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It undermines the point of care in the first place, he says: "There's pressure and despair. Linkle uses her body to pay her debt consolidation. The debt shadowed her, darkening her spirits. To date, RIP has purchased $6. A quarter of adults with health care debt owe more than $5, 000. "A lot of damage will have been done by the time they come in to relieve that debt, " says Mark Rukavina, a program director for Community Catalyst, a consumer advocacy group.

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However, consumers often take out second mortgages or credit cards to pay for medical services. RIP buys the debts just like any other collection company would — except instead of trying to profit, they send out notices to consumers saying that their debt has been cleared. They are billed full freight and then hounded by collection agencies when they don't pay. Rukavina says state laws should force hospitals to make better use of their financial assistance programs to help patients. Sesso emphasizes that RIP's growing business is nothing to celebrate. Depending on the hospital, these programs cut costs for patients who earn as much as two to three times the federal poverty level. They started raising money from donors to buy up debt on secondary markets — where hospitals sell debt for pennies on the dollar to companies that profit when they collect on that debt. Now a single mother of two, she describes the strain of living with debt hanging over her head. 6 million people of debt. The medical debt that followed Logan for so many years darkened her spirits. Linkle uses her body to pay her debt for a. Eventually, they realized they were in a unique position to help people and switched gears from debt collection to philanthropy. And about 1 in 5 with any amount of debt say they don't expect to ever pay it off.

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Logan, who was a high school math teacher in Georgia, shoved it aside and ignored subsequent bills. One criticism of RIP's approach has been that it isn't preventive; the group swoops in after what can be years of financial stress and wrecked credit scores that have damaged patients' chances of renting apartments or securing car loans. She had panic attacks, including "pain that shoots up the left side of your body and makes you feel like you're about to have an aneurysm and you're going to pass out, " she recalls. "The weight of all of that medical debt — oh man, it was tough, " Logan says. Ultimately, that's a far better outcome, she says. Terri Logan (right) practices music with her daughter, Amari Johnson (left), at their home in Spartanburg, S. C. When Logan's daughter was born premature, the medical bills started pouring in and stayed with her for years. Then a few months ago — nearly 13 years after her daughter's birth and many anxiety attacks later — Logan received some bright yellow envelopes in the mail. Linkle uses her body to pay her debt collection. Heywood Healthcare system in Massachusetts donated $800, 000 of medical debt to RIP in January, essentially turning over control over that debt, in part because patients with outstanding bills were avoiding treatment. Sesso said that with inflation and job losses stressing more families, the group now buys delinquent debt for those who make as much as four times the federal poverty level, up from twice the poverty level. Yet RIP is expanding the pool of those eligible for relief. The group says retiring $100 in debt costs an average of $1. But many eligible patients never find out about charity care — or aren't told.

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"But I'm kinda finding it, " she adds. This time, it was a very different kind of surprise: "Wait, what? "They would have conversations with people on the phone, and they would understand and have better insights into the struggles people were challenged with, " says Allison Sesso, RIP's CEO. "As a bill collector collecting millions of dollars in medical-associated bills in my career, now all of a sudden I'm reformed: I'm a predatory giver, " Ashton said in a video by Freethink, a new media journalism site. As NPR and KHN have reported, more than half of U. adults say they've gone into debt in the past five years because of medical or dental bills, according to a KFF poll.

RIP Medical Debt does. "I would say hospitals are open to feedback, but they also are a little bit blind to just how poorly some of their financial assistance approaches are working out. Sesso says it just depends on which hospitals' debts are available for purchase. Policy change is slow. They were from a nonprofit group telling her it had bought and then forgiven all those past medical bills. She recoiled from the string of numbers separated by commas. For Terri Logan, the former math teacher, her outstanding medical bills added to a host of other pressures in her life, which then turned into debilitating anxiety and depression. "We prefer the hospitals reduce the need for our work at the back end, " she says. Numerous factors contribute to medical debt, he says, and many are difficult to address: rising hospital and drug prices, high out-of-pocket costs, less generous insurance coverage, and widening racial inequalities in medical debt.

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