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re: If the premise is that illegals will lose healthcare coverage, will they just go to ER?
Posted on 7/3/25 at 1:47 pm to Pecos Pedro
Posted on 7/3/25 at 1:47 pm to Pecos Pedro
quote:
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.
I believe this survived the Senate version.
What didn't survive was the Federal Government refusing to match funds for states providing Medicaid to illegals.
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Posted on 7/3/25 at 1:49 pm to Rip Torn
quote:
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
Ok.
Posted on 7/3/25 at 1:50 pm to JoeHackett
quote:
What didn't survive was the Federal Government refusing to match funds for states providing Medicaid to illegals.
So we're still paying for Medicaid for illegals. FFS
Posted on 7/3/25 at 1:50 pm to Rip Torn
quote:
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
He doesn’t work in an ER. He is opining from a place of complete ignorance. As per usual.
Posted on 7/3/25 at 1:50 pm to Rip Torn
No they can't. But rates for services have been jacked up so much to cover the offset.
We've been paying for them for a long time in increased insurance rates and co pays.
We've been paying for them for a long time in increased insurance rates and co pays.
Posted on 7/3/25 at 1:51 pm to Pandy Fackler
quote:
Indigent/selfpay means you have no payor type".
In Newspeak but not in English. In English indigent means the patient is unable to pay. Medicaid patients are indigent. 1984 was not a how-to manual.
Posted on 7/3/25 at 1:53 pm to Bard
quote:
Why aren't medical facilities who take federal medical funding required to report illegals?
Yep.
Give them something to make them go to sleep and they wake up in Alligator Alcatraz with a bandaid on their boo boo.
Posted on 7/3/25 at 1:53 pm to LChama
Maybe once. Then it is an all expenses paid one way trip to a country not of your choice. You will fly Homan airlines with a stopover at Alligator Alcatraz before winding up in the luxurious El Salvador Ramadan inn. There with others of your ilk you can stay in comfort.
Posted on 7/3/25 at 2:00 pm to Bard
quote:
Why do we pay for healthcare coverage for illegals in the first place?
So HC entities get paid .
quote:
Why aren't medical facilities who take federal medical funding required to report illegals?
Great, let’s add another HC administrator.
Posted on 7/3/25 at 2:03 pm to Rip Torn
"
Because public hospitals can’t morally decline basic services to someone if they can’t afford it"
And to add to this, HIPAA concerns will prevent many facilities, who obviously do not have a good understanding of the process, will not alert authorities if they are here illegally. In reality, very little will change UNLESS there is a clear desirable effect on the illegal immigration. If we do not control the border and continue to allow these people to come in, especially those about to deliver, they will show up in the ER, give birth to an anchor baby and there is absolutely nothing we can do to prevent the sucking from the government teat that will occur.
Because public hospitals can’t morally decline basic services to someone if they can’t afford it"
And to add to this, HIPAA concerns will prevent many facilities, who obviously do not have a good understanding of the process, will not alert authorities if they are here illegally. In reality, very little will change UNLESS there is a clear desirable effect on the illegal immigration. If we do not control the border and continue to allow these people to come in, especially those about to deliver, they will show up in the ER, give birth to an anchor baby and there is absolutely nothing we can do to prevent the sucking from the government teat that will occur.
Posted on 7/3/25 at 2:06 pm to BBONDS25
I think every ER that accepts Medicaid should have a sign on the front that says "this ER serves as an auxillary office for ICE". That would slow them down a bit.
Posted on 7/3/25 at 2:16 pm to LChama
quote:
the premise is that illegals will lose healthcare coverage, will they just go to ER?
Without insurance, the ER only stabilizes and discharges you.
Yes, the Hippocratic oath and most policies say that treatment must be provided, but the extent is significantly limited. It should honestly be a policy that ERs stabilize the patient and call ICE for immediate deportation proceedings.
Posted on 7/3/25 at 2:28 pm to LChama
If you can’t tell the difference between paying for emergency room care for illegals and paying for all care for illegals, I don’t know what to tell you.
Posted on 7/3/25 at 2:47 pm to Pandy Fackler
quote:
Indigent/selfpay means you have no payor type.
Self-pay is actually the linear opposite of indigent. I doubt if even hospital administrators are that brazen in corrupting the language. Lumping self-payers and non-payers together is simply more scumbaggery for profit.
This post was edited on 7/3/25 at 2:56 pm
Posted on 7/3/25 at 2:51 pm to Rip Torn
quote:
Because public hospitals can’t morally decline basic services to someone if they can’t afford it
quote:
Because public hospitals can’t legally decline basic services to someone if they can’t afford it
Posted on 7/3/25 at 2:53 pm to TigerAxeOK
quote:
Without insurance, the ER only stabilizes and discharges you.
Yes, the Hippocratic oath and most policies say that treatment must be provided, but the extent is significantly limited. It should honestly be a policy that ERs stabilize the patient and call ICE for immediate deportation proceedings.
That's not true.
The exact same admission criteria used for people with a payor type is used for self pay pt's.
If you require admission to the hospital, then you require admission to the hospital. Your payor type or lack thereof plays zero part in that. Now it plays a part in some specialized services you may receive, but it plays no part in being admitted.
Now if you really want to get pissed off, we can talk about the health benefits convicted felons get.
Posted on 7/3/25 at 2:54 pm to Pandy Fackler
quote:
They still won't leave. Having jackshit in the United States is a far sight better than having jackshit in shitass Mexico.
Until they wind up in Alligator Alcatraz.
Posted on 7/3/25 at 2:58 pm to TigerDoc
quote:
Emergency Medical Treatment & Labor Act (EMTALA)
This. I actually wrote a paper on this in law school back in 2006. I focused the paper on how the Act was being exploited in border towns and how it caused a drain on rural community resources. Also, discussion about anchor babies and other items. Got an A on it. Looking back, I should have expanded it and submitted it to law review.
Posted on 7/3/25 at 3:05 pm to shinerfan
quote:
Self-pay is actually the linear opposite of indigent. I doubt if even hospital administrators are that brazen in corrupting the language.
Self pay is the language that was adopted years ago because it sounds better than indigent. It's meant to "preserve dignity" or whatever. Hospitals no longer use the word indigent and they haven't in years. In fact, now that we're talking about it. I haven't heard that word since 2004.
Practically speaking, indigent and self pay are the exact same thing. Now there is a class of pt that is legitimately self pay, but they're so few and far between, I forget what they're called.
Any pt that enters a hospital with a payor type, be that Medicaid, Medicare, Medicare HMO or commercial is by definition, not "self pay".
I'm just trying to tell you how all this is man. You can dismiss it if you want. I'm ok with that.
Posted on 7/3/25 at 3:07 pm to DMAN1968
Here's the entire post you're attempting to respond to. You missed the second paragraph. It's an important part of it. Thanks for the opportunity to clarify and repost..
"They still won't leave. Having jackshit in the United States is a far sight better than having jackshit in shitass Mexico.
And to the part about employers. That's how you know, right there that President Trump is not a serious man when it comes to immigration and deportation".
"They still won't leave. Having jackshit in the United States is a far sight better than having jackshit in shitass Mexico.
And to the part about employers. That's how you know, right there that President Trump is not a serious man when it comes to immigration and deportation".
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