Health care vs Emergancy care

Discussion in 'Politics' started by Salty, Aug 26, 2009.

  1. Salty

    Salty
    Expand Collapse
    20,000 Posts Club
    Moderator

    Joined:
    Apr 8, 2003
    Messages:
    22,098
    Likes Received:
    218
    There is a debate going on about heath care. Some say that everyone has access to health care as hospitals must treat anyone coming into the emergency room.

    That could be the crux of the situation.

    First, many who go into the emergency room really only need to see a Doctor on a regular apt, but they would have to pay - but no money, no apt.

    Second, if an individual practiced preventive health care - with properer guidance, they would not need to use the emergency room so often.

    Third - even if they do need to the emergency room - why does a person have to see a doctor, when a RN or LPN may be sufficient for the injury or sickness.

    thoughts,

    Salty
     
  2. Deacon

    Deacon
    Expand Collapse
    Well-Known Member
    Supporter

    Joined:
    Aug 23, 2002
    Messages:
    6,970
    Likes Received:
    128
    People abuse the system as it is because it’s convenient for them to do it.
    They will continue abusing the system when it’s changed!

    We pay for health care already but under the new plan rather than paying an insurance company and its bureaucracy, we will pay a government bureaucracy that will have the power to set the prices they pay the provider.

    As your lower their reimbursement rates, physicians will begin to take shortcuts to insure profitability, like having an RN see patients.
    Lower them enough and you’ll be seen by a janitor.
    Sooner or later you’ll start seeing babies born on the sidewalk.

    Rob
     
  3. TC

    TC
    Expand Collapse
    Active Member

    Joined:
    May 7, 2003
    Messages:
    2,225
    Likes Received:
    10
    1. Before I had insurance, I would make an appointment (at the clinic - I stayed away from the Emergency room as much as possible) and after, they would send me a bill. If it was more than I could pay, I would call the clinics business person and explain the situation. I would tell them what I could afford to pay each week, every two weeks, or month (whatever applied) and almost all the time, it was just fine as long as I made the payments I said I would make on time. Many people today are just unwilling to do that.

    2. In most cases, preventive health care will reduce health care costs for everyone.

    3. Agree.
     
    #3 TC, Aug 27, 2009
    Last edited by a moderator: Aug 27, 2009
  4. StefanM

    StefanM
    Expand Collapse
    Well-Known Member

    Joined:
    Jul 4, 2004
    Messages:
    6,422
    Likes Received:
    72
    1) This is really dependent on the clinic. Most of the clinics in my experience have not been so flexible. I'm seeing more and more policies that require a $100 deposit at the front desk before you can even see the physician if you are uninsured. Some clinics are able to work with some people, but if you have the choice between a relatively sure thing with insurance vs. the high risk of bad debt, it's an easy choice.

    2) Very true.

    3) I'm a big fan of advanced practice nurses. Also, I'm glad to see the rise in physician's assistants. Sometimes I go to the local clinic at the Walgreens store to see the nurse practitioner because it's easier and quicker just to get a minor sinus infection or something treated there without having to schedule an appointment. This saves me time, and it has the potential to save money, as the average visit there is billed at around 60 dollars, as compared to $100+ at the doctor's office. I end up paying the same co-pay with my insurance, but I see no need to go to a doctor for minor cases that can easily be treated with an APN or PA.
     
  5. billwald

    billwald
    Expand Collapse
    Banned

    Joined:
    Jun 28, 2000
    Messages:
    11,414
    Likes Received:
    0
    One of my relatives is good at making deals. She can usually get a cut in medical bills by paying CASH.
     
  6. StefanM

    StefanM
    Expand Collapse
    Well-Known Member

    Joined:
    Jul 4, 2004
    Messages:
    6,422
    Likes Received:
    72
    Sure, you can get a discount doing that. Of course, if a patient has insurance, there will be a built-in discount due to negotiated rates with the insurance company.

    For those that have insurance benefits: look at your EOBs. It's almost criminal how significant the difference is between allowable charges and the charges initially billed. It makes a high deductible health plan almost pay for itself in discounts alone.
     
  7. billwald

    billwald
    Expand Collapse
    Banned

    Joined:
    Jun 28, 2000
    Messages:
    11,414
    Likes Received:
    0
    >Of course, if a patient has insurance, there will be a built-in discount due to negotiated rates with the insurance company.

    But the people who don't have the insurance don't get the negotiated rate. They get a padded rate.

    A friend who is a retired MD gets a fancy pill at a local clinic once a month. They send him a bill for $1000 and he ignores it. It is followed up with a bill for $100 which is marked "paid." We suspect that the $1000 is carried on the books as part of the clinic's charity contribution. (don't ask, don't tell <G>)
     
  8. Nonsequitur

    Nonsequitur
    Expand Collapse
    New Member

    Joined:
    Mar 31, 2005
    Messages:
    637
    Likes Received:
    0
    See?...See? For a measley $100.00 a month the entitled get to have a pill that makes them smarter, sexier, richer, better in conversations with pretty girls, able to get 'the' shot on the 14 point buck, catch nothing but bass that are over 6 lbs., and hang out with that 'most interesting man in the world' guy that drinks that horrible beer.
    (Ouch!!!) My tongue got bit putting it in my cheek like that!!:laugh:
     
  9. LeBuick

    LeBuick
    Expand Collapse
    New Member

    Joined:
    Jun 8, 2006
    Messages:
    11,537
    Likes Received:
    0
    Not sure about where you live but here a doctor won't see you unless you have insurance. I guess too many people promise to pay and then don't. Only place I know that will just "bill you" is the emergency rooms.

    So this is one point of reform, we as tax payers can save a lot of loot if the people go to primary care with insurance instead of emergency rooms where we the tax payers and insured pick up the expensive tab.

    One of the things I see the GOP don't want to admit, we the tax payers will pay for the uninsured health care one way or the other. We can pay the reduced rates for primary care or we can pay the expensive emergency room rates but either way WE will pay. That is why I am in favor of the public option for the uninsured, I think we'll save a lot giving a person blood pressure pills instead of rehabbing and supporting them after a stroke. Or keeping someones diabetes in check with insulin instead of paying for dialysis, amputations/rahab, social security etc... Or even seeing a young mother get prenatal care instead of supporting the sick child all the days of their life.
     
  10. LeBuick

    LeBuick
    Expand Collapse
    New Member

    Joined:
    Jun 8, 2006
    Messages:
    11,537
    Likes Received:
    0
    I normally see a PA at my doctors office. I think you have a great idea of we can get more of them in the system. It could shave a bit off the total cost.
     
  11. theolog

    theolog
    Expand Collapse
    New Member

    Joined:
    Aug 25, 2009
    Messages:
    24
    Likes Received:
    0
    Quick! Go to the ER and see the LPN on the QT PDQ before the GOP and the DNC make you RSVP LMNOP.... Just stick your tongue in alphabet soup. It's faster and doesn't require an act of congress.

    Oh, and you could shave $1000 off your ER visit if you would practice preventative health care measures like "Hey, don't bite your own tongue!" Just a thought.
     
  12. Nonsequitur

    Nonsequitur
    Expand Collapse
    New Member

    Joined:
    Mar 31, 2005
    Messages:
    637
    Likes Received:
    0

    OK, how about....
     
  13. alatide

    alatide
    Expand Collapse
    New Member

    Joined:
    Jul 9, 2009
    Messages:
    974
    Likes Received:
    0
    Aren't you aware that insurance companies set the prices they will pay doctors under our current system. I know two doctors who retired early because they couldn't make a decent salary any more because of the squeeze the insurance companies were putting on them. I know a third who is seriously considering quitting. By the way, a single payer system (government run) is not on the table in the health care proposals being discussed. Listen to the president tonight and learn the truth about the health care proposal.
     
  14. alatide

    alatide
    Expand Collapse
    New Member

    Joined:
    Jul 9, 2009
    Messages:
    974
    Likes Received:
    0
    I agree with both of you. I've known several people who were caught up in this situation who had similar experiences. Those here that talk about "free health care" for welfare cheats don't know what they're talking about.
     
  15. targus

    targus
    Expand Collapse
    New Member

    Joined:
    Feb 10, 2008
    Messages:
    8,459
    Likes Received:
    0

    More specifically it is the government run insurance program - Medicare/Medicaid - that is driving doctors out of the business.

    Most doctors won't accept such patients.
     
  16. targus

    targus
    Expand Collapse
    New Member

    Joined:
    Feb 10, 2008
    Messages:
    8,459
    Likes Received:
    0
    Well, this is an odd turn.

    He said that what he does is he goes to a clinic and then works out a payment plan.

    Why would you ever agree with that? Paying on a payment plan is not FREE.
     

Share This Page

Loading...