Texas Ebola patient dies

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Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,267
126
My point flew right over your head.
Read again. If not sufficient, wash, rinse, repeat.

Blame Obama. No? RICK PERRY!

Have you one shred of credible evidence that any patient was purposefully sent home with a known or strongly suspected at the time to have ebola, with or without insurance? If not you've joined the "Obama is a secret Muslim born in Kenya" club. Congrats, you're an Elite! (But not in any positive way.)
 

Matt1970

Lifer
Mar 19, 2007
12,320
3
0
It's OK, you don't need to get it, being in Syracuse, the smarter voters of NY have decided to expand Medicaid and save you from your own ignorance.
Texas wasn't so lucky, but you are home free.

How long does it take to get Medicaid?
Generally, local districts must determine if you are eligible and send a letter notifying you if your application has been accepted or denied within 45 days of the date of your application.

http://www.health.ny.gov/health_care/medicaid/#county

Doesn't look like the expansion has shaved off any of the wait time. I am guessing after the 45 days your notice will say your coverage will begin on the first of the following month. Care to enlighten me as to how he would have faired any better coming to NY?
 

theeedude

Lifer
Feb 5, 2006
35,787
6,197
126
How long does it take to get Medicaid?
Generally, local districts must determine if you are eligible and send a letter notifying you if your application has been accepted or denied within 45 days of the date of your application.

http://www.health.ny.gov/health_care/medicaid/#county

Doesn't look like the expansion has shaved off any of the wait time. I am guessing after the 45 days your notice will say your coverage will begin on the first of the following month. Care to enlighten me as to how he would have faired any better coming to NY?

I've explained it in the post that went over your head in the first place. If your hospital is already borderline broke with unreimbursed ER bills, it can't afford to hospitalize people who are unlikely to pay.
 

Matt1970

Lifer
Mar 19, 2007
12,320
3
0
I've explained it in the post that went over your head in the first place. If your hospital is already borderline broke with unreimbursed ER bills, it can't afford to hospitalize people who are unlikely to pay.

But that isn't the case now is it? Especially with the hospital he went to. It was the Texas Health Presbyterian Hospital.

According to this: http://www.dacbond.com/dacContent/doc.jsp?id=0900bbc780116987

"Texas Health is a regional health care system with 13 wholly owned acute care hospitals (2,964 staffed beds), one
long-term care hospital (10 staffed beds), and six JV hospitals (244 staffed beds) located in and around the Dallas-Fort
Worth area. The two largest hospitals are Texas Health Presbyterian Hospital Dallas (615 staffed beds) and Texas
Health Harris Methodist Hospital Fort Worth (655 staffed beds), which together represent about 35.5% of net patient
service revenue"

Even more info:
http://www.texashealth.org/facts

Certainly doesn't look like a hospital that is borderline broke to me.
 

squarecut1

Platinum Member
Nov 1, 2013
2,230
5
46
Well, if you are driven by data, you won't mind sharing it with us, now will you?

You are the one making the claim, so the onus lies on you.

More importantly, not everything can be accurately gauged by 'data'. Real life experiences are often more important. In this case, a lot of times, uninsured people themselves refuse many treatments, because of the costs involved.

I've said it many times that it is a crying shame that America is the only industrialized country in the world where citizens do not have universal health coverage. That too which is supposedly the richest nation in the world. But to make this particular ebola case into a political issue is rather lame.
 

theeedude

Lifer
Feb 5, 2006
35,787
6,197
126
You are the one making the claim, so the onus lies on you.

More importantly, not everything can be accurately gauged by 'data'. Real life experiences are often more important. In this case, a lot of times, uninsured people themselves refuse many treatments, because of the costs involved.

I've said it many times that it is a crying shame that America is the only industrialized country in the world where citizens do not have universal health coverage. That too which is supposedly the richest nation in the world. But to make this particular ebola case into a political issue is rather lame.

OK, so you got anecdotes. OK, just checking.
Politics have consequences. Public health included.
 

squarecut1

Platinum Member
Nov 1, 2013
2,230
5
46
OK, so you got anecdotes. OK, just checking.
Politics have consequences. Public health included.
No, not anecdotes. You are the one making assumption that a hospital will treat an uninsured person significantly differently. It is just your opinion.

Like I said, the heath care system (if it can be called that) in America is a shambles on so many levels. But to link politics with this ebola case just is not right
 

theeedude

Lifer
Feb 5, 2006
35,787
6,197
126
No, not anecdotes. You are the one making assumption that a hospital will treat an uninsured person significantly differently. It is just your opinion.

Like I said, the heath care system (if it can be called that) in America is a shambles on so many levels. But to link politics with this ebola case just is not right

Hospital will treat you differently if they think you can pay or have insurance as opposed to if you don't.

http://www.kaiserhealthnews.org/sto...-demand-payment-upfront-from-er-patients.aspx
 

Genx87

Lifer
Apr 8, 2002
41,091
513
126
You have to be a moron to believe that lack of Medicaid expansion had nothing to do with Ebola patients not getting care. You treat patients different if you assume you are getting paid vs if you assume you are taking a loss. Then you do the bare minimum the law requires, which is get the patient stable enough and out the door.
"Hospitals will provide care" but there is a difference between "care" that barely satisfies EMTALA, and discharges you in stable condition, vs care that aims to actually find out what's wrong with you and provide curative treatment. This Republican naivete that ER's are a replacement for universal health insurance is just plain folly.

Where is your proof on this? I have intimate knowledge of medicaid covered patients receiving care. They were not shortchanged one bit.
 

Fern

Elite Member
Sep 30, 2003
26,907
174
106
The simple fact is that the hospital didn't treat him as an Ebola patient because they didn't recognize him as one.

It has nothing to do the ACA/Medicaid or any other govt policy.

Fern
 

squarecut1

Platinum Member
Nov 1, 2013
2,230
5
46
The simple fact is that the hospital didn't treat him as an Ebola patient because they didn't recognize him as one.

It has nothing to do the ACA/Medicaid or any other govt policy.

Fern

It is really that simple.

senseamp - the two links you posted do not have relevance to the point you have been trying to make in this thread.
 

Fern

Elite Member
Sep 30, 2003
26,907
174
106
You don't think lack of Medicaid expansion creates an incentive to send indigent ER patients home with as little care as can be legally justified?

Why do you keep insisting that Thomas Eric Duncan was poor or indigent?

And as far as hospitals not wanting to take a loss on treating patients, many reimbursements under Medicaid/Medicare are so low a hospital's loss is ensured for those patients.

Fern
 

fskimospy

Elite Member
Mar 10, 2006
87,525
54,359
136
Why do you keep insisting that Thomas Eric Duncan was poor or indigent?

And as far as hospitals not wanting to take a loss on treating patients, many reimbursements under Medicaid/Medicare are so low a hospital's loss is ensured for those patients.

Fern

Not really. Like all other organizations, hospitals are free to not accept Medicare or Medicaid if it is unprofitable. They don't do this. So either they are really bad at accounting, or Medicare and Medicaid make them money.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,267
126
OK, so you got anecdotes. OK, just checking.
Politics have consequences. Public health included.

You have provided absolutely no evidence whatsoever that anyone was knowingly sent home or refused treatment due ability to pay who was known to have or was thought might have ebola. The first incident was already understood by virtually everyone and when it was later realized he got in and RICK PERRY didn't put him back on the street.

Now would be a good time to say something like "Gee I feel really strongly about having more people covered but I got a little carried away and now I realize that no one has been harmed by ebola due to lack of treatment due to insurance. Dumb moment, sorry."

If you did that I'd be "Hey it happens". As it is now, you aren't looking too good. Maybe Perrybola?
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,267
126
Not really. Like all other organizations, hospitals are free to not accept Medicare or Medicaid if it is unprofitable. They don't do this. So either they are really bad at accounting, or Medicare and Medicaid make them money.

They can go bust, but if someone goes to the ER they must, by law, be treated. That does not mean that everyone gets all the trimmings, nor does it mean you won't get billed, but if someone comes in and the staff believes there's Ebola in the works no one is going to try to figure out how to put that person back on the street. It's absolutely ridiculous.
 

squarecut1

Platinum Member
Nov 1, 2013
2,230
5
46
Now would be a good time to say something like "Gee I feel really strongly about having more people covered but I got a little carried away and now I realize that no one has been harmed by ebola due to lack of treatment due to insurance. Dumb moment, sorry."

This sums it up. But just like in real life, nobody ever seems to admit any mistakes in arguments on the internet too. I don't know why. We are only humans and to err is human. Why do egos always come into play...
 

theeedude

Lifer
Feb 5, 2006
35,787
6,197
126
It is really that simple.

senseamp - the two links you posted do not have relevance to the point you have been trying to make in this thread.
The question is why they didn't recognize it. When someone is only presenting a fever, recognizing Ebola is not easy, and holding a patient for observation in quarantine is expensive to the tune of tens of thousands of dollars per day. If that expense is money you will likely never recover, then the simplest thing to do is to give someone a medicine for their fever and get them out the door.
Individuals and institutions respond to incentives.
Not sure why this is so shocking, I thought conservatives understood markets. Expanding Medicaid increases the likelihood that hospital will get paid for its services, which creates different incentive than just telling them they must stabilize someone at their own expense before kicking them out.
 

DCal430

Diamond Member
Feb 12, 2011
6,020
9
81
You know what is funny, is how most people in the world couldn't be bothered to donate, a single penny to help with Ebola. There is no major donation drive for Ebola, because they couldn't get any donations from people in the west.

If this does manage to spread a significant amount beyond Africa, the people to blame will be much of the west, who just couldn't care.
 

fskimospy

Elite Member
Mar 10, 2006
87,525
54,359
136
They can go bust, but if someone goes to the ER they must, by law, be treated. That does not mean that everyone gets all the trimmings, nor does it mean you won't get billed, but if someone comes in and the staff believes there's Ebola in the works no one is going to try to figure out how to put that person back on the street. It's absolutely ridiculous.

I agree. His insurance status had nothing to do with it.
 

squarecut1

Platinum Member
Nov 1, 2013
2,230
5
46
The question is why they didn't recognize it. When someone is only presenting a fever, recognizing Ebola is not easy, and holding a patient for observation in quarantine is expensive to the tune of tens of thousands of dollars per day. If that expense is money you will likely never recover, then the simplest thing to do is to give someone a medicine for their fever and get them out the door.
Individuals and institutions respond to incentives.
Not sure why this is so shocking, I thought conservatives understood markets. Expanding Medicaid increases the likelihood that hospital will get paid for its services, which creates different incentive than just telling them they must stabilize someone at their own expense before kicking them out.

I am not a conservative by any means, and am all for universal health coverage. I can't tell you how strongly I feel about this. I can just go on and on about the cruelty of the current 'system'. And it is not just the poor who suffer. In fact due to Medicaid, they are often better off than the middle class in this respect.

There is absolutely no reason for a hospital to hold someone because of fever. Ebola was not suspected.

Secondly, we are talking about a hospital in a major major city of the country. Even if you have seen ERs of smallish town hospitals, you would not be making this claim. Please see the reality of how overcrowded and chaotic things often are in the medical system. There is no cause to suspect intentional malice / money factor in this case.
 
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