How Journalists Took Down One Dialysis Patient’s $524,000 Insurance Bill

From hundreds of thousands to zero, with the help of public rallying against his insurance company.

Sovereign Valentine, a personal trainer in Montana, underwent dialysis and got stuck with an incorrect bill for hundreds of thousands of dollars.Tommy Martino/Kaiser Health News

Welcome to Recharge, a weekly newsletter full of stories that will energize your inner hellraiser. See more editions and sign up here.

The dialysis kept him alive. Then the Montana physical trainer, Sovereign Valentine, got the bill after insurance—for $524,000.

Now that bill is zero, wiped clean after journalists investigated and shared the story.

Valentine was diagnosed with kidney failure in January and was told he needed 14 weeks of dialysis. The clinic to which he was sent, 70 miles from his home, charged him $13,868 per session—59 times the Medicare price. His insurance company claimed Valentine was out of his coverage network, which he disputed.

Last Thursday, after a probe by NPR, Kaiser Health News, and CBS This Morning, dialysis provider Fresenius—one of the country’s two biggest dialysis outfits—agreed to treat Valentine as an in-network patient. That means he’s on the hook for just a $5,000 deductible, which he has already hit for the year. 

Valentine said he hopes his outcome sheds light on the gross inaccuracies of medical billing—such as in-network and out-of-network determinations—and inspire all patients to demand clarity and stand their ground.

The victory means Valentine can focus on his next step: a kidney transplant. Now, he told Kaiser Health News, “I can just save my energy for that.”

Here are more Recharge stories to get you through the week:

Harvesting seaweed. England’s first commercial seaweed farm is opening, using the once-discarded plant for food, cosmetics, and biotechnology. Seaweed is increasingly used as an experimental, climate-friendly substitute for plastics, making headlines this year when London Marathon runners were given water-filled seaweed pouches instead of plastic bottles. “We don’t need land, we don’t need power, we don’t need freshwater, and we don’t need chemicals,” said Wave Crookes of SeaGrown farms. “All we need is sun and the sea.” (Positive News)

The optimists’ club. At age 104, Virginia Leitner has begun a new project, one that emphasizes lessons she’s learned. The former teen tailor, self-taught painter, and Ms. Missouri Senior America pageant contestant is organizing an optimists’ club in her building, where people can focus on the brightness of life. Leitner says that’s been one secret to her longevity, along with good genes and exercise. “Just don’t tell me to be good,” she adds, “because I want to dance and have fun.” (STAT News)

People power. After widespread protests, the Trump administration has halted plans—for now—to imprison migrant kids at an Army base in Oklahoma where Japanese Americans were held during World War II. Japanese Americans and Native Americans (some of whose ancestors were imprisoned at Fort Sill in the 1890s) were among those who had protested outside the base. The Department of Health and Human Services said Saturday it was placing many migrant kids with sponsor families and wouldn’t use the base at this time. (Associated Press)

Another side of the story. Baltimore, in the news lately, is also a leader in urban forestry. While many US cities are losing their trees rapidly, Baltimore has joined cities like Barcelona and Melbourne in prioritizing the expansion of canopy coverage. Studies show crime and temperatures decrease with more shade—and home values increase. Trees also help with air pollution removal, carbon sequestration, even work productivity, said David Nowak, a senior scientist with the US Forest Service. “We might as well work with the forests. Nature is giving us this amazing resource…We should be smart about this whole process and use nature to make our lives better.” With 2.6 million trees, Baltimore is up slightly in its canopy coverage and is aiming to do more. “We’re at the forefront of a lot of green infrastructure,” said city arborist Erik Dihle. “We have a lot to champion.” (Christian Science Monitor)

Readers, is your community expanding its tree canopy coverage? Let me know at

Sesame love. Thanks to all the readers who keep sending messages about how our article on Sesame Street reminded them of the way the show affected their lives. Andrew Thorton of San Antonio wrote over the weekend: “Sesame Street, with its wealth of diversity and inclusion, was elemental in shaping my view of the world, and the world I wanted to live in. I am eternally grateful to the creators of that show, and I feel so fortunate to have been raised on it. My parents had no idea!” Reader Kate Amon of Fremont, California, added: “Not only did I love watching Sesame Street in my youth…I’m STILL waiting for life to be Sesame Street for childhood and Star Trek for adulthood! Getting impatient about it as I’m in my fifties now and our country is backsliding. Here’s to hell-raising to make America a less hellish place.”

I’ll leave you with this blooming image from Glacier National Park in Montana, via John Weatherby and the Interior Department’s Twitter account. Have a great week ahead!

Clarification: Valentine’s insurance company had claimed he was out of his coverage network, which he disputed.

More MotherJones reporting on Recharge


as we head into 2020 is whether politics and media will be a billionaires’ game, or a playing field where the rest of us have a shot. That's what Mother Jones CEO Monika Bauerlein tackles in her annual December column—"Billionaires Are Not the Answer"—about the state of journalism and our plans for the year ahead.

We can't afford to let independent reporting depend on the goodwill of the superrich: Please help Mother Jones build an alternative to oligarchy that is funded by and answerable to its readers. Please join us with a tax-deductible, year-end donation so we can keep going after the big stories without fear, favor, or false equivalency.


as we head into 2020 is whether politics and media will be a billionaires’ game, or a playing field where the rest of us have a shot.

Please read our annual column about the state of journalism and Mother Jones' plans for the year ahead, and help us build an alternative to oligarchy by supporting our people-powered journalism with a year-end gift today.

We Recommend


Sign up for our newsletters

Subscribe and we'll send Mother Jones straight to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.


Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.


We have a new comment system! We are now using Coral, from Vox Media, for comments on all new articles. We'd love your feedback.