Posted on 03/30/2025 6:08:04 PM PDT by Libloather
It would seem this could this be done via reconciliation bill, it’s a budget issue so it should get through. Getting this through the senate as a stand alone is unlikely.
I don’t see why Feds couldn’t withhold at least some federal funding of blue state Medicaid in the interim although this would certainly be challenged by blue state AGs.
Instead of emergency services, we should provide emergency, permanent med-flights home.
Station ICE teams in ER’s. Do legal presence checks. And immediately detain and remove if not present legally. . .
The EMTALA only requires “emergency services” and “stabilizing care”. Medical services can refuse care for the sniffles and other normal medical procedures.
I’ve been in the emergency room, with a true emergency, surrounded by non English speaking families with sniffling toddlers looking for cough medicine.
If the Medicaid money is shut off, the hospitals will start turning these people away.
EC
As a physician, I can tell you that specialists on call in the ER end up on the hook caring for these people, including surgery, because EMTALA also has mandates obligating medical staff on call to the ER to provide it. So, if you are a surgeon and anyone, insured or not, comes in with appendicitis, you will take him to the operating room and may not get paid unless you are a hospital employee. Don’t think of transferring to another hospital, because there are very heavy fines for “dumping” patients.
NYS cost shares Medicaid with counties.
Bet a lot of foreclosures are because people can’t afford confiscatory property taxes...
One county, Oswego, was making over a million a year this way, by screwing residents out of their equity.
Illinois has been enrolling them for decades. I’d be in the Medicaid office while I was on dialysis and almost none of the Hispanics spoke English. I always got gawked at as the lone white girl.
It was very uncomfortable.
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