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God's Politics

Health-Care Bankruptcies Hurt All of Us

by Amy Barger 09-16-2009

A bankruptcy office was not on my dream list of places to work after college.  The legal realm seemed opaque and impersonal.  I expected a job in a law office to consist of filing court papers and researching statutes — not interacting with people.

I certainly didn’t expect that a bankruptcy office could double as an intimate classroom for learning about human experience.

It’s hard to ignore the humanity of bankruptcy clients while photocopying towering stacks of their medical bills.  Often, clients would receive so many bills that they’d just stop opening them.  In those cases, the legal assistants and clients would crowd around a conference table together and attack the piles of envelopes with letter-openers.  During these times, stories started coming out.

One young couple who visited our office had an infant in tow whose rare illness left the family financially devastated.  The child — whose head was slightly enlarged and misshapen from a string of surgeries — was perched on his petite mother’s lap as she tried to list all of her creditors.  The child’s father had started his own construction business and was having trouble soliciting jobs during a recession. Without employer-provided health benefits, the family budget wouldn’t allow for an expensive insurance policy.

By the time they filed for bankruptcy, this young family had already experienced their share of stress and fear; the endless tests and procedures listed on the medical bills could attest to that.  Unfortunately, however, the trials didn’t end when the treatments were finished.  The couple also had to deal with the stigma associated with filing for bankruptcy (bankruptcies are published in local newspapers — a fact many clients dread).  Add to that the personal shame many people feel when they can’t pay the medical professionals who cared for them.  And don’t forget about ruined credit scores and surrendered homes.

Admittedly, plenty of the folks who file for bankruptcy have created their own problems.  They’ve financed cars they can’t afford, or they’ve grown addicted to the easy swipe of credit cards.  But many of those who darkened our office door weren’t irresponsible; they were hard-working people who lacked the safety nets that many of us enjoy.  We regularly filed cases for small businesspeople — masons, electricians, hairdressers — who had barely managed to make ends meet until a medical emergency pushed them past their limit.

Even if compassion for the uninsured doesn’t move you to support health-care reform, there’s a legitimate self-interest argument to make here, too. The uninsured are not the sole victims of medical bankruptcies. The lack of universal health insurance is already dealing a blow to our nation’s economy. When people file for bankruptcy, medical providers aren’t the only companies taking a financial hit; the debtors’ other creditors lose money as well. This hurts all of us.

To suggest that health-care reform will bankrupt our nation, as Bill O’Reilly did on his show in August, ignores the casualties of our current system — on both the individual and the national level.  In fact, to people who’ve had to liquidate their assets after enduring a life-threatening illness, such a suggestion might feel more like an insult.

Amy Barger is an editorial assistant for Sojourners.

+Click here to tell Bill O’Reilly that Americans are already going bankrupt from health-care costs

Categories: Health
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  • JohnH54
    The alternative to individual bankruptcies seems to be bankrupting the country.

    How is that better?
  • kansasmennonite
    John, are you admitting that there is so much medical care needed here that it would backrupt the country if we tried to prevent that? We are in a world of hurt aren't we?
  • JohnH54
    What I'm saying is that they way the Democrats are approaching this will bankrupt the country. There are other ways to approach this, but Obama's pie in the sky promises to cover everything at lower cost is just not realistic or financially viable.
  • justintime
    Let's hear about other ways to approach this, John.
  • JohnH54
    There has to be some element of personal responsibility put into place, just like there is in other areas of insurance. I do not have coverage for maintenance and minor repairs to my car. If I did, if everyone did, it would open the doors to abuse.

    So, I would like to see a form of medical savings accounts where you are allowed a set amount per family which you are free to spend or not. It would be pre-tax dollars, and taxable only if you do not spend it. It might be $2,500-5,000 per family. You choose how that is spent. Insurance coverage would be for catastrophic or long-term chronic conditions.

    That's a start. It's been proposed, but rejected, in part because it will put a burden on individuals to manage their own care.
  • kansasmennonite
    Where does the money come from? If from one's own savings that's exactly the plan I have and I don't wish it on anyone that doesn't have the money for basic dr. visits, etc. Currently I'm not getting some personal things done because it's coming out of my pocket and I probably couldn't even find out what the procedure would cost because of our messed up health coverage in this country.

    I wrote about the replubicans plan in another column and a person who was interview on NPR about it. He said that the repub are in a hard spot becasue they want to eliminate pre-existing condtions but for the insurance comp. to accept that it will require a mandate to cover everyone and that means subsidies for the poor and that takes money from somewhere.

    Your plan is basically in effect now and won't do a thing for current problems. What about pre-existing conditions? How about people who live from pay check to paycheck in low income jobs? What about a continuing preexisting cond. that requires thousands of dollars everyyear and not just a one time deal?
  • justintime
    You're talking about Health Savings Accounts -- HSA's.
    McCain's HSA proposal was inadequate to cover normal insurance premiums
    and would have been a step backward.
    However, HSA's may have a place in a reformed health care reform bill.
    See Atlantic Monthly article, "How American Health Care Killed My
    Father", in which the author makes a proposal for a health care system
    including HSA's, catastrophic insurance and other features -- a good
    article.
  • JohnH54
    Yes that is the name now. I had an insurance company client whose CEO was a big advocate of them back in the 80s. MSA is what we called them then and it is what has gotten written to my internal hard drive.

    These are certainly not perfect or a comprehensive solution but would help get some market forces back in the picture but the party in power is unlikely to consider them.

    OT: if there is waste and fraud (and I assume that there is with every govt program), why don't they demonstrate to us all the savings they can achieve over the next year and then come back with their comprehensive proposal? Otherwise, it looks like a takeover.

    At some point individuals have to take responsibility for themselves and their families. I suppose that it's easier for me to say this now because I'm now considered "rich" by the left but I felt that way when I was only driving one day per week and eating soup and PBJ for months because it was all we could afford. But now, FCOL, I give a bunch to charity (usually 15% of gross) and pay about 50% of adjusted gross in taxes at all levels and pay my own medical (about $10K per year for the two of us). When is enough enough? These bills will cost me more money. Frankly I have had it. I really object to people like Jim Wallis who want to take more from what I earn and pat themselves on the back for how charitable they are.

    I also own a small business that is in the not making any money stage. I can guarantee you that if any of the current proposals pass the likelihood that we will hire anyone is very, very slim.

    Heard this recently: the bigger the govt, the smaller the people.
  • JohnH54
    Why don't you go ask the Democrats who are approaching Republicans about the Repulicans' plan.

    http://thehill.com/blogs/blog-briefing-room/new...

    There have always been alternative plans out there that are more fiscally responsible, but I understand that it is sometimes difficult to hear in that echo chamber you live in. :)
  • justintime
    I've opened up a communications channel just for you, John.
    Let's hear your favorite plan.
    If you have one.
  • BelovedFollower
    We are the only industrialized nation that doesnt provide all of its citizens with healthcare, but we still spend more per capita on it than anyone else. Are all of the other countries bankrupt? If not how do they do it if we cant?
  • JohnH54
    The ultimate issue is how much freedom do you want to give up? Personally, I
    say enough.

    And, as time goes by, you are already starting to see many of those
    countries begin to scale back their social safety nets.

    And if you do not think that we will end up with rationing, at best you're
    naïve.
  • JohnH54
    How is the govt that has made a mess of medicare going to handle all of it?
  • lumens
    "To suggest that health-care reform will bankrupt our nation, as Bill O’Reilly did on his show in August, ignores the casualties of our current system — on both the individual and the national level. "

    No it doesn't. There are ways to reform the system that would curb individual bankruptcies WITHOUT a large outlay from the federal government.
  • justintime
    Tell us about ways to reform the system that would curb individual bankruptcies WITHOUT a large outlay from the federal government.
  • cmpnwtr
    My sister in law, facing life threatening cancer, now told her insurance will not cover further cancer treatment, is looking at medical bankruptcy in addition to the prospects of losing her life. There is a moral and a financial price we all pay for abandonment and constructing a social order based on social darwinism. Yes, we all pay for every bankruptcy, we all pay for a medical system that is constructed to feed corporate profits, and mostly we all pay for abandoning "the least of these." We lose our soul.
  • WaveTossed
    There are ways to help people with insurance and medical bills. There are regulations that would prevent insurance companies from refusing to cover those with pre-existing conditions and would prevent them from cutting off people because they get sick.

    Sen. Baucus's bill provides for non-profit co-ops to provide affordable insurance. This sounds like a reasonable course of action.

    Some people would state that the government cannot even afford this care. I don't believe it -- is this truly a 3rd world country where people are left to die in the streets? One way that health care reform could be made affordable is if the government would stop all of the foreign military ventures.
  • justintime
    Sen. Baucus's bill provides for non-profit co-ops to provide affordable insurance. This sounds like a reasonable course of action.

    Co ops won't work, WT.
    That's why the insurance industry is promoting them.

    The co-ops can only compete in the small group and individual markets. That is to say, if the co-ops prove effective, and The Washington Post would like to offer co-op coverage as an option to its workers, it can't. The co-ops are not allowed to contract with large employers, which is to say, they can't compete with private insurers in the largest market, and they can't get the purchasing power that would come from a serious foothold among corporate customers.

    Not only is their size restricted, so too is what they can do with their size. The co-ops can band together to increase their purchasing power, but they can't set national payment rates for their members, a la Medicare. As I understand it, they have to bargain with each provider and drug manufacturer and hospital and so forth separately, meaning they're denied one of the main advantages of size. The insurance industry is, in other words, being protected from not just public competition, but co-op competition.>/i>

    http://voices.washingtonpost.com/ezra-klein/200...
  • Faydine
    I must say, in this great debate on health care...my friend gave birth to a baby with a previously undetected diaphragmtic hernia. They flew her and her baby to a hospital that was maybe 20 minutes away by car. The baby stayed in the hospital for about 4 weeks, recieving great care, and fully recovered.

    At that same time, her husband was diagnosed with colon cancer at the age of 22. That was treated and taken care of. Then cancer spread to several other parts of his lower G.I. areas and they keep fighting and so far he keeps winning. He's in the prison system, so he doesn't pay for any of it. At least not yet. I wonder if he'll get a bill if he's ever released.

    Similarly, the baby that was flown to the hospital that specializes in diaphragmatic hernias, is a medicaide baby. So while our system doesn't work in so many ways, I for one, am encouraged that these two individuals, who probably shouldn't have gotten this kind of treatment, were able to get remarkably good care.
  • SisterMarie
    Questions for JohnH54 and lumens:

    Do you guys actually have jobs in which you perform some service in exchange for pay? Or do you sit by your home computer all day waiting for the latest post here so you can crap all over it?

    Are you the same person or are you two different persons? And if you are two different persons, I'd advise whoever is out front not to stop suddenly to avoid a great embarrassment for the guy who is trailing.
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