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re: Spanish speaking in the United States
Posted on 5/19/14 at 7:38 am to mmcgrath
Posted on 5/19/14 at 7:38 am to mmcgrath
quote:The challenge faced in US medicine is that undocumented immigrants are often keenly aware of social legal loopholes. Many understand nooks and crannies of our system as well or better than lawyers. Sometimes that understanding comes as a detriment.
I have asked them, and BB has given specifics, some of which have been edited. Outside of saying he/she is "bitching" about the Spanish speaking patient (who had an English speaking spouse with her) I haven't attacked BB directly with an insult. And that would be an accurate description of what BB is doing, besides challenging everyone else here on whether or not they have had a job requiring them to go above and beyond. Apparently the medical profession is the only one to do that in BB's mind.
Take the common example of pregnant "self-pay" (i.e., no pay) illegal immigrants followed by the county healthcare system. It is a level of free medical service for noncitizens offered virtually nowhere else in the world.
When these individuals go into labor, instead of seeking care at the affiliated county facility with access to their docs and their records, they show up at the nicest private facility they can find. Hot tubs, designer coffee, etc. It is illegal for them to be turned away, and referred to the appropriate center. They are meticulously aware of that.
Aside from being burden to the system (expense, lack of language support, etc), the problem is access to records can be limited when folks show up at the wrong facility. Care may be negatively impacted.
In the latter instance, the medical profession is uniquely tasked, under threat of debilitating legal action, to provide top level care to deliberately uncooperative individuals. I'd suppose that is the type of experience BB is reflecting. It is suboptimal, and unnecessarily so.
This post was edited on 5/19/14 at 7:55 am
2
Posted on 5/19/14 at 8:46 am to NC_Tigah
Anglais out of Louisiana Parle francais ici
Posted on 5/19/14 at 11:35 am to NC_Tigah
quote:I agree with some of the issues you mentioned, but this is kind of getting off track from the OP and what BB was complaining about. In BB's case, he mentioned that the woman had an English speaking husband and was also receiving pre-natal care at another hospital (which wouldn't be offered to uninsured outside of a clinic). Then he went on to make some weird assumption about her having braces assuming she got them in the US when a large number of immigrants actually go back to their home country for dental work and other elective procedures, which you would think a healthcare professional would know.
The challenge faced in US medicine is that undocumented immigrants are often keenly aware of social legal loopholes. Many understand nooks and crannies of our system as well or better than lawyers. Sometimes that understanding comes as a detriment.
Take the common example of pregnant "self-pay" (i.e., no pay) illegal immigrants followed by the county healthcare system. It is a level of free medical service for noncitizens offered virtually nowhere else in the world.
When these individuals go into labor, instead of seeking care at the affiliated county facility with access to their docs and their records, they show up at the nicest private facility they can find. Hot tubs, designer coffee, etc. It is illegal for them to be turned away, and referred to the appropriate center. They are meticulously aware of that.
Aside from being burden to the system (expense, lack of language support, etc), the problem is access to records can be limited when folks show up at the wrong facility. Care may be negatively impacted.
In the latter instance, the medical profession is uniquely tasked, under threat of debilitating legal action, to provide top level care to deliberately uncooperative individuals. I'd suppose that is the type of experience BB is reflecting. It is suboptimal, and unnecessarily so.
All of that to back up his position that she didn't speak English because she was lazy or didn't care to.
I think I did hit a nerve when I said he shouldn't try to substitute for an actual interpreter because he is risking a patient's health. It will be uncomfortable testimony in front of a jury if he needs to explain why a surgery costing thousands already utilizing a surgeon, anesthesiologist, 3-4 nurses, and an OR was botched because he thought the cost of a $200 translation service was too much money or too much of a bother.
The one part of your point, that somehow we provide medical service to immigrants in a way that eclipses almost the entire world, I disagree on.
This post was edited on 5/19/14 at 11:37 am
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