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Medical Costs and Choices

: Image via Wikipedia

I’m not a bad father.

Last spring, we noticed my son had a wandering eye. One of his eyes would just drift when he was looking at something. It was happening consistently, so we brought him to the eye doctor. After an exam, we found out that his eyes were 20/100. The doctor said that getting him classes may be enough to fix the wandering eye problem. The theory was that his eye was drifting because his eyes weren’t able to focus. Bringing the world into focus could have let his eyes train themselves to work right.

Nine months with glasses later, the problem hasn’t gone away, so we went back to the eye doctor.

He’s got alternating exotropia. His eyes aren’t working well together. One eye will focus, and the other will drift. So now we’re looking into vision therapists.

A friend went through something similar with his kid, so I asked him for the name of the doctor he used. He gave it to me and told me the clinic was the best in the business, and I would be paying for that. I asked about the cost and was handed the doctor’s spiel about how sad it is that parents focus more on the cost of care than getting the best possible care.

What a load of crap.

First of all, that’s a sales pitch. Of course the doctor is going to defend his prices. If his prices are exorbitant(I don’t have a basis for comparison) and he can’t defend them, people will go elsewhere. $3000 isn’t pocket change. That’s a significant chunk of change. Refusing to look at your options is irresponsible.

Second, price does not equal quality. There are a ton of things that are overpriced garbage. Not only do scam artists abound, but some legitimate things are are horribly overpriced at one location and reasonably priced at others. To stay on the vision theme, my $10 glasses are every bit as high quality as any $400 pair I’ve ever owned. The difference between generic and brand-name drugs? The label and the price. The FDA requires they be chemically identical to be sold. If you insist on the brand name because it’s “better”, you are flushing your money down the toilet. If you live by “you get what you pay for” you are guaranteed to get ripped off.

Third, balancing cost and treatment doesn’t mean I care less. Yes, I am killing my debt as fast as I can right now. Even when I was willing to use a credit card, I wouldn’t drop $3000 without considering my options. I have an entire family to consider, not one problem that my kid doesn’t even notice. Grr. I hate getting told–implicitly or otherwise–that I am a bad parent because I don’t choose to waste my money the way other people do. I’ll check out my options first, thank you.

Now, I will pay for the best when it is warranted. My wife wants Lasik and mentioned some sale some company was having. No. The guy sticking a laser and a scalpel in my eye will not be the lowest bidder. When I left the gene pool, I went to one of the top guys in the state for the procedure. When those things screw up, it’s permanent.

Vision therapy? Not so much. If it comes to surgery, we’ll go with the best. But it’s not there, yet. My kid is going to get a series of eye exercises, no matter where we go. Even if I go to some back alley vision therapist with a degree from a Nigeria U, what’s the worst case scenario? We may have to try someone else. Since I will be doing a bit more research than that, odds are better that my kid will get exactly the same therapy regimen for 1/4 of the cost. That’s the difference between a perfectly competent doctor and a perfectly competent doctor who convinced some trade magazine to write him up as the best in the business.

What do you think? Am I neglecting my kid by wanting to save some money for his braces, too?

Living in Debt: How I Sacrificed My Future

Finance, Life

For those of you who haven’t been following along, I’m in debt. Starting 13 years ago, when I was 19, I managed to bury myself in debt, until I decided I’d had enough of that…almost 2 years ago.

Why?

It wasn’t because of college expenses, though they contributed to my debt level. I was in debt before I went to college. Heck, I was a daddy before I went to college.

It wasn’t because of major medical procedures. The only major medical procedures we’ve ever had were the births of our children, and we had two of them well after we built our shackles.

It wasn’t because we bought more house than we could afford. We own a modest house that we bought before the bubble started.

Then what was it? Why did we do the things we did that have financially crippled us for so long?

It was a combination of things, crowned by a glorious lack of financial sophistication. As I wrote in No Brakes, neither of us had the early training to really understand our financial decisions. We knew bills need to be paid, but what was the difference if the money came from a credit card versus our checking account? Why did it matter if we carried a balance on the cards, as long as we could make the payments? What’s wrong with just making the minimum payment?

Naïve. Unsophisticated.

That day-to-day lack of sophistication was only part of the problem, and it wasn’t the biggest part. We made a lot mistakes, but they were all small. Before 2001, I think our total was about $5000. Too much, but not painful.

Between the fall of 2001 and the winter of 2002, we took our naïve decision-making process and ran with it. It was a full-scale mistake marathon.

That year, we built an addition on our house, because a full dining room and a bigger kitchen would make our house so much more livable and it was cheaper than buying a home, new. Oh, and since the difference between the mandatory crawlspace and a full basement room was just a few rows of concrete blocks, let’s expand it. Wait, don’t bedrooms require walls, sheetrock, windows, closets, paint, furniture, and electricity?

That was also the year that the car companies all jumped on the 0% loan fad. In case you don’t remember, that was the program that meant you could get a 0% loan on a new car if you picked up a 3 year term on your loan. At 22, making maybe $45,000 combined, we decided that buying a $35,000 truck was a good idea. To save money. Rationalization is wonderful. Or at least, effective.

That summer, we got married. We did a phenomenal job getting married on the cheap. We had about 100 guests, a park to get married in, flowers, food, and a hall to eat and dance in, for about $3000. The problem was, we didn’t have $3000. We didn’t have the $1500 + activities for our 10 day honeymoon on a Caribbean cruise, either, though I still plan on returning to St. Thomas.

None of those individual payments were terrible. The biggest problem was that we piled them all so close together that we never had time to absorb their impact before taking on the next obligation. When we did realize how much we had to pay, we made up for it by only buying big things that came with a “0% for a year” deal, like our living room set, our carpet, and our dining room table.

Then, when we finally did pay something off, or came into more money, we’d immediately expand our lifestyle to fill the void. The month we paid off our truck, I got a significant raise. Did we use it to pay off some other debt? Of course not, we bought a new car on a six year term.

We had so many opportunities to make bad decisions with our money, and I think we took them all and have suffered for it, since.

If you’re in debt, what made you decide to get that way?

Debt Options

Finance

Debtor's Prison Historic Marker — Image by jimmywayne via Flickr

When you’re buried in debt, bankruptcy can seem like the only option. When you get make ends meet, no matter how hard you pull on them. When bill collectors interrupt every dinner. When you have to choose between food and rent. When there is always more month than money. Do you have another choice?

Yes, you do.

Before you rush to file bankruptcy, take the time to understand your options.

Debt Settlement

Debt settlement is when you quit paying your bills and start sending the money to settlement company. The settlement company does…nothing. Really. They take your money and drop it into investments or interest-bearing accounts. You don’t get the interest, they do. Eventually, when your creditors are howling, the settlement company offers to make a settlement on the account. If the creditor accepts pennies on the dollar to kill your debt, the settlement company pays them. If not, they get to howl louder and make you more miserable.

While this process is playing itself out over years, your credit is taking a beating. You are doing nothing to dig yourself out of the hole you’ve dug. Finally, when your creditors are so desperate that they accept the settlement offer, you get a huge additional hit to your credit. “SETTLED IN FULL” is not a good status to have on your credit report.

Debt settlement companies do nothing you can’t do for yourself, and doing it for yourself at least lets you keep the interest your money is earning.

Debt Consolidation

Consolidating your debt comes in two varieties, a debt consolidation loan and a debt management plan.

A debt management plan is when you send one large payment to a debt consolidation company, and they pay your creditors for you each month. The company will usually attempt to contact your creditors and negotiate your interest rate and payments to try to get you into a situation that precludes bankruptcy and will keep your creditors happy. In the simplest terms, this is a debt payment consolidation.

A debt consolidation loan is generally done by taking out a line of credit against your home or other collateral and using that money to pay off all of your bills. Then you make the payments to the bank, to pay off your line of credit. The problem is that, if you can’t make the individual payments, can you make the payment to the line of credit? If you can’t, you risk losing your house.

Repayment

This option is my personal favorite. It involves taking responsibility for your decisions, cutting out the unnecessary expenses in your life, and paying your bills. There are a few popular plans for accomplishing this, including Dave Ramsey‘s debt snowball. The most important thing to remember are 1) debt it bad so stop using it; and 2) pay off as much as you can afford to each month. It isn’t as sexy as making all of your debt disappear, but it’s still a good option.

Bankruptcy

Let’s see. You borrow money on the promise to pay it all back. After you borrow too much, you renege on your agreement. You admit your word means nothing and you get all of your debt cancelled, forcing your creditors to raise the interest rates for all of the responsible debtors out there, as a way to balance the risk of those who will never pay. In exchange you doom yourself to lousy credit for the next 10 years. In extreme circumstances, bankruptcy may be the only option, but, I’m not a fan.

As you can see, there are almost always better options than bankruptcy. Please, before you take that leap, look into the other choices.

This is a sponsored post written to provide some insight into the world of bankruptcy and debt consolidation.

Selling Your Car

Finance

: English: Jalopy car in Joshua Tree National Park in Hidden Valley Campground (Photo credit: Wikipedia)

When it’s time to replace your car, most people focus on the new car, instead of the old, but that is ignoring real money. Your old car–unless it has disintegrated–still has value. Sometimes, it’s just time to ask yourself, “When should I sell my car?”

When you’re looking to sell your car (like with We Will Buy Your Car), you generally have several options:

Tow & crush. If your car has been wrecked, doesn’t run, or is just old and beat up, you may be stuck with calling a junkyard and accepting $50 for them to pick up your car and crush it for scrap.
Trade it in. This is probably the least hassle, but–other than #1–doesn’t pay well. Dealerships are willing to pay something under what they will get at a wholesale auction, which is quite a bit less than the blue book value.
Sell it yourself. Now you’re thinking, “He’s going to buy my car! Oh, bother.” It can be a pain, but it’s also the best way to get a decent price for your wheels.

When you sell your car, there are a few things to keep in mind, much like when you sell something on Craigslist.

Don’t be alone. There are bad people in the world, but they don’t like witnesses. Bad things are much less likely to happen if you have company.
Know your price. Specifically, know three price: your dream price, the price that would make you happy, and the absolute lowest price you are willing to accept. Make sure you figure these numbers out ahead of time. Know what you are comfortable with before it comes time to close the deal.
Check IDs. The buyer is going to want to test-drive your car. That’s fine, but you want to make sure you know who is driving off in your car. “Officer, Sumdood took my car. He was wearing jeans.” That won’t get your car back.
Clean it up. Get the car detailed before you show it to a potential buyer. A sparkling-clean car will almost always bring in a few hundred extra dollars. It’s well worth the expense.

Following this plan should make the sale go as smoothly as possible and bring you the most possible money.

Readers, what have you done to dispose of an old car?

This is a sponsored post written to provide some insight into the world of used car retail.

Gibraltar monkey — Image by Salim Virji via Flickr

Health insurance is–without a doubt–expensive.

As much as I hate the idea of socialized health care, it does have one shiny selling point to counter its absolute immorality: it’s cheap. Assuming, of course, you ignore the higher taxes and skewed supply/demand balance.

Here in the US, we’re free from that burdensome contrivance. Instead, we have health care and health insurance industries that are heavily regulated and ultimately run by people who have A) never held a job outside of government or academia, and B) have no idea how to run either a hospital or a business. That works so much better. Some days, I think our health system would be better run by giving syringes and band-aids to drunken monkeys. The high-level decision making wouldn’t be worse.

Thanks to that mess and the high unemployment rate that somehow hasn’t been remedied by the 27 bazillion imaginary jobs that have been save or created in the last 2 years, some people are hurting. Not the poor. We have so many “safety net” programs that the poor are covered. I’m talking about the “too rich to be considered poor, but too poor to be comfortable”, the middle class.

If are much above the poverty line, you will stop qualifying for some of the affordable programs. The higher above the line you go, the less you qualify for. That makes sense, but the fact that we have so many safety net programs means there is a lot of demand created by all of the people who are getting their health care “free”.

That drives the prices up for the people who actually have to pay for their own care. Yes, even if you have an employer-sponsored plan, you are paying for the health insurance. That insurance is a benefit that is a part of your total compensation. If employers weren’t paying that, they could afford higher wages.

As the price goes up, employers are moving to a high-deductible plans, which puts a squeeze on the employees’ budgets. Employees–you and I, the people who actually have to pay these bills–are looking for ways to save money on the care, so they can actually afford to see a doctor.

In response to that squeeze, some unscrupulous people(#$%#@%! scammers) are capitalizing on the financial pain and selling “health discount plans” which promise extensive discounts for a cheap membership fee. These plans are not insurance. In a best-case scenario, the discount plans will get you a small discount from a tiny network of doctors and clinics. Prescription drug plans are no better. You may get a 60% discount, but only if you use a back-alley pharmacy in Nome, Alaska between the hours of 8 AM and 8:15 AM on January 32nd of odd leap years.

How can you tell it’s a scam?

The scammers will try to sell you on false scarcity. They’ll say the plan is filling up fast and you have to buy now if you want to get in on it. For all major purchases, if you aren’t going to be allowed time to research your options, assume it’s a scam. Good deals won’t evaporate.

They aren’t licensed. Call the Department of Commerce for your state and see if the company is a licensed insurance provider. Pro tip: they aren’t.

They don’t want you to read the plan until after you’ve paid. That’s a flashing, screaming, electro-shock warning sign for anything. Once you’ve given them your money, your options are reduced.

The price is amazingly low. Of course it is. They aren’t actually providing any services, so their overhead is nonexistent. They only have to pay for gas to get to the bank to cash your checks.

Really, the best way to judge if something is a scam is to go with your gut. Does it feel like a scam? Do you feel like you’re getting away with something? Does it sound too good to be true?

To recap: health care/prescription discount plans = bad juju.