Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

A Band-Aid, a $629 ER bill, and a hard truth about American health care

Back in January of 2015, Malcolm Bird took his 1-year-old daughter, Colette, to his local emergency room. His wife had accidentally cut the tip of the young girl’s pinky finger while clipping her fingernails.

“There was an enormously large amount of blood,” Bird says, “The blood was all over Sarah and all over Colette and it was like, ‘Oh, my god what have you done here?’”

They were first-time parents, and the situation seemed serious.

Fortunately, Colette was fine. The doctor cleaned up her pinky with a wet paper towel, put a Band-Aid on it, and sent the family home.

All’s well that ends well.

Except the story doesn’t end there. A few weeks later, Bird got a bill in the mail. He discovered that the hospital was charging $629 for a five-minute visit and a Band-Aid.

How does a Band-Aid wind up costing so much money? Why are American health care prices so incredibly high?

Vox’s new podcast, The Impact, explores how policy affects real lives. This season, we’re focusing on health care, and we wanted to begin with one of thorniest questions in the American health care system: prices.

In this episode, we look at how the American decision not to regulate health care prices leads to $629 Band-Aids and $3,170 fees just for visiting the emergency room.

We talk to doctors who think these prices are totally justified and a health economist who doesn’t buy it. And we take a trip to the drug store to find out how much a Band-Aid should really cost.

Like what you’re hearing? Subscribe on Apple Podcasts, Stitcher, Overcast, or wherever you get podcasts. And you can always email us your feedback to impact@vox.com.

Hospitals keep ER fees secret. Share your bill here to help change that.

More in Politics

Podcasts
The Supreme Court abortion pills case, explainedThe Supreme Court abortion pills case, explained
Podcast
Podcasts

How Louisiana brought mifepristone back to SCOTUS.

By Peter Balonon-Rosen and Sean Rameswaram
Politics
Trump’s China policy is nearly the exact opposite of what everyone expectedTrump’s China policy is nearly the exact opposite of what everyone expected
Politics

As Trump heads to China, attention and resources are being shifted from Asia to yet another war in the Middle East.

By Joshua Keating
Politics
Are far-right politics just the new normal?Are far-right politics just the new normal?
Politics

Liberals are preparing for a longer war with right-wing populists than they once expected.

By Zack Beauchamp
The Logoff
Flavored vapes doomed Trump’s FDA headFlavored vapes doomed Trump’s FDA head
The Logoff

Why Marty Makary is out at the FDA, briefly explained.

By Cameron Peters
Politics
Virginia Democrats’ irresponsible new plan to save their gerrymanderVirginia Democrats’ irresponsible new plan to save their gerrymander
Politics

Democrats just handed the Supreme Court’s Republicans a loaded weapon.

By Ian Millhiser
The Logoff
Can Trump lower gas prices?Can Trump lower gas prices?
The Logoff

What suspending the gas tax would mean for you, briefly explained.

By Cameron Peters