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N.Y. puts caps on hospital fees for poor
http://www.upi.com/HealthBusiness/view.php?StoryID=20060331-045526-8369r ^ | March 31

Posted on 04/01/2006 11:07:54 AM PST by MRMEAN

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To: FOG724
I'm normally very libertarian when it comes to things but the system we have now is not free market to start with.

Of course it isn't. Medicare/Medicaid has completely ruined our health care system. If Americans wouldn't be paying sky-high taxes for it, they'd be able to afford their own personal health care account.

Medicaid should be strictly for those who are disabled or have some type of end-stage disease. Too many prego women, illegals, drunks and "poor" people are abusing the system.

61 posted on 04/01/2006 12:00:46 PM PST by Extremely Extreme Extremist (None genuine without my signature)
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To: 4U2OUI

The idea that we now have "fair" healthcare is false. Healthcare is very tiered in the free market. Fer instance, the healthcare someone receives in a rural area is inferior to that in a major metropolitan area. And there are tiers within major cities. One of the fastest growing type of practices is "boutique" medicine, which still offers house calls.


62 posted on 04/01/2006 12:01:04 PM PST by durasell (!)
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To: Kozak
I agree. The law says the only time an ER patient is NOT obligated to pay is if his condition is life-threatening. We'd never want to with hold medical treatment from someone who might die because they are unable to pay. Its unethical. As you said though, hospitals can and should try to collect the costs from people who use the ER for routine care. Its not fair to have others shoulder that kind of expense.

(Denny Crane: "I Don't Want To Socialize With A Pinko Liberal Democrat Commie. Say What You Like About Republicans. We Stick To Our Convictions. Even When We Know We're Dead Wrong.")

63 posted on 04/01/2006 12:02:36 PM PST by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives On In My Heart Forever)
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To: bill1952
1) coca cola is not a natural monopoly

2) coke purchasers are not bleeding on the floor, with broken bones jutting out

3) retail vs. wholesale - give me a break, with the strawmen

Again, set any rate you wish, just charge all comers the same.

Raising plywood prices in a hurricane is illegal - how about overcharging the wounded?

64 posted on 04/01/2006 12:05:47 PM PST by patton (Once you steal a firetruck, there's really not much else you can do except go for a joyride.)
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To: durasell

I know. One of the physicians I call on has changed his practice. No third party payor - CASH only. He charges a flat monthly fee and his patients get unlimited access to the doctor. He has cut his workload in half, and is making more money.

Of course the other docs in town are pi$$ed, because they have to see the medicare/medicaid patients that he won't see.


65 posted on 04/01/2006 12:06:20 PM PST by 4U2OUI (losing what I thought was sanity...and liking it.)
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To: 4U2OUI

Yep. That's the name of the game these days. Fortunately, most ERs still have adrenaline junkies.


66 posted on 04/01/2006 12:08:35 PM PST by durasell (!)
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To: patton

Spent some time in an ER lately?

Try it. It's an eye-opener.

You will see dozens of folks with sniffles, a minor fever, drunks, and some who apparently are lonely - all demanding to see an ER doc at YOUR EXPENSE.

Sorry that reality is unpleasant. Ignoring it won't make it go away.


67 posted on 04/01/2006 12:09:46 PM PST by 4U2OUI (losing what I thought was sanity...and liking it.)
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To: patton
Just randomly grabbing a bill from the file cabinet, I see "submitted charge...$97.33...negotiated charge...$22.31"

In other words, I (or my insurance) pay $22.31 for a service that costs the uninsured $97.33

How much are you paying the insurance company a year, whether you use it or not, to negotiate that lower price?

My wife and I are paying a pretty hefty bill every month for "nothing". Until we have to use it, then we welcome the 4/5th price cut. (payrool deduction for Blue Cross for her, payroll deduction for my company family plan, and Tricare and Delta Dental for both of us)

We're triple covered so we don't have to pay huge hospital/dental bills. But we pay monthly whether we use it or not.

68 posted on 04/01/2006 12:11:48 PM PST by hattend (Let's unpimp the Democrat Party!)
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To: 4U2OUI

You'll be going to the man who needs no introduction. Chronic caller of the year three straight and shooting for number four. The duke of drunk, the king of stink, our most frequent flier, Mr. Oh. -- from Bringing Out the Dead


69 posted on 04/01/2006 12:13:23 PM PST by durasell (!)
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To: 4U2OUI
Stop calling for all the rest of us to subsidize the folks who won't take care of their own matters.

No, those of us without insurance are currently subsidizing you with insurance and the poor.

70 posted on 04/01/2006 12:13:29 PM PST by FOG724 (http://nationalgrange.org/legislation/phpBB2/index.php)
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To: FOG724

All that those of us caught in the middle are asking for is to be billed a fair rate. What that rate is has yet to be determined.

Last March I went to an ER thinking I had, had a minor stroke. A lot of stuff was done wrong when it came to stroke victim care. At the time I had catastrophic insurance only and all they did for me leave me lay in the ER for nearly 7 hours. Come morning they told me to go straight my dr., he knew I was enroute. I showed up at my dr. and he flipped out wanting to know why I wasn't kept for proper evaluation. I think the standard of care I received had to do with the high deductible. The ER bill was nearly $5,000 and the negotiated rate ended up as $1100.

This year I had to have surgery. I presented as self-pay up front. As such they told me I would get a 50% discount. No questions asked regarding my financial status in order to get the discount.

So if I apply the 50% rule to the ER visit it is still $2500. A non-insured person would still be paying more than I did with catastrophic insurance.


71 posted on 04/01/2006 12:14:57 PM PST by EBH (We're too PC to understand WAR has been declared upon us and the enemy is within.)
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To: hattend
Again, you assume a free market.

When was the last time you sat in an ER, and asked the price of anything? "No thanks, doc - I can buy that splint at wall mart for one tenth the price, so I am outta here..."

Doesn't happen.

72 posted on 04/01/2006 12:16:44 PM PST by patton (Once you steal a firetruck, there's really not much else you can do except go for a joyride.)
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To: Integrityrocks
But, punishing the wealthy with picking up the slack. That's just wrong.

Right now, those picking up the slack are the uninsured.

73 posted on 04/01/2006 12:17:02 PM PST by FOG724 (http://nationalgrange.org/legislation/phpBB2/index.php)
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To: FOG724

What an opportunity for you to start your own health care industry and charge "FAIR" prices.

I don't care if others pay more than I do. Life is inherently "unfair". Some folks are damn ugly and stupid, to boot. Will I be forced to pay for them to get the smarts and a pert new rack?


74 posted on 04/01/2006 12:17:04 PM PST by 4U2OUI (losing what I thought was sanity...and liking it.)
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To: MRMEAN
New York legislators have imposed limits on how much the states' hospitals can charge low-income, uninsured patients.

New York decided to start a massive immigration of the sick and poor to New York.

75 posted on 04/01/2006 12:19:46 PM PST by RJL
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To: 4U2OUI
Spent some time in an ER lately?

Yes I have, three times actually. Once for my husband's heart attack and twice for my deep vein thrombosis. I had to go twice because they tried to pass it off the first time as muscle cramps do to low calcium.

76 posted on 04/01/2006 12:20:39 PM PST by FOG724 (http://nationalgrange.org/legislation/phpBB2/index.php)
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To: goldstategop
The law says the only time an ER patient is NOT obligated to pay is if his condition is life-threatening.

You are still obligated to pay and they will come after you full force believe me.

77 posted on 04/01/2006 12:21:31 PM PST by FOG724 (http://nationalgrange.org/legislation/phpBB2/index.php)
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To: 4U2OUI
I did not offer to ignore it - I asked, why cannot the uninsured be charged the same rate as the insured?

(And, BTW, I spend more time in ER's than I care to admit. Arlington hospital has a coffee mug with my name on it. LOL)

(What can I say - I am clumsy).

78 posted on 04/01/2006 12:21:57 PM PST by patton (Once you steal a firetruck, there's really not much else you can do except go for a joyride.)
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To: patton

What's that got to do with your example. You paid 20 bucks for a $100 procedure. You probably pay a pant load of cash a month to the insurance company to get the lower price.

You probably paid closer to $100 (including your premium) for that $100 procedure.


79 posted on 04/01/2006 12:23:45 PM PST by hattend (Let's unpimp the Democrat Party!)
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To: 4U2OUI
Will I be forced to pay for them to get the smarts and a pert new rack?

I have no clue what you are talking about here.

80 posted on 04/01/2006 12:24:21 PM PST by FOG724 (http://nationalgrange.org/legislation/phpBB2/index.php)
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