Medical debt is a 'uniquely American problem' caused by a 'very broken' system, expert explains
The cost of health care in the U.S. has grown worse in recent years as Americans continue taking on unprecedented levels of medical debt.
The issue has gotten so bad that one New York-based 501 charity, RIP Medical Health, uses donations to buy up people’s medical debt. The organization recently announced a purchase of $278 million in medical debt owed by roughly 82,000 patients in the Tennessee and Virginia regions.
“Medical debt is the no. 1 cause of bankruptcy in the United States, which is something that’s obviously a uniquely American problem,” Allison Sesso, executive director of RIP Medical Debt, said on Yahoo Finance Live (video above). “So we’re out there trying to give people relief from this economic burden. We’ve got donors that are excited across the country to do more of this debt relief. That number — 278 million — we’re very proud of that, but we have a lot more debt relief ahead of us.”
RIP Medical Debt’s recent purchase involved buying people’s medical bills directly from the Ballad Health hospital system, which has previously been criticized for using lawsuits to collect on medical debt. Sesso noted that most of the patients affected by RIP Medical Debt’s latest move are considered low-income.
“You don’t actually have to spend all that much money to buy a whole lot of debt for people that the hospitals know can’t pay those bills,” she explained. “That’s exactly how it works. It’s a great return on investment. But also, importantly, it’s a huge indicator that our health care financing system is very broken.”
Roughly 21 million Americans holding $46 billion of medical debt as of April 2021 face collections — meaning that a third-party debt collector is trying to obtain the money owed — according to Credit Karma data previously provided to Yahoo Finance.
“What we do is we’re able to buy debt for pennies on the dollar because of the way that the debt market unfortunately works,” Sesso said of RIP Medical Debt's model. “It’s a way that they know that people can’t pay. The value of those debts, if they were to be sold to a for-profit debt buyer, are very little. $1 can buy $100 worth of debt that somebody owes.”
'We’re letting people have insurance plans they can’t afford'
The U.S. spends significantly more money per capita on health care — $10,586 — while the next three countries of Germany, the Netherlands, and Australia trail far behind.
“What I think has to happen is we really need to look at our health care system writ large and think about the financing part of it,” Sesso said. “Are people really insured in a way that they need to be? Why are we allowing people to have health insurance plans that they can’t afford, meaning that the deductibles are clearly higher than what their income is and what their means are?”