Medical Bills/Bankruptcy/etc.

Tarisk

Pathetic Reaction Bot
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Acting like an idiot in a Hospital and making suicidal statements is pretty dumb. You trigger alerts that you are a harm to yourself and others.

It is completely legal.

The world is not the internet.
I agree with what you're saying. But how do you know if you're acting like an idiot? If you're at all like me, you're going in there with the intent on simply seeing someone for therapy reasons, to kinda get feelings out there and talk because you want to live/go back to normality and NOT give up. So you answer questions honestly thinking they're for something other than a reason to lock you up.

Compared to this vet that was there who was actively talking about wanting to be drunk kill himself in my ward.

I think if they were able to find a way to be a little more forward and having a way to say "listen, this questioning is for determining if you are an actual danger to yourself or others". With the way the building was setup. I thought i was in a basic waiting room. There's no E.R of any kind here, it looked like a sort of office building with a front waiting area. I just thought it had multiple businesses/offices based on the size and they wanted to know what specialist I should probably make an appointment with. If I had gone to an actual E.R. type hospital, I would have damn well known their intent from the place, i've had family in the hospital for depression, etc.
 

Noodleface

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I'm not in your shoes, so I don't know how it really was. If I was at the hospital and they asked about any plans I had I probably wouldn't have told them I would turn into oncoming traffic and stuff. Maybe it seems foolish to you, but just as a lay person that would probably set off some red flags in my head.
 

Tarisk

Pathetic Reaction Bot
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I'm not in your shoes, so I don't know how it really was. If I was at the hospital and they asked about any plans I had I probably wouldn't have told them I would turn into oncoming traffic and stuff. Maybe it seems foolish to you, but just as a lay person that would probably set off some red flags in my head.
Oh and that's what I agree 100% with. But as I stated in my last post, I didn't realize it was a hospital when I went there. The place doesn't have the title in it's name (on the sign out front anyway) and wasnt called hospital when I got the referral, and I was referred there for outpatient, etc. So my expectations were set differently and I thought that being honest was better for the environment i was in. Even the person who referred me was calling me at home later that night to ask how it went. Unfortunately, I know now, don't treat it like they're asking for deeper thoughts/vague thoughts or whatever in an effort of finding out WHY im thinking this.

It's one of those things when you feel like you've led a mostly normal life, never had problems or never even personally been hospitalized, except maybe as a kid for non-major surgery etc. Plus you have a history of A) people coming to you, trusting you their thoughts and feelings because they want your insight and B) going to others for the same thing. You aren't expecting the person you're telling to then turn around and lock you up. It's the same reason why I mentioned that I said the same things to my therapist I met up with after and he knew that I wasn't serious, he just knew he wanted to probe a little more to find the reason and talk about it.

Just a really expensive misunderstanding. And it's kinda repeating back to the issue of I wish someone a bit more knowledgeable in the field could have seen my responses and talked with me first before the glorified intern made the call. Or at least not almost PUSH for the red flag answers after they asked me if i had frequent thoughts of it and I said no, i dont have them frequently at all. They then went to "EVER?" and kept probing. The way they approached it, didnt feel like their intent was to hold me. But live and learn.

Plus from personal experience, with my cousin who recently killed himself, to my mother who tried 20 years ago, usually people who are going to kill themselves don't express talking about it to others first. They just up and do it, or at least try.
 

Noodleface

A Mod Real Quick
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Also I meant no offense by my post. I just think in their shoes red flags may have been going off.
 

Kuriin

Just a Nurse
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Depriving someone of life or liberty against their will is criminal if they haven't broken a law. Forcing them to pay for it afterwards on top of that is disgusting.
Moonarchia, we've established that he was 5150'd because he said he could potentially have a plan with the "I dunno,". The only thing they deprive them of is their freedom for the 3 or so days. You can't deprive a patient of their basic human needs.

As mentioned before: Youcouldpotentially fight the hold. It will be difficult though. You're going to have to get a lawyer that specializes in hospital negligence and malpractice.
 

Gavinmad

Mr. Poopybutthole
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Now that I think about it, wouldn't bankruptcy be worse than an unpaid hospital bill on your credit? At least for close to a decade?
 

Tarisk

Pathetic Reaction Bot
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Now that I think about it, wouldn't bankruptcy be worse than an unpaid hospital bill on your credit? At least for close to a decade?
For me, not necessarily. Things have been tight as is. The whole thing would be a bit of a relief so I could get ahead again and not let myself get behind. I'm not planning on needing to move anytime soon, or need another car, etc. After calculating all my finances etc. It would just be better for me long term.
 

Noodleface

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Well strictly speaking of collection agencies (if this is different for medical collections sorry), they can sue you in court. If you fail to pay the court they'll garnish wages and whatever else comes with that.

For some people bankruptcy would be the best option.
 

Tarisk

Pathetic Reaction Bot
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that's another reason. This company after I researched them more is a bit of a pain in the ass. History of class action lawsuits against them for harassment.

But primarily if another emergency happens (hospital, pet emergency, family etc) and costs anything more than a couple hundred and I'm fucked. As it stands similar circumstances last year like that did happens and I was only barely able to keep ahead. If I just do it, I'll go back to being 50% ahead monthly while still covering mortgage, car payment and utilities etc. And can do something positive with it for my future.
 

Hoss

Make America's Team Great Again
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That's the way it is. No one can look into a patient's mind and determine if they "really mean it" when they say they want to harm themselves or another person. Tarisk says he was misunderstood and being sarcastic, but as a health care provider you don't have the luxury of second-guessing. If someone says they want to kill themselves or another person, you need to act on it.

Imagine, instead, Tarisk convinced the hospital to release him, and then he went home and killed himself. Or worse, he was released and then killed someone else (had he threatened someone else). Would you be back here saying "OMG, his family needs to sue that hospital! How could they discharge him! Why didn't they take him seriously!"

Also, he was an inpatient for 4 days. Clearly there is more to this story. This wasn't some 24-hour hold. He needed a thorough evaluation, and probably treatment.
You clearly misunderstood me. You must work in an outpatient clinic interviewing patients to see if they need to be involuntarily held.

I wasn't calling it BS that they were able to hold him. I was saying that whoever gave that person the power to do so, whether it was company policy, state law or federal law, THAT entity should be on the hook for the bill as soon as the patient tries to decline the care. At least they should be on the hook for whatever part of it the insurance doesn't pay. If he had an HSA, they might basically have to pay it all.
 

Ambiturner

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You clearly misunderstood me. You must work in an outpatient clinic interviewing patients to see if they need to be involuntarily held.

I wasn't calling it BS that they were able to hold him. I was saying that whoever gave that person the power to do so, whether it was company policy, state law or federal law, THAT entity should be on the hook for the bill as soon as the patient tries to decline the care. At least they should be on the hook for whatever part of it the insurance doesn't pay. If he had an HSA, they might basically have to pay it all.
A patient who can't make rational decisions can't refuse medical care. I'm sure in the socialist utopia you'd love America to be, we'd all share in the costs but that's not the America we live in.
 

Palum

what Suineg set it to
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A patient who can't make rational decisions can't refuse medical care. I'm sure in the socialist utopia you'd love America to be, we'd all share in the costs but that's not the America we live in.
Now we do have a distinct lack of specifics but he's also being charged enough to bankrupt for... keeping him away from sharp objects and rope for a few days. It's not like he was rushed into trauma and had a lung transplant after being shot 3 times and went through 18 months of extensive outpatient rehabilitation.
 

Tarisk

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A patient who can't make rational decisions can't refuse medical care. I'm sure in the socialist utopia you'd love America to be, we'd all share in the costs but that's not the America we live in.
So it wasn't a rational decision to go there myself with the intent to get help in an outpatient environment? I can certainly see this argument holding up better if someone called the cops saying they found me running the car in the garage with the door closed or a hose into the window from the exhaust. Or if I was drinking heavily/downing meds/etc. I've never once attempted suicide and doubt I ever will. Hell, even if I had been just ranting "I think im gonna do it" to friends/family and them taking me there would be more of a reason than taking myself into a place, asking for help, not really knowing WHY they were asking the questions they did, etc.

I have however known people to do so and there are a lot more telling signs of inability to make rational decisions than taking one's self to the place to get treatment.
 

Hoss

Make America's Team Great Again
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It's so much better that the system is set up where it can ruin your life if you even ask for help, isn't it? That way they automatically know you're not thinking rationally when you go ask for help.

oops my socialism is showing again.


BTW, that's a joke, I hope this doesn't actually dissuade you from seeking help in the future. Just, you know, maybe don't make stupid statements.
 

Ambiturner

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So it wasn't a rational decision to go there myself with the intent to get help in an outpatient environment? I can certainly see this argument holding up better if someone called the cops saying they found me running the car in the garage with the door closed or a hose into the window from the exhaust. Or if I was drinking heavily/downing meds/etc. I've never once attempted suicide and doubt I ever will. Hell, even if I had been just ranting "I think im gonna do it" to friends/family and them taking me there would be more of a reason than taking myself into a place, asking for help, not really knowing WHY they were asking the questions they did, etc.

I have however known people to do so and there are a lot more telling signs of inability to make rational decisions than taking one's self to the place to get treatment.
Not sure where you get the idea that this is only a thing for someone in the middle of a suicide attempt. The goal is to catch people before they get to that point. I'm also not sure why you think these questions shouldn't count because you didn't know why they were asking them to you. If you go somewhere to get help because you're feeling depressed and they ask you questions about feeling suicidal, do you really have no idea why they're asking? I believe you were rational for the most part, but that part's bizarre.

In my experience, the majority of people put on the psych holds aren't actually going to harm themselves. The system's set up to err on the side of caution, though. They'd rather get people who weren't going to kill themselves than risk missing people who will
 

Tarisk

Pathetic Reaction Bot
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Now that I think about it, wouldn't bankruptcy be worse than an unpaid hospital bill on your credit? At least for close to a decade?
Not sure where you get the idea that this is only a thing for someone in the middle of a suicide attempt. The goal is to catch people before they get to that point. I'm also not sure why you think these questions shouldn't count because you didn't know why they were asking them to you. If you go somewhere to get help because you're feeling depressed and they ask you questions about feeling suicidal, do you really have no idea why they're asking? I believe you were rational for the most part, but that part's bizarre.

In my experience, the majority of people put on the psych holds aren't actually going to harm themselves. The system's set up to err on the side of caution, though. They'd rather get people who weren't going to kill themselves than risk missing people who will
That's where I really feel it started and ended with an extreme misunderstanding. I went in feeling stressed and frustration with some work, family and life in general shit. I was tired of it preventing me from just living day to day without extreme panic that I couldn't pin down.

The folks that referred me to the place could have also misunderstood what I saying as potential suicide risk. I just don't quite think that was it based on the person trying to call me at home later that night to check on me.

Regardless, I won't discount the underlying intent to prevent a disaster. Because yes, it's on them if I or whoever they let go home did end up ending it for themselves. But that same risk doesn't go away when they discharge you either.
 

Ambiturner

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There's definitely a lot of room for improvement, my point was just that they did what they were supposed to do.
 

Borzak

Bronze Baron of the Realm
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Read an article not long ago that about half of all hospital bills aren't paid. I'm guessing they make their money on the percentage paid by insurance.

I can see why. After having dealt with it for the last two years. Even when you attempt to pay they don't make it easy. Had a hospital bill me, paid it. Then they sent it to collections. Paid it as well to get rid of it. They still put it on my credit report. Dicked with the credit reporting agencies for a while and got it removed. 18 months later I got a refund from the hospital, still claiming they never were paid.

Today I got a call from a collector from a hospital I never got a bill from. I knew I hadn't got a bill so I called. My info I gave them didn't match their info (new hospital) so they couldn't give me my bill. Never mailed a bill, never called. Today a debt collector called (Hipaa). I asked if the hospital didn't have the number how did you get it...ummmmm.

Hospital still has no record of me going and can't find the records of what I had done. Good luck on my paying that one.

One of the hospitals I went to doesn't do billing. All their billing is done thru another company, that company had two halfs. Billing and collection. So the first notice you get is technically from a collection company and that's how they ID themself when they send you a bill.
 

Larnix

Blackwing Lair Raider
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Both of my children were born in a German hospital via c-section at a cost of about 4,000 Euro each. They would send us the entire bill which we sent to insurance( U.S) and I think we paid about 300 to include me staying in the extra bed. She took my son to the emergency room once for croup and had to the spend the day in the hospital in a room and we were billed 200 or so for it( again insurance paid for most of it) We lived there for 8 years and never had a billing issue.

I bring this up because my wife had to take my son to an emergency room for croup again while back visiting. We were billed $2,300 for a 10 minute Dr visit after waiting for 4 hours and sending him back home. About 8 months later we received a bill from a collection agency saying that we owed the entire amount and it wouldn't be covered by our insurance. We called our rep, she put us on a muted conference call and sorted it all out. We moved back to the States last August and we have had numerous billing issues with the dr/hospital we are using now. It stinks because its right across the street from us but we are considering looking around if they dont get their shit together.
 

Izuldan_sl

shitlord
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0
You clearly misunderstood me. You must work in an outpatient clinic interviewing patients to see if they need to be involuntarily held.

I wasn't calling it BS that they were able to hold him. I was saying that whoever gave that person the power to do so, whether it was company policy, state law or federal law, THAT entity should be on the hook for the bill as soon as the patient tries to decline the care. At least they should be on the hook for whatever part of it the insurance doesn't pay. If he had an HSA, they might basically have to pay it all.
That's just the way things are, for better or for worse. We are set up to protect society against the <1% that wants to harm us.

Look at how many billions of dollars we waste on TSA trying to catch terrorists bombing our planes. It's become a huge pain in the ass for travelers such as me, you and the other 99.9% of people who will never commit a terror act. But we do it to try to catch the 1 in a billion person who will bomb a plane. And doing a horrible job at it I might add.

Same with medical care. Tarisk CHOSE to go seek treatment. No one forced him to. And no one cares if he's rational 99% of the time, it's the 1% of the time he might be irrational and harm himself or others. Just like bipolar people, we don't care when they are under control, we care when they get delusional or harmful. Rational people don't tell others they might drive into oncoming traffic or that the only reason they won't shoot other people is they don't believe in guns. Those words would never escape my mouth, certainly not when I'm being psychologically evaluated. And that's the best case scenario, we have to believe that is what really Tarisk said. It could have been worse.

If there's two categories of people who never own up to how fucked up they are, it's psychotics and criminals. Everyone in jail thinks they are innocent or undeserving of their punishment, crazy people always think they aren't as crazy as they are. When either group tells me a story, I take what they say with a grain of salt. We should all be doing that as well with the picture Tarisk has painted us.

If Tarisk really was so rational or cognizant, he could have just signed out AMA (against medical advice). Doesn't sound like he was chained and locked down for 4 days.

Also, if he was at a for-profit facility, the last thing they would want is a patient like Tarisk, since he's a non-payer. The same reason why for-profit hospitals divert non-payers away from their ERs to county/government hospitals instead. Tarisk makes it sound like they kept him because they wanted more money from him, when in reality they would have wanted to kick his ass out the first day because he has no money. Don't forget it costs money to send people to collections, or collections take a significant amount of any recoverable amount.