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Open Discussion Discuss GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away at the General Forum; Rep. Diane Black (R-Tenn.) proposed on Friday that hospital emergency rooms should be able to turn patients away to help ...

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Old 10-18-2017, 11:20 PM
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Default GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

Rep. Diane Black (R-Tenn.) proposed on Friday that hospital emergency rooms should be able to turn patients away to help keep health care costs down.

“I’m an emergency room nurse,” Black told MSNBC host Chuck Todd on Friday. “There are people that came into my emergency room that I, the nurse, was the first one to see them. I could have sent them to a walk-in clinic or their doctor the next day, but because of a law that Congress put into place to say, no, I have to treat everybody that walks into that emergency room.”

“You took away our ability to say, ‘No, an emergency room is not the proper place.’ And then, you put a burden on top of that to say, ‘You must do that,’” added the congresswoman, who is also running for governor of Tennessee.

At issue is the Emergency Medical Treatment and Active Labor Act, which was signed into law by former President Ronald Reagan in 1986. It was a congressional response to stories of “patient dumping” ― hospitals would deny treatment to patients or send them elsewhere, usually because the individuals didn’t have insurance. Many of these patients were unemployed or were people of color.

Those transferred individuals were more likely to die, and the delayed care often jeopardized the patients’ health.

The law put a particular focus on pregnant women (hence “active labor” in the law’s name), to ensure that they would be able to deliver their babies and receive full care.

Changing the law, as Black advocates, would send America back to a time when hospitals can use their discretion to turn people away.

“We must treat everybody that walks in whether you’ve had a sore throat for a week, we must see them. And that crowds the emergency room. It drives the cost of emergencies up,” Black added on MSNBC. “And so, yes, if someone comes in from an auto accident, I don’t want to ask whether they have insurance or not. I’m going to take care of them.”

“But what it did is crowd my emergency room, where I work,” she added. “And disallowed me from using my good judgment skills, of which I was trained to do and doctors are as well. And the federal government said, you must ― and you can’t make those decisions. And I think that was a poor thing for us to do.”

This free-for-all system would not be unlike what happened before Obamacare, when there were fewer requirements for insurance companies to accept people for coverage. It was a time when insurance providers were free to turn people away because they had more expensive pre-existing conditions ― or were labeled as potentially having an expensive condition down the line. And since these companies were free to do so, they did.

Nobody thinks EMTALA is perfect and non-partisan organizations, including the Institute of Medicine, have long called for revising some of the law’s regulations as part of a broader strategy to ease emergency room overcrowding. And although conservatives have been among the most critical of the law, even the Heritage Foundation admits that “the outright repeal of EMTALA is highly unlikely,” and it’s not something you hear talked about much in health care debates.

When Todd asked Black whether she would get rid of the law, she replied, “I would get rid of a law that says that you ― you are not allowed, as a health care professional, to make that decision about whether someone can be appropriately treated the next day, or at a walk-in clinic, or at their doctor.”

Also, technically, no doctor or hospital is required to see anybody. But treating all patients is a requirement for hospitals using Medicare funds. So already, a doctor or hospital can turn people away ― as Black suggests they should be able to do ― they just won’t get to bill Medicare.

https://www.yahoo.com/news/gop-lawma...163051252.html
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Old 10-19-2017, 10:09 AM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

But I thought with the PPACA, EVERYBODY has access to 'healthcare'. Why would someone who has insurance given to them go to an emergency room, and not pay, since they have insurance, which is access to healthcare?

*this post may contain a wee bit of snark and sacrcasm
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Old 10-19-2017, 11:30 AM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

It is either turn people away or have universal healthcare.
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Old 10-19-2017, 11:47 AM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

Emergency room provide a costly service. That is an unfortunate fact of life. Why should they be forced to treat people unable to pay and then have to make up the difference by gouging others to cover the "free" treatment? That isn't fair to the people being gouged.
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Old 10-19-2017, 11:50 AM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

I have been saying this for years. Either you turn people away from the ER and let them die at the curb. Or you have universal healthcare. There is not another choice.

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Emergency room provide a costly service. That is an unfortunate fact of life. Why should they be forced to treat people unable to pay and then have to make up the difference by gouging others to cover the "free" treatment? That isn't fair to the people being gouged.
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Old 10-19-2017, 11:59 AM
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Post Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

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Emergency room provide a costly service. That is an unfortunate fact of life. Why should they be forced to treat people unable to pay and then have to make up the difference by gouging others to cover the "free" treatment? That isn't fair to the people being gouged.

My personal motivations have nothing to do with whether or not we are a Christian nation. The very concept of letting somebody die on the curb because they cannot pay is repugnant.


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I have been saying this for years. Either you turn people away from the ER and let them die at the curb. Or you have universal healthcare. There is not another choice.
It's simple economics.
Preventative care saves money. Period.
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Old 10-19-2017, 12:02 PM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

Evidence based universal healthcare is the ONLY alternative. Republicans have known better than to face the push them to the curb fact of profit based healthcare. until now at least, but anyone with any sense knew what they were really saying.
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My personal motivations have nothing to do with whether or not we are a Christian nation. The very concept of letting somebody die on the curb because they cannot pay is repugnant.



It's simple economics.
Preventative care saves money. Period.
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Old 10-19-2017, 12:06 PM
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Post Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

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Originally Posted by Surly View Post
Evidence based universal healthcare is the ONLY alternative. Republicans have known better than to face the push them to the curb fact of profit based healthcare. until now at least, but anyone with any sense knew what they were really saying.
This is the real reason Repub politicians are having problems with Obamacare.
They claim it's a disaster, but refuse to acknowledge that they haven't any clue as to how to implement something better.
Poll: Americans overwhelmingly like Obamacare more than Trumpcare

Their greedy philosophies lead them towards conclusions like rejecting care, but if they do that they know the public won't abide it. They prize their ideology more than they prize helping the American people.

The only thing that should be surprising in this article is that a Republican politician actually admitted it.
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Old 10-19-2017, 02:06 PM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

Quote:
Originally Posted by foundit66 View Post
This is the real reason Repub politicians are having problems with Obamacare.
They claim it's a disaster, but refuse to acknowledge that they haven't any clue as to how to implement something better.
Poll: Americans overwhelmingly like Obamacare more than Trumpcare

Their greedy philosophies lead them towards conclusions like rejecting care, but if they do that they know the public won't abide it. They prize their ideology more than they prize helping the American people.

The only thing that should be surprising in this article is that a Republican politician actually admitted it.
Most people, regardless of political affiliation, don't believe in 'kicking people unable to pay to the curb.'

The difference between people receiving care at an ER and having 'insurance, is that 'you' pay for the insurance even if they don't receive care. At least at the ER, you know they have received care.

Most states will try and backtrack to those who have had care at the ER, and didn't, for whatever reason, pay, and if they file state income taxes, deduct it if any refund is due.

Those who don't pay, or do not have a refund due, will usually go to collection agencies. There are any number who cannot pay, and those are the ones added to the costs of those who can.
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Old 10-19-2017, 02:44 PM
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Default Re: GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

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Originally Posted by Surly View Post
I have been saying this for years. Either you turn people away from the ER and let them die at the curb. Or you have universal healthcare. There is not another choice.
Yet strangely enough, we have been doing otherwise as long as you have been saying this and somehow have survived.

The argument is over who should pay for ER care. As it stands, the hospital picks up the tab and passes it on to the paying customers.

If you believe that government is somehow responsible for those who choose not to cover themselves then government should pick up the tab.
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