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Millions of insured individuals still drowning in healthcare bills they cannot afford? Today, we expose the truth about why you have medical debt and why it won't go away—breaking down hospital billing markup strategies, the insurance denial machine, and the systemic trap keeping patients in perpetual debt." Medical debt relief works at 100 to 1. Allison Sesso of RIP Medical Debt buys American medical debt in order to destroy it: 7 billion dollars wiped for 4 million people, funded by charitable donations. This is TBLI Radical Truth with Robert Rubinstein. The mechanism is the story. In the United States, unpaid hospital bills are a tradeable asset: for-profit buyers purchase them in bulk at deep discounts and profit by pursuing whoever eventually can pay. Sesso's charity enters the same market at the same prices and does the opposite. It targets the people who will never be able to pay, buys their debt, and sends a letter saying it is gone. Nobody applies. The average donated dollar clears a hundred dollars of debt. Allison Sesso is president and CEO of the organisation, founded in 2014 by two former debt buyers who understood the market from the inside. She joined in January 2020 and received an unrestricted 50 million dollar gift from MacKenzie Scott eleven months later. She previously led the Human Services Council in New York City. WHAT'S COVERED - Why medical debt exists in America and in no comparable country, and the politics that kept it that way - Insurance you can only afford if it carries a deductible you cannot afford - Medical debt as a social determinant of health: people delaying care because of what care costs - Patients sitting in hospital car parks waiting to see if the pain passes, and calling an Uber instead of an ambulance - The debt engine: buying credit bureau data to find everyone at four times the poverty line or below - Why most of a hospital's bad debt file qualifies, and why the hospital could never collect it anyway - A 195 billion dollar problem she thinks may be closer to a trillion - What MacKenzie Scott's vetting process actually looks like from the receiving end - The typical debt is not 90,000 dollars, it is 500, 2,000 or 4,000 - Liens on homes, garnished wages, wrecked credit, and why she argues none of it belongs on a credit file - A major for-profit debt buyer announcing its own forgiveness programme, and what she thinks that means - Why hospitals increasingly prefer selling to a charity than to a collector CHAPTERS 00:00 – The Truth About Why You Have Medical Debt (And Why It Won't Go Away) 07:15 – The Medical Debt Trap: Why Having Insurance Isn't Enough 16:30 – The Chargemaster Secret: How Hospitals Inflate Healthcare Prices 25:45 – The Denial Engine: Why Insurance Companies Reject Valid Claims 35:20 – Medical Collections & Credit Scores: The Hidden Financial Machine 46:10 – Systemic Roots: How Healthcare Became an Extractive Business Model 56:40 – Practical Defense: How Patients Can Fight Inflated Medical Bills 1:05:25 – The Radical Truth: What It Will Take to End Medical Debt 📌 Subscribe to TBLI Radical Truth for unfiltered, deep-dive discussions with sustainable finance thought leaders challenging the conventional narratives around impact and the future of finance. https://www.youtube.com/channel/UCDBhRVM93uUnAAtqOMIz_yg?sub_confirmation=1 EXTRACTION How business takes your money, your work, your resources, your data and your future, while presenting itself as something else entirely. Robert Rubinstein's next book, from 30 years inside the system. If this conversation makes you question where your money is actually going, Extraction takes that investigation much further. Follow its progress in the free Radical Truth Discussion Network: https://tblicircle.com/share/Lnu4hDm8ayILGevs?utm_source=manual MORE ON ALLISON SESSO - Undue Medical Debt, formerly RIP Medical Debt: https://unduemedicaldebt.org - Allison Sesso on LinkedIn: https://www.linkedin.com/in/allison-sesso-99a4165/ TBLI GROUP - https://www.tbligroup.com - Robert Rubinstein on LinkedIn: https://www.linkedin.com/in/robertrubinstein/ #MedicalDebt #Philanthropy #Healthcare #DebtRelief #HealthcareReform #SocialImpact #ImpactInvesting #MacKenzieScott #NonProfit #HealthEquity #AllisonSesso #TBLIRadicalTruth Recorded in October 2022. RIP Medical Debt is now Undue Medical Debt.
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