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An Arm and a Leg

A whole book about fighting effed-up medical bills? Yes, please.

An Arm and a Leg

An Arm and a Leg

Society & Culture, Medicine, Health, Health & Fitness, Documentary

4.81.1K Ratings

🗓️ 30 June 2021

⏱️ 19 minutes

🧾️ Download transcript

Summary

For years, at ProPublica, Marshall Allen has been exposing health care grifters. (He’s our kind of guy.) 

Now, he's written a book … about how to fight back. It’s called “Never Pay the First Bill.” We talked—about some of his best tips, about how you can’t win ‘em all, and about why it’s worth learning all you can and giving it your best shot.


Marshall compares the U.S. health-care "system" to the bully he faced in 7th grade. Big, stupid, mean. And SOMETIMES—as he learned in junior high--you can stand up to 'em, and not get stomped. Worth. Your. Best. Shot.


Marshall is a kindred spirit—we talked to him for stories in 2019 and 2020— and the conversation is a whole vibe. He shares some “magic words” that are worth memorizing or writing down somewhere. 

Here’s one you can copy and paste, for if you ever end up in the ER. There’ll be a form they want you to sign, that says you’ll pay WHATEVER insurance doesn’t cover. If you can, X that out, and write in this instead:


I consent to appropriate treatment and (including applicable insurance payments) to be responsible for reasonable charges up to two times the Medicare rate.


(Why Medicare? Listen in for the details.)


Here’s a transcript for this episode


Send your stories and questions: https://armandalegshow.com/contact/ or call 724 ARM-N-LEG


And of course we’d love for you to support this show. https://armandalegshow.com/support/



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Transcript

Click on a timestamp to play from that location

0:00.0

When Marshall Allen was in the seventh grade, there was this eighth grader, a bully.

0:04.7

Everybody knew to watch out for this guy.

0:06.4

At recess, he looked for a target and then started a very structured routine.

0:11.5

And this guy's signature move was his big finish.

0:14.7

Get the victim in a headlock and spit in his hair.

0:17.9

One day, Marshall was that victim.

0:20.4

He starts pushing me around.

0:21.5

You want to fight?

0:22.5

I'm like, no, I don't want to fight.

0:24.9

Oh, you think you can take me?

0:26.2

No, I really don't think I can take you.

0:28.4

Well, it leads to the, he puts me in the headlock and he spits on my head.

0:34.2

Marshall slinks off to the bathroom, wipes his head with a paper towel, hopes nobody really

0:38.9

noticed.

0:40.1

Next day, exact same.

0:41.9

You got a problem with me?

0:42.9

Blah, blah, blah.

0:43.9

Then puts me in the headlock.

0:46.9

Day three, guy comes over and something happens.

0:50.1

This was just instinctive.

0:51.3

I did not even think about it, but I said to the guy, I was like, look, if you really

0:57.3

want to prove to everyone else that you're bigger than I am, you're stronger than I am,

...

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