Health Care In America Sucks

  •  Fran Ruhl’s family received a startling letter from the Iowa Department of Human Services four weeks after she died in January 2022.
  • “Dear FAMILY OF FRANCES RUHL,” the letter begins. “We have been informed of the death of the above person, and we wish to express our sincere condolences.”
  • The letter gets right to the point: Iowa’s Medicaid program had spent $226,611.35 for Ruhl’s health care, and the government was entitled to recoup that money from her estate, including nearly any assets she owned or had a share in. If a spouse or disabled child survived Ruhl, the collection could be delayed until after their death, but the money would still be owed.
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