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Thread: Who's packing ERs? Not the uninsured

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by Tucker Case View Post
    I'm more surprised by this:



    Than the rest. I'd like to know how they defined "urgent" causes, though.
    Urgent cause, for some folk, is needing IV Morphine 'real bad'...

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by MyOwnDrum View Post
    Urgent cause, for some folk, is needing IV Morphine 'real bad'...
    I've actually needed IV morphine "real bad" (gall bladder needed to be removed), and it felt pretty urgent to me.

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by Catz Part Deux View Post
    The survey's methodology does not take into account the ER frequent fliers who visit the ER on a regular basis, and do not have insurance. These folks make up a substantial percentage of the people served in an ER on an annual basis. It delivers a misleading conclusion. One in five Americans may very well visit an ER annually, but that statistic doesn't answer two more important questions.

    First, what percentage of Americans visit an ER more frequentlythan once? And, what is the daily count of ER "customers" and a comparison of insured versus uninsured.

    Hope that helps.
    This could very well be the case, but the parts of the study that I can find seem to say that's not really it.

    ER visits by the uninsured were no more likely to be triaged as non-urgent than visits by privately insured patients or those with Medicaid coverage.
    Also somewhat surprisingly, this isn't the first study to touch on this (though it's the first one I've ever heard of).

    Arguments for health-care reform: Uninsured in the emergency room? | The Economist

    and

    Don't blame the uninsured for emergency room visits | United Liberty | Free Market - Individual Liberty - Limited Government

    The JAMA study also found that patients with public insurance, such as Medicaid and Medicare, are more likely to crowd into emergency rooms for minor complaints than are the uninsured. Only about 17 percent of E.R. visits in the United States in the last year studied were by uninsured patients, about the same as their share of the population.
    Given that, I think it's likely that the uninsured use the ER proportionately to everyone else, which comes as a surprise to me.

    Quote Originally Posted by Deuce View Post
    Err, no, because it makes perfect sense. Having insurance does not make you more or less likely to get in a car wreck or come down with a serious illness.
    You've never heard the claim that ERs are flooded with uninsured patients who treat the ER as a primary care doctor, and that the way to fix that is to make sure that everyone has insurance? It was a very prominent argument in favor of the health care bill.

    http://www.nytimes.com/2008/12/09/bu...emergency.html

    As increasing numbers of the unemployed and uninsured turn to the nation’s emergency rooms as a medical last resort, doctors warn that the centers — many already overburdened — could have even more trouble handling the heart attacks, broken bones and other traumas that define their core mission.
    Docs fear reform will exacerbate ER overuse | Indianapolis Business Journal | IBJ.com

    One of the most agreed-upon reasons for health care reform was the expensive overuse of the emergency room by uninsured patients.
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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by RightinNYC View Post
    Who's packing ERs? Not the uninsured | Reuters



    This is very surprising. How is it that nobody knew this until now?
    Not really. A major difference is the insured have a chance of paying for the visit. And frankly, who didn't know this?

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by missypea View Post
    Yikes! I don't think that's a good idea at all. Too many people wouldn't heed the warning signs that often appear before a heart attack, stroke, etc.
    Thats because the signs and symptoms of a heart attack or stroke can often mimic the symptoms of less dangerous pathologies. Its not that people wouldn't heed the signs, its that the signs are often confusing in the first place.
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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by Catz Part Deux View Post
    I've actually needed IV morphine "real bad" (gall bladder needed to be removed), and it felt pretty urgent to me.
    You obviously don't understand the inside joke, so give it up gal...

    Wonder what time of the month it might be for ya?

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    Re: Who's packing ERs? Not the uninsured

    the most prominent person on the planet who didn't know all this was president barack hussein obama

    he STILL doesn't know

    someone should tell him

    too bad he doesn't read important threads like these

    (he's probably too busy rushing off to iowa or apologizing to calderon and hu for arizona)

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by The Prof View Post
    the most prominent person on the planet who didn't know all this was president barack hussein obama

    he STILL doesn't know

    someone should tell him

    too bad he doesn't read important threads like these

    (he's probably too busy rushing off to iowa or apologizing to calderon and hu for arizona)
    That's nonsense.

    AUSTAN GOOLSBEE: I think the world vests too much power, certainly in the president, probably in Washington in general for its influence on the economy, because most all of the economy has nothing to do with the government.

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    Re: Who's packing ERs? Not the uninsured

    A chief aim of the new healthcare law was to take the pressure off emergency rooms by mandating that people have insurance coverage. The idea was that if people have insurance, they will go to a doctor rather than putting off care until they faced an emergency.
    Health reform threatens to cram already overwhelmed emergency rooms - TheHill.com

    the idiot (obama) shoulda checked out the STATS when he went to massachusetts to help ms coakley lose

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    Re: Who's packing ERs? Not the uninsured

    Quote Originally Posted by RightinNYC View Post
    This is very surprising. How is it that nobody knew this until now?
    I'm not sure I understand what this story is claiming.

    PUBLIC hospitals ARE filled with illegals and uninsured patients on medicaid or state run health program.

    Privately run hospitals are filled with people who have insurance covered by that hospital. And medicaid patients depending on the location and hospital policy.

    Private hospital emergency rooms don't have to treat non-emergency patients without insurance. And those that they do treat will be transfered to a public hospital when stable.

    Is the story claiming that people with insurance are going to public hospitals and claiming they don't have insurance?

    Also, it follows that if more people are insured than not, then more insured patients will show up to emergency rooms overall. But if you look at just public hospital emergency rooms, then I don't believe people with insurance are going to go there, wait all day, lie on an admin form, just to get some free antibiotics.

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