We’ll return to the usual bunnyosity in the near future. I just wanted to do a series of posts informing you of the things I’ve learned about bankruptcy, the credit industry, and the business side of healthcare. Legalish disclaimer – I don’t guarantee that I know all the laws in this country or whether or not things have changed since my experiences. These are just observations I’ve made that may conflict with your views of the system, especially if you had a rural conservative upbringing like me, and you may want to consider them before you do something fun like join the military, rack up credit card debt, or have a major illness.
Myth #1: if you serve in the military, the government will take care of you for the rest of your life.
My experiences: if you try to buy a house with a VA loan, the paperwork is even worse than with conventional loans or other government programs. If the house is unusual in any way, it will not meet regulations and you will be denied the loan. Real estate companies know this and tend to prefer buyers not using a VA loan.
If you need healthcare, pray that the current administration has not decided to exclude you for some reason. The VA sends updates to veterans, but only when the news is good. When the Bush administration decided to exclude people who gross more than $30k/year, I didn’t hear a peep from them. When team Obama raised the dollar amount and based it on one's adjusted gross, the VA sent me a letter informing me of what a great job they were doing. Note – the VA has several categories for people. I may have been able to get treatment if I had been awarded the purple heart, but although I did serve in combat, I foolishly didn’t manage to get shot. Just shot at (not good enough).
Side note – several members of my extended family and I have used VA hospitals throughout our lives. If you can get past the paperwork, they’re pretty good. Long waits are the norm, but I haven’t seen a VA hospital or clinic run as incompetently as the worst privately owned and operated ones I’ve had the misfortune of finding. The worst things I've seen them do consistently are that they give people unnecessary X-rays to pad their budget, they're reluctant to give out meds because there is no profit margin, and they don't try to minimize scarring when you have surgery.
Myth #2: if you are making even ridiculously low payments on your bills, hospitals have to sack up and take it for as long as you keep paying.
My experiences: this appeared relatively true until early this year. The healthcare places I’ve dealt with over the last year and a half had many tricks for getting around this, such as not providing e-mail or regular mail addresses, leaving phone numbers off bills, changing phone numbers and billing offices frequently, and by making you leave messages that go unanswered instead of allowing you to talk to a representative. One even neglected to bill me at all for sixteen months, then turned it over to a lawyer’s group for debt collection.
All of this changed early this year and I’ve heard of people being affected in different states, so it’s clearly another federal butt-reaming, although I haven’t been able to discover the specific law or act. Now (as the hospital billing offices will gleefully tell you) (if they even bother to take your call) they are only required to work with you for three months, and then they have the discretion to turn your account over to a collections agency even if you have an agreement in writing that states you will make payments and even if you make those payments. The problems associated with this are a) accounts in collections are assumed to be there because you are delinquent, thus wrecking your credit, b) they are not required to tell you that they have put your account in collections (assuming they even take your call), and c) your account is worth more to them as a deduction if you owe less than $1,000. I currently have three medical bills in collections (that I know of), each under the $1,000 mark. Even if you attempt to pay your debts, there is nothing in the system to prevent them from taking your money until it drops below $1k, then sending it to collections where it can be used as a deduction until you find the debt owners and pay it off, during which time it will damage your credit score.
More to come when I have time. Leave any questions you might have in the comments section.