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Getbig Main Boards => Politics and Political Issues Board => Topic started by: big L dawg on March 21, 2010, 08:28:14 PM

Title: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 08:28:14 PM
OK...some uninsured guy has a heart attack couple stints open heart surgery half a million dollars later hes good to go...If he didn't pay who paid for that?

some uninsured guy get cancer...chemotherapy couple surgery's to remove tumors $250,000 later he's in remission...If he don't pay for it or files bankruptcy who pays for it?

All the uninsured that get treatment but never paid who ended up paying?
Title: Re: who has payed for uninsured up untill now?
Post by: Hugo Chavez on March 21, 2010, 08:42:11 PM
uh, I don't think most uninsured are going to get those operations.
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 08:49:10 PM
uh, I don't think most uninsured are going to get those operations.

I had a neighbor few years back that was uninsured...His wife called an ambulance when he said he had chest pain....they rushed him to the hospital...open heart triple bypass all that shit total bill was $300,000
he didn't pay a Penny....who ended up paying for it?

are you saying if an ambulance comes and picks up a gunshot wound victim they check his insurance before they do surgery?...if a guy gets robbed and shot and has no insurance....If he doesn't pay the bill...who does?
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:22:23 PM
I had a neighbor few years back that was uninsured...His wife called an ambulance when he said he had chest pain....they rushed him to the hospital...open heart triple bypass all that shit total bill was $300,000
he didn't pay a Penny....who ended up paying for it?

are you saying if an ambulance comes and picks up a gunshot wound victim they check his insurance before they do surgery?...if a guy gets robbed and shot and has no insurance....If he doesn't pay the bill...who does?

No they can't refuse to do the surgery if he doesn't have insurance.  We have anti-patient dumping laws that prevent that from happening. 

No one pays.  It's just part of the hospital's cost of doing business. 
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 09:26:12 PM
No they can't refuse to do the surgery if he doesn't have insurance.  We have anti-patient dumping laws that prevent that from happening.  5
No one pays.  It's just part of the hospital's cost of doing business
aren't you the guy that always argues that businesses just pass along cost increases to their customers

don't hospitals do the same thing.......just roll the cost into what they charge their customers?
Title: Re: who has payed for uninsured up untill now?
Post by: Hugo Chavez on March 21, 2010, 09:28:12 PM
I guess maybe I don't get it but what's up with all the people who are trying to raise money to get treatment?  I mean if they can just go in and get it, why does virtually every city across America have jars in stores raising money for somebody's cancer treatment or heart transplant or whatever.
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:30:10 PM
aren't you the guy that always argues that businesses just pass along cost increases to their customers

don't hospitals do the same thing.......just roll the cost into what they charge their customers?

Not necessarily, because hospitals get paid by insurance companies and the government, which regulate and control what the hospital will receive.  

And I don't "argue" that businesses pass along increased costs to customers.  I just state the facts.  It's true.  Of course there are some exceptions.
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 09:30:36 PM
No they can't refuse to do the surgery if he doesn't have insurance.  We have anti-patient dumping laws that prevent that from happening. 

No one pays.  It's just part of the hospital's cost of doing business. 

no one pays?...so the ambulance drivers the nurses the anaesthesiologist the surgical doctors the therapy/rehab workers...they don't get paid?they did that shit for free?
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 09:32:20 PM
Not necessarily, because hospitals get paid by insurance companies

hospitals that treat uninsured people get paid by insurance companies?
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 09:35:33 PM
Not necessarily, because hospitals get paid by insurance companies and the government, which regulate and control what the hospital will receive.  

And I don't "argue" that businesses pass along increased costs to customers.  I just state the facts.  It's true.  Of course there are some exceptions.

I recall you making that argument more than one time

why do health insurance companies raise rates if not to pass on rising costs?

where do the rising costs come from?
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:36:50 PM
no one pays?...so the ambulance drivers the nurses the anaesthesiologist the surgical doctors the therapy/rehab workers...they don't get paid?they did that shit for free?

Ambulance drivers don't work for hospitals.  Nurses, doctors, etc. are paid by the hospital. 
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:37:25 PM
hospitals that treat uninsured people get paid by insurance companies?

No.
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 09:42:49 PM
Ambulance drivers don't work for hospitals.  Nurses, doctors, etc. are paid by the hospital. 

were does the money come from if they are not paid by the person they are treating?
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:45:08 PM
were does the money come from if they are not paid by the person they are treating?

The money comes from the hospital's budget.  They build this kind of thing into their budget.  Just like a (smart) business builds non-paying suppliers, customers, etc. into their budget.

Title: Re: who has payed for uninsured up untill now?
Post by: Hugo Chavez on March 21, 2010, 09:45:52 PM
you're not going to get the answer you're looking for from bb lol...
Title: Re: who has payed for uninsured up untill now?
Post by: 240 is Back on March 21, 2010, 09:47:15 PM
they pass on the costs to those WITH insurance, who actually pay.

it's why an aspirin costs $90 at a hospital.  You are paying for the 500 d-bags who walked out on their bill.

it's a screwed up system.  You can't let ppl bleed out on the sidewalk, as much as that would be the fair thing to do.

I have no idea the answer dude.
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 09:48:10 PM
The money comes from the hospital's budget.  They build this kind of thing into their budget.  Just like a (smart) business builds non-paying suppliers, customers, etc. into their budget.



OK...but were does the money come from?how exactly do they build it into there budget?they have a money press and just print some extra cash up to cover the uninsured that don't pay?...can you be more specific?...
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 09:48:37 PM
they pass on the costs to those WITH insurance, who actually pay.

it's why an aspirin costs $90 at a hospital.  You are paying for the 500 d-bags who walked out on their bill.

it's a screwed up system.  You can't let ppl bleed out on the sidewalk, as much as that would be the fair thing to do.

I have no idea the answer dude.

of course they do

weird that bum is unaware of that or chooses to deny it (even weirder)
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:50:31 PM
OK...but were does the money come from?how exactly do they build it into there budget?they have a money press and just print some extra cash up to cover the uninsured that don't pay?...can you be more specific?...

The money primarily comes from insurance companies and the government who provide reimbursements for services the hospital provides to other patients and any other revenue the hospital generates.   
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 09:51:40 PM
The money primarily comes from insurance companies and the government who provide reimbursements for services the hospital provides to other patients and any other revenue the hospital generates.   

were does the government get there money from?
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 09:52:21 PM
were does the government get there money from?

lol.  YOU. 
Title: Re: who has payed for uninsured up untill now?
Post by: Hugo Chavez on March 21, 2010, 09:54:54 PM
phase II ;D
Title: Re: who has payed for uninsured up untill now?
Post by: a_joker10 on March 21, 2010, 09:55:50 PM
Actually Beach, most states pay for it through taxes.
However, they have a right to do things like garnish your wages for eternity and the like.
Thats why lots of working poor claim bankrupcy right after something like this
http://www.aetna.com/about/aoti/aetna_perspective/uninsured.html
: Don’t the uninsured already receive free or discounted health care?
A: No, uninsured patients typically do not receive services at discounted rates. In fact, most are likely to go without care at all or be treated in high-cost emergency room settings. According to the Kaiser Commission on Medicaid and the Uninsured (August 2008), one-quarter of uninsured adults “go without needed care due to cost each year.” Because they do not receive early treatment and regular preventive care, the uninsured are more likely to be hospitalized and die from preventable causes. When those without coverage do receive treatment, expenses are significantly higher than those of their insured counterparts due to group discounts negotiated by employer-sponsored insurance plans. According to Health Affairs, bills that cannot be paid – the uninsured will receive about $56 billion in uncompensated care in 2008 – are passed on to taxpayers through government programs that will finance 75 percent of the cost, or to the privately insured through higher rates. In short, America covers the uninsured in the least effective, most expensive manner possible.
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 10:00:26 PM
Actually Beach, most states pay for it through taxes.
However, they have a right to do things like garnish your wages for eternity and the like.
Thats why lots of working poor claim bankrupcy right after something like this
http://www.aetna.com/about/aoti/aetna_perspective/uninsured.html
: Don’t the uninsured already receive free or discounted health care?
A: No, uninsured patients typically do not receive services at discounted rates. In fact, most are likely to go without care at all or be treated in high-cost emergency room settings. According to the Kaiser Commission on Medicaid and the Uninsured (August 2008), one-quarter of uninsured adults “go without needed care due to cost each year.” Because they do not receive early treatment and regular preventive care, the uninsured are more likely to be hospitalized and die from preventable causes. When those without coverage do receive treatment, expenses are significantly higher than those of their insured counterparts due to group discounts negotiated by employer-sponsored insurance plans. According to Health Affairs, bills that cannot be paid – the uninsured will receive about $56 billion in uncompensated care in 2008 – are passed on to taxpayers through government programs that will finance 75 percent of the cost, or to the privately insured through higher rates. In short, America covers the uninsured in the least effective, most expensive manner possible.

Yeah.  Thanks.  I know about that option, but I don't think most hospitals spend a lot of time chasing uninsured people they are required to treat (e.g., someone who shows up at the ER).  Most of the people they go after are those who have insurance and receive some treatment, but some of the treatment is not covered resulting in unpaid bills. 
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 10:01:41 PM
I'm just trying to understand....the gov gets money from me/you...the tax payer....they then give to the hospital workers?

the insurance companies get money from the insured....and give to the hospital?to help cover the cost of the uninsured?

so the guy that got mugged and stabbed but has no insurance but still gets stitched up....if he doesn't pay/files bankruptcy....the insurance companies and tax payers pay for him?
Title: Re: who has payed for uninsured up untill now?
Post by: a_joker10 on March 21, 2010, 10:04:19 PM
Yeah.  Thanks.  I know about that option, but I don't think most hospitals spend a lot of time chasing uninsured people they are required to treat (e.g., someone who shows up at the ER).  Most of the people they go after are those who have insurance and receive some treatment, but some of the treatment is not covered resulting in unpaid bills. 

True.
Lots of times, they will treat an Emergency patient and then toss them straight out. If it is critical, IE dying.
If not near death, they just won't let them in. IE on a stretcher from an ambulance.
Title: Re: who has payed for uninsured up untill now?
Post by: a_joker10 on March 21, 2010, 10:06:21 PM
I'm just trying to understand....the gov gets money from me/you...the tax payer....they then give to the hospital workers?

the insurance companies get money from the insured....and give to the hospital?to help cover the cost of the uninsured?

so the guy that got mugged and stabbed but has no insurance but still gets stitched up....if he doesn't pay/files bankruptcy....the insurance companies and tax payers pay for him?

Or if itsn't serious enough, IE near death.

They won't do anything.
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 10:11:19 PM
Yeah.  Thanks.  I know about that option, but I don't think most hospitals spend a lot of time chasing uninsured people they are required to treat (e.g., someone who shows up at the ER).  Most of the people they go after are those who have insurance and receive some treatment, but some of the treatment is not covered resulting in unpaid bills.  

where does the costs of the unpaid bill go?


Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 10:11:30 PM
I'm just trying to understand....the gov gets money from me/you...the tax payer....they then give to the hospital workers?

the insurance companies get money from the insured....and give to the hospital?to help cover the cost of the uninsured?

so the guy that got mugged and stabbed but has no insurance but still gets stitched up....if he doesn't pay/files bankruptcy....the insurance companies and tax payers pay for him?

Noooo.   :)  Hospitals get paid by primarily two sources:  government reimbursements (Medicaid, Medicare, etc.) and insurance companies.  Hospitals charge for their services, which include overhead, profit, etc.  This is all part of the hospital's budget.  They pay salaries, pay for supplies, etc.  Their budgets have to account for a certain of amount of uncompensated services, just like a (good) store will account for a certain amount of shoplifting in their budget.  

Insurance companies don't reimburse the hospital for treatment of an uninsured person, but the monies hospitals receive as payment for their services go to their bottom line.  
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 10:12:44 PM
True.
Lots of times, they will treat an Emergency patient and then toss them straight out. If it is critical, IE dying.
If not near death, they just won't let them in. IE on a stretcher from an ambulance.

Joker not sure if they have these in Canada, but we have anti-patient dumping laws in the U.S. that require hospitals to treat anyone who shows up at the ER. 
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 10:15:38 PM
Joker not sure if they have these in Canada, but we have anti-patient dumping laws in the U.S. that require hospitals to treat anyone who shows up at the ER. 
I thought the topic was who payed for the uninsured until now

what's the answer to that again?
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 10:23:15 PM
I thought the topic was who payed for the uninsured until now

what's the answer to that again?


thats what im trying to find out...BB just said something about medicare/medicad...were does that money come from?
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 10:27:56 PM
thats what im trying to find out...BB just said something about medicare/medicad...were does that money come from?

All money the government has comes from you.  People with Medicare/Medicaid are not "uninsured." 
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 10:42:11 PM
thats what im trying to find out...BB just said something about medicare/medicad...were does that money come from?

where does the cost of medical care given to the uninsured go.

A report that came out a year ago estimated the cost in added premiums per year to a family was 1000 and to an individual ~ 370

The report found that, in 2008, uninsured people received $116 billion in health care from hospitals, doctors and other providers. The uninsured paid 37 percent of that amount out of their own pockets, and government programs and charities covered another 26 percent.

That left about $43 billion unpaid, and that sum made its way into premiums charged by private insurance companies to businesses and individuals, the report said.

http://www.cbsnews.com/stories/2009/05/28/health/main5045280.shtml
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 10:59:15 PM
All money the government has comes from you.  People with Medicare/Medicaid are not "uninsured."  

ok...so the money comes from me/you...which = the tax payer....right?
Title: Re: who has payed for uninsured up untill now?
Post by: big L dawg on March 21, 2010, 11:05:49 PM
where does the cost of medical care given to the uninsured go.

A report that came out a year ago estimated the cost in added premiums per year to a family was 1000 and to an individual ~ 370

The report found that, in 2008, uninsured people received $116 billion in health care from hospitals, doctors and other providers. The uninsured paid 37 percent of that amount out of their own pockets, and government programs and charities covered another 26 percent.

That left about $43 billion unpaid, and that sum made its way into premiums charged by private insurance companies to businesses and individuals, the report said.

http://www.cbsnews.com/stories/2009/05/28/health/main5045280.shtml


OK...very interesting...
Title: Re: who has payed for uninsured up untill now?
Post by: Dos Equis on March 21, 2010, 11:12:38 PM
ok...so the money comes from me/you...which = the tax payer....right?

Money from the government comes from us, or at least those of us who pay taxes.  The money to pay for the guy in your hypothetical indirectly comes from us. 
Title: Re: who has payed for uninsured up untill now?
Post by: Straw Man on March 21, 2010, 11:20:13 PM
Another study from the Center for American Progress estimates the cost per family for the medical care for the uninsured @ 1100 per year and 410 for individuals.

http://www.time.com/time/health/article/0,8599,1887489,00.html

Title: Re: who has payed for uninsured up untill now?
Post by: Soul Crusher on March 22, 2010, 05:53:39 AM
I guess maybe I don't get it but what's up with all the people who are trying to raise money to get treatment?  I mean if they can just go in and get it, why does virtually every city across America have jars in stores raising money for somebody's cancer treatment or heart transplant or whatever.

Because some people have some dignity and pride and dont want other people paying for themselves. 

That is the difference between what we were as a nation and what we have become. 

We are now a nation of Henriettta's, Julio's, and Peggy's. 

We are going the way of Rome very rapidly and have only ourselves to blame. 
Title: Re: who has payed for uninsured up untill now?
Post by: newmom on March 22, 2010, 05:56:47 AM
I don't have the greatest insurance because I pay out of pocket but when I was sent to the hospital via ambulance twice within 24 hours (severe galdstone attack and later that week emergency removal surgery) ambulance not covered but thank god it was an emergency surgery out of pocket total expense 4K. Ambulance alone was 850 bucks
Title: Re: who has payed for uninsured up untill now?
Post by: a_joker10 on March 22, 2010, 07:48:54 AM
I have a few friends that work in Texas and Minnesota medical that have had to deal with the uninsured.

Lots of Canadian doctors and nurses move back because they can't handle, refusing to help walk-ups.
The other thing happens to uninsured is that they get the lowest level of treatment unless they can pay out of pocket at that moment.

In Canada every one has coverage.
However, things like Ambulance rides and drugs outside of the hospital aren't so it can be pretty expensive if you don't have private insurance in Canada.
For example I know of working poor in Canad that have had to go on Welfare because their drug bills were so high, that small amount of private insurance wouldn't pay for them.