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A day before a long-scheduled surgery, Aminatou Sow got an unexpected phone call: Her hospital wanted her to pay her share of medical bill before the operation took place.

Sow has a $4,000 deductible, and the hospital representative asked for that entire amount upfront. The representative suggested that she provide a credit card number that could be charged.

Sow, who hosts the Call Your Girlfriend podcast, recounted the experience on Twitter:

Money really is at the heart of everything that is fucked up with our healthcare. Case in point: I’m scheduled for surgery tomorrow morning. It’s been on the books for weeks. I’ve gone through extensive pre-testing and have followed up with the hospital every step of the way

— Aminatou Sow (@aminatou) January 22, 2018

Typically you get a call the day before surgery to confirm what time you’re supposed to show up. NBD. Talked to the surgical coordinator. Got my checkin time. I asked if all my paperwork was in order. Before that I was in touch with my insurance. Yup all good.

— Aminatou Sow (@aminatou) January 22, 2018

Then I get a call from someone in the finance department of the hospital. Along the lines of “oh your deductible is high and you haven’t met any of it yet” yes no shit Jennifer from finance. It’s the 22nd day of January. Nobody has hit their deductible.

— Aminatou Sow (@aminatou) January 22, 2018

Surgery is in ~18 hours and this woman is telling me that I have to pay my entire deductible before surgery. “Please use a credit card” How polite. I am stunned. There is a long silence and she says “you at least have to pay half to get this surgery”

— Aminatou Sow (@aminatou) January Read More Here