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Thread: Pawlenty: Let ER's turn away patients to cut costs

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by Goyboy View Post
    misterman, you are correct. I found examples of whining by people who don't know what EMTALA actually requires of hospital emergency rooms.

    Nothing in EMTALA prevents an emergency room staff from sending established non-emergency cases to a health care provider outside of the emergency room.

    Being that I don't suffer from Obama Derangement Syndrome, I can correctly understand what the Urban Health Initiative is all about. It's about reducing the number of non-emergency cases handled by emergency rooms so that those emergency rooms handle more cases that are actual emergencies.
    Thanks for your comment.

    If only you could reach all the screaming loons out there and tell them.

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Tort reform is the key to this whole problem.

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by MyOwnDrum View Post
    Tort reform is the key to this whole problem.
    Especially within each state.
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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by MyOwnDrum View Post
    Tort reform is the key to this whole problem.
    Although I am in favor of tort reform, it's a different subject that does not pertain to the subject of this thread.
    The height of wisdom is to say, "I do not know." -Socrates

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by Goyboy View Post
    Although I am in favor of tort reform, it's a different subject that does not pertain to the subject of this thread.
    Believe me, it has everything to do with this thread.

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by nonpareil View Post
    So I'm curious how else capitalism can come in and fill the void?
    You should probably direct your question to the poster who made the statement.

    Quote Originally Posted by nonpareil View Post

    But let's concentrate on the "cases that should be in the clinics". How do we classify them?
    There are plenty of public clinics to handle cases who cannot pay much. The problem (in many cases, based on experience working in public hospitals) is that these patients don't really want to fill out the paperwork and wait. In a public health system, people will pay with their time.
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    Re: Pawlenty: Let ER's turn away patients to cut costs

    As a physician and being married to a physician, my wife and I can come up with myriad examples of patients that could have been turned away at the point of entry following immediate assessment. Common examples include patients that come to the ED for insulin or blood pressure Rx refills. A typical ED intake charge by the hospital is $1,100-1,500. Many of these patients arrive with no exacerbation of their primary ailment a several days remaining of their prescription, but claim they don't have to wait as long if they come to the ED (I find this hard to believe). Anyway, in most cases the local taxpayer ends up paying for the ED intake. We also see children being brought in for vaccinations. Again, a ED intake charge in addition to the vaccination (usually charged to the taxpayers) when the child can receive vaccinations at the county health department. My state (Oklahoma) has a program that provides these vaccinations to children free of charge as opposed to ~$1200 via the ED.

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by Shadowfax8 View Post
    As a physician and being married to a physician, my wife and I can come up with myriad examples of patients that could have been turned away at the point of entry following immediate assessment. Common examples include patients that come to the ED for insulin or blood pressure Rx refills. A typical ED intake charge by the hospital is $1,100-1,500. Many of these patients arrive with no exacerbation of their primary ailment a several days remaining of their prescription, but claim they don't have to wait as long if they come to the ED (I find this hard to believe). Anyway, in most cases the local taxpayer ends up paying for the ED intake. We also see children being brought in for vaccinations. Again, a ED intake charge in addition to the vaccination (usually charged to the taxpayers) when the child can receive vaccinations at the county health department. My state (Oklahoma) has a program that provides these vaccinations to children free of charge as opposed to ~$1200 via the ED.
    Medicaid and SCHIP both take care of those.

    The hospital should be able to turn away people coming in for that.
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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by Councilman View Post
    Having been to the emergency room at least 15 or 20 times in my life and 4 times last year I know a little bit about how they work.

    The triage system evaluates treatment based most in need and likely hood of benefiting and recovering from immediate treatment.

    This is the time people with a minor condition such as a splinter or other problem treatable at home should be given instructions on how to deal with the issue and sent on their merry way. Those people are the ones who find they get to wait hours and hours for a band aid.
    There's a way around that. Call an ambulance for the stubbed toe, splinter, etc. Then you get seen immediately. And cost the system even MORE.

    ERs should just be allowed to turn non-emergencies away.

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    Re: Pawlenty: Let ER's turn away patients to cut costs

    Quote Originally Posted by Goyboy View Post
    Although I am in favor of tort reform, it's a different subject that does not pertain to the subject of this thread.
    Tort reform is a nonsensical attempt to prevent unscrupulous big business scumbags from being held completely responsible for the damage their greed causes.

    In three words: Mindless Republican Bull****!

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