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Old 07-18-2011, 01:03 PM
 
1,518 posts, read 5,269,990 times
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Quote:
Originally Posted by Lakewooder View Post
Similarly, some Plano and Collin County people end up at Dallas County taxpayer-supported Parkland Hospital.
Some? Try "most!" Send those leeches a bill.
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Old 07-18-2011, 01:57 PM
 
Location: North Texas
24,561 posts, read 40,285,459 times
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Quote:
Originally Posted by Lakewooder View Post
Similarly, some Plano and Collin County people end up at Dallas County taxpayer-supported Parkland Hospital.
Quote:
Originally Posted by hamiltonpl View Post
Some? Try "most!" Send those leeches a bill.
I remember reading about some efforts by Parkland to collect from CoCo and DeCo residents a few years ago.
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Old 07-18-2011, 05:38 PM
 
Location: TX
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This is purely anecdotal, but during the times I've worked at 3 different Collin county hospital EDs in the past - any time I had to transfer someone out of my ED to Parkland it was for appropriate specialist care unavailable in a community hospital. Typically these patients were privately insured more often than not, so I wouldn't refer to this patient population that I personally have experience with as 'leeches'. Furthermore, I'd be willing to bet there are more OB patients from Dallas co cruising on up to Collin co hospitals when in labor than there are headed the opposite direction. Since the EDs can't turn away pts in active labor thanks to EMTALA ... well, those private MCP and PHOP post partum rooms sure are nice - and I've seen this happen personally, and my wife (who is a pediatrician) has seen it as well as she takes care of the newborns when on call in these cases. So I'm all for hospitals and physicians receiving proper compensation for costs incurred, but in the end there's give and take both ways and we should be glad we live in and area with so many great hospitals available.

Last edited by tyanger; 07-18-2011 at 06:07 PM..
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Old 07-18-2011, 06:25 PM
 
19,793 posts, read 18,085,519 times
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Quote:
Originally Posted by tyanger View Post
This is purely anecdotal, but during the times I've worked at 3 different Collin county hospital EDs in the past - any time I had to transfer someone out of my ED to Parkland it was for appropriate specialist care unavailable in a community hospital. Typically these patients were privately insured more often than not, so I wouldn't refer to this patient population that I personally have experience with as 'leeches'. Furthermore, I'd be willing to bet there are more OB patients from Dallas co cruising on up to Collin co hospitals when in labor than there are headed the opposite direction. Since the EDs can't turn away pts in active labor thanks to EMTALA ... well, those private MCP and PHOP post partum rooms sure are nice - and I've seen this happen personally, and my wife (who is a pediatrician) has seen it as well as she takes care of the newborns when on call in these cases. So I'm all for hospitals and physicians receiving proper compensation for costs incurred, but in the end there's give and take both ways and we should be glad we live in and area with so many great hospitals available.
Nice post - but written from the angle of someone who must live in CoCo or DeCo.
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Old 07-18-2011, 06:30 PM
 
Location: TX
1,096 posts, read 1,835,296 times
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Quote:
Originally Posted by EDS_ View Post
Nice post - but written from the angle of someone who must live in CoCo or DeCo.
Definitely, but the same is true for the top couple of posts on this page. We could stand here and point fingers all day long and not really accomplish much.
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Old 07-18-2011, 06:47 PM
 
Location: San Antonio. Tx 78209
2,649 posts, read 7,440,762 times
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Quote:
Originally Posted by EDS_ View Post
Nice post - but written from the angle of someone who must live in CoCo or DeCo.
And your point is? Do those that live in those places have less valid opinions?
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Old 07-19-2011, 01:34 PM
 
419 posts, read 998,185 times
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Quote:
Originally Posted by tyanger View Post
This is purely anecdotal, but during the times I've worked at 3 different Collin county hospital EDs in the past - any time I had to transfer someone out of my ED to Parkland it was for appropriate specialist care unavailable in a community hospital. Typically these patients were privately insured more often than not, so I wouldn't refer to this patient population that I personally have experience with as 'leeches'. Furthermore, I'd be willing to bet there are more OB patients from Dallas co cruising on up to Collin co hospitals when in labor than there are headed the opposite direction. Since the EDs can't turn away pts in active labor thanks to EMTALA ... well, those private MCP and PHOP post partum rooms sure are nice - and I've seen this happen personally, and my wife (who is a pediatrician) has seen it as well as she takes care of the newborns when on call in these cases. So I'm all for hospitals and physicians receiving proper compensation for costs incurred, but in the end there's give and take both ways and we should be glad we live in and area with so many great hospitals available.

What? There are specialists in Dallas that don't exist up on the prairie in Plano? I'm shocked that those doctors can dodge all those bullets in Dallas and live to tell about it.
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Old 07-19-2011, 10:43 PM
 
Location: TX
1,096 posts, read 1,835,296 times
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Quote:
Originally Posted by HOAPRESIDENT View Post
What? There are specialists in Dallas that don't exist up on the prairie in Plano? I'm shocked that those doctors can dodge all those bullets in Dallas and live to tell about it.
Maybe I was careless in the wording of my post, but I don't believe I insulted Dallas/Dallas Co in anyway (and that was definitely not my intent), so I'm not entirely clear on what your exact issue with this is. I'll go ahead and assume you are actually attempting to participate in an adult discussion here. Yes, the most common transfers would be for major trauma, burns, and critically ill pediatric patients - although sometimes the sick kids would go to Medical City if Children's was full. One particularly bad winter I remember having to transfer a few kids to Cook and then once they were full even Houston and Oklahoma.

This is off topic anyway - so I'll leave it at that.

Last edited by tyanger; 07-19-2011 at 10:54 PM..
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Old 07-19-2011, 10:49 PM
 
19,793 posts, read 18,085,519 times
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Quote:
Originally Posted by smuboy86 View Post
And your point is? Do those that live in those places have less valid opinions?
Place bias seems to be in play.
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Old 07-19-2011, 10:54 PM
 
19,793 posts, read 18,085,519 times
Reputation: 17279
Quote:
Originally Posted by tyanger View Post
Definitely, but the same is true for the top couple of posts on this page. We could stand here and point fingers all day long and not really accomplish much.
The rub is CoCo and DeCo no pay users of just Parkland far and away exceed the costs of Dallas Co. no pay users of CoCo and DeCo hospitals. It's absurd to argue otherwise. There are decades of news stories and minutes of regional hearings etc. about this topic.
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