'Kept at the Hospital on Coronavirus Fears, Now Facing Large Medical Bills' diff viewer (20/21)

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Kept at the Hospital on Coronavirus Fears, Now Facing Large Medical Bills	Kept at the Hospital on Coronavirus Fears, Now Facing Large Medical Bills
2020-06-24 15:30:42 UTC	2020-07-02 20:19:12 UTC (8 days later)
Frank Wucinski and his 3-year-old daughter, Annabel, are among the dozens of Americans the government has flown back to the country from Wuhan, China, and put under quarantine to check for signs of coronavirus.	Frank Wucinski and his 3-year-old daughter, Annabel, are among the dozens of Americans the government has flown back to the country from Wuhan, China, and put under quarantine to check for signs of coronavirus.
Now they are among what could become a growing number of families hit with surprise medical bills related to government-mandated actions.	Now they are among what could become a growing number of families hit with surprise medical bills related to government-mandated actions.
Mr. Wucinski, a Pennsylvania native who has lived in China for years, accepted the U.S. government’s offer to evacuate from Wuhan with Annabel in early February as the new coronavirus spread. His wife, who is not an American citizen and remains in China, developed pneumonia that doctors think resulted from Covid-19, the disease caused by the respiratory virus. Her father, whom she helped care for, was infected and recently died.	Mr. Wucinski, a Pennsylvania native who has lived in China for years, accepted the U.S. government’s offer to evacuate from Wuhan with Annabel in early February as the new coronavirus spread. His wife, who is not an American citizen and remains in China, developed pneumonia that doctors think resulted from Covid-19, the disease caused by the respiratory virus. Her father, whom she helped care for, was infected and recently died.
The first stop for Mr. Wucinski and Annabel was a two-week quarantine at Marine Corps Station Miramar near San Diego. During that time, they had two mandatory stays in an isolation unit at a nearby children’s hospital. The first started upon arrival in the United States, and the second was a few days later, after an official heard Annabel coughing.	The first stop for Mr. Wucinski and Annabel was a two-week quarantine at Marine Corps Station Miramar near San Diego. During that time, they had two mandatory stays in an isolation unit at a nearby children’s hospital. The first started upon arrival in the United States, and the second was a few days later, after an official heard Annabel coughing.
“The hospital staff were very nice, they brought us a lot of toys,” Mr. Wucinski said. “Each time it was three or four days. I love my daughter to death, but being in the same room that long, she is not a great conversationalist.”	“The hospital staff were very nice, they brought us a lot of toys,” Mr. Wucinski said. “Each time it was three or four days. I love my daughter to death, but being in the same room that long, she is not a great conversationalist.”
Both have repeatedly tested negative for the virus.	Both have repeatedly tested negative for the virus.
After their release from quarantine, Mr. Wucinski and his daughter went to stay with his mother in Harrisburg, Pa. That’s where they found a pile of medical bills waiting: $3,918 in charges from hospital doctors, radiologists and an ambulance company.	After their release from quarantine, Mr. Wucinski and his daughter went to stay with his mother in Harrisburg, Pa. That’s where they found a pile of medical bills waiting: $3,918 in charges from hospital doctors, radiologists and an ambulance company.
“I assumed it was all being paid for,” Mr. Wucinski said. “We didn’t have a choice. When the bills showed up, it was just a pit in my stomach, like, ‘How do I pay for this?’”	“I assumed it was all being paid for,” Mr. Wucinski said. “We didn’t have a choice. When the bills showed up, it was just a pit in my stomach, like, ‘How do I pay for this?’”
Mr. Wucinski’s employer, a standardized testing company, provided health benefits when he lived in China but does not offer coverage in the United States.	Mr. Wucinski’s employer, a standardized testing company, provided health benefits when he lived in China but does not offer coverage in the United States.
Patients in the United States regularly confront surprise medical bills that are hard to decode. Mr. Wucinski’s case suggests that those held in mandatory isolation for suspected coronavirus may be no exception.	Patients in the United States regularly confront surprise medical bills that are hard to decode. Mr. Wucinski’s case suggests that those held in mandatory isolation for suspected coronavirus may be no exception.
The federal government has the authority to quarantine and isolate patients if officials believe them to be a public health threat. These powers, which date back to cholera outbreaks among ship passengers in the late 19th century, are rarely used. They don’t say anything about who pays when the isolation happens in a nongovernmental medical facility — or when they’re brought there by a private ambulance company.	The federal government has the authority to quarantine and isolate patients if officials believe them to be a public health threat. These powers, which date back to cholera outbreaks among ship passengers in the late 19th century, are rarely used. They don’t say anything about who pays when the isolation happens in a nongovernmental medical facility — or when they’re brought there by a private ambulance company.
“There is no uniform practice,” said Lawrence Gostin, a professor of global health law at Georgetown University. “They do have the powers, but they’ve almost never used them in modern times.”	“There is no uniform practice,” said Lawrence Gostin, a professor of global health law at Georgetown University. “They do have the powers, but they’ve almost never used them in modern times.”
Few patients have been held in mandatory isolation, but the number is likely to grow if the coronavirus continues to spread across the United States. Eleven cases were confirmed in San Antonio on Friday evening. Earlier in the day, public health authorities identified a second case in California and a first in Oregon in which patients who had not traveled to an affected country became infected.	Few patients have been held in mandatory isolation, but the number is likely to grow if the coronavirus continues to spread across the United States. Eleven cases were confirmed in San Antonio on Friday evening. Earlier in the day, public health authorities identified a second case in California and a first in Oregon in which patients who had not traveled to an affected country became infected.
A Centers for Disease Control and Prevention spokesman declined to comment on whether it would pay the bills of patients kept in mandatory isolation.	A Centers for Disease Control and Prevention spokesman declined to comment on whether it would pay the bills of patients kept in mandatory isolation.
Mr. Gostin worries that high charges for mandatory isolation could make patients wary of seeking needed medical treatment.	Mr. Gostin worries that high charges for mandatory isolation could make patients wary of seeking needed medical treatment.
“The most important rule of public health is to gain the cooperation of the population,” he said. “There are legal, moral and public health reasons not to charge the patients.”	“The most important rule of public health is to gain the cooperation of the population,” he said. “There are legal, moral and public health reasons not to charge the patients.”
These hospital stays could prove expensive. The International Federation of Health Plans estimates that the average day in a U.S. hospital costs $4,293, compared with $1,308 in Australia and $481 in Spain. The hospital stays may be especially costly for patients without health insurance or for those who have large deductibles, which they must pay before their health benefits kick in.	These hospital stays could prove expensive. The International Federation of Health Plans estimates that the average day in a U.S. hospital costs $4,293, compared with $1,308 in Australia and $481 in Spain. The hospital stays may be especially costly for patients without health insurance or for those who have large deductibles, which they must pay before their health benefits kick in.
Mr. Wucinski recalls other patients asking about how medical bills would be handled during daily town hall meetings for those quarantined at the Marine Corps station. He felt the answers weren’t clear.	Mr. Wucinski recalls other patients asking about how medical bills would be handled during daily town hall meetings for those quarantined at the Marine Corps station. He felt the answers weren’t clear.
~~Updated June ~~24,~~ 2020~~	Updated June 30, 2020
	Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.	Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.	A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.	The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.	The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.	So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.	Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.	A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.	The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)	If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.	If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
He did receive a document upon leaving quarantine directing him to contact a government email address with any medical bills. He sent an email on Feb. 24 detailing the charges and asking what would be done.	He did receive a document upon leaving quarantine directing him to contact a government email address with any medical bills. He sent an email on Feb. 24 detailing the charges and asking what would be done.
“My question is why are we being charged for these stays, if they were mandatory and we had no choice in the matter?” Mr. Wucinski wrote in his message.	“My question is why are we being charged for these stays, if they were mandatory and we had no choice in the matter?” Mr. Wucinski wrote in his message.
He has not received a response, he said. When contacted by The New York Times, a Rady Children’s Hospital spokesman said the physicians’ bill had been sent in error and that the family would not be held responsible for the charges.	He has not received a response, he said. When contacted by The New York Times, a Rady Children’s Hospital spokesman said the physicians’ bill had been sent in error and that the family would not be held responsible for the charges.
“We’re in the process of assessing how the error occurred,” the spokesman, Benjamin Metcalf, said. “We are working with government agencies regarding billing for these cases.”	“We’re in the process of assessing how the error occurred,” the spokesman, Benjamin Metcalf, said. “We are working with government agencies regarding billing for these cases.”
But the hospital bill represented only a fraction of those the family received.	But the hospital bill represented only a fraction of those the family received.
The ambulance company that transported the Wucinskis, American Medical Response, charged the family $2,598 for taking them to the hospital. A company representative declined to comment on the bill “due to patient privacy concerns,” but said the company would look into the case.	The ambulance company that transported the Wucinskis, American Medical Response, charged the family $2,598 for taking them to the hospital. A company representative declined to comment on the bill “due to patient privacy concerns,” but said the company would look into the case.
An additional $90 in charges came from radiologists who read the patients’ X-ray scans and do not work for the hospital. Having such doctors, who may be outside a patient’s insurance networks, provide services to hospital patients is one of the major causes of surprise medical bills.	An additional $90 in charges came from radiologists who read the patients’ X-ray scans and do not work for the hospital. Having such doctors, who may be outside a patient’s insurance networks, provide services to hospital patients is one of the major causes of surprise medical bills.