Had a relative in a car accident. They climbed out the vehicle, walked to the ambulance, and took their suggestion to get looked over at the ED.
Nothing needed but an X-ray then a CT to make sure the spine was fine. Doc saw them for all of 10min. Most of the time was spent doing nothing, alone, waiting for a ride in a mostly empty rural ED.
Bill comes. $15k.
I did charges in the 2000s as part of my ED tech duties. Back then the stroke/heart attack go to ICU or get prepped for life flight charge, the most acute of 5 tiers of service was ~$2.5k. The lowest, say getting a ring cut off, was less than $200.
I know costs have risen in the last 20 yrs but how the fuck do you go from what is at a very generous at most a tier 3 for ~$1k to $15k. AND that CT scan, 90% of what happened there, was billed separate.
AFTER Medicare, the ED bill is $1.8k. Imaging is $800, and the ambulance ride, that didn’t even put in an IV, is $1.9k.
So an elderly person on a fixed social security income is getting billed almost $5k for a ride, a glorified wait for my ride room, and a CT.
One non displaced broken rib btw, that’s it.
$15k. Is ring removal in ED now $15k a pop? I just don’t know. Or is a remote, empty ED soaking anyone who goes because they don’t have lines out the door and around the block like city EDs do?
Either way, that’s several months of social security to pay for it while not buying groceries or driving.
AND many hospitals have lobbied local governments to make it illegal for Uber to take you to the hospital, ensuring their sweet, sweet ambulance profits.
Knowing about Napoleon’s blunder at trying to invade Russia, and Hitler doing something similar in WW2 while also being supposedly a fan of Napoleon, I always like to say that Hitler admired Napoleon so much, he emulated even his failures.
My grandparents bought a house on a corner lot in the northwest suburbs of Chicago for $6000. Which was about a years salary for Grampa, who worked as a welder. This was in the late 60s.
I’m GenX as well and I will straight up admit that my wife and I got lucky, purchased a house in a “distressed” neighborhood in Portland because it was all we could afford, and now, 20 years later, the neighborhood is fully gentrifying and our house and property is worth way more than what we owe on it.
I’m conflicted as to how to feel about it. While on the one hand we very innocently bought the place because it was in a shitty neighborhood and was all we could afford, on the other hand I now know that we were what the urban studies people refer to as “bohemian colonizers,” meaning that without knowing it, we were, by moving into the neighborhood as poor artist types, part of a much longer process of gentrification.
Again, I am of several minds regarding how I feel about the whole thing.
When he logs out the NPCs around him only then realise they might be NPCs and start freaking out, hoping that they too can log out. Because if they can’t then they’re not real…
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