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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsAustralian couple has $1 million hospital bill after baby born in BC (Canada)
SYDNEY - Australia's foreign affairs minister is looking into the case of a Sydney couple stuck with a million dollar hospital bill after their daughter was born in Vancouver last August.
John Kan and Rachel Evans had taken out travel insurance and extra cover for Evans' pregnancy without realizing the policy would not cover birth or the baby.
They were about to return to Australia after their B.C. vacation when Evans went into premature labour at the airport.
Piper Kan stayed in the neo-natal ward of the B.C. Womens Hospital and Health Centre for three months and the bill ended up being about one-million dollars.
Australian media reports the couple negotiated a payment plan with the hospital at about $300 a month, which would take 278 years to pay off.
http://news.yahoo.com/australian-couple-1-million-hospital-bill-baby-born-080702717.html
Just an easy 278 year loan.
eridani
(51,907 posts)WA State health Care for All has a referral list of Canadian doctors. They all require cash up front for foreigners. Still, we have a lot of usage of the list because costs are about half what they are here.
Snake Alchemist
(3,318 posts)Lucy Goosey
(2,940 posts)Obviously this couple didn't pay $1m up front.
But if a hospital isn't going to be able to bill the provincial insurance plan, which doesn't cover non-residents, they expect to be paid by the patient or the patient's insurance company. This doesn't strike me as unreasonable, but I might be biased - I'm a Canadian paying into the system, after all.
Snake Alchemist
(3,318 posts)Lucy Goosey
(2,940 posts)Though I think maybe the 278 year payment plan could count as a discount of sorts - the hospital isn't ever actually going to get its million back.
Snake Alchemist
(3,318 posts)Luminous Animal
(27,310 posts)Snake Alchemist
(3,318 posts)Lucy Goosey
(2,940 posts)Again, I think a million seems steep, but a few grand doesn't cover that kind of care.
Snake Alchemist
(3,318 posts)Logical
(22,457 posts)Horse with no Name
(33,959 posts)NICU costs from THOUSANDS to TENS OF THOUSANDS per DAY....depending on the level of care.
A million bucks for 3 months isn't out of the ordinary.
BUT...I have always heard if you need care in a country that has universal healthcare, you aren't billed.
This story seems a bit odd in that regard.
Lucy Goosey
(2,940 posts)I'm not saying I'm happy with the way it works, but you have to be a legal resident (though not necessarily a citizen) of Canada to have your medical care paid for by the government.
I have an ID card from OHIP, the Ontario Health Insurance Plan, that I have to show to get care; even my doctor, who I've been seeing for 14 years, won't see me without it. A friend of mine had to go to the ER for a serious condition and didn't have her OHIP card on her; they asked her boyfriend for his credit card as soon as he showed up. (He brought in her health card the next day and his credit card was never billed; they had gotten the info just in case.)
(I have to wonder if part of the reason we can't make a policy of covering non-residents is that Americans without insurance would, quite understandably, travel here to seek care. Canada's total population (34mil) is lower than the number of uninsured Americans - we simply couldn't sustain our system if we were covering that many people who don't pay taxes here.)
Snake Alchemist
(3,318 posts)Horse with no Name
(33,959 posts)I remember when there was a flu vaccine shortage in the US--Americans flocked to Mexico to utilize THEIR allotted vaccine.
No doubt if Canada opened its doors to REALLY free healthcare to anyone in the country--that uninsured Americans would flock there too and suck your system dry--even though they won't support it for this country,lol.
Go figure.
polly7
(20,582 posts)The shots were available to them in towns all around me. We didn't have a shortage of the vaccine at the time because we got it from a different supplier, but Doctors were concerned that a massive influx could become a problem. All in all, though ..... it worked out well, and I'm glad they were able to get it.
polly7
(20,582 posts)I lost my health card two years ago when my purse was stolen and have never gotten another yet (procrastinators are 'me'). They have my number in the system, and if I go to a specialist they just look for it on my referral sheet or go into the computer and get it. They do ask, and I do need to get another one, but it's never been a problem yet ... touch wood.
I remember reading years ago that OHIP had to re-issue all new health cards because the old ones were being lent out and used by people who didn't live in Canada. Doctors were claiming they were treating more non-Canadians in some of their clinics than they were Ontarians.
You're right, and that's the point I was trying to make, we don't have the population or tax base to cover people who come here for treatment without contributing.
MicaelS
(8,747 posts)So one Commonwealth country does not have a reciprocal agreement with another Commonwealth Country? My question is why not?
Snake Alchemist
(3,318 posts)marlakay
(11,536 posts)Have a plan similiar to Canada they are covered for free.
Mz Pip
(27,462 posts)This has me puzzled. What were they paying extra for???
<<John Kan and Rachel Evans had taken out travel insurance and extra cover for Evans' pregnancy without realizing the policy would not cover birth or the baby. >>
I guess the pregnancy wasw a pre-existing condition.
Snake Alchemist
(3,318 posts)Everything, but the actual birth.
cbayer
(146,218 posts)Snake Alchemist
(3,318 posts)with 11 countries, but Canada is not one of those countries."
cbayer
(146,218 posts)Cleita
(75,480 posts)I think there is more to this story than meets the eye.
btw. If they had landed in the USA, the bill probably would have been 3Xs as much.
Canadian Medicare would cover it if it were a Canadian baby in Australia.
Johnny Rico
(1,438 posts)From the story:
Evans tells the Herald Sun newspaper they don't begrudge the bill because they have a healthy daughter. "We don't feel our mistake was someone else's responsibility but obviously it is quite a large amount so any assistance we can get would be helpful.
Snake Alchemist
(3,318 posts)muriel_volestrangler
(101,412 posts)Seems a hell of a lot for continuous care, rather than specialist operations or drugs.
Snake Alchemist
(3,318 posts)laundry_queen
(8,646 posts)Some places have 1 on 1 care for micropreemies not to mention they often require expensive drugs on a continuous basis. A million dollars for a micropreemie born between 24 and 27 weeks is not unheard of by the time they are discharged. Especially if they have complications that require surgery.
tsuki
(11,994 posts)over $100,000 for continuous care for 7 days. They gave him Mersa and sent him home without calcium blockers. He had to go in for another week, to correct those conditions, and it cost him another 100K.
My Mother was in the hospital for pneumonia and I was at the hospital to take care of her daily. They wanted 50K a week. Luckily, she had Medicare and TriCare for Life.
I think the bill would have been a lot higher in the US for Mother and Baby.
belcffub
(595 posts)and the ambulance would not leave until someone went back to her hotel and got her insurance card...
she was on a ski trip and ended up off course and went face first into a rocky creak. Broke her arm and cut her face up pretty good... knocked a couple of teeth out as well if I remember right...
the ski patrol called the ambulance in and they administered basic first aid but would not leave until they had proof of insurance... I'm not sure what they would do if she had none... she was in the hospital a week... not sure what the cost was... the was her last ski trip to canada...
laundry_queen
(8,646 posts)Because as a Canadian, even I'm not covered for ambulance service and would require additional insurance and thus an insurance card - and I have never ever heard of someone being asked for that while they were injured. I've heard of people getting a bill afterwards, but never have I heard of an ambulance refusing to go to the hospital until an insurance card was produced. I've never even heard of them asking for the provincial health care card. Sounds like someone was pulling your leg. Or you, ours.
polly7
(20,582 posts)It was NOT a big deal, as relatives nearly always arrived shortly while we were finishing up our pcr's at the desk and were able to provide us with details, if not, we followed up the next day. The bit about refusing to go to the hospital is bull, imo. I've never heard of it.
laundry_queen
(8,646 posts)The insurance card. Interesting. Maybe because most of my relatives/friends that needed the service were either elderly, or unresponsive when taken in? Or maybe it's different by province or by health region.
polly7
(20,582 posts)Mostly, the health card, and quite often it was easy enough for the receptionist or nurse at the desk to find it in the system if the pt. were able to give their name.
eta: If the pt. wasn't from Canada, I STILL completely doubt the ambulance would refuse to go to the hospital. All details can be gotten later once the pt. is stabilized and friends / family arrive at the hospital and can get the information. Sometimes it took us 3 or 4 days to get the health card / insurance details for people who are Canadians, there was never a huge rush to have it immediately. Care first ............ book work second.
laundry_queen
(8,646 posts)reminds me of those stories I hear from time to time on message boards, about the Canadian aunt of a friend of a cousin who had to wait 5 years for brain cancer surgery. Never. Happens.
polly7
(20,582 posts)And don't believe many, if any at all, of those claims. We're not perfect, but the well-being of the pt. is our only concern.
I can think of a dozen times working in Regina when we were sent out on calls and received no health information at all ....... not even a pt. history. Yet, those pts were taken immediately to the ER. I still don't know what happened re their health insurance, it wasn't my job to figure it out while they lay unconscious or in too much pain in the back. We took maybe 2 minutes checking the medicine cabinet and fridge and counters for meds or drugs before we left, but there was absolutely no other delay.
belcffub
(595 posts)but as I said in another part of this thread I work in Western New York and we have several Canadians working here... Two that I know of use our insurance... one had a terrible time finding a GP doctor in his town... it was, according to him, much easier to get one here and do Dr appts during or after work...
same guy's wife had back problems or something... she had being seeing people in Canada about it for about 18 months... They needed to do a cat scan or something (I am not medical I just know the story as he repeats it often) and it was going to be 6 months... she can here and saw his doctor who gave her the referral and with that they saw what they needed to do... scheduled a procedure a couple of weeks later...
I know we have excess capacity here compared to southern Ontario... their was a news report about 2 years ago about some procedures being farmed out to hospitals in and around Buffalo due to the wait... it's not terribly common though... otherwise I doubt it would have been on the news...
If you have insurance things aren't really bad here... it's for those who don't have it that things stink...
belcffub
(595 posts)I can't remember where she was skiing... but the ambulance wouldn't leave until someone got her insurance card... One of the skiers that was with her called the office as they were having a hard time reaching her boyfriend (who is not a skier and did not go on the trip)... one of the guys in the office is a friend of his... when the call came in she was still waiting for whoever was sent to get her insurance card...
she's had medical issues over the years and been in the hospital many times and she did not like the treatment she got there... like I said she still goes on skiing trips (not this year... she broke her hand again) but won't go to canada again...
edited to add... she's not canadian...
polly7
(20,582 posts)even consider such a thing ......... especially with a head injury from a fall, which would have been automatically treated as a possible spinal injury. There's just no way they would wait around. imo.
belcffub
(595 posts)we live in Western NY and we have a couple of canadian co-workers... they did not seem as surprised as you.... but both of them, while being canadian, have chosen you use our insurance plans here due to two issues they seem to have in their hometowns... first having a hard time getting a GP and for one his wife was having back issues... been working the system back home for 18 months... said she needed a cat scan or something like that and it was going to be 6 months... that was what prompted their signing up... had her test and procedure done in a couple of weeks and no more back pain...
so they might be biased...
but my boss (who sits behind me so I just asked again) said that was the way it happened...
polly7
(20,582 posts)because that's about as stupid as believing a trauma pt. with possible head and spinal injury would be left waiting while someone was ordered to go get health information. Time counts. It's not the Paramedic's main focus to ensure insurance documentation ...... it's a bonus, if available, but quite low on the list, actually, even in the case of a relatively minor medical call. As I say, that information is always available later when family / friends follow the unit to the hospital. Trauma calls ALWAYS are a 'load and go'. IF possible and time permits, insurance info is asked once on the road, but it's a minor and often neglected concern when compared to everything else going on.
belcffub
(595 posts)maybe they were having a bad day... I have no idea... perhaps they don't like Americans... I don't know... doesn't mean that was not what happened to her...
are you saying that a case like this has never happened...
polly7
(20,582 posts)There is a golden hour within which a pt. with any type of traumatic head injury must be gotten to hospital, the outlook may depend in part on acting fast. An epidural or subdural hematoma, intracerebral bleeding, all have high mortality rates without immediate care. Skull fractures can also lead to brain bleeding .... concussions may lead to swelling and permanent brain damage .... these are all reasons EMS consider any trauma involving the head as an emergency requiring immediate transfer, along with the possibility of spinal injury. It's impossible to know by an assessment or listening to bystander reports what kind of damage has been done. I just can't imagine any situation like that you've described where this would have happened and transfer postponed for insurance documentation while bleeding or swelling may be occurring within the skull. Sorry.
Swede
(33,310 posts)The ambulance company we put itself into big liability,therefore they would not do it.
polly7
(20,582 posts)belcffub
(595 posts)doesn't mean it didn't happen...
Swede
(33,310 posts)nt
belcffub
(595 posts)nicest lady you'd ever meet... she's about ready to retire in the next year or so...
Ikonoklast
(23,973 posts)Just asking based on your other scenarios.
belcffub
(595 posts)Ikonoklast
(23,973 posts)It's all I needed to know.
belcffub
(595 posts)Spazito
(50,597 posts)one can espouse anything on the internet, doesn't make it true and I find this second hand account less than credible. Adding the 'two Canadians' to your story doesn't make it more credible, it makes it even less so, especially the coincidence those 'two Canadians' are not happy with Canada's system and prefers the U.S. for profit system. Uh huh, right.
belcffub
(595 posts)like I said Canada is less then a mile from where I'm sitting... my favorite beer is Canadian... my heritage is Canadian (we have a bridge named after us up there)... we travel their often... even honeymooned on PEI right next door to green gables... people laughed when we told them we were going to an Island for our honeymoon and it was North...
what I find funny is anytime someone criticizes Canada's health system it has to be a lie... so it must be perfect then... as all criticism of it is bogus...
edited to add :: one of the Canadians just moved there a year ago... so he is not a good reference... He's Indian (from India Indian) and married a Canadian women... but he kept his insurance here... the two cases I referenced above were the same guy... so I guess maybe I know one guy who doesn't like the system and one guy who is to lazy to change...
Spazito
(50,597 posts)the system is far from perfect but when someone claims what your post does and then adds the 'two Canadians in your office' who support the contention you put forward, I am sure it is just coincidence there are two Canadians handy to back you up, the credibility of the claim is reduced exponentially.
If one is going to criticize the Canadian system, it is helpful if that criticism has, at the least, some semblance of fact behind it, and I find your criticism, using second hand 'info' lacking in that regard.
belcffub
(595 posts)your are bound to work with Canadians... last three jobs have had Canadians available... the only one I knew anything about their insurance was this one... before that I was to young to really care...
you can't deny there is a shortage of GP's in Canada right now... obviously this varies by geographic location to some extent... the other thing he complained about was his wife back injury... and that was just getting her doctor (she still goes to a Canadian Doctor) to do what needed to be done... she came here and a couple of weeks later everything was all set...
obviously no one would give you detail that you would require to prove anything... it's to personal in nature...
your need to crush what are both plausible scenarios that probably do happen shows a general level of insecurity... can't let it go right...
I know what happened... I share an office with my boss and we talked about that for a while... comes up everyone once in a while again... the other guy we walk every day over lunch... we heard about the whole thing in more detail then I'd care for... whats funny is that this sticks in your craw so...
Spazito
(50,597 posts)when you find yourself in a hole, stop digging. This post doesn't make your previous posts more credible, it makes it even less so.
I can only hope any conversations occurring in your office include supporting a universal healthcare policy or, at least, supporting 'Obamacare' which, to me, would be of more interest than some supposedly obscure and questionable incident elsewhere.
belcffub
(595 posts)her facial injuries were cuts and scratches... she's not hear right now (we share an office) but I think she did need stitches... and a couple of new teeth... she was wearing a helmet...
her biggest injury was to her arm... broke and required surgery... they had it immobilized while she waited for her card... it was about 20-30 minutes for the person to get back... some of that time might have been while they were working on her at the scene but she did have to wait while it was brought back...
polly7
(20,582 posts)by an elderly woman. He was on life-support for three days before he died from his head injury. He also was wearing a helmet. Being awake and responsive means nothing. I can understand that if they asked while at the same time immobilizing her for transfer it might make more sense, but certainly not just waiting around until they got it.
belcffub
(595 posts)it's not my area of expertise... you have a computer issue let me know... I figured that one post I dropped at the top would be the end of this discussion...
sorry about your cousin but I was just relaying what happened... you can believe it or not but I have no reason to lie... no skin of my nose if you believe me or now...
polly7
(20,582 posts)documentation with a possible head injury, maybe the story you were told wasn't quite accurate. Thank you for the computer help offer.
Swede
(33,310 posts)nt
laundry_queen
(8,646 posts)because it was probably written somewhere in the fine print of the fine print that the fetus wasn't covered in the event of a birth. Now they (the insurance company) are off the hook. If I were that couple, I'd be taking that insurance company to court for misrepresentation if they indeed thought the baby would be covered.
I remember a similar case of a Canadian couple in the US. IIRC, their provincial health care plan kicked in to cover some of the costs. Seems to me like Australia should be paying a bit more of their share as well.
I still think $300 a month for the rest of their lives would be a hardship, but it's something they negotiated with the hospital so I can only guess that they are ok with it.
Snake Alchemist
(3,318 posts)laundry_queen
(8,646 posts)Of course they don't. They will attempt to trick people into buying insurance and continue to refuse to pay out. Hence why private insurance sucks and why health insurance should never be for profit. Duh.
Spazito
(50,597 posts)like some in the U.S. have had happen because they didn't have insurance. The infant and the mother received care, three months of care, even though they were NOT covered. Horrors, how dare Canada be so crass as to expect payment for that care and have agreed upon three hundred a month instead of forcing them into bankruptcy, that would never happen in the U.S., right?
polly7
(20,582 posts)health-costs for people who've never paid into it. Our system wouldn't survive long if we did. I don't understand why anyone thinks we should. That said, I feel bad for this couple, and wonder why their own health-care system doesn't cover things like this as we are if we're hospitalized somewhere else. I hope they can work something out to make it easier.
Spazito
(50,597 posts)The couple have a $50,000.00 (fifty thousand dollar) bill for a 5 DAY stay----$10,000.00 a day--- being treated for a blood clot in her leg. As in the Australian story, the woman in this story had also purchased travel insurance but the insurance company refused to pay and the couple are, at least up to the date of the article, are being called by collection agencies.
The reality is we Canadians could land in the same mess as the Australian couple while traveling outside of Canada even if we buy travel insurance.
It has been eye-opening, to say the least.
Here's the link to the B.C. couple's story:
http://www.cbc.ca/news/canada/british-columbia/story/2011/11/11/bc-travelclaim.html
polly7
(20,582 posts)I believe provincial plans vary as to coverage out of country, I always purchase extra insurance but I see how something like this could happen. Thanks for the article Spazito.
Snake Alchemist
(3,318 posts)This is one of the reasons you need a controlled immigration process.
Spazito
(50,597 posts)not immigration, maybe you missed that even though this is your OP?
Your post makes little sense.
Snake Alchemist
(3,318 posts)"Canada isn't a haven where we taxpayers have volunteered to cover millions of dollars of health-costs for people who've never paid into it."
Spazito
(50,597 posts)why do you want to change the focus of your own OP?
Snake Alchemist
(3,318 posts)Response to Snake Alchemist (Reply #56)
polly7 This message was self-deleted by its author.
polly7
(20,582 posts)LanternWaste
(37,748 posts)I think many people try their best to throw their favorite ingredient into any meal-- regardless of its irrelevance...
Spazito
(50,597 posts)changing the topic from tourists to immigrants is......interesting, to say the least.
Occulus
(20,599 posts)Eye-opening, one might say.
Snake Alchemist
(3,318 posts)You're either with us, or against us.
Snake Alchemist
(3,318 posts)It was just a minor thought and never thought it would garner such an uproar.
Snake Alchemist
(3,318 posts)Canada cover all people regardless of citizenship?
Spazito
(50,597 posts)first. Canada covers it's own citizens AND doesn't turn away tourists or immigrants without treatment as shown by the article in your OP. The U.S. turns away it's own citizens if they don't have insurance or are under-insured, why is that?
I am sure you are as outraged about that as you are about Canada caring for a tourist and her premature infant. I will look forward to your OP expressing your outrage soon.
Snake Alchemist
(3,318 posts)Spazito
(50,597 posts)polly7
(20,582 posts)Last edited Thu Mar 29, 2012, 01:32 PM - Edit history (1)
I stated that we, as taxpayers, shouldn't be expected to cover million dollars in costs for those visiting without being reimbursed in some way.
Bluenorthwest
(45,319 posts)take part in the local system. It is pretty cheap, too.
Spazito
(50,597 posts)it didn't cover the birth or the baby:
"John Kan and Rachel Evans had taken out travel insurance and extra cover for Evans' pregnancy without realizing the policy would not cover birth or the baby."
Unfortunately the companies one buys travel insurance from have a copious amount of 'fine print' and subjective decision-making that is seen more and more to be deceptive and allows them to deny payment after the fact. It is happening to tourists from more than just Australia.
Snake Alchemist
(3,318 posts)Spazito
(50,597 posts)whose medical condition necessitated a THREE MONTH stay in a neo-natal ward where the infants in that ward require round-the-clock care.
Check those costs in the U.S., you will find it interesting I am sure. But, then again, in the U.S., there would be no certainty the mother in this case would have received the care needed without adequate insurance.
Snake Alchemist
(3,318 posts)Paying a million dollars for the birth is something any company would have a hard time doing. That is probably why they specifically do not cover that.
Spazito
(50,597 posts)they cannot claim a cap retroactively, they can negotiate with the hospital re the bill and get it reduced but that's a whole different issue. If you are covered by your insurance for the treatment you receive, the insurance must pay but, as I am sure you know all too well, insurance companies are law unto themselves which is why for-profit insurance is grotesque in it's actions and profits.
Ikonoklast
(23,973 posts)And another poster chimes in with the mythical two Canadians that hate their health care plan.
What a fucking joke.
Really reaching there, sport.