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Tough questions about Jessica's transplants (Michelle Malkin)
TownHall.com ^ | 2/21/03 | Michelle Malkin

Posted on 02/20/2003 9:43:28 PM PST by kattracks

No one can deny that the plight of Jesica Santillan, the sick teenager who mistakenly received organs at Duke University from a donor with a different blood type, is a sad one.

But we cannot ignore the tough public policy questions in Jesica's case that the sob-story writers at The New York Times prefer to paper over:

-- When resources are scarce, as the supply of voluntarily donated organs notoriously are, why shouldn't U.S. citizens get top priority?

-- According to national figures, 16 patients die in the U.S. each day while waiting for a potentially life-saving transplant operation. How many American patients currently on the national organ waiting list were denied access to healthy hearts and lungs as a result of Santillan's two transplant surgeries? Who will tell their stories?

-- Finally, if Jesica recovers from the second heart-lung transplant, will any federal immigration authority have the guts to enforce the law and send her and her family back home to Mexico?

According to Times reporter Denise Grady, "Ms. Santillan's family moved from Mexico to North Carolina three years ago in hopes that she could be treated at Duke for restrictive cardiomyopathy, which caused an enlarged, weakened heart and damaged lungs."

But as other media outlets have more accurately and honestly detailed, Santillan's family didn't just "move" here. They came here illegally by paying a coyote $5,000 to smuggle Santillan and her mother across the border for the express purpose of obtaining medical care and circumventing long wait times in Mexico.

A North Carolina businessman, Mack Mahoney, founded a private charity to raise funds for Santillan's transplants. But the charity cannot replace the organs that were used in Santillan's surgeries. Those hearts and lungs are not fungible.

In all likelihood, taxpayers will be on the hook for Santillan's post-operative care one way or another. Transplant patients must take immunosuppressant medications for the life of the transplanted organs, for example. Typical costs of post-transplant drugs may be as much as $2,500 per month in the first year alone. And as we all know, Santillan's botched operation was far from typical. Her illegal immigrant parents will probably sue Duke University, adding further to this case's surgery-related costs.

The United Network for Organ Sharing, the non-profit group that coordinates the nation's transplant system, has established a policy that no more than 5 percent of the organs transplanted at any hospital are allowed to go to illegal immigrants or foreign nationals. But when medical facilities have tried to deny organ transplants to illegal aliens, they have been met with a political and media uproar. Last summer, for example, the Cleveland Clinic was pressured by a local Hispanic city councilman into admitting an illegal immigrant from Guatemala for a liver transplant after initially turning her away.

The costs of illegal alien health care are crippling hospitals across the country. In North Carolina, where Santillan's family has settled, a Medicaid emergency services program averages 221 new cases every month involving immigrants, many of them illegal, at a cost of about $32 million. As The Washington Times reported recently, dozens of hospitals in the 28 counties along the U.S.-Mexico border in Texas, New Mexico, Arizona and California have either closed their doors or face bankruptcy because of losses caused by uncompensated care given to illegal immigrants.

Scripps Memorial Hospital in San Diego was forced to close after losing more than $5 million a year in unreimbursed medical care, much of it for illegal immigrants, Times reporter Jerry Seper noted. The Southeast Medical Center in Douglas, Ariz., is on the verge of bankruptcy because of uncompensated care to undocumented aliens; the Cochise County, Ariz., Health Department spends as much as 30 percent of its annual $9 million budget on undocumented aliens; and the University Medical Center in Tucson will spend up to $10 million this year providing uncompensated alien health care.

New York medical providers have performed dozens of organ-transplant operations -- and even sex-change operations -- to illegal aliens. The costs of such "charity" care typically are shifted to insured patients, resulting in higher health insurance premiums.

In a world of scarce resources, compassion must have limits. We cannot afford to be a medical welcome mat to the world.

©2003 Creators Syndicate, Inc.

Contact Michelle Malkin | Read her biography



TOPICS: Culture/Society; Editorial; News/Current Events
KEYWORDS: immigrantlist
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1 posted on 02/20/2003 9:43:28 PM PST by kattracks
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Comment #2 Removed by Moderator

To: William Creel
Again, as I said in another thread, the hospital should send Vicente Fox the medical bills.
3 posted on 02/20/2003 9:46:28 PM PST by cyborg
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To: kattracks
They came here illegally by paying a coyote $5,000 to smuggle Santillan and her mother across the border for the express purpose of obtaining medical care and circumventing long wait times in Mexico.

That's interesting...all of the news stories I heard about this kid today made no mention of it. I just assumed she was American.
4 posted on 02/20/2003 9:47:13 PM PST by July 4th
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To: cyborg
As should every hospital every time they treat an illegal mexican.
5 posted on 02/20/2003 9:47:34 PM PST by bonfire
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To: kattracks
I didn't realize they were criminal aliens... absolutely disgusting... robbing an American of needed organs... I keep waiting for the day when I will no longer be outraged and sickened the horror stories related to illegal aliens in my homeland.
6 posted on 02/20/2003 9:50:25 PM PST by Texas_Jarhead
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To: *immigrant_list; madfly; Tancredo Fan; Marine Inspector; Joe Hadenuf; Tailgunner Joe; ShuShu; ...
ping
7 posted on 02/20/2003 9:51:56 PM PST by gubamyster
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To: Sabertooth
Michelle ping!
8 posted on 02/20/2003 9:53:06 PM PST by Black Agnes
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To: kattracks
I understand the father would do anything to help his daughter live, but this country must not allow access to our medical welfare programs for non citizens. Why do the Republicans fight to keep socialized medicine out of America, but make sure illegals can get the best of care..........It is worse than wrong, it is bullshit.
9 posted on 02/20/2003 9:54:52 PM PST by jeremiah (Sunshine scares all of them, for they all are cockaroaches)
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To: bonfire
I wonder if anyone has thought of doing that? Not politicians because they'll never do that. I mean hospitals. They're hurting for money. And most lawyers will dig their right eye out for money. What all the hospitals should do is get together a group of CPAs and do some numbers crunching. After that's done, send them a bill and if they don't pay sue them. Now if there's some charity paying for it, then fine. Most of the time a private charity won't sponsor illegals anyway.
10 posted on 02/20/2003 9:55:11 PM PST by cyborg
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To: kattracks
So, seriously then. Is it politically correct to assert that our National Health Care crisis could be lain at the feet of the illegal alien problem? That the reason health care in America is failing is because of the rampant funding of medical care to, what, 30 million illegal Mexicans, Chinese, and assorted South Americans?

A fair way to approach this imbalance is to demonstrate out front what the value of medical care (and legal expenses) is afforded to illegal aliens compared to the value expended by the citizenry of this country. If its more than 5% of the total paid for medical care, then this problem will never be fixed BY ANY SOCIALIST SOLUTION, but instead will bankrupt our system of affordable health care.

Darn! Protect the friggin' BORDERS and so many serious social issues will be resolved!

11 posted on 02/20/2003 9:58:24 PM PST by Thommas
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To: kattracks
"even sex-change operations -- to illegal aliens"
12 posted on 02/20/2003 9:59:40 PM PST by kcvl
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To: cyborg
I have heard that some hospitals have found a way to get some reimbursment from Mexico, they say it is works if done properly.
13 posted on 02/20/2003 10:02:01 PM PST by c-b 1
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To: c-b 1
That's good. I knew that I didn't come up with anything new... hehe. Something is better than nothing at all.
14 posted on 02/20/2003 10:07:24 PM PST by cyborg
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To: Texas_Jarhead
robbing an American of needed organs

My brother in law was one of them, US Army active duty career officer w/ a two year old son when he got sick and died while waiting. When discussing this case w/ a co-worker today, I found out his son was another, 19 years old when he died approx 10 years ago, the man was devastated, he got all choked up. I wonder how many illegal aliens got hearts they could have used? This girl and Duke Medical Center cost two American's lives.

As for Duke, what can you expect from a university where they pay a terrorist with taxpayer dollars who bombed our Capitol building to come lecture?

15 posted on 02/20/2003 10:07:54 PM PST by putupon (Spay the bitchy Vichy poodle frogs.)
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To: kattracks
The Republican party, is always speaking of the reasons not to have "free" health care. It will cause costs to soar, it will make medical care effectiveness plummet, BUT WE the taxpayers, are funding completely free medical care, for 8-15 Million people that pay much less in taxes(if any) than they take out of the govt. Where is the principle here. The Republican party speaks of getting people on welfare back to work, but there are corporations getting billions in welfare, tobacco is recipient of billions. It seems the principle is that if you are one of the working class, pay taxes and scrimp by, you are a fool. If you are a immigrant, that comes in legally, and works and pays taxes, you are a fool. Is the govt, which the Republican party is in complete control of, telling us something? Don't follow the rules? Take everthing you can, and don't feel guilty? Everyone else IS doing just that.
16 posted on 02/20/2003 10:08:10 PM PST by jeremiah (Sunshine scares all of them, for they all are cockaroaches)
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To: c-b 1
Then why haven't the hospitals on the AZ/TX/CA borders heard of this magical reimbursement? Is it like...pennies on the dollar? I don't agree that something is better than nothing. I think we should deduct the amount from Mexico's foreign subsidies. Vincente would owe US big bux!
17 posted on 02/20/2003 10:09:11 PM PST by Black Agnes
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To: cyborg
I just read an article about the percentage of illegals that hospitals treat with no compensation. No wonder our insurance is so high.
18 posted on 02/20/2003 10:13:36 PM PST by bonfire
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To: Texas_Jarhead
I hope you live a really long life, bro.

I know I won't see that day.

Semper Fi.

L

19 posted on 02/20/2003 10:20:01 PM PST by Lurker (When I want your opinion, I'll beat it out of you.)
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To: kattracks
By the time the Santillan family sues and receives a settlement from the doctors and hospital, they'll be wealthier than most American citizens.
20 posted on 02/20/2003 10:24:36 PM PST by 2Smart2BLiberal
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