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So Fox has been taking a page from Americans for (their own) Prosperity, regularly running front page articles about various people who have "suffered" under Obamacare. And while there's no doubt that a small subsection of the population is going to lose under Obamacare, it seems that they just can't help themselves: They have to lie, else the story won't be egregious enough.

Meet Larry Basich, a man who had to undergo a triple bypass after suffering a heart attack in December. Basich claims that he got health insurance through the Nevada health insurance exchange, paid his premium, and therefore should've been covered. However, he received a $400,000 bill from his ordeal. So, bad Obamacare! Making a man who should've been covered pay for his medical issues!

Except he shouldn't have been. Apparently, the insurance company covers treatment based on when an acute problem surfaces and treatment begins. He had his heart attack on December 31st - one day before coverage kicked in. Therefore, he's screwed. Sucks to be him and all, but this is not Obamacare's fault. It's the insurance company's fault for having a backdoor policy against preexisting conditions.

Of course, without Obamacare, this man would've never had insurance. He's 62 years old and clearly was in poor health. The cost of an ordinary plan, pre-Obamacare, would've been through the roof. Furthermore, annual caps would've forced him to pay much of that $400k anyway, and he'd likely be pushing up against a lifetime cap too.

Honestly though, I think this is just further proof that Obamacare is going to work out just fine. If they have to lie, deceive, and distort people's stories and words in order to make a case, then they have no case.

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Comment Preferences

  •  Tip Jar (4+ / 0-)

    TX-17 (Bill Flores-R), TX Sen-14 (Kirk Watson-D), TX HD-50 (Celia Israel-D). Senate ratings map (as of 3/10/14)

    by Le Champignon on Tue Mar 18, 2014 at 11:17:00 AM PDT

  •  where'd you get this from (3+ / 0-)
    Apparently, the insurance company covers treatment based on when an acute problem surfaces and treatment begins. He had his heart attack on December 31st - one day before coverage kicked in. Therefore, he's screwed
    .

    i did not see that in the article.

    but i did see this...

    Thing is, he should be covered. Basich, 62, bought a plan through the state’s Nevada Health Link insurance exchange in the fall. He’s been paying monthly premiums since November.

    Yet the Las Vegan is stranded in a no-man’s-land where no carrier claims him, and his tab is mounting: Basich owes $407,000 for care received in January and February, when his policy was supposed to be in effect. Instead, he’s covered only for March and beyond.

    If you start paying in November, your coverage should take effect before March.
    •  agreed (1+ / 0-)
      Recommended by:
      Catte Nappe

      I looked at several links, saw nothing about refusal to pay because the heart attach happened on the 31st of December and the bypass on January 3rd.  

      Mostly that the health insurer doesn't have him listed even though the bill was paid in advance as required by withdrawals from the checking account.

      Mostly there were more stories about how Xerox, the administrator for the Nevada plan/exchange, has lots of complaints,  a backlog of 30,000 pieces of correspondence they haven't dealth with but got $72 million to run the exchange.  Sounds like a private market problem, take the money, skip the service.

      •  As he went through the exchange (0+ / 0-)

        as a result of the ACA, i can understand how he'd not be a fan of the law.

        And if i had to go through that right after a heart attack, i'd be worried that the stress would cause another one.

        i wonder what his insurance status was beforehand.

        •  he has a legitimate complaint (0+ / 0-)

          because I am sure I would have thought I was covered or should have been.   Mostly though,  'Obamacare' takes the blame when I bet this isn't an atypical problem with private insurers whenever anyone gets a new plan.

          One national healthcare would be better.  Instead Xerox hired a lawyer rather than help figure out where this man's money went, and getting United Healthcare to honor the policy.

          •  sounds like plenty of blame to go around. (0+ / 0-)

            Given the number of signup system problems that have occurred in different states (Oregon, Maryland) as well as with the national exchange; it is not implausible that the complexity of the laws requirements were just too much.

            It's not like it was one isolated case of one company screwing up what everyone else got right.

            •  I don't buy that (0+ / 0-)

              the real problems compared to the number of people entering a new system all across the country seems within the limits one could expect.

              The law didn't make this complicated.  Nothing indicated in the press stories indicates a confusion over what the law meant keeping someone from getting coverage.  It was a failure at a simple level, he named a plan, he handed over his money, and now, no one knows where he went.  That is a failure at an administrative level not a legal level.

              As for too big an undertaking to do, well, everything worth having requires work and risk. What would you have had congress do,  let 20% of the population sign up per year for five years?  Couldn't do that on equal protection grounds let alone plain human decency.

              As for documented screw ups,  we don't have good evidence yet.   Newspaper articles with annecdotes and deliberate misinformation doesn't subsitute for the careful counting of actual mistakes by people without an agenda.

  •  Link to what appears to be original story. (1+ / 0-)
    Recommended by:
    Chas 981

    This story is completely different than the diary. It's an administrative problem that is probably fairly common but not with such a large impact.

    After you read the article check out the comments. That is where the comedy is. They either didn't read the story or have extremely poor reading comprehension skills.

    Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

    by Mike S on Tue Mar 18, 2014 at 01:02:50 PM PDT

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