TheRealThing Wrote:You know no offense intended but, to me you act like the buck is going to stop with hospitals and insurance companies. I know you've got a piece of this because you said it's a tough one to balace but, try to understand something. When such a vast number of folks get health care for free, there is only one recourse. Other people pay for it. Expensive drugs, treatment, a drink of water that costs 250 dollars, whatever. Now here's the rub. Not only do we still have the same people being given free care, it's going to be government mandated and regulated, and wildly expanded. How much power will government watchdog agencies have over those who oversee patient care? Well how much power does the EPA and the IRS have?
At least as things were, hospitals and doctors were in charge of their own destinies. Now, whether bureaucrats want to admit it or not, we are within a few years at best, of a government health care system. They owned it as of 2010 just like they own welfare. And again, who pays for welfare?
The only thing that has been accomplished with the passage of ObamaCare is a greatly exacerbated misery index. Yours and my care will be woefully substandard as compared to the preObamaCare days and yet, we will pay at least $20 thousand a year for a policy that only pays 60% of covered care in the person of physicians, procedures and services. We're gong to get much worse and pay much more.
It's circular logic. The same folks who didn't use to pay will still not pay and the ones who did pay will pay much more for much less. What did we fix here?
My point is that we are already paying for it. Whether it is through Medicare, Medicaid, or skyrocketing costs for procedures and visits.
If many of these people who have no insurance, were able to get preventative care, and follow up with office visits, it would cost literally 10,000 times less.
When a person visits the ED, the doctors and staff are required to run batteries of tests, depending on the complaints, even if that patient has been seen multiple times before in that same ED, for the same complaint. This is because they have to protect their license.
I'll use one example I have used before. One lady used to come into the ED all the time for migraines. I looked once at her visits, and it was in the dozens, 30-40 for less than a year. Uninsured obviously. This is because she couldn't follow up with a family doc, because she couldn't afford it, and the ED is only going to give ya a script for 1 week usually. So every single time she came in, the same tests would be ran, CT's, blood work, urinalysis, etc..
The ED doctors have to treat each visit differently, they can't say, well here is Mrs. Doe again, she just needs pain meds, write her a script and send her on her way. Because, that one time something is actually wrong, they will be up crap creek.
Now, if she had insurance, she could establish with a family doctor, and the family doctor will not be required to do that every time, and they can also write scripts with refills, over the phone, etc.. so instead of the 30-40 visits, at the cost of probably 5-9k a visit, they could go to the family doc at the cost of a couple hundred bucks for the entire year.
That's upwards of maybe 270k for treatment (that we are paying for one way or another) or a couple hundred bucks for an entire year. Which do you prefer?
This is just 1 patient, out of dozens at the one hospital I was at.
It seems from the discussions on here TRT, that you are more for just letting people go without treatment. That's never going to happen, or people will get in such bad shape that when they finally get critical and end up being rushed to the hospital via ambulance and require hundreds of thousands of dollars in emergency care, surgery, etc..
I'm all for cutting spending, especially welfare, disability (this is where the lifetime abuse happens), food stamps, etc..
People should not go without proper healthcare or preventative care, if we cut down the spending in other areas, and address the healthcare issue with some common sense, we will see that we can afford to help those in need with medical problems, and not spend a trillion+ dollars a year doing it.
Not only would we be cutting spending, but it would also go a long way in stabilizing a huge sector of our workforce.
Even with the huge increases hospitals have instituted, many are still struggling to get by, and this is almost solely attributed to the cost of care for those without insurance, as well as the govt putting limits on what they will pay for procedures, thus cutting income, but doing nothing about the expenses the hospitals face.