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Old 04-22-2012, 07:43 AM
 
Location: Texas
14,076 posts, read 20,563,129 times
Reputation: 7807

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Quote:
Originally Posted by EdwardA View Post
Start billing their countries. A lot of the expense is not necessarily born from emergency care but from what comes after they are stabilized. We have patients we can't discharge home or some other long term care facility because no one will take them because of their status. So they move them to a wing of a hospital sucking up valuable resources that could be used for another patient.

Ok, so you bill Mexico and they don't pay (I assure you they won't). What have you accomplished other than to feel better about it all?
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Old 04-22-2012, 07:55 AM
 
Location: Foot of the Rockies
90,296 posts, read 120,983,399 times
Reputation: 35920
Quote:
Originally Posted by Jerseyt719 View Post
How do you figure that Republicans would rather that child dead? I have seen entire counties come together as well as churches, etc in massive fundraising efforts to help families like this.
That was a horrible thing to say and a terrible generalization. You are lumping all republicans in one group the same as the "observation" that started this thread. Do all doctors do this? If so, while I will admire their dedication to their profession, I will certainly look down on them as a very closed minded bunch of people.
All I can say is WOW.
Right. Let's all have an endless stream of spaghetti dinners, golf tournaments, etc to pay for this stuff! That is NOT the way to provide health care to the needy.
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Old 04-22-2012, 08:09 AM
 
Location: The Beautiful Pocono Mountains
5,450 posts, read 8,777,716 times
Reputation: 3002
Quote:
Originally Posted by Katiana View Post
Right. Let's all have an endless stream of spaghetti dinners, golf tournaments, etc to pay for this stuff! That is NOT the way to provide health care to the needy.
No it's not but to say that the whole bunch would rather the kid die is a bit ridiculous as well.
Further I think we all seem to forget that no one can be denied healthcare either whether you can pay or not.
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Old 04-22-2012, 08:14 AM
 
47,525 posts, read 69,810,499 times
Reputation: 22474
Quote:
Originally Posted by stillkit View Post
What assault did I make on someones life experience? You do realize, I hope, that it wasn't me who wrote that original piece?

What I said is that the doctor who wrote it is a bigot. A bigot is someone who practices bigotry, which is defined as: :a person who is obstinately or intolerantly devoted to his or her own opinions and prejudices; especially : one who regards or treats the members of a group (as a racial or ethnic group) with hatred and intolerance.

He used his position as a doctor to criticize and belittle a group of people: his poor patients. He deigned to sit in judgment of them based upon his observations. If that's not bigotry, what is?
That's impossible not to do. It doesn't mean he didn't provide them good care. It just means he saw what he saw and everyone sees this kind of thing with our huge welfare crowd. They do have money to buy hair extensions, expensive nails, beer, drugs, big cars, cell phones, anything they want. They just expect the taxpayers to pay for whatever they need.

Our welfare recipients live like kings and queesn, there is no escaping that reality.
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Old 04-22-2012, 08:17 AM
 
Location: Foot of the Rockies
90,296 posts, read 120,983,399 times
Reputation: 35920
Quote:
Originally Posted by Jerseyt719 View Post
No it's not but to say that the whole bunch would rather the kid die is a bit ridiculous as well.
Further I think we all seem to forget that no one can be denied healthcare either whether you can pay or not.
I made a pledge to myself that whenever anyone said the above, I would present the facts. The EMTALA refers to emergency care. A child with cancer would not fit this profile until the cancer was so advanced he was in an emergency situation, e.g. couldn't breathe well, etc.

A doctor in private practice can refuse to see anyone and everyone s/he so chooses. Most states have some "safety net" setups in place to HELP with health care, but there are no guarantees.
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Old 04-22-2012, 08:21 AM
 
Location: NJ/NY
18,500 posts, read 15,308,931 times
Reputation: 14369
Quote:
Originally Posted by hawkeye2009 View Post
I am a physician. I have never, nor have any of my associates, ever called the ER the "ED". I have actually never heard a fellow physician call the ER the "ED". Likewise, the SICU, the MICU, and the OR have always been called by those names.

I second the medicaid experience. They are by far the worst patients we see and we only see medicaid that our neurosurgeons have picked up on call, otherwise we do not see them. They are refractory to nearly every medicine or treatment and cannot be helped.
+1. I call it the ER too.

The most egregious one I have seen happened a few months ago. I put a labor epidural in a medicaid patient. The medicaid reimbursement doesn't even cover the cost of the epidural kit, let alone my time. When I left to go home, I passed by the husband sitting in a Mercedes S class having a cigarette.

Some people really know how to play the system like a fiddle.
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Old 04-22-2012, 08:24 AM
 
Location: The Beautiful Pocono Mountains
5,450 posts, read 8,777,716 times
Reputation: 3002
Quote:
Originally Posted by Katiana View Post
I made a pledge to myself that whenever anyone said the above, I would present the facts. The EMTALA refers to emergency care. A child with cancer would not fit this profile until the cancer was so advanced he was in an emergency situation, e.g. couldn't breathe well, etc.

A doctor in private practice can refuse to see anyone and everyone s/he so chooses. Most states have some "safety net" setups in place to HELP with health care, but there are no guarantees.
And any doctor worth their salt will not turn a kid with cancer away.
Their are many many organizations set up for these situations.

Are you saying that it's more the republicans' fault that the kid doesn't get treated or the doctors that say "sorry, you can't pay so you die" while they go home to their own lavish lifestyles. Hypocritical?
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Old 04-22-2012, 08:37 AM
 
Location: NJ/NY
18,500 posts, read 15,308,931 times
Reputation: 14369
Quote:
Originally Posted by Jerseyt719 View Post
And any doctor worth their salt will not turn a kid with cancer away.
Their are many many organizations set up for these situations.

Are you saying that it's more the republicans' fault that the kid doesn't get treated or the doctors that say "sorry, you can't pay so you die" while they go home to their own lavish lifestyles. Hypocritical?
True. I help run one of these organizations.
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Old 04-22-2012, 08:46 AM
 
Location: The Beautiful Pocono Mountains
5,450 posts, read 8,777,716 times
Reputation: 3002
Quote:
Originally Posted by AnesthesiaMD View Post
True. I help run one of these organizations.
Thank you for that. I am fortunate to not have needed such organizations but do know others that have.
I know this is not pc but God bless you and your colleagues for being generous with your gifts and services and providing for those in need.
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Old 04-22-2012, 08:55 AM
 
Location: US
3,091 posts, read 3,973,912 times
Reputation: 1648
That ER doctor is not biased--this is what he/she sees. It has nothing to do with being a Christian nation. It's a matter of priorities. It's not becuase of a flaw in the system. What that ER doc sees, which EdwardA pointed out, too, is a reality. It has nothing to do with a child with cancer as it is a person who is sick because of a lifestyle choice. There's a big difference. Do not confuse people who have a terrible life-threatening sickness with people who choose their lifestyle and reap the consequences because of it.


Quote:
Originally Posted by odinloki1 View Post
Dear ER doctor,

I find you biased. I see tons of people who make little to no money and live clean lifestyles also on medicaid.

If we claim to be a Christian nation we should acknowledge that God would have spared Sodom for 10 good people. Perhaps we should take that as an example.

Just 2 days ago I saw a 3 year old that I am worried may have cancer with parents on medicaid. If you and the Republicans have their way that kid will be dead soon.

Keep that in mind before you whine about the minority of people that you end up seeing because of a flaw in the system.

Perhaps those patients which annoy you so much would take better care of themselves if they had a primary care provider who gave a crap instead of having to see you.

Sincerely

A primary care provider
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