a few years ago to help lower medical insurance; they adopted a "loser pays" system for lawsuits.  Whoever loses the lawsuit must pay ALL the court costs.  So now a plaintiff has some risk; that reduces frivolous lawsuits.


Back to the OP, I thought at first it was some kind of budget IM plan; if you add up the costs to train for an Iron Man, along with equipment, registration and travel, it would probably be tough to stay UNDER $12k.  I'm talking everything, starting fresh, no bike or other equipment.

2012-12-03 9:47 PM
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Subject: RE: The $12,000 Ironman.

Mmm...

2000 for a bike, 2000 for extraneous stuff (repairs, tubes, helmet, apparel, etc. Being very generous) 500 for swim equipment, 600 registration, 700 for 3-day travel (gas, rooming, food), 300 for running stuff...

I think you can do an ironman for about $6000 very safely

2012-12-03 9:57 PM
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Subject: RE: The $12,000 Ironman.
I can relate...I did Full Rev in September of 2011. I joke about my $2000 jacket that I have-and I don't even know the total of what the race cost me with race, hotel, gas, doctor's visits, physical therapies, chiropractor visits, multiple of test and massage therapy sessions (all both before the actual race and afterward).
2012-12-03 10:00 PM
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Subject: RE: The $12,000 Ironman.

I work in medical imaging...........wait until she receives a separate charge to have the x-ray film read/dictated by a radiologist. Total just went up.

Hope she is ok.  :-)

2012-12-03 10:45 PM
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Subject: RE: The $12,000 Ironman.
I crashed in my 2011 IM and had some broken ribs, pneumothorax, fractured pelvis, and a bad concussion.  Ambulance ride, two nights in the hospital, various other things.  That was a $50k bill, only including those 3 days; thankfully what was billed me after insurance covered was significantly less than that...


2012-12-03 10:50 PM
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Subject: RE: The $12,000 Ironman.
If you sent me a $50,000 medical bill and I had no insurance then be prepared to either give me the same rate as you give an insurance company.....or prepare for $50.00 per month for 1000 months.
2012-12-03 11:08 PM
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Subject: RE: The $12,000 Ironman.

Left Brain - 2012-12-03 10:50 PM If you sent me a $50,000 medical bill and I had no insurance then be prepared to either give me the same rate as you give an insurance company.....or prepare for $50.00 per month for 1000 months.

 

That's usually what ends up happening for non-wealthly people stuck with the $50k bill. They don't want to publicize it, but they'll usually lower that rate WAY down so that they can get anything back rather than nothing from you. (It'll cost you a ton of headaches from collection agencies for a long time, though.)

Still a much better idea to be insured - with an HSA, which has HIGH deductibles, you're off the hook after $6000 for a family, less for a single. This is why I don't get all these people who criticize the US system about their insane hospital bills - when in reality, almost all insured people are paying well under $6000 per year even if they receive $50k+ of medical care that year.

2012-12-03 11:27 PM
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Subject: RE: The $12,000 Ironman.
yazmaster - 2012-12-03 11:08 PM

Left Brain - 2012-12-03 10:50 PM If you sent me a $50,000 medical bill and I had no insurance then be prepared to either give me the same rate as you give an insurance company.....or prepare for $50.00 per month for 1000 months.

 

That's usually what ends up happening for non-wealthly people stuck with the $50k bill. They don't want to publicize it, but they'll usually lower that rate WAY down so that they can get anything back rather than nothing from you. (It'll cost you a ton of headaches from collection agencies for a long time, though.)

Still a much better idea to be insured - with an HSA, which has HIGH deductibles, you're off the hook after $6000 for a family, less for a single. This is why I don't get all these people who criticize the US system about their insane hospital bills - when in reality, almost all insured people are paying well under $6000 per year even if they receive $50k+ of medical care that year.

Only to the degree you let it bother you.....once they accept a penny from you it all becomes a civil matter....as long as you send something on a regular basis they'll come around and play ball.

2012-12-04 4:22 AM
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Subject: RE: The $12,000 Ironman.
No offence, but every time I hear or read about the US medical system I can't help but think the system is screwed....

People have already commented on what it's like here in Australia and the UK (we live half and half). Basically all the essentials are covered, you want extras/non essential surgery you can either wait for a few months (maybe a year or 2) or you can pay (or insurance). I did this with wisdom teeth extraction. It was either 6mths wait or pay $3,000. It works unbelievably well and I don't find myself riding along hoping I don't crash, and not because it will hurt, but because I can't pay to fix anything on my body I break....

I break stuff all the time, and I'm glad that I can rock up to emergency and not expect a $20,000 bill at the end....

Even comments like "you can get a payment plan and only pay $2,500 still have me shaking my head....

Basically, those that can least afford treatment go without?! Seems insane.

2012-12-04 4:25 AM
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Subject: RE: The $12,000 Ironman.
"<$2500 out of pocket for emergency care in the US with ambulance, xrays, possibly CT scan, and labs, is still a good deal. For most cases, even if the bill goes up to $100,000 due to surgery, as long as you're insured, you're still paying well <$5000."


Wait....that's considered a 'good deal'...?!

No way?!




2012-12-04 4:26 AM
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Subject: RE: The $12,000 Ironman.
TryTriB4Forty - 2012-12-04 9:22 PMNo offence, but every time I hear or read about the US medical system I can't help but think the system is screwed....

People have already commented on what it's like here in Australia and the UK (we live half and half). Basically all the essentials are covered, you want extras/non essential surgery you can either wait for a few months (maybe a year or 2) or you can pay (or insurance). I did this with wisdom teeth extraction. It was either 6mths wait or pay $3,000. It works unbelievably well and I don't find myself riding along hoping I don't crash, and not because it will hurt, but because I can't pay to fix anything on my body I break....

I break stuff all the time, and I'm glad that I can rock up to emergency and not expect a $20,000 bill at the end....

Even comments like "you can get a payment plan and only pay $2,500 still have me shaking my head....

Basically, those that can least afford treatment go without?! Seems insane.

What you said!!
2012-12-04 5:49 AM
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2012-12-04 5:59 AM
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Subject: RE: The $12,000 Ironman.
Admin Note: Moved to CoJ.
2012-12-04 7:28 AM
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Subject: RE: The $12,000 Ironman.

Clempson - 2012-12-03 6:18 PM heh, i racked up $50k in bills from just hanging up my Rev3 finisher medal.

Not to completely hijack this post, but I need to hear this story!

2012-12-04 8:07 AM
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Subject: RE: The $12,000 Ironman.
Socks - 2012-12-03 7:32 PM

We are creating insurance that will pay for nothing. It will get worse before it gets better. 

Socks, you are way too optimistic.  I agree it will get worse.  Sadly, I don't see it getting better.



2012-12-04 8:46 AM
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Subject: RE: The $12,000 Ironman.
RVachon - 2012-12-03 9:04 PM

Socks - 2012-12-03 8:43 PM
RVachon - 2012-12-03 7:37 PM One of the perks of living in Canada.  I end up in the hospital after wrecking my bike it cost me $0, doesn't matter if I'm there a month.
But if you need elective surgery you will have to wait 12-18 months.  There is always a trade off.  There is a reason Canadians fly to Tampa in the winter and pay cash for their joint replacements and its because they don't want to be in pain for 18 months

Most people can go a lifetime without elective surgery but not without emergency & Dr. services, so hardly a trade-off IMO.  And those wait times vary considerably throughout the country.  Some areas are closer to 6 months.

People that go to the US for those procedures are the usually the ones that have money and don't really need the free healthcare to begin with.

And that long of waits are definitely not always the case - my mom had non-emergency surgery last year- we thought it was a long wait for four months.   Many of the provinces are taking big steps to do what they can to reduce wait times.  And when they found a small amount of cancer during that surgery she was immediately priority one after that.  It was relief to know we didn't have to worry about the costs of the surgeries and chemo - the drugs were expensive enough.

Here's an example: It isn't perfect, but it's being put out there as a big strategy to improve. As it is healthcare is nearly 50% of the provincial budget. But most of us are like Americans with guns - we will defend it to the very last breath!   http://www.waittimes.net/Surgerydi/en/PublicMain.aspx?Type=0...

2012-12-04 9:28 AM
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Subject: RE: The $12,000 Ironman.

That's just crazy.  I know my mom just had a minor outpatient surgery to remove a couple screws that had dislodged from an old break she had.  Total surgery was like 10 minutes, but she was billed close to $30,000 which all went to medicare.  I'm sure much less than that was actually paid, but it's just ridiculous.

Not to sidetrack the thread too much, but I think this is a great example of where the real issues with healthcare in the US are.  The costs are so ridiculously high that insurance rates keep going higher and higher.  The Obamacare stuff does little to reduce the costs (the real problem) and just gives everyone government insurance.

2012-12-04 9:48 AM
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Subject: RE: The $12,000 Ironman.
I'm thinking of defecting to Canada....any better up there?
2012-12-04 9:48 AM
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Subject: RE: The $12,000 Ironman.

turtlegirl - 2012-12-04 9:48 AM I'm thinking of defecting to Canada....any better up there?

It is colder. 

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