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Re: Health insurance

Posted: Sun Feb 16, 2020 6:12 pm
by blackomen
Don wrote:
Sun Feb 16, 2020 5:40 pm
I know an illegal immigrant who suffered a massive heart attack in NYC. He was revived and spent 2 weeks in a fine hospital. After about a month he went back in for another week for a heart valve repair.

His bill is probably close to a million dollars but it's not costing him a cent.

How can this country not go bankrupt absorbing these huge health bills from illegals?
We need to send that bill to Mexico or whatever his home country is.

Re: Health insurance

Posted: Sun Feb 16, 2020 8:26 pm
by technovelist
Don wrote:
Sun Feb 16, 2020 5:40 pm
I know an illegal immigrant who suffered a massive heart attack in NYC. He was revived and spent 2 weeks in a fine hospital. After about a month he went back in for another week for a heart valve repair.

His bill is probably close to a million dollars but it's not costing him a cent.

How can this country not go bankrupt absorbing these huge health bills from illegals?
Isn't that question racist?
(Note: sarcasm)

Re: Health insurance

Posted: Mon Feb 17, 2020 8:48 am
by sophie
blackomen wrote:
Sun Feb 16, 2020 6:12 pm
Don wrote:
Sun Feb 16, 2020 5:40 pm
I know an illegal immigrant who suffered a massive heart attack in NYC. He was revived and spent 2 weeks in a fine hospital. After about a month he went back in for another week for a heart valve repair.

His bill is probably close to a million dollars but it's not costing him a cent.

How can this country not go bankrupt absorbing these huge health bills from illegals?
We need to send that bill to Mexico or whatever his home country is.
Now there's an idea!

To be fair, if you travel, say, to the UK on a visit and have that same heart attack scenario, you'd receive your emergency care for free. The problem here in the US is the sheer numbers of illegal immigrants who end up needing emergency services. It is a substantial drain on the US hospital system, and a big reason why your costs are higher than they would be in a country with a more sane immigration policy.

D1984 that is a most excellent analysis, thanks! I should point out though that a large cost savings would also result from scrapping the ridiculous burdensome regulations that Obama put in place, and simplifying the byzantine documentation and billing rules that Medicare implemented long ago, I think under Clinton. Those rules were adopted by private insurers, so Medicare leads the way on these things and could force a change throughout the entire system. Medicare actually tried to do this a year ago, and the AMA pushed back on it and forced them to back down. I will not readily forgive the AMA for that.

Something also needs to be done about the EHR disaster. Not only is it driving up costs, it is forcing many older physicians (and some younger ones who just can't take the b-s anymore) out of the profession. And the ones still here spend something like 3/4 of their time on documentation tasks that used to be maybe 10% of time - do the math on that one. I think it would be hard at this point for institutions to get rid of their EHRs and go back to paper, so I'm not really sure what can be done. The golden opportunity was missed when the Obama administration mandated EHRs but did not declare CPRS/Vista as the national EHR system. (Yes there's another irony for you...CPRS was developed by the VA system, and it's far more user friendly, efficient and functional than any of the private EHRs - which were designed by and for lawyers and billers). I don't know a single physician who wouldn't cheer mightily if CPRS/Vista became their new EHR.

Re: Health insurance

Posted: Mon Feb 17, 2020 11:11 am
by Kbg
Am I wrong on this...to me since entering the commercial medical system it’s all about wringing the procedure bell as many times as legitimately possible for a given medical issue.

Re: Health insurance

Posted: Mon Feb 17, 2020 10:54 pm
by boglerdude
> How can this country not go bankrupt absorbing these huge health bills from illegals?

Depends how much wealth he generates. Because he's illegal we can pay him less than minimum wage, so he might generate more net revenue than many citizens

Re: Health insurance

Posted: Tue Feb 18, 2020 8:13 am
by sophie
Kbg wrote:
Mon Feb 17, 2020 11:11 am
Am I wrong on this...to me since entering the commercial medical system it’s all about wringing the procedure bell as many times as legitimately possible for a given medical issue.
Oh absolutely. Going to a physician, especially a specialist who does procedures, is increasingly putting yourself into the hands of a used car salesman. The physician may well be competent and caring, but he/she is also motivated - and pressured from above - to maximize billing.

The pressure from above, by the way, is now the main driver of that. The main effect of Obama's presidency was to put in place a vastly increased layer of administrators, all of whom want to be paid handsomely for their role in cracking the whip on us peons (oh excuse me, physicians).

Re: Health insurance

Posted: Tue Feb 18, 2020 9:37 am
by Kriegsspiel
A physical therapist I was working with for a bit told me that his overseers were doing the same thing to him.