Man can't afford antibiotics, dies from tooth infection

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MARIS61

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http://abcnews.go.com/Health/insurance-24-year-dies-toothache/story?id=14438171&fb_ref=abc-fb-recs

A 24-year-old Cincinnati father died from a tooth infection this week because he couldn't afford his medication, offering a sobering reminder of the importance of oral health and the number of people without access to dental or health care.

According to NBC affiliate WLWT, Kyle Willis' wisdom tooth started hurting two weeks ago. When dentists told him it needed to be pulled, he decided to forgo the procedure, because he was unemployed and had no health insurance.

When his face started swelling and his head began to ache, Willis went to the emergency room, where he received prescriptions for antibiotics and pain medications. Willis couldn't afford both, so he chose the pain medications.

The tooth infection spread, causing his brain to swell. He died Tuesday.

"When people are unemployed or don't have insurance, where do they go? What do they do?" Silverstein said. "People end up dying, and these are the most treatable, preventable diseases in the world."

Getting access to dental care is particularly tough for low-income adults and children, and it's getting tougher as the economy worsens. In April, the Kaiser Family Foundation reported that 33 percent of people surveyed skipped dental care or dental checkups because they couldn't afford them. A 2003 report by the U.S. Surgeon General found that 108 million Americans had no dental insurance, nearly 2.5 times the number who had no health insurance.

"People want to believe there's a safety net that catches all of these people, and there isn't," said Dr. Glenn Stream, president-elect of the American Academy of Family Physicians. He noted that it is often young men who are the most likely to lack health coverage.

Dr. Jim Jirjis, director of general internal medicine at Vanderbilt University, said people, like Willis, without access to care often die of conditions that were much more common decades ago.

"He [Willis] might as well have been living in 1927," Jirjis said. "All of the advances we've made in medicine today and are proud of, for people who don't have coverage, you might as well never have developed those."
 
some people are just born unlucky, and dont deserve to live
 
These things didn't happen before we got Obamacare.
 
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should have had that kid. :MARIS61:

kids = expensive.
 
missing this:

There are a number of free dental clinics in operation around the country, where dentists volunteer to provide care to those without health insurance. But even if Willis had access to a free dental clinic, Stream said he still may not have been able to get the care he needed for his infection. "The wait is often months at these clinics, and this young man died within two weeks of his problem," Stream said.

Silverstein operates three free dental clinics in the San Diego area. "We're overwhelmed right now," he said. "We can't take any new patients."
 
Thank god insurance companies cover prescriptions for viagra!!
 
I wonder if this man owned a cell phone.
 
The outpouring of sympathy here over a young father's senseless death is underwhelming to say the least.
 
perhaps it were preventable, but it was his own fault for buying a cell phone over health insurance. He chose pain meds over anti-biotics when he had an infection.


we don't know, do we?

dental insurance is what, 50 bucks a month?
 
The outpouring of sympathy here over a young father's senseless death is underwhelming to say the least.

As someone who works in the dental community I'd say the chances he really could have obtained the meds are probably 99+%. Needless to say, there's a lot more to this story either you're not saying or the media is sensationalizing.
 
It sucks that this young guy died from a toothache (?), but just from the excerpt you posted the guy made 2 poor decisions that cost him his life, and shows two facts that show why reliance on gov't for your health is dangerous.
According to NBC affiliate WLWT, Kyle Willis' wisdom tooth started hurting two weeks ago. When dentists told him it needed to be pulled, he decided to forgo the procedure because he was unemployed and had no health insurance.
Doctors said a routine $80 tooth extraction could have saved (ed: another kid in the article, but quoted to show cost of extraction) life.
When his face started swelling and his head began to ache, Willis went to the emergency room, where he received prescriptions for antibiotics and pain medications.
Even for someone who didn't want to pay $80 to have a tooth pulled, he was able to go to the ER and get diagnosis and treatment options.
Willis couldn't afford both, so he chose the pain medications.

The thought that "insurance is the only thing that's supposed to pay my health care costs" is partially responsible for what killed this guy. He didn't have insurance, but saw both a dentist and an ER doc for free, and if he would've spent $80 would have been able to have the problem solved. Or forking out <$50 at Target or Wal-Mart pharmacy for generic amoxacillin and pain meds. Same with the following boy:

Willis' story is not unique. In 2007, 12-year-old Deamonte Driver also died when a tooth infection spread to his brain. The Maryland boy underwent two operations and six weeks of hospital care, totaling $250,000. Doctors said a routine $80 tooth extraction could have saved his life. His family was uninsured and had recently lost its Medicaid benefits, keeping Deamonte from having dental surgery.
Wrong. His family not paying $80 kept Deamonte from having dental surgery. Meanwhile, this family that didn't want to pay $80 was able to get $250k of care later on, when it was too late to help. You're telling me that they couldn't have set up a payment plan for $7 a month over the course of a year to save their child's life?

And with the (limited) fact-checking I've done with Medicare/Caid recently, I seem to recall that the only ways to lose Medicaid benefits right now are a) making too much, b) getting a bonus influx of money, c) not being part of an exempt group anymore (child, elderly, disabled, poor, etc) or d) not reporting changes in income, addresses, etc. How did the benefits go away?
 
I think you might be missing the point. Yes, if he'd understood the healthcare system well, and known what was important for his health, he could have easily gamed the system to get what he needed. But not everyone knows those things.

It's easy to say, in hindsight, what he should have done. But naturally he didn't know his brain was going to swell up and kill him. And apparently he didn't understand that antibiotics would be important when it did.

Would he have died in a country with national health care? I kind of doubt it. He would have gotten the tooth extracted. And barring that, he would have gotten both pain meds and antibiotics.

Would saving his life have been a better outcome? Depends on how you feel about natural selection as applied to humans, I guess. He did make two poor decisions. Perhaps he deserved what he got.

barfo
 
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In these cases I think dentists should just write a prescription for about 80-100 Vicodin, and then the patient can go flip them around the way to make up the difference in the cost of that extraction.
 
And abortions! And sex change operations!

Good to know where this administrations' priorities lay.

Who said anything about "this administration" I'm talking about for profit insurance carriers ... and in for the record abortions are only covered by medicaid in 15 states (medicare ususally doesn't apply).
 
I think you might be missing the point. Yes, if he'd understood the healthcare system well, and known what was important for his health, he could have easily gamed the system to get what he needed. But not everyone knows those things.
The point is that he was given all of the tools to make a personal decision on his health care. A dentist saw him and told him that he needed an extraction. He said "no thanks, I can't/dont want to pay the $80/$150/whatever it costs, and I don't have insurance that will pay for it." Then his face and head swell, and he's seen by a doctor (free to him!) and prescribed two medicines: one that will kill the infection and one that will dull the pain. He chooses not to pay for the antibiotics that will kill the infection and save his life, and chooses to pay for a painkiller that doesn't do anything for the infection. Then, the infection does what many unchecked infections eventually do--kills the patient.

In a national health care society, do you get medicine for free? Generic antibiotics at Target run about $20 for a month's worth.
(quick wiki check: Canada
Although Canadians get the services of their physicians and hospitals included, they do have to meet the cost of prescription drugs themselves. Many take out insurance for this but this is not compulsory. Some people do meet some expenses themselves out of pocket.
China
Insufficient government funding resulted in deficits for public health institutions, thus opening doors for hospitals to generate their own revenue by raising fees and aggressively selling drugs.
Finland
There are caps on total medical expenses that are met out-of-pocket for drugs and hospital treatments. The National Insurance system pays all necessary costs over these caps.
Israel
a citizen must pay a health insurance tax
In the UK the medicine would be partially subsidized, but still some out-of-pocket costs.
NHS prescribed drugs are subsidized by the taxpayer, in some cases fully subsidized. For example if the person is being treated in medical setting or at home by an NHS medical professional, or if the person is under 18 or over retirement age
It's easy to say, in hindsight, what he should have done. But naturally he didn't know his brain was going to swell up and kill him. And apparently he didn't understand that antibiotics would be important when it did.
)
Would he have died in a country with national health care? I kind of doubt it. He would have gotten the tooth extracted. And barring that, he would have gotten both pain meds and antibiotics.
Well, he got seen by a doctor/dentist twice and didn't follow their treatment. Maybe he would've had it pulled immediately, but if not, it seems by all of the countries above that national/socialized health care wouldn't have solved the problem that he couldn't/didn't want to buy both medicines.
 
In these cases I think dentists should just write a prescription for about 80-100 Vicodin, and then the patient can go flip them around the way to make up the difference in the cost of that extraction.

A dick might say that this might be what the patient had in mind when he chose prescription painkillers over antibiotics that would actually kill the infection and save his life.
 
A dick might say that this might be what the patient had in mind when he chose prescription painkillers over antibiotics that would actually kill the infection and save his life.

A real dick might say that this is simply natural selection hard at work weeding out the dumb.
 
Did I miss the part of ObamaCare that covers dental work? It's not mandated for coverage.

What was the point of this article, other than to illustrate how relatively cheap it is right now, without insurance, to visit an ER, or get a tooth extracted, or get antibiotics or painkillers. This poor guy would have to carry insurance, and under the new plan, dental insurance won't be a part of that coverage.
 
A dick might say that this might be what the patient had in mind when he chose prescription painkillers over antibiotics that would actually kill the infection and save his life.

And that would be correct. The pharmacist has an obligation to explain that to the patient. It was a choice. A 'high' or possibly save your life.

Priorities, priorities.
 
Did I miss the part of ObamaCare that covers dental work? It's not mandated for coverage.

What was the point of this article, other than to illustrate how relatively cheap it is right now, without insurance, to visit an ER, or get a tooth extracted, or get antibiotics or painkillers. This poor guy would have to carry insurance, and under the new plan, dental insurance won't be a part of that coverage.

Speaking of dicks, why is yours always twitching about Obama?

This thread has nothing at all to do with Obama.

It has to do with what a total failure America's current "healthcare system" really is.

"He [Willis] might as well have been living in 1927," Jirjis said. "All of the advances we've made in medicine today and are proud of, for people who don't have coverage, you might as well never have developed those."

As for his "choice" (as BrianFromWA puts it) to not have money enough for the antibiotics which would have kept him alive temporarily and the choice to not have money enough for the extraction to keep the infection from returning, he was a 24 year old father who had lost his job. He put his family first thinking he could tough it out like any man would. I'm fairly certain his dentist didn't tell him "get these antibiotics and use them or your brain will swell and you'll die. I know none of my dentists have ever mentioned anything like that. Could very well be grounds for a malpractice suit.

It was pointed out you can get $250,000 of healthcare once it's too late, so why can't we get $20 for a Rx or $200 to prevent a death instead?

This paradox demonstrates how truly under-developed, backassward and barbaric our country is in actual practice.

The attitude reflected in the responses to this young man's needless death demonstrate why.
 
its his own fault for not having rich parents, i say good riddence
 

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