Surprise, surprise! Patient gets $117,000 bill from doctor he doesn’t know

Before his three-hour neck surgery for herniated disks in December, Peter Drier, 37, signed a pile of consent forms. A bank technology manager who had researched his insurance coverage, Mr. Drier was prepared when the bills started arriving: $56,000 from Lenox Hill Hospital in Manhattan, $4,300 from the anesthesiologist and even $133,000 from his orthopedist, who he knew would accept a fraction of that fee.

He was blindsided, though, by a bill of about $117,000 from an “assistant surgeon,” a Queens-based neurosurgeon whom Mr. Drier did not recall meeting.

“I thought I understood the risks,” Mr. Drier, who lives in New York City, said later. “But this was just so wrong — I had no choice and no negotiating power.”

…In an increasingly common practice that some medical experts call drive-by doctoring, assistants, consultants and other hospital employees are charging patients or their insurers hefty fees. They may be called in when the need for them is questionable. And patients usually do not realize they have been involved or are charging until the bill arrives.

The practice increases revenue for physicians and other health care workers at a time when insurers are cutting down reimbursement for many services. The surprise charges can be especially significant because, as in Mr. Drier’s case, they may involve out-of-network providers who bill 20 to 40 times the usual local rates and often collect the full amount, or a substantial portion.

RTFA. It’s long, detail and difficult to stomach. So much of modern medicine – especially if you need specialized care and treatment to maintain what passes for a normal life – is extortion.

I’ve been fortunate to know a number of physicians in my life who are dedicated to the original tenets of the Hippocratic oath. I’ve met some greedy bastards like those in this article. They are as contemptible as Bernie Madoff or, say, a lawyer whose dedication to “providing constitutional rights” to the scumbags of the nation pays for a new Ferrari every four or five years to go with their country club subscription and greens fees.

They are thieves in the same class as Congress.

Real data about same-sex couples instead of homophobe ideology

The US Census Bureau just released information on same-sex couples as part of its release of the 2013 American Community Survey data. Here are some of the highlights from the release.

Same-sex couples are a bit more educated than straight couples. While both married and unmarried gay and lesbian couples are about equally likely to have both partners holding at least a bachelor’s degree, unmarried heterosexual couples are half as likely for this to be the case as married straight couples…

Same sex couples tend to have higher incomes than straight couples….Unmarried straight couples had the lowest average income…

Interracial marriages are more common among same-sex couples than among heterosexual couples…and we know who that pisses off.

RTFA for more demographics. To read the whole report from the Census Bureau – go here.

Why do you think Congress won’t end the NFL’s tax break?

Perhaps the most famous tax break in America is the one bestowed by Congress on the NFL. It’s famous for its seeming illogic — the NFL, hugely profitable, being called a “nonprofit.”

And it’s famous, along with the antitrust exemption for pro football, for the number of times members of Congress have threatened subtly or otherwise to take it away.

The occasions range from the anger of then-Sen. John F. Kerry in 2007 over a blackout of a New England Patriots game to resentment about the name of the Washington, D.C., football team to concern about concussions to anger over what Republican Sen. Tom Coburn and Maine’s independent Sen. Angus King called “tax earmarks…”

Now, in the wake of the domestic abuse controversies in the NFL, the rumbling has started anew. Congress must now investigate the league’s handling of the domestic abuse charges, Democratic Rep. Jackie Speier of California said in a press release, as well as its “tolerance of performance enhancing drugs, the impact of traumatic brain injury on players later in life, and the tax-exempt status the NFL enjoys thanks to a loophole Congress created in the ’60s.”

But don’t count on anything happening — ever — to the exemptions enjoyed by pro sports. The NFL remains a heavy hitter in Washington. Its officials and political action committee donated more than $1.4 million to members of Congress during the past two election cycles, according to data compiled by the Center for Responsive Politics. It spends millions as well on as many as 26 lobbyists from top-tier Washington firms.

One of the essential perks of being a Congress-critter is free skybox seats to whatever is the hot sports event in town. Given the snug fit between the NFL and the All-American reliance on war games to keep our collective ego inflated – that match is often defined by the National Football League.

Icing on the cake – with the cake being the inevitable contributions to Joe Congressman’s re-election campaign.

Thanks, Mike — who added:

Two new bills have been introduced that would strip the NFL of its tax-exempt status:

1. Sen. Maria Cantwell (D-Wash.) announced Tuesday that she will introduce legislation to eliminate the NFL’s tax-exempt status.

2. Sen. Cory Booker (D-N.J.) has introduced legislation to strip several professional sports leagues, including the NFL, of their tax-exempt status.

Earlier this year, Senators Tom Coburn (R-Okla) and Angus King (I-Maine) introduced the PRO-Sports Act to address this issue on the premise that it is unfair to the American tax-payer.

A tax reform package sponsored by House Ways and Means Committee Chairman Dave Camp (R- Mich.) includes a repeal of tax-exempt status for professional sports leagues. It is languishing in committee.