Hospitals Fleece the Uninsured

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Going without health insurance really wouldn’t be so bad if independent patients could pay the same per procedure as insurance companies do. But U.S. hospitals charge patients without health insurance an average of 2.5 times more for services than fees paid by health insurers, and 3 times more than Medicare does. According to a new study, that gap has more than doubled in two decades. It effectively excludes the uninsured from the system. “Fifty years ago, the poor and uninsured were often charged the lowest prices for medical services,” according to one author of the study, Gerard F. Anderson, director of the Center for Hospital Finance and Management at the Johns Hopkins Bloomberg School of Public Health in Baltimore. “The markups on care for those who can least afford it have got to end.”

In other bad news, the Senate yesterday killed a move to allow patients to buy prescription drugs from abroad at a significant savings. They killed it by adding an amendment to require U.S. officials to certify the safety and effectiveness of each drug first, which would not be funded or feasible. To check for your own senator’s vote, here’s the roll call. A yes vote on the amendment meant they opposed drug imports. Obama, Brownback, and McCain didn’t vote. Clinton voted no. Hagel, Kerry, and Kennedy voted yes to the amendment.

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REAL QUICK, REAL URGENT

Minority rule, corruption, disinformation, attacks on those who dare tell the truth: There is a direct line from what's happening in Russia and Ukraine to what's happening here at home. And that's what MoJo's Monika Bauerlein writes about in "Their Fight Is Our Fight" to unpack the information war we find ourselves in and share a few examples to show why the power of independent, reader-supported journalism is such a threat to authoritarians.

Corrupt leaders the world over can (and will) try to shut down the truth, but when the truth has millions of people on its side, you can't keep it down for good. And there's no more powerful or urgent argument for your support of Mother Jones' journalism right now than that. We need to raise about $450,000 to hit our online fundraising budget in these next few months, so please read more from Monika and pitch in if you can.

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