Here Are America’s Top 50 Health Care Thugs

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As long as we’re on the subject of how poor people get screwed in the United States, the Washington Post revisits an old favorite today: the way hospitals gouge the uninsured. Here’s their summary of a new study that looks at the 50 biggest gougers, which charge uninsured patients more than ten times the actual cost of care:

All but one of the these facilities is owned by for-profit entities, and by far the largest number of hospitals — 20 — are in Florida. For the most part, researchers said, the hospitals with the highest markups are not in pricey neighborhoods or big cities, where the market might explain the higher prices.

….Community Health Systems operates 25 of the hospitals on the list; Hospital Corp. of America operates another 14. “They are price-gouging because they can,” said Gerard Anderson, a professor at Johns Hopkins Bloomberg School of Public Health, co-author of the study in Health Affairs. “They are marking up the prices because no one is telling them they can’t.”

….Most hospital patients covered by private or government insurance don’t pay full price because insurers and programs like Medicare negotiate lower rates for their patients. But the millions of Americans who don’t have insurance don’t have anyone to negotiate on their behalf. They are most likely to be charged the full hospital price. As a result, uninsured patients, who are often the most vulnerable, face skyrocketing medical bills that can lead to personal bankruptcy, damaged credit scores or avoidance of needed medical care.

It’s hard to find the words to describe how loathsome this is. It’s a structure deliberately designed to bleed the maximum possible amount from the people who are least able to afford it and least able to fight back. We normally associate this kind of thing with Charles Dickens novels, or with thugs in leather jackets who have a habit of breaking kneecaps. But these thugs all wear suits and ties.

I’m not really sure how they sleep at night, but I guess they find a way.

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is the first thing despots go after. An unwavering commitment to it is probably what draws you to Mother Jones' journalism. And as we're seeing in the US and the world around, authoritarians seek to poison the discourse and the way we relate to each other because they can't stand people coming together around a shared sense of the truth—it's a huge threat to them.

Which is also a pretty great way to describe Mother Jones' mission: People coming together around the truth to hold power accountable.

And right now, we need to raise about $400,000 from our online readers over the next two months to hit our annual goal and make good on that mission. Read more about the information war we find ourselves in and how people-powered, independent reporting can and must rise to the challenge—and please support our team's truth-telling journalism with a donation if you can right now.

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