Help is coming for many people with medical debt on their credit reports | National
Help is coming for many people with medical debt on their credit reports.
Starting Friday, July 1, the three major U.S. credit reporting companies stopped counting paid medical debt on the reports that banks, potential landlords and others use to judge creditworthiness. The companies also will start giving people a year to resolve delinquent medical debt that has been sent to collections before reporting it — up from six months previously.
Next year, the companies also will stop counting unpaid medical debt under at least $500.
The companies say these moves will wipe out nearly 70% of the medical debt listed on consumer credit reports.
Patient advocates call that a huge advance. But they question whether medical debt should be on credit reports at all, given that many see it as a poor indicator of whether someone is trustworthy for a loan or rent.
“These aren’t people who bought shoes they couldn’t afford,” said Amanda Dunker, of the nonprofit Community Service Society of New York. “They went to a doctor because they were sick or needed help with an injury.”
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Brooke Davis had about $1,300 in medical debt from a breast cancer scare that lingered for years on her credit report.
The 48-year-old McDonough, Georgia, resident said that made it difficult to rent an apartment, and she needed a co-signer for a car loan.
“You can’t get anything, you can’t even get a credit card if you have bad credit,” she said.
The non-profit RIP Medical Debt relieved Davis’s debt last fall. But more health problems and the loss of a job have pushed Davis back into debt. She’s currently stuck with a swollen knee for which she can’t see her doctor.
“I don’t have the money to really go for my knee right now, so I’ve just been suffering with it,” she said.
The federal Consumer Financial Protection Bureau has said its research shows mortgages and credit cards are better predictors than medical bills of whether someone will repay a debt.
The agency, which monitors banks, lenders and other financial institutions, has noted that people often don’t have time to shop for the best price when they seek care and may have little control over the progress of a serious illness.
Medical billing errors can wind up on credit reports. And patients are sometimes unsure about what they owe or whether an insurer will eventually pay it.
The agency said earlier this year it estimates that 58% of the debt in collections and on credit records is from medical bills, and past-due medical debt is more prevalent among Black and Hispanic people.
The bureau is trying to determine whether unpaid medical bills should be included on credit reports.
John McNamara, an assistant director with the bureau, declined to estimate when the agency might make a decision. It could propose a rule, after hearing from all sides on the issue, that would end the practice.
Credit reporting companies also are considering whether medical debt should remain on the reports, said Justin Hakes, a vice president with the Consumer Data Industry Association.
The three national credit reporting agencies — Experian, Equifax and TransUnion — announced the medical debt changes in March, after the bureau said it would hold those companies accountable for the accuracy of their reports.
Patient advocates said those changes will help a lot of people.
The wait in reporting delinquent debt will give patients time to figure out how to resolve a bill, noted Chi Chi Wu, an attorney with the National Consumer Law Center.
“It gives more breathing room to deal with the insurance company or your provider,” Wu said. “Everybody has a story about that.”
Much of the medical debt that landed on Melina Oien’s credit report several years ago was for bills that were under $500. The Tacoma, Washington, resident said she was living in an expensive place, Hawaii, where her former husband was stationed for the military. They were getting care for a daughter who had health issues that included a rare condition that affected her metabolism.
“We would zero out our checking account with living expenses every month,” she said. “When you are counting out $5 for gas until the next payday, how do you pay a $30 bill?”
A severance package from the military eventually helped them pay their medical debt a few years ago. Oien said her credit score jumped about 70 points just from that.
But before that happened, they had to deal with higher interest rates on any loans they took out, and they could only get a mortgage after her sister gave them money to pay down some debt.
“It was embarrassing, it was very stressful,” said Oien, who now works as a patient advocate.
What it costs to vaccinate your dog in 25 cities
What it costs to vaccinate your dog in 25 cities

Although it’s not quite from the moment they’re born, dogs are susceptible to a range of dangerous and fatal viruses shortly after birth. Like humans, female dogs provide passive immunity, or maternal immunity, to their puppies as protection against viruses even while they’re in utero. Most of the protective antibodies are passed on to puppies through their mother’s milk, but this only supports your dog’s immune system until they’re 12 weeks old. This is why it’s essential to schedule a series of vaccinations against diseases like Bordetella, canine distemper, parvovirus, leptospirosis, rabies, Lyme disease, and influenza for your puppy.
And, as a responsible pet owner, you must ensure their vaccinations are up to date annually. Just like us, dogs should complete a yearly visit with their vet who will conduct a physical exam to check in on the animal’s health, recommend maintenance like dental cleaning, and administer vaccinations that have lapsed. While the sum of a complete vaccination series can average $200, treatment of any of these diseases can cost thousands.
A study conducted by the University of California, Davis (published in 2014) found that dogs who contracted leptospirosis, which attacks the kidneys and liver, were hospitalized for an average of 11 days and racked up a treatment bill of more than $5,000. Treatment of parvovirus can cost up to $2,500. The fatality rate for dogs acquiring parvovirus who are unvaccinated, improperly vaccinated, or have lapsed vaccination is 90% when untreated. And without a rabies vaccination, dogs are susceptible to a viral disease that has no cure, can’t be treated with medication, and virtually always fatal.
Where you live can impact exactly which vaccinations are recommended and how much those cost. For dogs living in a metro area like any of the 25 included on this list, their level of exposure to various diseases through boarding, dog parks, or dog walking services is greater than those living in more suburban or rural settings. For example, a vaccination against Bordetella—a highly contagious virus that causes kennel cough—is often required for dog services in cities.
Conversely, dogs that are more likely to pick up ticks, like those living near or frequently visiting wooded areas, are at a higher risk of contracting Lyme disease. Therefore, the Lyme disease vaccine should be a priority for these dogs, but not necessarily for those living in city centers where fleas, heartworm disease, and intestinal parasites are often a larger concern than ticks. It’s important to consult with your dog’s veterinarian about which vaccines are required or recommended based on your location and lifestyle.
Operating a business in a metro area is often more expensive than operating that same business in a rural area due to higher overhead costs. Veterinary practices and even vaccination clinics are no exception to this rule of real estate. These overhead costs are typically absorbed by you, the pet owner, who pays the bills for services like vaccination administration. Even within metro regions, costs can vary.
ManyPets used data from Banfield Pet Hospital’s price estimator tool to break down the cost of vaccinating your dog in the United States’25 most populous cities. The average cost mentioned refers to the average among the 25 most populous cities.
New York City

– Average vaccination cost: $34.87 ($1.52 more expensive than average)
— Bordetella: $31.79
— Distemper Parvo DAPP: $37.16
— H3N2 and H3N8 influenza: $50.31
— Leptospirosis: $22.75
— Lyme disease: $40.82
— Rabies: $26.40
Los Angeles

– Average vaccination cost: $35.73 ($2.38 more expensive than average)
— Bordetella: $32.57
— Distemper Parvo DAPP: $38.07
— H3N2 and H3N8 influenza: $51.55
— Leptospirosis: $23.31
— Lyme disease: $41.82
— Rabies: $27.05
Chicago

– Average vaccination cost: $33.61 ($0.26 more expensive than average)
— Bordetella: $30.64
— Distemper Parvo DAPP: $35.82
— H3N2 and H3N8 influenza: $48.50
— Leptospirosis: $21.92
— Lyme disease: $39.34
— Rabies: $25.45
Houston

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Phoenix

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Philadelphia

– Average vaccination cost: $34.45 ($1.10 more expensive than average)
— Bordetella: $31.40
— Distemper Parvo DAPP: $36.70
— H3N2 and H3N8 influenza: $49.70
— Leptospirosis: $22.47
— Lyme disease: $40.32
— Rabies: $26.08
San Antonio

– Average vaccination cost: $31.63 ($1.72 less expensive than average)
— Bordetella: $28.83
— Distemper Parvo DAPP: $33.70
— H3N2 and H3N8 influenza: $45.64
— Leptospirosis: $20.63
— Lyme disease: $37.02
— Rabies: $23.95
San Diego

– Average vaccination cost: $36.16 ($2.81 more expensive than average)
— Bordetella: $32.97
— Distemper Parvo DAPP: $38.53
— H3N2 and H3N8 influenza: $52.18
— Leptospirosis: $23.59
— Lyme disease: $42.33
— Rabies: $27.38
Dallas

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Austin, Texas

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
San Jose, California

– Average vaccination cost: $37.06 ($3.71 more expensive than average)
— Bordetella: $33.78
— Distemper Parvo DAPP: $39.49
— H3N2 and H3N8 influenza: $53.47
— Leptospirosis: $24.17
— Lyme disease: $43.38
— Rabies: $28.06
Fort Worth, Texas

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Jacksonville, Florida

– Average vaccination cost: $31.63 ($1.72 less expensive than average)
— Bordetella: $28.83
— Distemper Parvo DAPP: $33.70
— H3N2 and H3N8 influenza: $45.64
— Leptospirosis: $20.63
— Lyme disease: $37.02
— Rabies: $23.95
Columbus, Ohio

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Charlotte, North Carolina

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
Indianapolis

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
San Francisco

– Average vaccination cost: $38.91 ($5.56 more expensive than average)
— Bordetella: $35.47
— Distemper Parvo DAPP: $41.46
— H3N2 and H3N8 influenza: $56.14
— Leptospirosis: $25.38
— Lyme disease: $45.55
— Rabies: $29.46
Seattle

– Average vaccination cost: $34.87 ($1.52 more expensive than average)
— Bordetella: $31.79
— Distemper Parvo DAPP: $37.16
— H3N2 and H3N8 influenza: $50.31
— Leptospirosis: $22.75
— Lyme disease: $40.82
— Rabies: $26.40
Denver

– Average vaccination cost: $32.01 ($1.34 less expensive than average)
— Bordetella: $29.18
— Distemper Parvo DAPP: $34.11
— H3N2 and H3N8 influenza: $46.19
— Leptospirosis: $20.88
— Lyme disease: $37.47
— Rabies: $24.24
District of Columbia

– Average vaccination cost: $34.87 ($1.52 more expensive than average)
— Bordetella: $31.79
— Distemper Parvo DAPP: $37.16
— H3N2 and H3N8 influenza: $50.31
— Leptospirosis: $22.75
— Lyme disease: $40.82
— Rabies: $26.40
Boston

– Average vaccination cost: $34.87 ($1.52 more expensive than average)
— Bordetella: $31.79
— Distemper Parvo DAPP: $37.16
— H3N2 and H3N8 influenza: $50.31
— Leptospirosis: $22.75
— Lyme disease: $40.82
— Rabies: $26.40
El Paso, Texas

– Average vaccination cost: $30.87 ($2.48 less expensive than average)
— Bordetella: $28.14
— Distemper Parvo DAPP: $32.89
— H3N2 and H3N8 influenza: $44.54
— Leptospirosis: $20.14
— Lyme disease: $36.13
— Rabies: $23.38
Nashville, Tennessee

– Average vaccination cost: $31.24 ($2.11 less expensive than average)
— Bordetella: $28.48
— Distemper Parvo DAPP: $33.29
— H3N2 and H3N8 influenza: $45.08
— Leptospirosis: $20.38
— Lyme disease: $36.57
— Rabies: $23.66
Oklahoma City

– Average vaccination cost: $31.24 ($2.11 less expensive than average)
— Bordetella: $28.48
— Distemper Parvo DAPP: $33.29
— H3N2 and H3N8 influenza: $45.08
— Leptospirosis: $20.38
— Lyme disease: $36.57
— Rabies: $23.66
Las Vegas

– Average vaccination cost: $33.61 ($0.26 more expensive than average)
— Bordetella: $30.64
— Distemper Parvo DAPP: $35.82
— H3N2 and H3N8 influenza: $48.50
— Leptospirosis: $21.92
— Lyme disease: $39.34
— Rabies: $25.45
This story originally appeared on ManyPets and was produced and distributed in partnership with Stacker Studio.