App attempts to break barriers to bankruptcy for those in medical debt

Blake Farmer, Nashville Public Radio on

Published in Business News

An unplanned and complicated pregnancy pushed Carlazjion Constant of Smyrna, Tennessee, to the financial brink.

Her high-deductible health insurance paid virtually nothing toward the extra obstetrician visits needed during her high-risk pregnancy. Just as those bills totaling $5,000 came due last year, a real estate company started garnishing her paycheck over a broken lease during college a decade ago.

“I have a child. Like, I can’t do that,” said Constant, who works as a medical assistant in a pediatric office. “Something has to be done. There has to be a way out.”

She stumbled upon the Brooklyn-based nonprofit Upsolve, which helps consumers use bankruptcy laws to their advantage.

Medical bills are often what push people into personal bankruptcy, despite rarely figuring as a family’s largest debt. But they tend to be unexpected. Nearly 1 in 5 U.S. households are on the hook for overdue medical bills, according to the U.S. Census Bureau, with higher concentrations in the South, where many states haven’t expanded Medicaid to cover the working poor.

When Constant, 31, started looking into Chapter 7 bankruptcy, though, she learned lawyers might charge her at least $1,500.


“To get out of debt, I’m going back into debt,” she said. “It was just wild to me.”

Bankruptcy is a last-resort fix, but the financial reset button is also out of reach for many because the act of declaring bankruptcy is relatively expensive. Most people use one of two options under the federal bankruptcy laws to get out of debt. Chapter 7 bankruptcy is intended for those without many assets to protect. It essentially cancels most debts — though rarely student loans — while the other commonly used option, Chapter 13, often sets up repayment plans.

Constant’s web search for a cheaper solution led her to the Upsolve site, where users can download a free app that helps them file without the expense of hiring an attorney. Users still owe a $335 court filing fee, though the app helps them apply to have it waived.

“Those legal fees are like modern-day poll taxes,” said co-founder and CEO Rohan Pavuluri. “If you can’t pay the fee, you can’t access this right you’re supposed to be guaranteed.”


swipe to next page
©2022 Kaiser Health News. Visit Distributed by Tribune Content Agency, LLC.