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Thread: Patients Pay Before Seeing Doctor as Deductibles Spread

  1. #51
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by MaggieD View Post
    Why won't it stop them? Would you rather pay $30 up front or $1,500?
    With respect, you are applying logic to the situation. The rhetoric to advance the ACA was that folks were going to the ER and not paying anything. Considering this the $30 or $1,500 is irrelevant...
    "The fact that we are here today to debate raising America's debt limit is a sign of leadership failure" - 2006 Senator Obama...leadership failure indeed!

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by MaggieD View Post
    Your link says the trend is spreading to ERs. What the HELL am I missing??
    Check that...:

    The practice of upfront payment for non-emergency care has been spreading in the U.S. as deductibles rise
    "The fact that we are here today to debate raising America's debt limit is a sign of leadership failure" - 2006 Senator Obama...leadership failure indeed!

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Summerwind View Post
    Really all I have to do is repeat what I already posted. Nothing compelling here, same ol' proof that you don't want solutions, you just want to bitch, and do it completely inanely.
    Then you are wrong. What you posted showed you were ignorant of the actual situation doctors face in the current medicare situation. I educated you as to the reality of it. You may hold your hands over you ears and scream out LA LA LA all you want, but it will only serve to keep you in ignorance.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by MaggieD View Post
    Your link says the trend is spreading to ERs. What the HELL am I missing??
    you cant be turned away in an emergency room because the lack of being able to pay upfront

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by trfjr View Post
    and you want to scold others for not reading when you don't even read what you quoted
    Gee, do you suppose it's just possible that as I'm the one who cut and pasted that paragraph that just maybe I read that too? Talking about what is "likely" is regular news fluff. It doesn't mean mean anything.

    And you ignored the point of the post, which is that this was happening before Obamacare.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by MaggieD View Post
    Are you posting this as if it's bad news? That would be good news. Emergency rooms are ridiculously over-used. If people have to pay up in advance, they'll make an appointment with their doctor -- or, YIKES! get a family doctor.

    I've had the misfortune of having to use the ER on four occasions in the last six years...for genuine pain-threshhold-ten emergencies. Somebody's there because his foot cast itches...a kid with a sore throat who's running around the waiting area...dozens of people looking just fine patiently waiting for ER care. More convenient at night is my guess. That's simply GOT to change.

    Large deductibles are a good thing.
    My understanding is that there are no subsidies for deductibles. Is that correct. If so it seems like a big obstacle for poor people.

    My prediction has been that the ACA would not improve the lot of poor people. They still would have to seek care in over-crowded county hospitals because they can't afford the out of pocket expenses. The only difference it will make to them is in terms of which entity foots the bill-- an insurance company or the county -- for a catastrophic illness.

    "The urge to save humanity is almost always a false front for the urge to rule." --HL Mencken

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by trfjr View Post
    or pay $0 up front at the emergency room?
    That's not quite accurate. The emergency room admitting personnel do everything they can to secure payment beforehand. If you demonstrate you cannot pay, they ensure they have all the info needed to bill you. Just like any other bill for services they've already secured from you a signed promise to pay and you are on the hook for that. If you don't pay they'll keep coming after you with all legal recourse just like any other bill for services.

    The condition you note, outside of folks who are judgement proof, is either pay the $30 deductible at the doctor's office or promise to pay the $1500 (?) bill at a later time.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Cardinal View Post
    Gee, do you suppose it's just possible that as I'm the one who cut and pasted that paragraph that just maybe I read that too? Talking about what is "likely" is regular news fluff. It doesn't mean mean anything.

    And you ignored the point of the post, which is that this was happening before Obamacare.
    No, you are correct but the point of the post was different. There seems to be a belief that with PPACA all anyone has to do is pay a premium (possibly with assistance of subsidy) and all is good. MANY of those uninsured were so due to inability to afford coverage. Now they must come up with premium, co-pay AND deductible the sum of which they couldn't afford prior.

    Yes it has always been my experience that both co-pays and deductible be paid (or at least arranged for payment) prior to non-emergency services.
    "The fact that we are here today to debate raising America's debt limit is a sign of leadership failure" - 2006 Senator Obama...leadership failure indeed!

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by clownboy View Post
    That's not quite accurate. The emergency room admitting personnel do everything they can to secure payment beforehand. If you demonstrate you cannot pay, they ensure they have all the info needed to bill you. Just like any other bill for services they've already secured from you a signed promise to pay and you are on the hook for that. If you don't pay they'll keep coming after you with all legal recourse just like any other bill for services.

    The condition you note, outside of folks who are judgement proof, is either pay the $30 deductible at the doctor's office or promise to pay the $1500 (?) bill at a later time.
    cant get blood out of a turnip. if people don't have the foresight to pay 30 dollars upfront do you think they are concerned about 1500 they are asked to pay later

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    We're already seeing that Obamacare is not going to help poor people any more or less than before.

    It was never meant to.

    It's just another disguised way to raise taxes, at the expense of our healthcare system. It promises the poor and minorities things that will never be delivered, as the Democrats always do.

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