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Lawless Heathcare Cost Ripoffs & “Quantum Meruit” - Nobody is upholding the law here.
So you go into the hospital with no health insurance and you come out with a $400,000 bill.
How is this even possible? You never agreed to $400,000. Is that really what it costs? THE ANSWER IS NO.
If you hire a plumber to fix your faucet without discussing cost and then he hands you a bill for $1,000,000, do you have to pay it? THE ANSWER IS NO.
But you have to pay something right? RIGHT!
So what do you have to pay? You have to pay the value of what you received. This is the legal doctrine of “Quantum Meruit”. A very basic and ancient doctrine for a very basic problem. This value is established by looking at the market value, what people pay when they have contracts, etc.
So the hospital can’t just make up a number. Well, it can, but that doesn’t mean you owe it.
So what is actually usually paid for this $400,000 of healthcare? I’m going to say $40,000. That’s what the insurance companies pay the hospital. Maybe Medicare pays even less. For the insurance companies this is called the “contract rate”, for Medicare, the “reimbursement rate”.
You get your blue cross statement for your x-rays and it says “X-Rays $800”
And below that it says “Contract Rate. $80”. then “Amount you pay $10”.
Over and over you see this pattern where the “Contract Rate” Is about 1/10 of the billed amount.
So which is it? $80 or $800? If 95% of the actual amounts paid to the healthcare providers are $80, isn’t the “Quantum Meruit” $80?
The $800 is only paid by suckers and some miscellaneous victims. It’s a made up number, it’s a scam.
There is no way that the “Quantum Meruit” is ten times what is actually being paid by insurance companies.
But it’s fine to bill you for that. And no doubt all manner of other government or accounting nonsense is also based on this nonsense number.
Should be a slam dunk, right? You should just have to pay what the government and insurance companies pay? Right? WRONG. There is not a chance in hell that any judge is going to make a ruling that would take down a pillar of the “healthcare system”.
So instead of just saying the insurance companies can’t make up numbers, what did our insane dysfunctional system decide to do?
Well, the first thing is that virtually none of the $400,000 gets reported to credit agencies. Or at least the smaller numbers don’t. These made up numbers are so uncollectable that it’s not worth it for the providers to report them. If the person didn’t pay at the time of treatment, they are likely never paying.
Then, the wonderful government, the bleeding heart left, decides to propose a rule that medical debt can’t be reported to credit agencies. The same medical debt that mostly isn’t reported anyway.
Because heaven forbid the left go against the healthcare system and stop them from making up this phony debt in the first place.
This is a tiny drop in the bucket of healthcare atrocities. You have no idea how bad it is.


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