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How To! with Mike Pesca

How To Fight Outrageous Medical Bills

How To! with Mike Pesca

Peach Fish Projects

How To, Education

4.32K Ratings

🗓️ 7 July 2021

⏱️ 29 minutes

🧾️ Download transcript

Summary

Rich thought nothing of going to the hospital for a routine colonoscopy—until he got the bill. Even with insurance, Rich is on the hook for nearly $2,000, way more than he ever expected. It's particularly painful because Rich was planning to finally pay off his credit card debt before getting married. So what can he do? Our expert this week has a suggestion—don't pay the bill, at least, not at first. On this episode of How To!, we bring on investigative reporter Marshall Allen, author of Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win, to walk Rich through his options. While most of us pay our hospital bills without thinking twice, Marshall says there are several surprisingly easy steps we can all take to make sure we're not being overcharged. High healthcare costs may be inevitable, but we can still fight back.

If you liked this episode, check out How To Give Your Mom a Kidney.

Do you have a problem that needs solving? Send us a note at howto@slate.com or leave us a voicemail at 646-495-4001 and we might have you on the show. Subscribe for free on Apple, Spotify or wherever you listen.

Podcast production by Derek John, Rachael Allen, Margaret Kelly and Rosemary Belson.

Transcript

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0:00.0

Hi everyone, I'm Susie Weiss, and I've noticed there's just simply not enough podcasts in the world. So I'm launching my own. Let's go. Let's go, baby. Second Thought is a weekly show about pop culture. The stuff everyone's been binging, arguing about, obsessing over. Here's the thing about heated rivalry. I mean, even the most devoted swifties, I think we can agree, not our best work. We'll be hosting thoughtful conversations with culture's most important figures. Talk about genius.

0:22.6

Talk about generational talent.

0:23.7

Coming to headphones near you on

0:25.0

April 17th with a first guest you won't want to miss. Available wherever you get your podcasts.

0:30.2

I'm not saying never pay your bills. What I'm saying is never pay the first bill until you

0:36.0

have confirmed that it's accurate and that it's fairly

0:38.4

priced and then go ahead and pay it.

0:40.9

But if you determine that it's inaccurate and not fairly priced, then what I would urge

0:45.8

patients to do if they're able is to fight back.

0:50.6

Welcome to how to.

0:51.6

I'm science writer David Epstein.

0:53.9

We all know the cost of health care in the U. the US is high, but it's kind of hard to know how

0:58.1

high because medical bills are so opaque.

1:01.3

Try to think of another industry where you buy something having literally no idea how

1:04.7

much it's going to cost.

1:06.4

Often, patients won't even see a bill until they get it in the mail and nervously hold

1:10.2

the envelope in their trembling hands.

1:11.6

And then, hello, sticker shock.

1:14.6

If this sounds familiar, you're not alone.

1:17.6

My name is Rich. I'm 33 years old. I live in the Midwest.

1:22.6

I work as a consultant.

1:25.6

This past year, Rich's fiance convinced him to see a gastroenterologist for some minor nagging

...

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