• What a difference a day makes

    Today’s events will be a boon to bank accounts, but it’s unclear wether medical outcomes will benefit or suffer. Yesterday, phone interviews with assisted living facilities produced the conclusion that my mother needed more care than they could provide. Today, with the Baker Act placement ending and my mother’s insurance coverage exhausted, the hospital has decided that an assisted living facility is ideal.

    You know what I’m thinking? As it happens, I’m trying to do as little thinking as possible right now. It’s my defense mechanism du jour.


  • Coverage caps

    There’s a law in Florida called the Baker Act; a law which gives law enforcement and medical professionals the authority to hold people with mental illness – specifically those who show signs of being a danger to others or themselves.

    There are few (if any) public facilities to provide this emergency care, so patients are cared for in private facilities… usually a floor set aside at the local hospital (the so called “psych ward”).

    Since these institutions often are not publicly funded, “Baker Acted” patients are expected to pay for their care. Since most health insurance policies in the U.S. have unconscionable caps on the number of days covered in a 12 month period, and because mental illness can require extended periods of hospitalization, patients usually pay through the nose.

    Because patients without coverage can not easily bargain as a group for the prices paid, patients without coverage usually pay more than insurance companies (for the same services). In fact, hospitals have been known to make up financial losses from insurance contracts with the fees charged to the uninsured.

    As it happens, someone close to me is in the hospital, and she used up her hospitalization coverage (which only covered a percentage of the cost anyway) earlier this year. If I’m not mistaken, the bill submitted to insurance earlier this year was in excess of $60,000.

    Imagine you had a really good job, with what was considered above average health benefits. Imagine what your finances would look like after paying 20% of a 60k hospital bill, plus 100% of what ever happens from here on out (which looks to be worse this time). Then ask yourself if you still like our health care system as it is.

    With all the stress that undoubtedly accumulates in direct proportion to the accumulation of medical bills, it’s a wonder anyone recovers from a hospital stay.


  • Back in the ER again

    I’ve had a vested interest in the health care system this year, as some of you may know. Yesterday I got to live out the hospital admissions nightmare that some of you may have read about in the media. We went to the ER yesterday morning around 8 a.m. As of this writing, my mother is still waiting in the ER to be admitted. For those of you keeping score at home, that’s about thirty-one hours and counting.

    It’s not just the one hospital that is full either. The ER staff called around – spanning five counties, and there are no beds open within about a 90 minute (drive), or 60 mile radius. And none of that is country driving either, so we’re not talking about 90 minutes of cows – where you wouldn’t expect to find any hospitals. We’re talking about 60 miles of freshly paved suburbia… just the place you’d expect to find a health care bounty.

    Let’s hear it for the multiple payor system!

    (To be fair, not ALL of the hospital beds are full… just kind my mom needs.)