When Non-Profits Only Care About the Money

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On Facebook I shared a post about some tax changes that are being made to churches and non-profit institutions. The debate that started, made me think about my own experience working for a non-profit organization and I wanted to share a little bit of that here. For around 6 months or so, I worked for a non-profit religious hospital system. My job was to be one of the people in the emergency department who collected patient information (especially insurance information) and processed payments.

From the beginning, it was drilled into us that it was about the money. We were hounded to make sure we collected certain percentages of money from patients while they were still there in the building, whether they could afford it or not. We were encouraged to apply pressure to them to pay at least a percentage that day, regardless of their personal circumstances. Although patients could legally ask to be billed later, we were told to NEVER tell them that, and only offer that option if they brought it up first.

We were told bluntly that the hospital had to make sure to look like they were doing enough “public outreach” to keep their non-profit tax status, so when they did run public assistance programs we were told to advertise them when talking to patients. It became clear that they didn’t necessarily do programs for the poor because they CARED about them, it was so they could continue to get the tax breaks and other non-profit advantages. I heard so much negative talk there about Medicaid patients and the poor. I was also told flat out that the company was purposefully looking into opening more locations in areas where the people were more likely to pay, and closing locations where the populations were poorer.

One huge issue I had was that even when someone was brought to the ER and died, we were pressured to try to get money from their grieving relatives. More than once, those in charge actually chose not to tell family members that their loved one had passed away until AFTER we collected insurance information and copays/deductible payments. They would send us in, and we would know the family’s loved one was gone, but we were told to lie and pretend we knew nothing. This killed me to have to do. One time a lady begged me for information on her husband who was dead, and I couldn’t tell her anything. I also struggled to go up to a mother whose child has just tried to commit suicide and ask her for money. I felt like scum.

In the end, I couldn’t keep this job due to my own health issues, but I couldn’t have kept doing it with a clear conscience either.

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Weekend Life Update: Depression, Meditation, Politics

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I am currently experiencing a real downturn mood-wise, but I’m going to try to write a life update post anyhow. I tried to write a blog post yesterday, but was simply to depressed to complete it. Today I’m just going to sum up a few things that went on this last week, so hopefully, I will get something done today.

  • This past Wednesday, my husband and I tried out a new meditation group (new to us anyhow). I haven’t meditated in months at least, and it felt good to “get back in the saddle” so to say. Even though I don’t find that meditation is all that great at relieving my anxiety and depression symptoms overall, it does at least give me some perspective and allow me to step back a bit when I am feeling my worst and realize that it will pass if I just wait it out. That awareness is definitely beneficial to keeping myself on this earth when part of me wants to check out.
  • My blog post about not being a social media doormat really became popular! I guess many others struggle with all the bullies and haters that tend to hang out on popular social media platforms. Glad to see I’m not alone in this experience.
  • Today I am taking my bike and aerobics trampoline to sell them to a used sports equipment store. I have had to face the fact that I am not physically healthy enough to use them anymore and they are just taking up space. Hopefully someone else will get some use out of them. It is a bit depressing though to just give up.
  • I am so disgusted by American politics right now. I am disgusted with Trump. I am disgusted with his blindly loyal followers. I am disgusted by those on the left that display blatant hypocrisy and pretend to be “the opposition”, but are just as sold out to big money and corporation interests. I am disgusted by all the pointless warfare my country perpetuates. I am disgusted by the news media that twists everything and often outright lies.  I am disgusted by the lack of empathy many people have towards anyone who is different from them. I am disgusted by the fearmongering and scapegoating. I am disgusted that in the richest country on earth, Flint, MI still doesn’t have clean water, and much of Puerto Rico still doesn’t have power. I am disgusted that 40 million Americans don’t have health care and that 40% of the country can’t afford basic necessities like food and shelter. I am disgusted that conditions have deteriorated to the point that suicide rates have risen 30% since 1999. I am simply disgusted and feel powerless to help.