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Old 10-03-2012, 04:13 PM
 
Location: Springfield, Ohio
14,683 posts, read 14,662,025 times
Reputation: 15421

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Quote:
Originally Posted by chirack View Post
ah Healthcare has always been rationed by your insurance company. They decide what they will and will not pay for and what your limits are. Even then the only way around those would be to pay cash.

Also the State via its board limits what treatments a Doctor can do and keep his license. If your doctor prescribes back rubs and not chemo/surgery to get rid of cancer then state could take away his license.

As for your story about working in healthcare (I doubt you do).

The hospital is the most expensive place to get treatment and as soon as your condition allows it you will be released to either your home or a nursing home (a skilled care facility). Sending a visiting nurse or other healthcare provider like a CNA is cheaper. Hence why hospitals are under pressure to release patients sooner (i.e. your insurance company is going to start to complain if you send excessive time in the hospital).

Re-admittance suggests the hospital didn’t do its job when they release the person. It could be the hospital is not at fault (i.e. the person truly got sicker or was made sick by something else). Or it could be a case of the hospital releasing the person a bit too early, or not explaining their treatment/care. It is like a Mechanic Shop with a high return rate (either they are not fixing the problem or they have other issues).
There are a couple more factors here...including doctors who refuse to do what is necessary for a person who is essentially on their last leg (DNR comfort care, hospice) because it benefits their wallet, and the patients who are unwilling to follow the plan of home care and end up right back in the hospital, ad nauseum (smokers and non-compliant diabetics are the worst at this).
I agree with the spirit of that aspect of the health care bill, but the reality is not always so cut & dry.
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Old 10-03-2012, 05:01 PM
 
Location: the very edge of the continent
89,060 posts, read 44,877,895 times
Reputation: 13718
Quote:
Originally Posted by Natural510 View Post
There are a couple more factors here...including doctors who refuse to do what is necessary for a person who is essentially on their last leg (DNR comfort care, hospice) because it benefits their wallet, and the patients who are unwilling to follow the plan of home care and end up right back in the hospital, ad nauseum (smokers and non-compliant diabetics are the worst at this).
I agree with the spirit of that aspect of the health care bill, but the reality is not always so cut & dry.
I will also add that many of the elderly are simply unable to follow the plan of home care.

Hell, Medicaid patients age 18-64 apparently can't follow the plan of home care after hospital discharge, either. They have a HIGHER rate of readmission than do Medicare patients. But Obama isn't limiting their medical care.
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Old 10-03-2012, 05:13 PM
 
Location: Hinckley Ohio
6,721 posts, read 5,205,104 times
Reputation: 1378
No, you haven't backed up that a hospital won't take a readmission once they reach a limit. THAT was the claim you mafe and that ismt true. Man up.

Quote:
Originally Posted by InformedConsent View Post
Limits have actually been placed on Medicare readmissions by Obamacare. I did back it up. Both Dr. Sunil Kripalani and NPR agree, higher readmissions result in lowermortality. Lower readmissions result in higher mortality:

More than 2,200 hospitals face penalties under ObamaCare rules
When Going Back To The Hospital Is Good News : Health Blog : NPR
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Old 10-03-2012, 10:47 PM
 
Location: the very edge of the continent
89,060 posts, read 44,877,895 times
Reputation: 13718
Quote:
Originally Posted by buzzards27 View Post
No, you haven't backed up that a hospital won't take a readmission once they reach a limit.
They will have no choice. Especially the non-profit hospitals. They won't be able to pay the fines.

Increasingly, doctors won't take Medicare patients because of Medicare payment cuts.
The Next Exodus: Primary-Care Physicians and Medicare

Hospitals won't readmit Medicare patients when they can't pay the fines for doing so. It's simple math.

Seniors, you better hope you don't become ill or require surgery after hospitals have already hit their readmissions limit...
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Old 10-04-2012, 09:43 AM
 
Location: Norman, OK
3,478 posts, read 7,258,638 times
Reputation: 1201
We already heard Obama's take on helping the very sick and elderly back in his townhall meeting with George S. - 'Take a painkiller'.
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Old 10-04-2012, 12:11 PM
 
Location: the very edge of the continent
89,060 posts, read 44,877,895 times
Reputation: 13718
Quote:
Originally Posted by wxjay View Post
We already heard Obama's take on helping the very sick and elderly back in his townhall meeting with George S. - 'Take a painkiller'.
Good point. Obama telegraphed his intention to cut senior's access to medical care before he was even elected.


Obama in The Pacemaker v. The Pain Pill - YouTube
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Old 10-04-2012, 12:12 PM
 
Location: Crooklyn, New York
32,114 posts, read 34,753,293 times
Reputation: 15093
There was this guy named Franklin D. Roosevelt...
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Old 10-04-2012, 05:44 PM
 
41,110 posts, read 25,755,378 times
Reputation: 13868
Quote:
Originally Posted by InformedConsent View Post
Good point. Obama telegraphed his intention to cut senior's access to medical care before he was even elected.


Obama in The Pacemaker v. The Pain Pill - YouTube


fed, clothed, lodged, taught, and employed whether you like it or not. If it were discovered that you had not character and industry enough to be worth all this trouble, you might possibly be executed in a kindly manner.

Does anyone know who's beliefs these are? Pay attention to the red text. Is there a justification for treatment? Obama's solution is to give her a pain pill.
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Old 10-04-2012, 07:14 PM
 
Location: The Land of Reason
13,221 posts, read 12,328,408 times
Reputation: 3554
Quote:
Originally Posted by Donna-501 View Post
Sorry but I know exactly how they work and yes the insurance company will say how long and what test you can have.

I have called quality assurance a few times and the hospital backed down on releasing patients.

People do not realize that their connections and or insurance type dictates the care that they recieve in many hospitals around the country.
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Old 10-05-2012, 11:23 AM
 
41,110 posts, read 25,755,378 times
Reputation: 13868
Quote:
Originally Posted by simetime View Post
People do not realize that their connections and or insurance type dictates the care that they recieve in many hospitals around the country.
I know, they are very naive about the situation with hospitals and insurance companies. Well they will find that out when their time comes sooner than it really had to.
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