The critical response will be a tool through which you can apply reflective strategies to the synthesis and communication of knowledge in this course.

Throughout the semester you will respond to each reading assigned by writing a 1-2 page thoughtful response (not summary) addressing key issues raised in the reading using specific examples.
:
923130 Administration of Human Resource Programs (except Education Public Health and Veterans Affairs Programs)
People:
RECCHI
Sean

Finance
Abstract:
The article discusses the costs associated with the provision of health care services in the U.S. as of March 4 2013 includ
ing information on the prices
assessed by hospitals medical facil
ities and physicians for items and procedures such as chemotherapy x

rays and sterile gauze pads. Ohio resident
Sean Recchi and the medical bills for the treatment of his non

Hodgkins lymphoma are addressed. Several studies conducted by the McKinsey &
Co.
consulting firm are examined including a comparative study of the medical care costs in nations such as Italy China and Sp
ain. The U.S. Medicaid
insurance program is mentioned along with medical technology costs.
Full Text Word
Count:
25627
ISSN:
0040

781X
Accession
Number:
85760535
Persistent link
to this record
(Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=85760535&site=ehost

live
Cut and Paste:
Bitter Pill.
Database:
Academic Search Premier
Notes:
This title is held locally
Special Report
How outrageous pricing and egregious profits are destroying our heath care
Photograph by Nick Veasey for TIME
1 Routine Care Unforgettable Bills
WHEN SEAN RECCHI A 42

YEAR

OLD FROM LANCASTER Ohio was told
last March that he had non

Hodgkins lymphoma his wife Stephanie knew she
had to get him to MD Anderson Cancer Center in
Houston. Stephanies father
had been treated there 10 years earlier and she and her family credited the
doctors and nurses at MD Anderson with extending his life by at least eight
years.
Because Stephanie and her husband had recently started their own sma
ll
technology business they were unable to buy comprehensive health insurance.
For $469 a month or about 20% of their income they had been able to get only a
policy that covered just $2000 per day of any hospital costs. We dont take that
kind of disc
ount insurance said the woman at MD Anderson when Stephanie
called to make an appointment for Sean.
Stephanie was then told by a billing clerk that the estimated cost of Seans visit

just to be examined for six days so a treatment plan could be devise
d

would be
$48900 due in advance. Stephanie got her mother to write her a check. You do
anything you can in a situation like that she says. The Recchis flew to Houston
leaving Stephanies mother to care for their two teenage children.
About a week
later Stephanie had to ask her mother for $35000 more so Sean
could begin the treatment the doctors had decided was urgent. His condition had
worsened rapidly since he had arrived in Houston. He was sweating and
shaking with chills and pains Stephani
e recalls. He had a large mass in his
chest that was
??
growing. He was panicked.
Nonetheless Sean was held for about 90 minutes in a reception area she says
because the hospital could not confirm that the check had cleared. Sean was
allowed to see the
doctor only after he advanced MD Anderson $7500 from his
credit card. The hospital says there was nothing unusual about how Sean was
kept waiting. According to MD Anderson communications manager Julie Penne
Asking for advance payment for services is a c
ommon if unfortunate situation
that confronts hospitals all over the United States.
The total cost in advance for Sean to get his treatment plan and initial doses of
chemotherapy was $83900.
Why?
The first of the 344 lines printed out across eight pa
ges of his hospital bill

filled
with indecipherable numerical codes and acronyms

seemed innocuous. But it
set the tone for all that followed. It read I ACETAMINOPHE TABS 325 MG. The
charge was only $1.50 but it was for a generic version of a Tyle
nol pill. You can
buy 100 of them on Amazon for $1.49 even without a hospitals purchasing
power.
Dozens of midpriced items were embedded with similarly aggressive markups
like $283.00 for a CHEST PA AND LAT 71020. Thats a simple chest X

ray for
whic
h MD Anderson is routinely paid $20.44 when it treats a patient on Medicare
the government health care program for the elderly.
Every time a nurse drew blood a ROUTINE VENIPUNCTURE charge of $36.00
appeared accompanied by charges of $23 to $78 for eac
h of a dozen or more
lab analyses performed on the blood sample. In all the charges for blood and
other lab tests done on Recchi amounted to more than $15000. Had Recchi
been old enough for Medicare MD Anderson would have been paid a few
hundred dollars
for all those tests. By law Medicares payments approximate a
hospitals cost of providing a service including overhead equipment and
salaries.
On the second page of the bill the markups got bolder. Recchi was charged
$13702 for I RITUXIMAB INJ 660
MG. Thats an injection of 660 mg of a
cancer wonder drug called Rituxan. The average price paid by all hospitals for
this dose is about $4000 but MD Anderson probably gets a volume discount that
would make its cost $3000 to $3500. That means the nonp
rofit cancer centers
paid

in

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