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Started By
Message
re: If the premise is that illegals will lose healthcare coverage, will they just go to ER?
Posted on 7/3/25 at 12:58 pm to Pandy Fackler
Posted on 7/3/25 at 12:58 pm to Pandy Fackler
quote:
Here's the entire post you're attempting to respond to. You missed a few pieces. Thanks for the opportunity to clarify and repost.
your schtick is old. And you don’t work in an ER. You’re posting from a place of complete ignorance. As per usual. 
0
Posted on 7/3/25 at 12:59 pm to LSUconvert
quote:
You want someone who's dying or unconscious to figure out how to pay 300 dollars?
The vast majority of these people are just using the ER as their internist or pediatrician.
Posted on 7/3/25 at 12:59 pm to LSUconvert
quote:
You want someone who's dying or unconscious to figure out how to pay 300 dollars? You're just being emotional and not using your head, here.
Nope. You emotional dummy. Cuff em. Take them to a detention center. Treat them. Ship them home. Done.
This post was edited on 7/3/25 at 1:00 pm
Posted on 7/3/25 at 12:59 pm to LChama
My understanding is that the federal government doesn’t directly provide Medicaid to illegals. They are covered by individual states. 14 + DC.
The OBBA proposes cutting these states federal funding by 10% if they continue to offer their state Medicaid to illegals. For CA this could be several billion per year.
So if the bill passes as is and these states eliminate their own state programs for illegals then those illegals would resort to the ER for care.
All 14 states are blue states so who fricking cares. Let them be miserable and broke.
The OBBA proposes cutting these states federal funding by 10% if they continue to offer their state Medicaid to illegals. For CA this could be several billion per year.
So if the bill passes as is and these states eliminate their own state programs for illegals then those illegals would resort to the ER for care.
All 14 states are blue states so who fricking cares. Let them be miserable and broke.
Posted on 7/3/25 at 1:01 pm to Pandy Fackler
quote:
Yes, it's a payor type. In the greater New Orleans area, only a small handful come into an ed as "self pay".
But you claimed this in a way to deliberately downplay the number of indigent. Medicaid patients are indigent.
Posted on 7/3/25 at 1:02 pm to BBONDS25
quote:
Nope. You emotional dummy.
Posted on 7/3/25 at 1:03 pm to LSUconvert
Nothing more emotional than emoting over an illegal having to pay for services received.
This post was edited on 7/3/25 at 1:04 pm
Posted on 7/3/25 at 1:04 pm to Pecos Pedro
quote:
My understanding is that the federal government doesn’t directly provide Medicaid to illegals. They are covered by individual states. 14 + DC.
The OBBA proposes cutting these states federal funding by 10% if they continue to offer their state Medicaid to illegals. For CA this could be several billion per year.
So if the bill passes as is and these states eliminate their own state programs for illegals then those illegals would resort to the ER for care.
All 14 states are blue states so who fricking cares. Let them be miserable and broke.
Strip away the bullshite and this is the fundamental point, and this is why (other than symbolism) that this measure doesn't mean much. In fact, for purely practical purposes it means nothing from an immigration/deportation standpoint.
These states are still going to provide some sort of benefit to these people.
Posted on 7/3/25 at 1:04 pm to LChama
quote:
will they just go to ER?
Hopefully they just go back...
Posted on 7/3/25 at 1:05 pm to Pandy Fackler
quote:
These states are still going to provide some sort of benefit to these people.
And then beg for a federal bailout. frick them. Detain them. Treat them. Deport them.
Posted on 7/3/25 at 1:05 pm to LChama
The more we deport, the fewer it will be.....
Think of it that way.
Think of it that way.
Posted on 7/3/25 at 1:09 pm to Pandy Fackler
quote:
The 15 states or so that provide state medicaid for illegals, will in all likelihood continue to do so, despite the Federal matching cuts.
Already changing in California. They started letting illegal aliens 26-49 enroll in Medi-Cal January 1, 2024. This was the last group that had been excluded, children and elderly had been allowed on for years. Now a year and a half later, California is freezing enrollment and charging premiums because shocker - healthcare isn't free and they can't afford to cover all the illegals they invited into their state.
quote:
Starting next year, the Golden State will halt new enrollments for undocumented adults in Medi-Cal, effectively capping the program's growth. Additionally, beginning July 2027, the state will implement a $30 monthly premium for immigrants currently enrolled in the program, including some with legal status, affecting adults under 60 years old.
Posted on 7/3/25 at 1:13 pm to shinerfan
quote:
But you claimed this in a way to deliberately downplay the number of indigent. Medicaid patients are indigent.
Uuugh, geez. A couple of things. First of all, hospitals haven't referred to the uninsured as indigent for years. They're called "self pay". Now I don't care if you use indigent or not, I'm just sharing with you the correct nomenclature.
Secondly, from a provider, financial standpoint. Medicaid is a payor type. The hospital/provider is being reimbursed for its services through an insurance payor. Be that Medicaid, Medicare, Medicare HMO or commercial plan.
Indigent/selfpay means you have no payor type.
Posted on 7/3/25 at 1:14 pm to Pandy Fackler
quote:
Strip away the bullshite and this is the fundamental point, and this is why (other than symbolism) that this measure doesn't mean much. In fact, for purely practical purposes it means nothing from an immigration/deportation standpoint.
These states are still going to provide some sort of benefit to these peopl
It really is nothing more than a talking point for both sides to use.
The money saved is minimal. The original House Bill had a provision to cut the Emergency Room Aid (sorry forget the technical term) from the budget but it was one of the things the Parliamentarian nixed because it was only 1% of Medicaid costs and was primarily a policy issue not a budget issue.
The REAL MEDICAID SAVINGS in this bill is from the work requirements which I am not even sure are still in the bill because all the useful idiots are gong back and forth over illegals and Medicaid. That is where there are potential major savings and benefits like getting able bodied people to contribute something which benefits the country and themselves and their children.
Posted on 7/3/25 at 1:17 pm to BBONDS25
quote:
Nothing more emotional than emoting
Agree to disagree
Posted on 7/3/25 at 1:37 pm to Pandy Fackler
quote:
I'm just sharing with you the correct nomenclature.
And by "correct nomenclature" you mean one that the medical establishment uses to obscure the actual payor. Medicaid payors are indigent and it's entirely dishonest to bastardize the language to protect your own place at the taxpayer trough.
Posted on 7/3/25 at 1:40 pm to shinerfan
Here's the entire post you're attempting to respond to. You mistakenly missed a few pieces. Thanks for the opportunity to clarify and repost.
"Uuugh, geez. A couple of things. First of all, hospitals haven't referred to the uninsured as indigent for years. They're called "self pay". Now I don't care if you use indigent or not, I'm just sharing with you the correct nomenclature.
Secondly, from a provider, financial standpoint. Medicaid is a payor type. The hospital/provider is being reimbursed for its services through an insurance payor. Be that Medicaid, Medicare, Medicare HMO or commercial plan.
Indigent/selfpay means you have no payor type".
"Uuugh, geez. A couple of things. First of all, hospitals haven't referred to the uninsured as indigent for years. They're called "self pay". Now I don't care if you use indigent or not, I'm just sharing with you the correct nomenclature.
Secondly, from a provider, financial standpoint. Medicaid is a payor type. The hospital/provider is being reimbursed for its services through an insurance payor. Be that Medicaid, Medicare, Medicare HMO or commercial plan.
Indigent/selfpay means you have no payor type".
This post was edited on 7/3/25 at 1:41 pm
Posted on 7/3/25 at 1:41 pm to LChama
Just have ICE collect them at the ER.
Posted on 7/3/25 at 1:44 pm to LChama
quote:
Will we still end up paying for them thru this avenue?
yes. I've been saying through all the crying about people being kicked off Medicaid - sit in an ER for a few hours or go visit a child in the NICU - most of those people don't have Medicaid or any other kind of insurance
The hospital just eats those bill and then passes them along to people who do have insurance
Posted on 7/3/25 at 1:46 pm to Pandy Fackler
Yeah you are full of crap, I don’t work in a high poverty area compared to New Orleans that I can assure you lol but carry on with your self delusion I have worked in the ER for 20 years
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