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HHS says most uninsured can't pay hospital bills

by Brendon Nafziger, DOTmed News Associate Editor | May 10, 2011
HHS Secretary Kathleen Sebelius
Most uninsured Americans can't pay their hospital bills, the U.S. Department of Health said Tuesday in a bid to bolster support for the Obama administration's year-old health reform legislation.

The agency said it was debunking what it calls an "enduring myth" of U.S. health care: that the uninsured can get good care.

"Nothing could be farther from the truth," HHS Secretary Kathleen Sebelius said in a statement.

In the report shared Tuesday, the HHS said on average, uninsured families can only afford to pay for 12 percent of hospitalizations. Even somewhat better off uninsured families --- those making above 400 percent of the Federal Poverty Line, which would equal about $89,400 according to 2011 guidelines for a family of four --- can only pay for about one-third of hospitalizations.

That's largely because the uninsured lack much in the way of savings. The median assets for the uninsured are only $20. Even somewhat more comfortably off uninsured families still have little socked away. The median family assets for uninsured families earning more than 400 percent over the FPL total only $4,100. (For families, 200 to 399 percent over the FPL, median assets are a paltry $300. For families 200 percent above the FPL and under, the median assets are zero.)

Every year, about 2 million uninsured Americans are hospitalized, the HHS said. About 50 million Americans are uninsured. For these patients, the majority of hospital stays cost more than $10,000.

To put the problem in perspective, the HHS compared the risks of hospitalization for the uninsured to other somewhat common dangers, such as a car crash. The agency said that while car crashes are about 50 percent more common, they're also, on average, less costly. While the yearly risk for a hospitalization of an uninsured person is 3 percent and the annual risk of a car crash is 4.6 percent, the average hospital bill is two and a half times higher than the average costs of an automobile accident ($22,200 versus $8,552).

Joseph Mausar

HHS: uninsured can't pay hospital bills - more partial truth

May 12, 2011 12:31

Interesting article. Nowhere in the article does HHS Secretary Kathleen Sebelius state that the uninsured are not receiving care or do not have hospital care available to them. Does "can't pay their hospital bills" equate to don't have to pay their hospital bills?

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Ted Huss

Uninsured payment of hospital bills

May 12, 2011 12:31

Healthcare is one of the few consumer businesses where the person who wants to pay cash pays the highest price. Get a CT scan at a hospital, without insurance. Try to negotiate your bill down to a reasonable 10 or 20% above CMS rates. If they'll accept medicare, why shouldn't they take an offer like that? Ditto for other procedures and studies.
Who wants to be in the position of negotiating fee for service when you are ailing and not feeling well. Post fees, compete for business.

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Jeff Buske

New transmission airport scanner x-ray offer low cost TB fractur

May 12, 2011 12:31

Here is an idea new transmission x-ray airport scanners being installed could offer low cost TB screening, check implants or fracture checks. Scanners have sub mm resolution and only have a purported dose of 1/1000 of a chest x-ray. Save money lower dose, perhaps TSA Tuberculosis screening agency? We could get a positive return for the billions spent on airport security.

BBC UK airport transmission
http://www.youtube.com/watch?v=TkLgEh9cK4k



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