April 8, 2008

  • Averting Panic

    I was on the edge of panic from the moment I read the mail that Doug brought in and laid on the desk while I was asleep last night.  A letter from the hospital, dated April 1, gave me ten days to pay the full $6,519.23 for my stay there in December, or it will be turned over to collection.  That scares me because it could, at best, cause my credit card interest rates to go up, and might even get my cards canceled.  We live on those cards during the off season, and they enable us to purchase the stock that Greyfox sells to support us and, if business is brisk, to pay down the credit card balances during the tourist season.

    It was barely after 6 AM, too early to call the hospital’s business office.  I waited until 7:30, then tried calling Greyfox and got his voice mail. (He’s my husband, in case you’re new here, who lives most of the time where he works  The phone is my lifeline to him.)  While I was waiting, I tried to reason with myself.  Telling myself not to panic was only partially successful.  I worried myself into an asthma attack, so I sat down on the bed and used the nebulizer for a while.

    At one point, as I was getting things together to make breakfast, I got a little scared at the thought of how I was reasoning with myself:  earnestly, seriously, but silently, talking to myself as if I wasn’t me but someone else.  That’s nuts, right?  Never mind, don’t answer that.  Nutz-R-Us — I know that.  When I met my husband, he said I was the first professional crazy person (psychic) he’d ever been acquainted with.  For a fleeting crazy moment there, I was worried for my own sanity.  In my more rational moments I know, deep down, that I’m the sane one and the rest of the world is nuts, and you don’t have to tell me that THAT in itself is a sign of insanity.

    When I am troubled or tense, I tend to walk.  I used to take long walks in parks when I lived in cities, and out here I used to follow a trail along a bluff to the banks of the Susitna River, which is a mile away as the raven flies and maybe three times that far on that trail made by moose and bears.  This morning, I was pacing my kitchen floor.  That’s a foolhardy act for a convalescent asthmatic with M.E.   I caught myself, reined myself in before I had to go sit back down and nebulize, but not before I’d gotten a screaming pain in my left knee.

    While I was grilling my wheat-free, sugarless pancake to wrap around my artificially sweetened yogurt for a comfort food treat of not-cheese not-blintzes, I faced my fear. 


    I must not fear.
    Fear is the mind-killer.
    Fear is the little-death that brings total obliteration.
    I will face my fear.
    I will permit it to pass over me and through me.
    And when it has gone past I will turn the inner eye to see its path.
    Where the fear has gone there will be nothing.
    Only I will remain.

    Bene Gesserit Litany Against Fear
    From Frank Herbert’s Dune Book Series
    © 1965 and 1984 Frank Herbert

    It strikes me now as slightly odd that, after having spent decades reading dozens of self-help books and many of the works of masters of metaphysics, most of my most useful concepts come from works of fiction.

    The hospital has a Charity Committee that reviews the financial records of patients and awards discounts based on their ability to pay.  Two separate financial counselors at the hospital and some other people in the hospital administrative office have separately assured Greyfox and me that we qualify for 100% charity relief. 

    We have spent months complying with contradictory requests and demands from the various people involved, trying to provide all the documentation that they needed, and when it finally went to the Committee, their determination somehow was based on an erroneous figure of $2,880 a month average income last year for our household of 3, which is significantly more than we had.  The Charity Committee, based on that erroneous figure, granted us 80% relief.  We got the letter this week, and were advised by an administrator to submit it for reconsideration based on the accurate monthly figures.

    As soon as the hospital’s business office was open, I called.  I had talked previously to a woman there who had called me the first of this month.  She had told me I had only “a limited time,” to pay the bill before it went to a collection agency.  When I asked her how much time I had, she evaded my question and told me we “need to keep bugging those charity people.”  The one I spoke to today said they could offer an additional discount if we pay within the deadline, by April 17, bringing the bill down to just over $1,000 (I was listening, but my brain was fried from fear, and I don’t recall the exact number.)

    I asked this one if the deadline could be extended because the committee was reconsidering our application, or if a partial payment would delay their turning it over to collection, and her answer was a flat, “no.”  I explained our situation, and that the erroneous figure that went to the committee was the work of a person whose job title is “financial counselor,” who could not distinguish between business income and personal income.  That made no difference.

    I finally got through to Greyfox a few minutes ago, and he left a voice mail for Robin, one of the administrative people he has been talking to, then called another one, Pat, who said she would send priority emails to Robin and Kim, to see what could be done.  Meanwhile, to avert my panic and feel like I’m doing all I can, I’m dragging out the begging hat again.

    I didn’t like doing this the first time, but I was gratified by the generous response of a few Xangans even though my plea came right after the year-end holidays when most people’s budgets are stretched to the limit.  You guys helped us make it through the winter and to make enough little payments to the two doctors, Xray tech, paramedics, and local clinic, to keep them satisfied.  This time, I’m doing it a week before tax time (Thanks be to poverty, we don’t owe any taxes.), so I don’t know what, if any, response there will be.  I am just doing it because I can’t think of anything else I can do.

     Spare
    change?

    This is my begging hat.  It is
    a link to PayPal.  If you haven’t read the story of why I’m
    begging, my recent ambulance ride and hospitalization, it is there to
    be found in the archives of my entries from December.  If you would like to
    contribute, but prefer not
    to use PayPal, my husband has posted his postal mailing address at ArmsMerchant.

Comments (23)

  • what they are doing might not be illegal but it sure borders on something that’s almost unethical.

  • Gah, what a load of red tape bullshit…  Like it would really do them THAT much good to hand you over to a collection agency.  Morons.

  • I don’t know what percentage of the debt a collector would pay for the paper, but I suppose the hospital figures that’s more than the nothing we’ve paid them.  I’d be willing to be that they will fraudulently misrepresent the debt as the entire $6K+ to whatever collector they sell it to, rather than the charitably reduced and discounted $1K+ we now owe them.  Greyfox learned this morning from the admin people at the hospital here that this business office I’ve been dealing with is in Florida.

  • I understand that, I am going through something similar with student aid right now.

  • @lupa - 

    Ooops.  See my comment above.

  • What a pain.  I hope they get that charity thing worked out soon.

  • I HATE BUREAUCRACY!  RED TAPE IS HELL.  I’m so sorry you’re having this stress.  I so know it from the inside, too…    I hope it all resolves quickly!  Don’t get off riding them to re-assess the charity %!!! BE AGGRESSIVE! 

  • Eeeek!  What is it with hospitals?!?
    I just got a similar call about the balance of an invoice I’ve been paying on since last August!  I didn’t receive a bill for March – and therefore didn’t make a payment (I just didn’t think of it with all the medical bills I have going now…) and they want to send it to collections!

    Honestly, I don’t know what they expect!  If I could have paid it off right away, I would have!

  • @SuSu - Nice.  Cuz of course, it’s the bottom line that matters, not helping people.  Hospitals, help people??  *snort*

  • “It strikes me now as slightly odd that, after having spent decades
    reading dozens of self-help books and many of the works of masters of
    metaphysics, most of my most useful concepts come from works of fiction.”

    You have echoed my own thoughts. 

    I will never understand why health care and education are so mis-used.  Both should be free.

  • Hi sweety–Dennis, the new manager here at the strip,  fired up one of their noisy and toxic diesel trucks while I was trying to work outside (pricing and inventory-ing some new stock that came in today), so I gave up and drove to Big Lake.

    Still no reply as of 2:50 PM today, but I was assured that my complaint about the harassment will go places.  I spoke to one of the hospital’s administrator biggies and told her the folks in Florida were as compassionate as a hand grenade.  She got the message.

    One quibble–I said that you were a “professional WEIRD person.”

  • Wow.  Good luck.

  • Hope things get figured out before it goes to collection. 

  • Is it not true that Medical Bills can not be applied to your credit history or forcibly taken from you.  I have been paying 10 bucks a month on a bill that my son had five years ago.  I am down to owing only $400 bucks, but the bill was originally over $3000.  You should not let these people intimidate you… I hate that.  I have an outstanding student loan…, that can be garnished from wages, but I am doing the best I can… that is all I can do.  Man, I am tired of the “man” and economy trying to keep me down.  I am sending positive vibes your way.

    Hugs, Tricia

  • @pray14me - 

    I am not aware of such an exception under law for medical bills.  I do know that about fifteen years ago my husband broke his heel and we were paying $50.00 a month on that bill, but the hospital did not think that was enough and turned it over to a collection agency, and that led to his having to declare bankruptcy after all the repercussions to his credit from the hospital’s action.  Laws differ from state to state.  If that is the case in your state, it sounds good.

  • It’s worth checking out.  I don’t think they can send you to the poor house over a medical bill…,but I have only lived in two states.  They both have the same laws.  Also, some hospitals offer assistance if you can prove need… scream, yell and kick…, but find out.

    Again… I will keep you in my positive thoughts.

    Hugs, Tricia

  • The universe provides.
    Keep the faith.
    hugs
    That quote from Dune has gotten me through quite a lot too.

  • @pray14me - 

    Wow!  I wasn’t aware that any states had poor houses any more.  Live and learn.  Here, what happens when people can’t pay their bills is their credit is ruined.  Re: the hospital’s “assistance”, that was the topic of this entry on which you commented.  I guess it was too long to read, eh?

  • thanx for the happy bd wishes! I tend to walk too, or do some mundane, brain-numbing chores.

    I hope to talk to you soon about some of your recent posts…

  • @only_one_escape - 

    Now my curiosity is aroused.  Please make it SOON.  Suspense kills.

  • Maybe it’s this time of year (or the New Depression), but the financial paranoia/fear is sweeping through like a tidal wave. These seem like such desperate times for all of the cool people I know. Surely there must be something we can do to bring the good energy back? Or am I just crrrrazy?!

  • @Kabuki - 

    I thought the fact of your craziness was a given, but getting the “good energy” back isn’t a crazy idea at all.  I got over my panic, and got a whopping $40 in donations yesterday.  Greyfox got an opportunity to use some of that skill he gained working for the Pennsylvania Department of Health.  One of the things he used to do was make policy for regulating hospitals and institutions.  He called several of the people involved, here and at the business office in Florida.  The bus. office says the deadline is now the 25th, not the 17th, and people here say we can ignore the deadline.  Nobody can say whether I can really trust what any of them tells me, since they all keep contradicting each other.  I’m just not going to sweat it.  Whatever happens, this is not going the be the thing that kills me.

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