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Thread: Hospitals Stuck With Illegals, Uninsured ‘Permanent Patients’ at Massive Costs

  1. #1
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    Hospitals Stuck With Illegals, Uninsured ‘Permanent Patients’ at Massive Costs

    http://news.yahoo.com/hospitals-stuc...223110870.html

    An unpleasant new report claims that many hospitals in major metro areas are struggling with the growing problem of “permanent patients.”
    What’s a “permanent patient”? According to the New York Times they are mostly illegal immigrants or people who lack insurance or their own housing that the hospital cannot turn away.

    The Times defines a “permanent patient”:
    …[someone who has] been languishing for months or even years in…hospitals, despite being well enough to be sent home or to nursing centers for less-expensive care, because they are illegal immigrants or lack sufficient insurance or appropriate housing.

    Of course, having dozens of patients hanging around that long means these hospitals are absorbing the bill for millions of dollars in unreimbursed expenses annually.

    Unsurprisingly, the majority of these “permanent patients” are illegal immigrants because, as mentioned in the above, they have no housing or family in the area.

    “Medicaid often pays for emergency care for illegal immigrants, but not for continuing care, and many hospitals in places with large concentrations of illegal immigrants, like Texas, California and Florida, face the quandary of where to send patients well enough to leave,” writes Sam Roberts of the Times.

    What kind of cost are we talking about here?
    “Care for a patient languishing in a hospital can cost more than $100,000 a year, while care in a nursing home can cost $20,000 or less [emphasis added],” Roberts reports.

    Patients fit to be discharged from hospitals but having no place to go typically remain more than five years, says LaRay Brown, a senior vice president for New York City’s Health and Hospitals Corporation.

    She says that there were about 300 patients in such a predicament throughout the New York City area alone, most in public hospitals or higher-priced skilled public nursing homes, though a few were in private hospitals, according to the Times.

    “Many of those individuals no longer need that care, but because they have no resources and many have no family here, we, unfortunately, are caring for them in a much more expensive setting than necessary based on their clinical need,” said Brown.

    The report goes on to cite an example where one patient from Queens, NY, has been at the Coler-Goldwater Specialty Hospital and Nursing Facility for 13 years because the hospital has no place to send him.

    The patient, who is in his mid-60s, has been there since an arterial disease cost him part of one leg below the knee and left him in a wheelchair, according to the report.

    Or another example:
    Five years ago, Yu Kang Fu, 58, who lived in Flushing, Queens, and was a cook at a Chinese restaurant in New Jersey, was dropped off by his boss at New York Downtown Hospital, a private institution in Manhattan, complaining of a severe headache. Mr. Yu was admitted to the intensive-care unit with a stroke.

    Mr. Yu remained in the hospital for over four years until he was transferred last spring to the Atlantis Rehabilitation and Residential Health Care Facility, a private center in Fort Greene, Brooklyn, after the federal government certified him as a “permanent resident under color of law,” essentially acknowledging that he could not be returned to China and qualifying him for medical benefits.
    “This gentleman cost us millions of dollars,” said Jeffrey Menkes, the president of New York Downtown. “We try to provide physical, occupational therapy, but this is an acute-care hospital. This patient shouldn’t be here.”

    The fact of the matter is that hospitals in metro areas that host a large illegal immigrant population are unable to turn away patients who have neither insurance nor proof that they are in the United States legally– two things necessary for discharge purposes and reimbursements, said Chui Man Lai, assistant vice president of patient services at a New York state hospital.

    “These patients often arrive in the emergency room acutely ill and unaccompanied, and we have to treat them until they can be discharged safely,” Ms. Lai said. “The hospital is required, by law and its mission, to care for these patients.”

    But even worse than “permanent patients,” those who essentially live in hospitals already operating on thin budgets, are what some refer to as “pop drops”: grown adults leaving their parents at the hospitals so that they can go on vacation.

    “Hospitals are reluctant to complain publicly about such patients for fear of being perceived as callously seeking to dump nonpaying patients,” writes Roberts. “Elected officials are generally loath to be seen as encouraging illegal immigrants by changing reimbursement formulas. The issue was never addressed during the debate over national health care legislation.”

  2. #2
    Bleeding hearts will show up in droves condoning this...

  3. #3
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    But it's their human right to have free health care, and room and board, and...

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    Quote Originally Posted by AlwaysGreenAlwaysWhite View Post
    Bleeding hearts will show up in droves condoning this...
    and conservatives will show up suggesting Hospitals should turn these people out to the curb to die.

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    This is the best country to have a stroke in.

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    Quote Originally Posted by bitonti View Post
    and conservatives will show up suggesting these patients pay for the serivces they are receiving.
    Fixed.

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    “These patients often arrive in the emergency room acutely ill and unaccompanied, and we have to treat them until they can be discharged safely,” Ms. Lai said. “The hospital is required, by law and its mission, to care for these patients.”
    Interesting...

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    Quote Originally Posted by bitonti View Post
    and conservatives will show up suggesting Hospitals should turn these people out to the curb to die.
    Why don't you go to 8 years of medical school, open a practice where everone gets treated for free or volunteer all of your time at a hospital? That is what you are asking others to do.
    Better yet, open a hospital or start small with a clinic, employ doctors, nurses and the rest of the staff, buy all of the equipment, medicine and insurance needed to operate and then give it all away for free.

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    Insurance companies are running the hospitals, let them figure it out. LOL

    Anyone remember why the first hospital in the U.S. was established? Oh sh*t to help the sick and poor aka charity........Ron Paul didn't tell you, I did...... Ben Franklin one of our founding fathers lead it, so therefore it should be that way now, right? FOUNDING FATHERS and GOD!!! GOP!!! GOP!!!

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    Quote Originally Posted by Trades View Post
    Why don't you go to 8 years of medical school, open a practice where everone gets treated for free or volunteer all of your time at a hospital? That is what you are asking others to do. .
    why don't you and the Republican party try to pass laws that say Hospitals don't have to care for these people. the laws exist. Change em. I dare ya.

    by the way

    WWJD?
    Last edited by bitonti; 01-05-2012 at 10:19 AM.

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    Quote Originally Posted by bitonti View Post
    and conservatives will show up suggesting Hospitals should turn these people out to the curb to die.
    It's bad enough they get treated for free but you can see the humanitarian aspect there, I guess. The part that is really galling to logical people is that they get to turn it into a permanent residence. I know, it's certainly not their fault that they choose to come here illegally, don't have a home, don't have people to take them in. Why should they be responsible.

    And it's not just illegals that I'm pissed about. I have (had) a good friend, born in the US, who is a raging alcoholic. He ruined a good job, a great apartment next to work (at a hospital, ironically) and now is slowly drinking himself to death. he has burned most of his bridges in his native Brooklyn. Like idiots, my wife and I let him come down and visit, and he got a hotel, as he knew we were not interested in having his drunken nonsense in our home, again.

    After a few days he get pancreatitis form the non-stop boozing and goes to a local ER. He gives a fake name and SSN. They treat him and give him very strong painkillers, and do not admit him. He thought they had a lot of nerve! How could they do that? So what if he had no way or intention of paying, and this health problem was 100% his own, voluntary doing.

    My wife and I get up and go to work every day, at jobs we don't love, partly to ensure that we can pay for medical emergencies. Why do so many others get a free pass? So outrageous.

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    Quote Originally Posted by SINYJets View Post
    Fixed.
    I have an idea:

    Let's give the illegals the emergency treatment they need and then ship them immediately back home with a bill to be paid by the government of the country that they snuck out of. May even give them some incentive to tighten up the borders a bit.

    Everybody wins.

  13. #13
    Quote Originally Posted by bitonti View Post
    and conservatives will show up suggesting Hospitals should turn these people out to the curb to die.

    Not to the curb. To the country's borders. Get out. You are illegal.
    Health care. People should either pay for it or not get it. No insurance? Sorry Charlie. Let bleeding hearts pay for them or have doctors do pro bono like lawyers.

  14. #14
    Quote Originally Posted by bitonti View Post
    why don't you and the Republican party try to pass laws that say Hospitals don't have to care for these people. the laws exist. Change em. I dare ya.

    by the way

    WWJD?

    Actually Jesus did no ask for handouts. He did pro bono and healed the sick and feed the hungry himself.

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    Quote Originally Posted by Trades View Post
    Why don't you go to 8 years of medical school, open a practice where everone gets treated for free or volunteer all of your time at a hospital?
    Indeed.

    I hate those Shriners people. Treating children for free and stuff.

  16. #16
    Quote Originally Posted by PlumberKhan View Post
    Indeed.

    I hate those Shriners people. Treating children for free and stuff.

    Uh, oh. Are we on the same page again? This is exactly the way it should work. Volunteer work and private funding. The Shriner's "theme" though is pretty specific. It does not include illegal bums.
    However, if an organization wants to treat legal bums - fine. Illegals - get out.

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    Quote Originally Posted by palmetto defender View Post
    Not to the curb. To the country's borders. Get out.
    this doesn't really decrease cost of treatment. It just adds the cost of deportation.

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    Quote Originally Posted by bitonti View Post
    this doesn't really decrease cost of treatment. It just adds the cost of deportation.
    If they don't have to play Residence Inn it sure does. I don't even like emergency treatment and dump at border but it's better than what we have now.

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    wow what an awful system. Still the non-citizens in your country is massive - huge relative to just about every country across the globe I think? Not saying these people should be denied medical treatment, but just you have a very very bad medical system for a first world country. Of course, any other way would clearly be communist, so I guess its good you aren't that. Viva la United States etc. Or whatever.

  20. #20
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    Quote Originally Posted by bitonti View Post
    this doesn't really decrease cost of treatment. It just adds the cost of deportation.
    You really think the cost of deportation even scratches the surface of the cost of multi-month hospital care?

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