The criminal scam of American health insurance

Read this horror story. Read it, and think about it. The parts in bold are emphasized by me, things that should absolutely be illegal and criminal. Health insurance is the biggest scam being perpetrated by corporations on the American people, right up there with wage theft.

Write your representatives in Congress. Better, call them. Demand #MedicareForAll. It’s the only morally-justifiable system. It would save citizens and businesses and doctors and hospitals immense amounts of money, result in better healthcare and greater productivity for all of us, and would free employees from staying in a crappy, abusive job out of fear of losing their insurance. People would no longer go bankrupt because of a single medical emergency, which happens to nearly 650,000 people each year, accounting for more than 60 percent of all personal bankruptcies. Our current system is a crime, and insurance companies are the criminals.

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Michelle DuBarry
@DuBarryPie

A Thread

In 2010, I had good union health insurance. Obamacare was the law of the land. In November that yr my 1yo son was struck by a careless driver in a crosswalk. After two surgeries and a night in intensive care, he died.

Before we knew the outcome, I sat at his bedside, his tiny stitched- together body hooked to a million incessantly beeping machines, straining to recall what our deductibles were. I worried I wouldn’t be able to keep working during what could be a long hospital stay.

I googled FMLA and learned I wouldn’t qualify b/c I hadn’t been at my job for a year. If I lost my job we would both be without insurance. Without my income, there was no way we could afford $1K/month COBRA.

๐—ช๐—ถ๐˜๐—ต๐—ถ๐—ป ๐—ฎ ๐˜„๐—ฒ๐—ฒ๐—ธ ๐—ผ๐—ณ ๐—ต๐—ถ๐˜€ ๐—ฑ๐—ฒ๐—ฎ๐˜๐—ต, ๐—ฏ๐—ฒ๐—ณ๐—ผ๐—ฟ๐—ฒ ๐˜„๐—ฒ ๐—ต๐—ฎ๐—ฑ ๐—ฒ๐˜ƒ๐—ฒ๐—ป ๐—ฟ๐—ฒ๐—ฐ๐—ฒ๐—ถ๐˜ƒ๐—ฒ๐—ฑ ๐—ฎ ๐—ฏ๐—ถ๐—น๐—น, ๐˜๐—ต๐—ฒ ๐—ต๐—ผ๐˜€๐—ฝ๐—ถ๐˜๐—ฎ๐—น ๐—ฝ๐˜‚๐˜ ๐—ฎ ๐—น๐—ถ๐—ฒ๐—ป ๐—ผ๐—ป ๐—ผ๐˜‚๐—ฟ ๐—ต๐—ผ๐˜‚๐˜€๐—ฒ ๐˜๐—ผ ๐—บ๐—ฎ๐—ธ๐—ฒ ๐˜€๐˜‚๐—ฟ๐—ฒ ๐˜„๐—ฒ ๐˜„๐—ผ๐˜‚๐—น๐—ฑ๐—ป’๐˜ ๐˜€๐—ธ๐—ถ๐—ฝ ๐—ผ๐˜‚๐˜ ๐—ผ๐—ป ๐˜๐—ต๐—ฒ ๐—ฃ๐—œ๐—–๐—จ ๐—ฏ๐—ถ๐—น๐—น.

My husband who was also injured in the crash, was refused treatment by his primary care doc b/c she didn’t accept payment from auto insurance and his health insurer wouldn’t pay til we exhausted our auto insurance.

Have you ever had to call around to find a doctor that can handle your specific insurance situation? Have you done it in the days after your toddler has died, when you haven’t even figured out a way to talk about it, when your husband is injured and urgently needs a Rx refill?

We ended up with around $5K in out-of-pocket expenses and our health insurer paid $175K. Eventually, we’d receive a settlement from the at-fault driver. For a minute, we thought we might be OK financially.

๐—ง๐—ต๐—ฒ๐—ป ๐—ผ๐˜‚๐—ฟ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ถ๐—ป๐˜€. ๐—ฐ๐—ผ. ๐—ฐ๐—ฎ๐—บ๐—ฒ ๐—ฎ๐—ณ๐˜๐—ฒ๐—ฟ ๐—ผ๐˜‚๐—ฟ ๐—ฝ๐—ฎ๐—ถ๐—ป ๐—ฎ๐—ป๐—ฑ ๐˜€๐˜‚๐—ณ๐—ณ๐—ฒ๐—ฟ๐—ถ๐—ป๐—ด ๐˜€๐—ฒ๐˜๐˜๐—น๐—ฒ๐—บ๐—ฒ๐—ป๐˜. ๐—ง๐—ต๐—ฒ๐˜† ๐—ฑ๐—ฒ๐—บ๐—ฎ๐—ป๐—ฑ๐—ฒ๐—ฑ ๐—ฟ๐—ฒ๐—ถ๐—บ๐—ฏ๐˜‚๐—ฟ๐˜€๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ $๐Ÿญ๐Ÿณ๐Ÿฑ๐—ž ๐˜๐—ต๐—ฒ๐˜† ๐˜„๐—ฒ๐—ฟ๐—ฒ ๐—ผ๐˜‚๐˜. ๐—ง๐˜‚๐—ฟ๐—ป๐˜€ ๐—ผ๐˜‚๐˜ ๐˜๐—ต๐—ฒ๐˜† ๐˜„๐—ฒ๐—ฟ๐—ฒ ๐—น๐—ฒ๐—ด๐—ฎ๐—น๐—น๐˜† ๐—ฒ๐—ป๐˜๐—ถ๐˜๐—น๐—ฒ๐—ฑ ๐˜๐—ผ ๐—ฑ๐—ผ ๐˜๐—ต๐—ฎ๐˜. ๐—œ๐—ป ๐—ฎ๐—ป ๐—ถ๐—ป๐˜€๐˜๐—ฎ๐—ป๐˜, ๐—ผ๐˜‚๐—ฟ ๐—บ๐—ผ๐—ฑ๐—ฒ๐˜€๐˜ ๐˜€๐—ฒ๐˜๐˜๐—น๐—ฒ๐—บ๐—ฒ๐—ป๐˜ – ๐—บ๐—ฒ๐—ฎ๐—ป๐˜ ๐˜๐—ผ ๐—ฐ๐—ผ๐—บ๐—ฝ๐—ฒ๐—ป๐˜€๐—ฎ๐˜๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ ๐—น๐—ผ๐˜€๐˜€ ๐—ผ๐—ณ ๐—ผ๐˜‚๐—ฟ ๐˜€๐—ผ๐—ป ๐˜„๐—ฎ๐˜€ ๐—ฟ๐—ฒ๐—ฑ๐˜‚๐—ฐ๐—ฒ๐—ฑ ๐˜๐—ผ $๐Ÿฌ.

(Side Note: It took me 8 yrs but in 2019 I initiated and passed a bill making this practice illegal in OR. It remains legal in many states.)

Through all this, my husband and I both were suffering from PTSD. We had jobs, a mortgage. All of it hung in the balance. In a humane system, we could grieve without having to navigate an insurance juggernaut, without worrying about being thrust into debt and poverty.

Despite Obamacare and “good” union insurance, we were nearly bankrupted by a 27-hour hospital stay.

Every one of us lives in a body that is going to fail. Sometimes it happens suddenly, catastrophically. Do you want to fight with insurers when this happens? Do you want to sort through a mountain of bills when you lose someone you love, when your grief is raw?

There is no compromise on healthcare that doesn’t leave millions of people unacceptably vulnerable to corporations trying to profit from sick and injured people.

End of Thread

America’s economy is broken, designed to keep people in perpetual poverty to the benefit of the ultra-wealthy. Things must absolutely change. The only way that’s going to happen is if progressives are voted into office in numbers too great to swindle.

For the sake of your posterity’s future, vote Blue in every election at every level, from now until the heat death of the universe. Vote for progressive candidates who will work to build a world for everyone, with no one left out.

The Old Wolf has spoken.

The Drug Pricing Maze

I’m grateful to have health insurance. Many, many people don’t, and that’s an ongoing debate in our society right now. That said, I absolutely don’t understand what’s going on with drug prices.

I get my long-term scripts filled by Magellan, a mail-order pharmacy. When my last batch of prescriptions was delivered, the printed circulars that came with them had some interesting information that got me thinking.

These are all very common drugs, not rare ones. Actual drug names have been replaced with โ„ž A, โ„ž B, and โ„ž C.


โ„ž A: The lowest GoodRx price for the most common version of โ„ž A is around $4.00, 90% off the average retail price of $43.29 (30-day supply)

OTC versions, for comparison:

Amazon: $27.96
Walmart: $8.00
Kroger: $17.06
Costco: $19.26

Magellan states that theย โ„ž price for a 90-day supply is $187.20
With Insurance: $10.00
Cash discount: $10.00
Net price: 0

So I ended up getting this one for free.


โ„ž B: (GoodRx) The cost for โ„ž B is around $13 for a supply of 90 capsules, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

This drug is not available over the counter.

Magellan states that theย โ„ž priceย for a 90-day supply isย $397.22
With Insurance: $10.00


โ„ž C:ย The lowest GoodRx price for the most common version of โ„ž C is around $10.54, 92% off the average retail price of $134.99 (30-day supply)

Not available OTC.

Magellan states that theย โ„ž priceย for a 90-day supply isย $450.00
With Insurance: $10.00


So I’ve paid $20.00 for scripts that should have cost me $1034.42

These numbers from Magellan just don’t add up. Are these “self-pay” prices, or just randomly inflated numbers to make me think I’m getting a killer deal? What is the “average retail price” anyway, if nobody pays that?

I found this article at Lifehacker, and it addresses the issue that I mention here – but even after reading the article, to me it is still a mass of confusion. And I realize that in terms of the complexity of the entire situation, what I’ve outlined is just the frost on the surface of the Antarctic ice sheet.

The situation is untenable, and I can clearly not choose the drugs in front of me.

The Old Wolf has spoken.