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Re:California lawmakers introduce plan to end surprise ER bills by mindslight on Monday February 25, 2019 @01:40PM (#19248123)
So the real dynamic is that very few ever get to litigating the matter, because the path of least resistance is to simply speak the hospital's language and they will reduce it in-house to something more provably in-line with their expenses?

Still, it seems worthwhile to work towards penalizing hospitals for routinely going over the line, otherwise they will continue to monetize the difference between what is right and what they can get away with.

And on that front, I still have to ask how it's not straightforward fraud to lie about the expenses incurred? If we're roommates and I pick you up a gallon of milk at the store knowing you want some and will reimburse me, but I add it to our tab as $20 - am I not attempting to defraud you?

Trumped up costs do routinely happen across all sectors. It just seems on this topic that grassroots pushback is never discussed, yet could be quite appropriate. For example, a self-help form letter that demands an "out of network" hospital substantiate exactly why their expenses were double that of every other hospital.

Re:California lawmakers introduce plan to end surprise ER bills by deogeo on Monday February 25, 2019 @02:09PM (#19248405)
> how it's not straightforward fraud to lie about the expenses incurred?

It is fraud. It's just not prosecuted, because it's a wealthy corporation doing it.