(CW/Self-Harm) apparently calling the suicide hotline can result in the cops showing up to drag you off to a psychological torture facility and being saddled with thousands in debt
Yes, you are on the hook for the bill even if involuntary. You made some kind of statement which indicated a threat of self-harm or harm to others. Each state has different requirements and process for it. I'm in Massachusetts and it is commonly called, "being sectioned", as the form is from Section 12 of a Massachusetts General Law Title VII Chapter 123. Here is the link if you'd like to peruse the relevant law. https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVII/Chapter123/Section12. That is for Massachusetts but every state has their own version of it, who can issue it, and what must follow. In Massachusetts you are required to be evaluated by a mental health professional within 72 hours of being involuntarily brought to a healthcare facility in which case the provider will either extend the hold or release it.
As far as the bill unfortunately you are responsible for it as you received the care. The good news though is medical billing is something of a shellgame. Most healthcare systems receive reimbursement through insurance whether public or private. These insurers negotiate favorable rates with these healthcare systems to show effectiveness and cost reduction. The healthcare systems know this so the, "sticker price", for services is often well outside the actual cost and this is where it benefits you.
I worked for a decade in a private 911 system. We based our operating costs on an average reimbursement of about $250 because that was the average payment we received from insurance. Public was lower and commercial insurance higher but that was the average. We, and all similar companies, "billed" about $1500 to ensure when Blue Cross paid it's rate it came out to a number we could have a margin on. The remainder was billed to the patient but this was never money we expected to collect. Ever. Patient's don't pay, just don't count on it. Eventually the bill is sold to a collection agency for less than pennies on the dollar. So anytime a patient would reach out to settle a debt our billing department had tremendous latitude to settle at a lower price because anything after insurance pays is practically free profit. A $5k bill could be settled for far far less.
Different healthcare delivery systems work differently but they are all not counting on patients settling their full bills. Persistence is key. They will negotiate and you can get the bill down considerably and in some cases even waived. I'm sorry this is the system we exist in but I hope this helps.
We, and all similar companies, "billed" about $1500 to ensure when Blue Cross paid it's rate it came out to a number we could have a margin on. The remainder was billed to the patient but this was never money we expected to collect. Ever. Patient's don't pay, just don't count on it. Eventually the bill is sold to a collection agency for less than pennies on the dollar.
You ever wonder how much of America's vaunted GDP is just this shit?
Yeah this is one of the more malicious things out there, those numbers are a fucking trap. I called one for a friend when I was a teenager and noped the fuck out after they kept trying to trick me into telling me where they lived. It left me extremely disillusioned. At one point the woman on the phone asked me "okay so what do you want me to do?" when I refused to give them an address. I don't fucking know! I'm a confused teenager who is worried about my friend! You're the one who should fucking tell me!
There are alot of comrades in mental health but they're not the ones running the show. I worked at a large CMHC and our administrators were PMC ghouls who aren't interested in fixing anything. They also made all their money by skimming 90% of the medicaid payment to providers, while paying the providers dogshit wages.
This is why I would never again ever, EVER, tell anyone I was suicidal, no matter how much I thought I needed help. I've been to a "mental hospital" twice in my life for suicidal attempts/ideation and if that doesn't make you want to actually pull it off then nothing will.
They are the opposite of helpful and then when you get cut loose you'll be stuck with withdrawals for whatever medication they chose to force on you, and then they slap a few thousands dollars in bills on you that they know you already couldn't afford.
Sounds like I'd be more likely to cw myself after the whole ordeal instead of being convinced life is worth living... Not saying one should, but damn it's so backwards.
The same people who won't shut up about how it's selfish will turn around and lock someone up, drug them without their consent - but don't count on them to do anything about improving their life. Depression is treated as a moral failure and you will be beaten until morale improves.
I was in a psyche ward for about a week and a half and it was a terrible experience. They'll give you drugs which you're not in there long enough to know if they work and since you've missed a week of work you longer have a job to afford them anyway once you're out. I was homeless and all they could offer was that I should just go back to live with my abusive parents and I finally had to just lie and say I was all better now, just tell them whatever I thought they wanted to hear to finally let me out.
Incredible how American hospitals can just copy their business model from Asian tourist scams, and also have it enforced by law. No need to hire triads. An actual infinite money glitch, if you can live with yourself harassing suicidal people.
Man if the fucking hotline is working with the cops like this that is all it is doing, it fundamentally cannot accomplish the goal of actually helping people while this is the case. What kind of sickos must work those lines? “Ok honey it’s ok, don’t do anything extreme, your life is valuable ok?” Mutes mic “911 bag em and tag em” unmutes “ok now can you confirm for the record you are suicidal?”
Reminds me I called one of these lines once and it was super sketchy how they dug for personal info. This was so long ago they probably couldn’t quickly map the number to a person too.
These facilities are fucking terrible and like half the nurses that run them do not care about you at all (the other half are extremely sweet and kind, which is extremely confusing)
Materially, they’re fine, like relatively comfy and all, but they do not treat you like a living person there
This is why i never called a hotline (which i dont recommend, if you are feeling like youre going to hurt yourself there are hotlines that dont involve police)
cw: self harm
I ended up getting sent to a facility anyway after attempting and I can confirm they suck. The staff can be very callous sometimes. I wouldnt say theyre all bad but I definitely dont ever want to go back. My stints in psych wards ended up burning through most of my savings from the past couple years, and i was very lucky to not lose my job. Other patients were not so fortunate, and i feel for anyone who has been sent involuntarily
one of my most formative experiences was having the cops show up while i was having an "episode." Their ideal solution to deal with the person crying and smoking a cigarette was to show up squad deep and point AR15s at me. Always been this way.
In Capitalist America, when you refuse to pay the debt forced upon you by your kidnappers they will ruin your financial credit score. Making you a pariah and preventing you from seeking shelter, education, medical assistance, a job, or financial aid.
CW: Suicide talk, medical mistreatment, transphobia
I've long since made my mind up that should I ever reach my lowest again and seriously considering suicide, that I'll just fucking do it before I ever subject myself to an institution. Absolutely one of the worst 3 day spans of my life at a point where I was already absurdly vulnerable. Stuck in a holding cell for 20 hours with a severe migraine from the shitty lighting with literally nothing to do beyond think about how shitty everything is because they took all my shit, be misgendered nonstop, when I start getting angry after someone scolds me for tearing up the styrofoam cup because I was beyond bored getting security called on me and having them take the table out of the room. Getting put in a room finally and getting new face after new face ask me the exact same questions and scold me for getting angry when they misgendered me. They never told my family anything so my family assumed they couldn't contact me so I got to feel abandoned by my family. Got told that I need to stop getting angry at them or they're going to involuntarily commit me and keep me longer or take me to the "more secure" ward where they'll force drugs on me.
What I got out of the experience was trauma, a severe anxiety about seeking healthcare despite being a healthcare worker, a diagnosis of BPD which is beyond incorrect, and some drugs that made me feel unlike myself that I pretty quickly just stopped taking.
This organization a few years later was touting how LGBT friendly they were which is such a fucking joke.
What happened to the Navy propaganda posters with the twink uniforms? Now it’s just some ugly camo tacticool-sporting loser yapping to the camera and “you too can be a war crimes coverup engineer”.
But I guess the ad targeting makes sense, the Navy will be the first to get owned in a war with China.
I'm not sure I believe it. You would be evaluated and either discharged or committed to the psych ward within the first day, you wouldn't be kept in emergency in-patient.
I’m not sure I believe it. You would be evaluated and either discharged or committed to the psych ward within the first day, you wouldn’t be kept in emergency in-patient.
I can see a couple scenarios:
The ED is so backed up that it took two days to evaluate the patient at all
The patient doesn't understand the difference between being in the ED and getting admitted/transferred to a separate psych ward and just said "I was in the ER for two days"