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#21
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NHS question (was: Gandalf's situation)
wrote in message ... Christina Websell wrote: My doctor has to pay to send me to hospital This is something I don't understand - could you explain it? Why does your *doctor* pay for your hospitalization? Isn't it already covered by NHS? And when you say he has to pay, do you mean out of a budget that has been allocated to him by the institution he works for, or by NHS? Or is he paying out of his own money? I just find that confusing. I don't think we have anything like that here. My GP's have a budget, provided by the NHS. They can either decide to treat the patient themselves or use their budget to send a patient to a specialist, or admit them to hospital. Both of which will cost them. Luckily my own doctors know that their experience is limited and never worried about their budget if they thought I needed hospital treatment. As I said, I must have been a serious drain on their finances in the last few years but they have never hesitated to send me to hospital for all my eye ops,ovarian ca and all the repairs I needed after that. I've been asked several times by family & friends whether it would be a advantage to me to change surgeries from having elderly Asian Indian doctors look after me. My answer is no, if I got another like the one that got fed up with being called out to my friend's mother, with a severe chest infection, with a history of bowel cancer. He eventually refused to attend and she died of lung cancer a few days later. I know that my doctors know that they are not up to speed. I once asked my doctor about what he knew about macular hole repair (which I'd recently had.) He said (disarmingly) "Nothing.. *do* tell me about it." He funded it, so I gave him a lesson on it! Tweed |
#22
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Gandalf's situation
wrote in message ... Cheryl, haven't you ever criticized other countries? We read things in the news about other countries and wonder how their governments could treat their people the way they do, even though many of us have never been to those countries. Most of us have had things to say about China, Afghanistan, and back when it was relevant, the Soviet Union, to name a few places. I don't see why Tweed can't express her opinion about the US's healthcare policy. I'm glad she does. I think a lot of the non-US residents on this ng are way too polite about this - I hear people say how much they like their respective national health systems, but nobody will come out and ask, "Why is the US the only wealthy, industrial country that doesn't have this??" So, yay Tweed! I think it's time we recognize that universal health care is *not* a radical idea, despite what a lot of Americans may think. It's normal and mainstream in most countries that have the resources to fund such a system. Joyce I'm not at all worried to be criticized for saying what I did. I believe that anyone who is ill or injured should not have to worry about paying for treatment, and any country that allows that needs a serious WTF is going on there?! The USA is one of the most wealthy countries in the world and the idea that one of your citizens is afraid to get urgent medical help because it's not affordable, well, it's disgusting. Tweed |
#23
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Gandalf's situation
"Sherry" wrote in message news:c6a538bc-1503-46c2-b633-
Pretty much all I've read here is sadly true, but I wanted to add some thoughts because I'm afraid Tweed has a mental picture of critically ill people expiring on the hospital's back steps because they don't have money or insurance. That isn't true. ER's cannot turn you away and don't ask you for cash up front. Hospitals offer payment plans. Hospitals and physicians all take on a number of "charity cases" each year. You just ask for an application. They cannot seize your home or your transportation. There's a book in every county courthouse called "The Hospital/Physician Lien Book." If you don't pay, your name will end up in that book, but they cannot touch your assets until you die, or try to sell. ER's are full of people after 5:00 with non-emergency illnesses. Why? Because they wait until the doctor's office is closed -- they know the doctor can ask for payment, but the ER can't. However, if your life depends on something like a transplant, you'll never make the list without insurance or money. A 60-year-old noncompliant alcholic with good insurance will definitely have first dibs on a liver, even if you're a healthy 20 year old. The elderly have Medicare and with a good supplement, their hospitalizations are going to be taken care of. Prescriptions maybe not so much I don't know. The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. It's the rest of us who need to worry. Sherry *** Unfortunately, what you say is not always the case. A few months ago, a woman died in the Emergency Room of a hospital. She had a seizure and was ignored. She vomited blood, and a janitor was sent to mop up the blood, but nobody (except for other people who were there for treatment) paid any attention to her until she was dead. Some other patients tried to get someone to help her, but nobody would. Joy |
#24
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Gandalf's situation
"MaryL" -OUT-THE-LITTER wrote in message
... ````` "jmcquown" wrote in message ... wrote in message ... Christina Websell wrote: I've taken a long while to say that the USA (it seems to me) is the same as third world countries with the medicare they provide for the vulnerable. And getting more and more like that every day, as the gap between rich and poor widens and widens. It's practically a crime to be poor in this country. People who don't support universal healthcare in the US come in two categories: the greedy and the stupid. The greedy are the rich folks who don't want to part with their wealth, society be damned. The stupid is everyone else. Why would hardworking, struggling people *not* support benefits that would give them and their families a big break? Damned if I know - they're brainwashed? You hear them parroting phrases like "death panels" and you know those people didn't come up with that phrase on their own. Turn off the Fox "news" (thanks, dkg), folks, and learn something for a change, will you? Joyce It might help if the providers of said help and "medical care" didn't pad the bills. When I fell and broke my nose last month the ambulance bill alone was $400... and it says $101 of that is listed as being for the fuel to transport me. I know damn good and well it didn't cost them $101 to drive me *20 miles*. Maybe if they were using rocket fuel... Insurance and universal healthcare issues aside, someone really needs to put a stop to the outrageous overcharging. It's no wonder the average (much less poor) person cannot afford to seek medical assistance. Jill I have favored some sort of national health care for my entire adult life, and it angers me to see the number of people who have no sympathy/empathy at all. However, I would like to point out that some of the outrageous billing practices are related to the high number of Medicaid patients that hospitals care for. Hospitals and doctors are given ridiculously low payments for them, so people with insurance end up with much higher bills. My mother was a private-pay patient when she was in the nursing home (although she also had Medicare--*not* Medicaid, which helped a lot). Her roommate was a Medicaid patient. Medicaid paid 100% of her care and also provides a small cash payment directly to the patient. She was later able to transfer to low-income housing. It is actually a pretty nice unit--bedroom, living room, kitchen, and bathroom. That is also 100% paid for by Medicaid, and she received $60.00 per month for incidentals. She is diabetic and morbidly obese, so she had aides who came in for several hours twice a day to help her, and a nurse came in once a week to check on her health and lay out medical supplies for the week. I say "had" because she is now back in a rehab center. Medicaid is paying for that and also for her apartment. Medicaid has also paid for glasses, false teeth, three different surgeries related to poor blood circulation, transportation for medical care, and doctors' visits on an average of every two weeks. So, my point is that she desperately *needs* medical care, and I think it is outrageous that we do not have better health care for the poor and elderly, but it is *not* true that hospitals can simply turn a critically ill patient away and let them die. MaryL Sorry, but it does happen. See my post in this thread about the woman who died in Emergency while being ignored by hospital personnel. Joy |
#25
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Gandalf's situation
In article
, Sherry wrote: The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. Unfortunately, most of us don't. You have to fight tooth and nail for state health coverage (Medicaid) and most states are so underfunded that you're almost automatically rejected unless you have official disability status (which has to be re-checked every so many years) or are pregnant. Been there, done that, still have no insurance despite living below the poverty line and having bipolar II severe enough that it's landed me in the hospital. They can't refuse you care, but they can certainly send your bill to the collection agency when you don't pay it fast enough... -- minnow ^..^ http://twitter.com/taheenahana http://www.flickr.com/photos/minnow/ |
#26
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Gandalf's situation
"Joy" wrote in message . .. "MaryL" -OUT-THE-LITTER wrote in message ... ````` "jmcquown" wrote in message ... wrote in message ... Christina Websell wrote: I've taken a long while to say that the USA (it seems to me) is the same as third world countries with the medicare they provide for the vulnerable. And getting more and more like that every day, as the gap between rich and poor widens and widens. It's practically a crime to be poor in this country. People who don't support universal healthcare in the US come in two categories: the greedy and the stupid. The greedy are the rich folks who don't want to part with their wealth, society be damned. The stupid is everyone else. Why would hardworking, struggling people *not* support benefits that would give them and their families a big break? Damned if I know - they're brainwashed? You hear them parroting phrases like "death panels" and you know those people didn't come up with that phrase on their own. Turn off the Fox "news" (thanks, dkg), folks, and learn something for a change, will you? Joyce It might help if the providers of said help and "medical care" didn't pad the bills. When I fell and broke my nose last month the ambulance bill alone was $400... and it says $101 of that is listed as being for the fuel to transport me. I know damn good and well it didn't cost them $101 to drive me *20 miles*. Maybe if they were using rocket fuel... Insurance and universal healthcare issues aside, someone really needs to put a stop to the outrageous overcharging. It's no wonder the average (much less poor) person cannot afford to seek medical assistance. Jill I have favored some sort of national health care for my entire adult life, and it angers me to see the number of people who have no sympathy/empathy at all. However, I would like to point out that some of the outrageous billing practices are related to the high number of Medicaid patients that hospitals care for. Hospitals and doctors are given ridiculously low payments for them, so people with insurance end up with much higher bills. My mother was a private-pay patient when she was in the nursing home (although she also had Medicare--*not* Medicaid, which helped a lot). Her roommate was a Medicaid patient. Medicaid paid 100% of her care and also provides a small cash payment directly to the patient. She was later able to transfer to low-income housing. It is actually a pretty nice unit--bedroom, living room, kitchen, and bathroom. That is also 100% paid for by Medicaid, and she received $60.00 per month for incidentals. She is diabetic and morbidly obese, so she had aides who came in for several hours twice a day to help her, and a nurse came in once a week to check on her health and lay out medical supplies for the week. I say "had" because she is now back in a rehab center. Medicaid is paying for that and also for her apartment. Medicaid has also paid for glasses, false teeth, three different surgeries related to poor blood circulation, transportation for medical care, and doctors' visits on an average of every two weeks. So, my point is that she desperately *needs* medical care, and I think it is outrageous that we do not have better health care for the poor and elderly, but it is *not* true that hospitals can simply turn a critically ill patient away and let them die. MaryL Sorry, but it does happen. See my post in this thread about the woman who died in Emergency while being ignored by hospital personnel. Joy I should not have implied that it *never* happens, but we do have laws in effect now that require hospitals/emergency rooms to render treatment for emergency situations. Unfortunately (and tragically), there are cases where personnel either do not recognize the seriousness of the case or ignore basic needs. There was a news report a few months ago that showed a woman falling out of a chair in an emergency room, lying there for *hours* while hospital staff walked by, and then later died. An absolute atrocity! I also wasn't very clear in describing my mother's former roommate (in the nursing home) as being paid for entirely by Medicaid. Medicaid does pay 100% for her medical care, but expenses such as her apartment come from other welfare sources. MaryL |
#27
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Gandalf's situation
"Joy" wrote in message . .. "Sherry" wrote in message news:c6a538bc-1503-46c2-b633- Pretty much all I've read here is sadly true, but I wanted to add some thoughts because I'm afraid Tweed has a mental picture of critically ill people expiring on the hospital's back steps because they don't have money or insurance. That isn't true. ER's cannot turn you away and don't ask you for cash up front. Hospitals offer payment plans. Hospitals and physicians all take on a number of "charity cases" each year. You just ask for an application. They cannot seize your home or your transportation. There's a book in every county courthouse called "The Hospital/Physician Lien Book." If you don't pay, your name will end up in that book, but they cannot touch your assets until you die, or try to sell. ER's are full of people after 5:00 with non-emergency illnesses. Why? Because they wait until the doctor's office is closed -- they know the doctor can ask for payment, but the ER can't. However, if your life depends on something like a transplant, you'll never make the list without insurance or money. A 60-year-old noncompliant alcholic with good insurance will definitely have first dibs on a liver, even if you're a healthy 20 year old. The elderly have Medicare and with a good supplement, their hospitalizations are going to be taken care of. Prescriptions maybe not so much I don't know. The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. It's the rest of us who need to worry. Sherry *** Unfortunately, what you say is not always the case. A few months ago, a woman died in the Emergency Room of a hospital. She had a seizure and was ignored. She vomited blood, and a janitor was sent to mop up the blood, but nobody (except for other people who were there for treatment) paid any attention to her until she was dead. Some other patients tried to get someone to help her, but nobody would. Joy I responded to your other message before I read this one. Ironically, the situation you described here is the same one that I discussed in my follow-up. This was a truly outrageous, abominable lack of care. Fortunately, it was also a highly unusual situation--and made national news for that reason. MaryL |
#28
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Gandalf's situation
On Oct 22, 2:26*pm, "Joy" wrote:
"Sherry" wrote in message news:c6a538bc-1503-46c2-b633- Pretty much all I've read here is sadly true, but I wanted to add some thoughts because I'm afraid Tweed has a mental picture of critically ill people expiring on the hospital's back steps because they don't have money or insurance. That isn't true. ER's cannot turn you away and don't ask you for cash up front. Hospitals offer payment plans. Hospitals and physicians all take on a number of "charity cases" each year. You just ask for an application. They cannot seize your home or your transportation. There's a book in every county courthouse called "The Hospital/Physician Lien Book." If you don't pay, your name will end up in that book, but they cannot touch your assets until you die, or try to sell. ER's are full of people after 5:00 with non-emergency illnesses. Why? Because they wait until the doctor's office is closed -- they know the doctor can ask for payment, but the ER can't. However, if your life depends on something like a transplant, you'll never make the list without insurance or money. A 60-year-old noncompliant alcholic with good insurance will definitely have first dibs on a liver, even *if you're a healthy 20 year old. The elderly have Medicare and with a good supplement, their hospitalizations are going to be taken care of. Prescriptions maybe not so much I don't know. The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. It's the rest of us who need to worry. Sherry *** Unfortunately, what you say is not always the case. *A few months ago, a woman died in the Emergency Room of a hospital. *She had a seizure and was ignored. *She vomited blood, and a janitor was sent to mop up the blood, but nobody (except for other people who were there for treatment) paid any attention to her until she was dead. *Some other patients tried to get someone to help her, but nobody would. Joy I heard that story. However, I don't remember that it had anything to do with her ability or inability to pay. Patients are triaged according to severity of their conditon. I don't think staff realized how sick she was. Sherry |
#29
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Gandalf's situation
"Joy" "Sherry" - Pretty much all I've read here is sadly true, but I wanted to add some thoughts because I'm afraid Tweed has a mental picture of critically ill people expiring on the hospital's back steps because they don't have money or insurance. That isn't true. ER's cannot turn you away and don't ask you for cash up front. Hospitals offer payment plans. Hospitals and physicians all take on a number of "charity cases" each year. You just ask for an application. They cannot seize your home or your transportation. There's a book in every county courthouse called "The Hospital/Physician Lien Book." If you don't pay, your name will end up in that book, but they cannot touch your assets until you die, or try to sell. ER's are full of people after 5:00 with non-emergency illnesses. Why? Because they wait until the doctor's office is closed -- they know the doctor can ask for payment, but the ER can't. However, if your life depends on something like a transplant, you'll never make the list without insurance or money. A 60-year-old noncompliant alcholic with good insurance will definitely have first dibs on a liver, even if you're a healthy 20 year old. The elderly have Medicare and with a good supplement, their hospitalizations are going to be taken care of. Prescriptions maybe not so much I don't know. The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. It's the rest of us who need to worry. Sherry *** Unfortunately, what you say is not always the case. A few months ago, a woman died in the Emergency Room of a hospital. She had a seizure and was ignored. She vomited blood, and a janitor was sent to mop up the blood, but nobody (except for other people who were there for treatment) paid any attention to her until she was dead. Some other patients tried to get someone to help her, but nobody would. Joy Oh no, that is sad, sick and wrong IMO. I'd sue the hospital if that happened.!!! Love, Kyla |
#30
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Gandalf's situation
On Oct 22, 3:18*pm, "Kyla =^..^=" wrote:
"Joy" "Sherry" - Pretty much all I've read here is sadly true, but I wanted to add some thoughts because I'm afraid Tweed has a mental picture of critically ill people expiring on the hospital's back steps because they don't have money or insurance. That isn't true. ER's cannot turn you away and don't ask you for cash up front. Hospitals offer payment plans. Hospitals and physicians all take on a number of "charity cases" each year. You just ask for an application. They cannot seize your home or your transportation. There's a book in every county courthouse called "The Hospital/Physician Lien Book." If you don't pay, your name will end up in that book, but they cannot touch your assets until you die, or try to sell. ER's are full of people after 5:00 with non-emergency illnesses. Why? Because they wait until the doctor's office is closed -- they know the doctor can ask for payment, but the ER can't. However, if your life depends on something like a transplant, you'll never make the list without insurance or money. A 60-year-old noncompliant alcholic with good insurance will definitely have first dibs on a liver, even if you're a healthy 20 year old. The elderly have Medicare and with a good supplement, their hospitalizations are going to be taken care of. Prescriptions maybe not so much I don't know. The poor and disabled have Medicaid. Again, not perfect. Most states have programs in place for children living below the poverty line. It's the rest of us who need to worry. Sherry *** Unfortunately, what you say is not always the case. *A few months ago, a woman died in the Emergency Room of a hospital. *She had a seizure and was ignored. *She vomited blood, and a janitor was sent to mop up the blood, but nobody (except for other people who were there for treatment) paid any attention to her until she was dead. *Some other patients tried to get someone to help her, but nobody would. Joy Oh no, that is sad, sick and wrong IMO. *I'd sue the hospital if that happened.!!! Love, Kyla And it had nothing to do with finances. And it wasn't even a regular medical facility. It was a psychiatric hospital. Sherry |
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