Sick In America - It Can Happen To You
#16
Re: Sick In America - It Can Happen To You
Now I must confess, I've never watched an Oprah Winfrey show before. However, I'm going to watch (maybe Tivo) it today because of the subject matter, all about the healthcare provision and 'crisis' in the USA.
It might be interesting to check it out, or to look at her website and messageboard:
http://www.oprah.com/tows/pastshows/...promocode=HP11
I didn't get to watch 'Sicko' this past Summer as I went to Europe for a month.....I'll probably buy the DVD when it comes out though.
It might be interesting to check it out, or to look at her website and messageboard:
http://www.oprah.com/tows/pastshows/...promocode=HP11
I didn't get to watch 'Sicko' this past Summer as I went to Europe for a month.....I'll probably buy the DVD when it comes out though.
#17
Re: Sick In America - It Can Happen To You
My daughter was being treated for something which needed her to see a specialist every few months and one day the insurance company refused to pay as they decided the treatment was unneccesary.
We argued and they changed their mind.
It left me cold that some faceless person could decide my child didn't need the treatment a professor of pediatrics had prescribed.
#18
Re: Sick In America - It Can Happen To You
We have had reasonably prompt treatment, but not first class. The hospitals here (locally to me) are old and not very clean and I was surprised as I expected so much more.
My daughter was being treated for something which needed her to see a specialist every few months and one day the insurance company refused to pay as they decided the treatment was unneccesary.
We argued and they changed their mind.
It left me cold that some faceless person could decide my child didn't need the treatment a professor of pediatrics had prescribed.
My daughter was being treated for something which needed her to see a specialist every few months and one day the insurance company refused to pay as they decided the treatment was unneccesary.
We argued and they changed their mind.
It left me cold that some faceless person could decide my child didn't need the treatment a professor of pediatrics had prescribed.
#19
Account Closed
Joined: Sep 2005
Posts: 15,455
Re: Sick In America - It Can Happen To You
Your insurance company didn't want to stump up their share to pay for treatment and after you appealed, the outcome was in your favor. There's not always agreement between medical professionals and health insurance companies and the patient/patient's family can get caught in the middle.
#20
Re: Sick In America - It Can Happen To You
Because they try it on...if you don't pursue and complain the are $$'s in.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
Last edited by Jerseygirl; Sep 28th 2007 at 3:32 am.
#21
Account Closed
Joined: Sep 2005
Posts: 15,455
Re: Sick In America - It Can Happen To You
Because they try it on...if you don't pursue and complain the are $$'s in.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
#22
Forum Regular
Joined: May 2007
Location: Boro boy in Woodstock, GA
Posts: 39
Re: Sick In America - It Can Happen To You
Not living in the states - how does the argument against "socialized medicine" go?
#23
Re: Sick In America - It Can Happen To You
But as I said earlier, in ten years time or less, British expats in the US will be bitching about the US NHS instead of the lack therof.
#24
Re: Sick In America - It Can Happen To You
One lady phoned in, and I thought it was a pretty messed up attitude - she was saying that as the baby boomers retire it is going to fall to the next generation to support their health care which - according to her - is unfair and 'immoral'. Why should we have to pay for them. What a bitch!!! I couldn't help thinking - is this the only country in the world where the old and infirm are reviled rather than revered? I was brought up to believe that we owe the aged generation above us respect and care. It seems that some people in the US think that if it is going to cost a few bob we should just drag them out of the teepee into the snow and leave them there until they cark it.
#25
Re: Sick In America - It Can Happen To You
Because they try it on...if you don't pursue and complain the are $$'s in.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
I remember when we first came here the insurance company payment would always be $10 to $15 short...leaving us to pick up the tab. After half a dozen phone calls which seemed to take hours it was resolved. I can't help thinking they do it on purpose in the hope people will give up. If they do that for every claim just think how much money they are making.
Your insurance company didn't want to stump up their share to pay for treatment and after you appealed, the outcome was in your favor. There's not always agreement between medical professionals and health insurance companies and the patient/patient's family can get caught in the middle.
But I don't give up and I am articulate (most of the time). So I fired off emails, made telephone calls and they relented. They didn't have much of an argument because they had paid before for the same thing and it was made clear then that it would be an ongoing treatment.
But what about the people who give up more easily or who are more intimidated by things like this?
#26
Re: Sick In America - It Can Happen To You
Exactly.
But I don't give up and I am articulate (most of the time). So I fired off emails, made telephone calls and they relented. They didn't have much of an argument because they had paid before for the same thing and it was made clear then that it would be an ongoing treatment.
But what about the people who give up more easily or who are more intimidated by things like this?
But I don't give up and I am articulate (most of the time). So I fired off emails, made telephone calls and they relented. They didn't have much of an argument because they had paid before for the same thing and it was made clear then that it would be an ongoing treatment.
But what about the people who give up more easily or who are more intimidated by things like this?
I wonder if you pursue it like I did the insurance companies stop this practice after a while...'cos after the first couple of years we had no further problems.
#27
Re: Sick In America - It Can Happen To You
I son't get it. I was listening to a phone in on WMR the other day and the question on everybodys lips was this - who is going to fund a social health care system? The employer? The government? And I thought - why not everybody, like we do in the UK? Simple - or is it me that is simple? Who knows.
One lady phoned in, and I thought it was a pretty messed up attitude - she was saying that as the baby boomers retire it is going to fall to the next generation to support their health care which - according to her - is unfair and 'immoral'. Why should we have to pay for them. What a bitch!!! I couldn't help thinking - is this the only country in the world where the old and infirm are reviled rather than revered? I was brought up to believe that we owe the aged generation above us respect and care. It seems that some people in the US think that if it is going to cost a few bob we should just drag them out of the teepee into the snow and leave them there until they cark it.
One lady phoned in, and I thought it was a pretty messed up attitude - she was saying that as the baby boomers retire it is going to fall to the next generation to support their health care which - according to her - is unfair and 'immoral'. Why should we have to pay for them. What a bitch!!! I couldn't help thinking - is this the only country in the world where the old and infirm are reviled rather than revered? I was brought up to believe that we owe the aged generation above us respect and care. It seems that some people in the US think that if it is going to cost a few bob we should just drag them out of the teepee into the snow and leave them there until they cark it.
To be honest, I'm not that worried about the cost of an NHS. I already pay an insane amount for healthcare, under an NHS all that would change is the name on that deduction line on my paycheck. I'm more worried about the drop in the quality of care and the poor administration of the system.
#28
I approved this message
Joined: Dec 2004
Location: Chicago
Posts: 2,425
Re: Sick In America - It Can Happen To You
Aside from what I've read on BE during the years I've been a member, one of the earliest things I learned about the US was the state of American healthcare. I get the impression from your post that the problems relating to American healthcare are news to you. Just because Oprah's "on the case", it doesn't make the subject matter a revelation.
#29
Re: Sick In America - It Can Happen To You
I've never quite understood why people on this site are convinced that Americans are somehow ignorant of the various healthcare system options. Socialized (or whatever you want to call it) medicine vs. private (or whatever you want to call) medicine has been one of if not the top domestic policy issue for at least the past three decades. It's the source of constant political speeches, countless editorials and has been a rallying cry for both sides of the aisle basically forever. Americans understand that there are alternatives and completely appreciate that the current system is seriously flawed. Michael Moore's premise seemed to be "Americans think they have a perfect healthcare system, I'll show them how they're wrong", but I think the vast majority of already understand the system doesn't work.
Several of my friends have assumed that we must be very pleased to live in a country with such fantastic healthcare and they have been very surprised when we have said we find it worse here.
They have believed some of the following:
No cancer treatment in the UK.
A wait of many years for cancer treatment.
No medical research.
No care for old people at all.
No modern treatments.
Very dirty hospitals.
Massive taxes to pay for everything.
Having used both systems I know which I prefer. So many people here haven't used both and rely on hearsay.
#30
Re: Sick In America - It Can Happen To You
I've never quite understood why people on this site are convinced that Americans are somehow ignorant of the various healthcare system options. Socialized (or whatever you want to call it) medicine vs. private (or whatever you want to call) medicine has been one of if not the top domestic policy issue for at least the past three decades. It's the source of constant political speeches, countless editorials and has been a rallying cry for both sides of the aisle basically forever. Americans understand that there are alternatives and completely appreciate that the current system is seriously flawed. Michael Moore's premise seemed to be "Americans think they have a perfect healthcare system, I'll show them how they're wrong", but I think the vast majority of already understand the system doesn't work.