$1,264 for a 7 Mile Trip In An Ambualnce....

ambulance bill

My neighbor was kind enough to let me scan the bill she just received from the Horsham Fire Department.

She was experiencing so much pain from 2 kidney stones that she called 911 for help.  She was in tears and curled up in a ball on the floor.  So much pain that she couldn't stand up.

The ambulance took her to Abington Memorial Hospital emergency room.

No painkillers or other drugs were administered during the 7-mile trip.

Total bill -- for the abulance alone -- $1,264.00.

That's one very, very expensive, 7-mile taxi ride.

Her heath insurance company, Blue Cross / Blue Shield, may not pay.  This bill is under review.  They may deem kidney stone pain a non-emergency.

Healthcare inflation?

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I Spent $125 On A Pair of Sneakers, but I'm OK With It

I am currently without health insurance.

Very recently, I was experiencing some serious pain in my right Achilles tendon whenever I went out running. The pain started weeks ago, and gradually got worse over time. It got so bad that I had to stop running, and a developed a slight limp.

Being without insurance, I tried my best to see if I could fix this problem on my own. I visited webpage after webpage, from high profile sites like WebMD to small forums dedicated to running. I found all kinds of advice, but one recommendation stuck out as the best place for me to start. I found a forum where a doctor recommended to someone with the same symptoms (Achilles Tendonitis) to change his running shoes right away.

So, reluctantly, I went to my local mall to shop around for a pair of running shoes. This was not easy for me, as I go shopping for clothes and shoes once every 5 to 7 years. Moreover, I already had a perfectly fine pair of running sneaks at home.

I tried on countless shoes, but most were made for people who have an arch in their feet so they weren't any good for my extremely flat feet. Eventually, I found a pair of Nike MAXAIR running shoes that were perfect: light, comfy and not even a hint of an arch. They cost $125 plus tax, a price that actually made me sweat a little, but I bought them. The salesman assured me that I could return them if they did not work out.

So, after giving my tendon a few days rest, I was back to running in my new kicks. The pain subsided after a few runs and is now completely gone. I had no problem running with the diminishing pain, as, for me, it's even more painful to be without exercise. I simply don't function right without it. Keeps my body fit and strong and my mind sharp and resilient.

I used to tap into my "internal pharmacy" by biking a lot, but I had to give that up completely after I developed a pinched nerve in my neck. Though I love cycling, it doesn't suit my body type at all. And yes: I've tried lots of different bikes. Eventually, I'll give a recumbent bicycle another try, but for now, I'm sticking with the running.


Run Naturally: Don't Listen to Other People's Bad Advice

Many years ago, when I was a teenager in boarding school, my physical education teacher used to tell me that my running style is no good. When I run, I naturally lean forward, and with each step I land on the balls of my feet. For long distance runs, my gym teacher -- we'll call him Mr. WW -- used to try to get me (and others) to run more upright, which would cause me to land on my heels. I resisted his advise, because I never really trusted him, and his advise just didn't seem to make sense to me. He was from an era when runners would run very upright, and lifting the knees as high into the air as possible was considered good form.

Turns out I was right to trust my instincts.

A few months ago, I caught an excellent broadcast of Radio Times on NPR about running. Marty Moss-Coane interviewed Christopher McDougall, author of the book Born to Run. McDougall spent time with the Tarahumara Indians of Mexico’s treacherous Copper Canyons, a group with some astounding runners. These natural runners are able to do 100-mile ultramarathons barefoot by running exactly the way I run naturally: leaning forward and landing on the balls of their feet. Of course, these folks run at an easy pace, but I think most would agree that 100 miles is amazing at any pace.

For more on Born to Run, visit this link.

To listen to the Radio Times interview with Christopher McDougall, visit this link (mp3.) Highly recommended!

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How Cancer (And A Lack of Health Insurance) Cost My Mother Her Life

We all know the damage that cancer can do to lives and families. Not one of us has gone untouched in some way by this terrible disease. Almost as terrible, is the fact that a lot of people who have cancer either don't have insurance or cannot afford it. With President Bush and his veto of a bill that would have provided health insurance funding for children in low-income families that make too much to get Medicaid (but not enough to pay for private coverage), I don't see it getting any better. I'm here to tell you my mother's story, because she is no longer here to tell it herself. If, through telling this story, I can keep one person or family from going through what I've been through, then I've done something right.

My mother was a happy, vibrant, great person. At age 40, she had been through her share of struggles- a rocky marriage to my father, and then an abusive relationship with a man who almost beat her to death more than once. She managed to leave him, and rose above her circumstances. She met a wonderful man, who treated her with love and respect. A year after they met, they were married. Life was great, and for a year and a half everything went smoothly.

And then that peace was gone.

It started gradually. My mother would try to act as though nothing was wrong, but I knew something was up. She began to make a lot of trips to the restroom, and began to complain of bleeding and stomach cramps. After a couple of weeks of this, I urged her to see a doctor. She was reluctant to do it, because she didn't have health insurance, and could not afford to buy it. We were hard-pressed to get her the medical care she needed. Tired of seeing her suffer, I took her to the nearest emergency room because I knew that the doctors there are obligated to treat every patient who comes in.

When the doctor finally saw her, he took note of her symptoms, and gave her a (very) cursory examination. All in all, the whole process took less than ten minutes from start to finish. I kept expecting the doctor to order a round of tests, or want to draw blood, or something, anything. I was surprised when she was given a diagnosis of a severe urinary tract infection (UTI), written a prescription for antibiotics, and sent home. I'd been with her since the symptoms started, and I knew from the bottom of my heart that something was really wrong.

After almost six months with her illness getting worse day by day, I found a gynecologist who would be willing to see her, and work with her on a payment plan. I went with her to her first appointment, and I was very impressed with the quality of care that she received. Within a half hour she got a complete exam, and the doctor found that she had a tumor roughly the size of a baseball. He immediately made her an appointment for a biopsy, at H. Lee Moffitt Cancer Center in Tampa, Florida.

I was both angry and dumbfounded. If the attending physician in the ER had been more thorough in his examination and treatment of her, the tumor would have been found a lot earlier. Looking back, I wonder if the fact that she was uninsured had anything to do with the way her treatment was handled.

She went for a biopsy two days later, and we all prayed and hoped for the best. But, when she got the results, I knew what they were before the doctor even opened his mouth. My mother had cervical cancer, and it had already begun to spread. If she'd been able to afford proper health coverage, she would have received care when the symptoms first started, and she certainly wouldn't have had to wait six months to see a specialist.

"Although cervical cancer used to be one of the most common causes of cancer death among American women, in the past 40 years there has been a 75% decrease in mortality. This is primarily due to routine screening with Pap tests (Pap smear), to identify precancerous and early-invasive stages of cervical cancer. With treatment, these conditions have a cure rate of nearly 100%."

http://www.answers.com/topic/cervical-cancer

The staff at H. Lee Moffitt Cancer Center were outstanding. They gave her the care she desperately needed. I was with her through hospital stays, radiation treatments, and daily chemotherapy.

My mother was worried sick about how she and her husband were going to pay the bills. By the time it was all said and done, they added up to almost $200,000. I wasn't concerned about that, I was scared for her. The chemo and radiation took its toll on her, and she was getting sicker every day.

At an appointment in the beginning of October of 2002, her doctor asked me to leave the room so that he could speak to her in private. I excused myself, and went to the waiting room. When she came out, she could barely walk, and was trying not to cry. I asked her what was wrong, and it took a few minutes before she was ready to tell me.

"My doctors told me there's nothing else they can do for me- my cancer is terminal." She was given two months to live. This couldn't be happening! I had so much more to tell her. I'd just found out the same week that I was expecting a baby, but I didn't tell her because I didn't want her to know about a grandchild that she'd never get to see.

We tried our best to pack a lifetime of love, laughter and tears into the next few weeks. Then, three weeks after her 41st birthday, she began to have breathing problems, and I rushed her to the hospital. Her doctors examined her and said that her internal organs were shutting down. I knew it wouldn't be long before she was gone. She passed away on November 4th, 2002. I was inconsolable, and the stress made me so sick that I almost had a miscarriage.

For all the things my mother went through, I wouldn't wish it on anyone. That's why having AFFORDABLE health insurance is so vital. Hopefully, President Barack Obama will remain true to his word, and implement some sorely needed health-care reform.

"According to a U.S. Census Bureau report, the number of uninsured people in America has increased by 1.3 million to 46.6 million, including 400,000 more children." http://www.pbs.org/newshour/bb/health/july-dec06/insurance_08-30.html

Please, please make sure you and your family are covered. If you cannot afford insurance, look into your state's eligibility requirements for Medicaid. If my mother had done that, she might still be here today, and her husband wouldn't be under a mountain of unpaid medical bills.

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Reduce Your Medical Debt

Hospital bills are expensive. A single emergency room visit with x-rays can cost $1000 or more. If you need an MRI or a CT scan, it will easily add another $2000. A hospital stay without surgery for only a few days will run $5000 and up. Unfortunately, debt due to medical expenses is difficult to avoid. When you need medical treatment, you need it. It is not usually an expense you can save up for and just put off treatment until you can pay the bill with cash at the time of service. But you can look for ways to reduce your bills and in turn, your debt.

I have spent the past 4 years fighting an $18,000 hospital bill for my husband's dental surgery. He has Medicare and full coverage on my Blue Cross Blue Shield policy as well as dental insurance. In effect, he should not have to pay more than the BCBS policy copay for any office visit or hospital stay.

He has a rare condition that requires that ordinary dental work such as fillings be performed under general anesthesia with special medications. Prior to scheduling the surgery, I met with the finance office to make sure that they had notified all of the insurance companies correctly and included an exception notice as insurance does not generally pay for dental surgery. I was assured it was all done correctly and the pre-authorizations had been obtained.

As you can guess, nothing was billed correctly. They billed my insurance first, even though it was supposed to pay after Medicare was done paying their share. They forgot to send the exception notice to Medicare. As a result, Medicare said it would not pay and under the terms of Medicare, I did not have to pay either, since the billing error was the hospital's fault. My BCBS and the dental insurance company eventually picked up a lot of the tab, but the Medicare snafu left a $6000 tab in my name.

I have spent countless hours and many certified letters trying to explain to the hospital why I do not owe them any money. It was well worth it, as I finally got them to reduce the bill to under $200. I finally just paid that in order to be done with it. But, I had to take the time to read the Medicare and BCBS policies and fight for the reduction. Imagine how many people would not have realized that the money was not owed and would have just paid it based on the hospital's word that they owed it?

So here is the advice I can pass on after my ordeal - if you have medical bills, always make sure they are accurate. You would be surprised at how often you are charged improperly. My husband was billed for multiple ice packs – which you or I would have used after dental surgery to keep our faces from looking like watermelons. However, due to his medical condition, he is forbidden to use ice. I was able to have those charges removed from his bill. Always request a detailed copy of your bill and make sure that you actually received every service, medication and supply listed.

For those of you with health insurance, read the fine print in your policy carefully. Always request a detailed copy of your bill and make sure that you actually received every service, medication and supply listed. Then double check to make sure that your insurance company paid for everything it was supposed to pay for. Do not agree to pay for something that your insurance should have covered.

If you do not have health insurance, ask to set up a payment plan. Many hospitals will reduce the costs for someone without health insurance who is going to have to pay in case, so check with the billing office to see if your hospital offers this reduced cash rate.

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