President Donald Trump - J.D. Vance Administration

[McDad]

You're doing it wrong, guy.

I'm not your guy, Pal.

 

[MOOOOONEY]

Just to verify... ER visits are not free for non-emergency, uninsured patients, correct? So, it would be a bit ridiculous to go to the most expensive form of care when you don't have insurance?

There are many free medical clinics for indigent individuals.

If there’s anyone near Oak Ridge that doesn’t have health insurance then click the link.

Free Medical Clinic

www.fmcor.org

 

[Orange_Crush]

Right on time.

Nice!

 

[Vol8188]

Honestly, ER abuse is one of the biggest wastes of Medicaid money. WITHOUT QUESTION, my patients with TennCare are the most likely to go to ETCH or an outlying ER with cold symptoms, minor injuries, etc that are much more appropriately seen in my office. However, the ER is free and they don't need an appointment, so there's no deterrent to wasting taxpayer money and the ER staff's time.

Most private insurance carries a much higher copay for ER visits, so they will wait and see me unless it's a true emergency.

100% agree. Some of it is intellect. Some of it is they don’t care because they’re not paying. Some of it is mental illness driven (my BPD and schizophrenic patients for example).

Had one go to the ER recently “to discuss HSV”. She had no lesions. She just wanted to talk about her recent lab work from my office. Everything could have been addressed with me the next day or she could have called and spoke to my nurses. But she saw it on her patient portal in the middle of the night and obviously discussing herpes is a medical emergency

 

[Orange_Crush]

100% agree. Some of it is intellect. Some of it is they don’t care because they’re not paying. Some of it is mental illness driven (my BPD and schizophrenic patients for example).

Had one go to the ER recently “to discuss HSV”. She had no lesions. She just wanted to talk about her recent lab work from my office. Everything could have been addressed with me the next day or she could have called and spoke to my nurses. But she saw it on her patient portal in the middle of the night and obviously discussing herpes is a medical emergency

If Medicare started refusing payment for that kind of stuff at the ER, it'd be a great treatment for a lack of impulse control.

 

[Ritzwatch]

If Medicare started refusing payment for that kind of stuff at the ER, it'd be a great treatment for a lack of impulse control.

It is usually Medicaid, not Medicare.

 

[Orange_Crush]

It is usually Medicaid, not Medicare.

Point stands.

 

[GordonC]

There's a few true believers here. On several sides.
Most just like to argue.

I mean dey are others who just wanna stir the pot

 

[Vol8188]

If Medicare started refusing payment for that kind of stuff at the ER, it'd be a great treatment for a lack of impulse control.

Agreed. It’s hard too though because there’s always shades of gray. I have two specific schizophrenic patients.

Patient 1: he shows up and always requests bloodwork because “the midgets injected me with bleach”, or some other wild complaint that I can blow off. So I just have my nurses get his vitals, I talk to him, examine him depending on the complaint, and then send him on his way without ever officially signing him in or treating it as a visit. Because it feels like fraud to charge Medicaid for daily visits.

Patient 2: schizophrenic who always shows up with pain and claiming she has fallen. Anything you touch always hurts. And she frequently complains of vomiting. On that I need to check her potassium, sometimes order X-rays, etc. So it’s a lot harder in her situation to know if a visit is warranted.

 

[Vol8188]

It is usually Medicaid, not Medicare.

Very true. The ones that slow or they mentally ill are far less likely to make it to Medicare

 

[Orange_Crush]

Agreed. It’s hard too though because there’s always shades of gray. I have two specific schizophrenic patients.

Patient 1: he shows up and always requests bloodwork because “the midgets injected me with bleach”, or some other wild complaint that I can blow off. So I just have my nurses get his vitals, I talk to him, examine him depending on the complaint, and then send him on his way without ever officially signing him in or treating it as a visit. Because it feels like fraud to charge Medicaid for daily visits.

Patient 2: schizophrenic who always shows up with pain and claiming she has fallen. Anything you touch always hurts. And she frequently complains of vomiting. On that I need to check her potassium, sometimes order X-rays, etc. So it’s a lot harder in her situation to know if a visit is warranted.

You're doing God's work, amigo.

 

[RockyTop85]

There are many free medical clinics for indigent individuals.

If there’s anyone near Oak Ridge that doesn’t have health insurance then click the link.

Free Medical Clinic

www.fmcor.org

FWIW, people without insurance still abuse the ER the same way. If they can’t pay the bill, they don’t care how big the number is. The cost to collect (beyond sending a letter) is more than the hospital would ever get in most cases.

Also they’re statistically less healthy so they probably go more often.

I imagine the cost gets absorbed by the hospital and passed on to paying patients.

 

[luthervol]

If they accept Medicare then they already are.

So what’s your argument?

That all of the nuts on here screaming that non-citizens should receive no health care and that there is absolutely no room for compromise are just that...................nuts

 

[swampfoxfan]

Inform me. Please. Show me data proving your point

I'll try. But to be clear you have shown no data.

What democrats have been lying about full hospitals?? That wasn't part of the discussion.

As for ER abuse, that's been going on as long as I can remember. But my point is that not insuring indigent persons ERs are left to absorb the cost of treatment. Anybody presenting themselves at an ER must be treated, If only to tell them nothing is wrong. Insured or not has no bearing on the number of er visits.

 

[Vol8188]

FWIW, people without insurance abuse the ER the same way. If they can’t pay the bill, they don’t care how big the number is. The cost to collect (beyond sending a letter) is more than the hospital would ever get in most cases.

Providing them free healthcare doesn’t fix that. If anything it may worsen it.

Also they’re statistically less healthy so they probably go more often.

Often self inflicted

I imagine the cost gets absorbed by the hospital and passed on to paying patients.

Both directly (increased prices) and indirectly (increased funding of government programs to pay for their services).

 

[McDad]

I mean dey are others who just wanna stir the pot

A few who wanna smoke the pot, too.

 

[Orange_Crush]

That all of the nuts on here screaming that non-citizens should receive no health care and that there is absolutely no room for compromise are just that...................nuts

Why? Why are they nuts? Why would illegal immigrants deserve free healthcare when working, taxpaying citizens do not?

 

[GordonC]

A few who wanna smoke the pot, too.

Dat dam @PEPPERCRAX and the devil's lettuce

 

[Buddy’s Bandit]

All republicans are not racist, but all racist are republicans.

Biden eulogized Robert Byrd, right?

 

[luthervol]

Why? Why are they nuts? Why would illegal immigrants deserve free healthcare when working, taxpaying citizens do not?

I never said that. I said there was room and need for compromise.
The nuts on here said there was no room for compromise.
Go back and look if need be.

 

[Orange_Crush]

I never said that. I said there was room and need for compromise.
The nuts on here said there was no room for compromise.
Go back and look if need be.

OK. If they don't want to compromise and give healthcare to illegal aliens under any circumstance, why would they be nuts? Especially if you didn't think that illegal aliens deserve free healthcare, why would it be "nuts" to not want to give them something that they don't deserve?

 

[JOEY’S ALL VOL !!!]

FWIW, people without insurance still abuse the ER the same way. If they can’t pay the bill, they don’t care how big the number is. The cost to collect (beyond sending a letter) is more than the hospital would ever get in most cases.

Also they’re statistically less healthy so they probably go more often.

I imagine the cost gets absorbed by the hospital and passed on to paying patients.

No, the cost does not get absorbed by the hospital, it eventually (sooner rather than later) gets passed on to the state healthcare administration for reviewal
which immediately becomes a fracking nightmare.

 

[luthervol]

OK. If they don't want to compromise and give healthcare to illegal aliens under any circumstance, why would they be nuts? Especially if you didn't think that illegal aliens deserve free healthcare, why would it be "nuts" to not want to give them something that they don't deserve?

Because we will treat a child with life threatening injuries at any emergency room, regardless of ability to pay.

 

[MOOOOONEY]

FWIW, people without insurance still abuse the ER the same way. If they can’t pay the bill, they don’t care how big the number is. The cost to collect (beyond sending a letter) is more than the hospital would ever get in most cases.

Also they’re statistically less healthy so they probably go more often.

I imagine the cost gets absorbed by the hospital and passed on to paying patients.

I understand that.

That’s why I said anyone without health insurance.

 

[walkenvol]

Do you believe pedophiles change

Should change from breathing to not. No room in this world for someone who would be sexually drawn to a child.