Correction….It was NOT the state that will be paying for this surgery. The state flat out denied the procedure and their laws are very specific, so there was not any way to get around them. It is the insurance company that monitors the state medicaid claims that will be paying this. This is the same insurance company that has NOT been receiving insurance premiums from these people. This is completely a charity case for the insurance company and they deserve applause for doing this!
Correct, Mertz. Thank you for pointing this out. The government run program says no, it is the company who runs the government program who out of the goodness of their hearts said YES. The big, bad evil insurance company says yes, and covers the cost when the government run healthcare says NO.
So you’re saying if this family had purchased health insurance as required under “Obamacare”, they would have been in worse condition than they are today without health insurance.
Are you somehow under the illusion that health insurance companies routinely pay for expensive medical procedures incurred by people who don’t have insurance with them?
After this baby’s story was on the nightly news, within ONE DAY over 110,000 had been contributed for this operation. Note that in IN, the procedure was not covered, but in IL, just over the border from where these folks live, the operation would have been covered by IL Medicaid.
Although I know of no facts about this couple, many IN people live right over the border to take advantage of cheaper taxes in IN, cheaper WC rates, cheaper cost of living…all the while sending their IN workers into IL to work at IL wage rates, which are higher. I guess that works out fine until you have to deal with the lower benefits that the state provides…..
In IL a few months back, there was a case of conjoined twins. The single mother, om Medicaid, insisted that the operation to separate them be performed despite the fact that the children would end up dependent for the rest of their lives. The immediate surgery was going to cost somewhere in the nieghborhood of 800,000 which did not include constant hospital care for the twins up to that point or up to the point of the operation, nor care after, nor care for the rest of their lives. The children had other severe health issues other than the conjoining, and the surgery would have led to retardation, and disabled lives physically. Yet the mother insisted. We will need to have to draw some lines eventually….where quality of life is seriously impaired, what was the point of all the care and cost? There WILL need to be decisions made sooner or later…and this will be out of the taxpayers pockets.
I am sure I will be condemned as cruel and heartless, because, frankly, I would have let the twins pass on, humanely. But these are the decisions that will need to be made. I would suggest a national fund be set up that those who want to can contribute to, to support the thymus surgery for the cild in the article, and maybe for the conjoined twins. Otherwise, we will see the coat of healthcare escalate even more than it has and provide further burdens to the taxpayer for many who will never have a decent quality of life and will need to be supported by the state for the rest of their lives. We had better be prepared and we had better make sure the right people are making the decisions, and not some CEO of a for profit insurance company or some cash strapped state bureaucrat. There should be national standards and a national board…somewhat like there is for organ donation/recipients that make non political non religious decisions.
Confused – If the family couldnt afford health insurance previously (financial need is one of the qualifications for being on Medicaid, is it not?) then what part of Obamacare would magically change their financial situation allowing them the funds to suddenly be able to afford health care? Just beacuse its been mandated does not give the family the means by which to purchase health insurance.
first thing first! it is a miracle that the child will be living past year 2 because of a gracious insurance company. the same company that is supposed to run the medicaid for the state. but because of the laws of the state the medicaid side of the house said NO! now the true part of the insurance company understood and said YES!
under the health bill, would this have been covered? don’t know the provisions based on experimental programs. i wonder if this issue was even brought up. this is why the gov’t sometimes needs to take on true national interests. stay from drugs in sports, let that entity take care of it’s own. commerce law – look at our oil/gas industry, you have not stop the growth there…
back to this article, i’d like to see more of these during the holidays. i may not work for that insurance company but it’s definately compelling that the spirit of xmas does live out there amongst the people.
who knows – we may find peace in our world instead of war!
An experimental procedure from a Doctor at Duke, not covered by Medicaid? Maybe they ought to get some Duke doc’s on the Medicaid board of review….
Kudo’s to Duke and to insurance companies like this one.
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A nice gesture on the part of the state of Indiana to provide coverage for this child….
Hopefully, the procedure will work as planned and this young child will recover and live a long-life…..
Correction….It was NOT the state that will be paying for this surgery. The state flat out denied the procedure and their laws are very specific, so there was not any way to get around them. It is the insurance company that monitors the state medicaid claims that will be paying this. This is the same insurance company that has NOT been receiving insurance premiums from these people. This is completely a charity case for the insurance company and they deserve applause for doing this!
Correct, Mertz. Thank you for pointing this out. The government run program says no, it is the company who runs the government program who out of the goodness of their hearts said YES. The big, bad evil insurance company says yes, and covers the cost when the government run healthcare says NO.
The kid wouldn’t have had a chance with Obamacare……..
So you’re saying if this family had purchased health insurance as required under “Obamacare”, they would have been in worse condition than they are today without health insurance.
Are you somehow under the illusion that health insurance companies routinely pay for expensive medical procedures incurred by people who don’t have insurance with them?
You’re kidding, right?
Hey, just for a change and in consideration of the season, why don’t you consider this a humanitarian gesture & see something good in it.
After this baby’s story was on the nightly news, within ONE DAY over 110,000 had been contributed for this operation. Note that in IN, the procedure was not covered, but in IL, just over the border from where these folks live, the operation would have been covered by IL Medicaid.
Although I know of no facts about this couple, many IN people live right over the border to take advantage of cheaper taxes in IN, cheaper WC rates, cheaper cost of living…all the while sending their IN workers into IL to work at IL wage rates, which are higher. I guess that works out fine until you have to deal with the lower benefits that the state provides…..
In IL a few months back, there was a case of conjoined twins. The single mother, om Medicaid, insisted that the operation to separate them be performed despite the fact that the children would end up dependent for the rest of their lives. The immediate surgery was going to cost somewhere in the nieghborhood of 800,000 which did not include constant hospital care for the twins up to that point or up to the point of the operation, nor care after, nor care for the rest of their lives. The children had other severe health issues other than the conjoining, and the surgery would have led to retardation, and disabled lives physically. Yet the mother insisted. We will need to have to draw some lines eventually….where quality of life is seriously impaired, what was the point of all the care and cost? There WILL need to be decisions made sooner or later…and this will be out of the taxpayers pockets.
I am sure I will be condemned as cruel and heartless, because, frankly, I would have let the twins pass on, humanely. But these are the decisions that will need to be made. I would suggest a national fund be set up that those who want to can contribute to, to support the thymus surgery for the cild in the article, and maybe for the conjoined twins. Otherwise, we will see the coat of healthcare escalate even more than it has and provide further burdens to the taxpayer for many who will never have a decent quality of life and will need to be supported by the state for the rest of their lives. We had better be prepared and we had better make sure the right people are making the decisions, and not some CEO of a for profit insurance company or some cash strapped state bureaucrat. There should be national standards and a national board…somewhat like there is for organ donation/recipients that make non political non religious decisions.
Confused – If the family couldnt afford health insurance previously (financial need is one of the qualifications for being on Medicaid, is it not?) then what part of Obamacare would magically change their financial situation allowing them the funds to suddenly be able to afford health care? Just beacuse its been mandated does not give the family the means by which to purchase health insurance.
first thing first! it is a miracle that the child will be living past year 2 because of a gracious insurance company. the same company that is supposed to run the medicaid for the state. but because of the laws of the state the medicaid side of the house said NO! now the true part of the insurance company understood and said YES!
under the health bill, would this have been covered? don’t know the provisions based on experimental programs. i wonder if this issue was even brought up. this is why the gov’t sometimes needs to take on true national interests. stay from drugs in sports, let that entity take care of it’s own. commerce law – look at our oil/gas industry, you have not stop the growth there…
back to this article, i’d like to see more of these during the holidays. i may not work for that insurance company but it’s definately compelling that the spirit of xmas does live out there amongst the people.
who knows – we may find peace in our world instead of war!
An experimental procedure from a Doctor at Duke, not covered by Medicaid? Maybe they ought to get some Duke doc’s on the Medicaid board of review….
Kudo’s to Duke and to insurance companies like this one.