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(WISTV)   No money for a cab? Just call an Ambulance. Fark: Over 100 times in the last 7 yrs   (wistv.com ) divider line
    More: Stupid, Dorchester County, taxiing, Greenville County  
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5398 clicks; posted to Main » on 26 Apr 2013 at 1:18 AM (3 years ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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Archived thread
2013-04-26 02:02:06 AM  
3 votes:

AverageAmericanGuy: So when health care is universal and "free", we will be rationing ambulance service based on the judgment of some government bureaucrat? I'm not sure I'd be too happy about getting left at home because I called for an ambulance one too many times.


Did you just say "rationing ambulance service"?
I think they are supposed to be "rationed".  There is a fixed amount of the commodity.  Don't use it stupidly.  Rather, use it "rationally".  Or better yet, it should be used "conservatively".
2013-04-26 07:52:23 AM  
2 votes:

abhorrent1: Ferguson apparently never even went into the hospital to get treated.

When you come in on an ambulance can you just hop out and walk away? I would think you'd have go in and get checked out just for liability.


Nope, if I transport an alert and oriented adult says "stop here and let me out" there is nothing I can do about it (within limits for patient safety, I'm not letting them out on the highway).

One of the problems is that if I'm dispatched by 911, and the patient says they want to be transported, there is no mechanism for me to say no.  I MUST transport them.  I've been called for a "laceration" which was trivial self inflicted wound by a drug seeker.  The patient got a Hello Kitty bandaid, a 15 minute ride, an ALS workup and a $1k bill.
2013-04-26 04:09:12 AM  
2 votes:

AverageAmericanGuy: So when health care is universal and "free", we will be rationing ambulance service based on the judgment of some government bureaucrat? I'm not sure I'd be too happy about getting left at home because I called for an ambulance one too many times.


I have 'free' medical care.

They don't really ration it though.  They just get around to you when they can.  It's incredibly common to wait months to get a simple, routine thing sorted out.  And even though you are still a paying customer (your taxes after all, I mean, assuming you work) you are so far removed from paying that the staff really just doesn't care.  I showed up to my appointment after waiting two months, then waited FOUR HOURS in the waiting room....'Sorry, we're a little backed up today' is all the said.

Since it's 'free' I couldn't do anything.  If I leave, I can't just go somewhere else.  I need to be referred, prioritized by medical need, and assigned a place in a queue.  If I walk out after waiting THREE HOURS, I can't come back tomorrow.  Now, I have to start over again.  It could be another month or two.

And, since it's 'free' I don't even get to schedule a time.  No, they contact me, via post/letter, and tell me when and where it is.  I don't have a car....but I need to go to the hospital on the other side of town?  Too bad.  I can spend 40 minutes on the phone trying to get my location changed, but even that will add another 1-2 weeks as the NEW hospital will need to send out a letter after scheduling me into their queue.

Yay!  Free health care!
2013-04-26 04:04:47 AM  
2 votes:
Always knew when the new Medicaid cards were mailed. We would get an increase in calls for the first few weeks for BS medical reasons. two of the best calls was a woman who called 911 to complain of leg pain. We arrive and she comes walking down her driveway with a suitcase. She said she has a procedure scheduled for later on and needed a ride to the hospital. PD was called on that one. The other was a general medical way on the other side of the county. When we got there, the "patient" came walking out dressed up fort a night of clubbing in town. Told her since we were on the southern edge of the county, i had to transport to the local hospital in Eufaula. She argued i that i had to take her to a "horsepital" that she wanted to go to. Non-emergency, receiving ER is my discretion, and we left her standing in her driveway

/10yr Paramedic
2013-04-26 02:05:24 AM  
2 votes:

AverageAmericanGuy: So when health care is universal and "free", we will be rationing ambulance service based on the judgment of some government bureaucrat? I'm not sure I'd be too happy about getting left at home because I called for an ambulance one too many times.


Maybe you shouldn't be crying wolf
2013-04-26 01:42:14 AM  
2 votes:
$425 a pop times 100 rides is $40k, not 400k as cited in the article.
2013-04-26 10:27:33 AM  
1 vote:
Pumpernickel bread:
My experience jibes more with Rob's.  I've never had trouble seeing whomever I needed to see and pretty much everyone I know.  Not being able to see a specialist is not a complaint I think I have heard before, but hey, most of my friends are pretty healthy.  Perhaps it is different for someone with a myriad of exotic health problems.

What actually determines things like wait times is the availability of the specific resources that you need, not the payment model that is used. I've got a rare genetic neurological condition which there are very few doctors in my area qualified to treat (even most neurologists aren't qualified, outside of specialists at the teaching hospital). Because there is basically one guy that I can see, there is a significant wait time for appointments, and most are scheduled more than a year in advance.  This is in the U.S. It doesn't matter how much money your system spends, or how good your insurance is, if there just physically isn't enough of the medical resource you need. If you haven't had to deal with something like that, then frankly you've been lucky and are not qualified to discuss the failings of our healthcare system based on your personal experience.

Payment system is LINKED to availability of resources, in that if you pay more in one area you tend to get more people providing a service in that area. That's part of why the U.S. has a primary care doctor shortage and an over proliferation of specialists. And the fact that we spend twice what most countries do per capita on health care sometimes means we have more resources. The payment model is more about how the resources get divided up than about what resources there are. In socialist countries, care is mostly rationed based on priority of medical need. In the U.S., it's mostly on ability to pay. If we spent the same amount we currently spend on healthcare on a single payer system, we'd have the most resourced single payer system in the world. But we choose not to, mainly because most people think it's more important that they get seen immediately for their minor complaints than that some other people get seen at all for life-threatening problems. That selfish, entitled attitude is the root of the issues with the American health care system.
2013-04-26 07:44:00 AM  
1 vote:
A few years ago, we had a lot of homeless folks taking the "Ambulance Taxi" - until the cops started showing up and arresting a few of them. Criminal fraud charges, mostly. Just having the cops show up at the emergency room and check for warrants was enough.

Word got around really fast.
2013-04-26 05:39:33 AM  
1 vote:

Fark_Guy_Rob: In the US - I could schedule an appointment, with a specialist in 2-3 days, pay a $30 copay, show up, wait five minutes, and be done.


I think, perhaps, you have an overly romanticized view of US healthcare.

I've only been referred to specialists on a few occasions, but I've never been able to get an appointment within 2-3 days of the referral.  It's always been at least a month.  Usually more.  And, even when I get to the office, the process has never been quick or easy.

When I've had to deal with socialized medicine, my experience has been very positive.  I have to say, having experienced both, that I prefer the socialized system to the US model.  And, I'm not alone: in the US, Medicare (socialized medicine) users give their healthcare higher marks than young people using the private market:  Older Americans enrolled in Medicare health plans have better access to care and are less likely to have problems paying their medical bills than people who insure themselves or receive coverage through their employers, according to a new study...Although only 8 percent of people with Medicare rated their insurance as fair or poor, 20 percent of adults covered by an employer-sponsored plan and 33 percent of those who purchase their own insurance reported dissatisfaction with their coverage.
2013-04-26 04:03:13 AM  
1 vote:

drgloryboy: We had a patient who would go out to the restaurant of her choice (or the bar of her choice) and when she had enough to eat or drink she would then have a pseudoseizure, someoene would call 911, ambulance shows up while she is putting on her act, and she would then get out of paying her bill. Once she was in the rig, any paramedic who didn't recognize her or pseudoseizures would give her a nice ativan buzz on the ride to the hospital where she would promptly refuse treatment.


CSB:

I had a guy pull this years ago - it was in a Waffle House that just happened to be next to a police station.

We (the ambulance crew) knew the guy was faking - he was lying on the floor, cracking his eyes open just enough so he could see what was going on.

The waitress is describing what happened ("he fell onto the floor and just started shaking") to us and the cops when one officer asked, "Did he pay his bill?"

"No."

"How much was it?"

The waitress found his bill - "$14.50"...that's a LOT of food at a Waffle House, at least it was in the mid 90s.

The officer said, "Hold on," flipped the guy over onto his stomach, pulled his wallet out, found a $20, gave it to the waitress, and said, "Keep the change."

I still had to take the guy to the hospital, but DAMN, that dude was PISSED.  It was awesome!

/CSB
2013-04-26 03:59:30 AM  
1 vote:
Wonder how many miles she racked up over the years.

The record for the longest ambulance ride with a patient is 3,269 km (2,031 miles) achieved by Ambulix® Fire & Rescue (DK) with a Mercedes Benz Sprinter 312 Diesel ambulance from Lisbon (PT) to Copenhagen (DK) between 14 October 2004 and 16 Oct 2004.
2013-04-26 02:33:14 AM  
1 vote:
i.imgur.com
2013-04-26 02:26:55 AM  
1 vote:

calbert: mom?

srsly, she loves the attention. she's prone to "seizures". the funniest was when she pulled that sh*t outside of her preferred-hospital area and the ambulance was going to take her to another hospital that was more "black" than she would've preferred.

she perked right up in the back of the ambulance and the seizure ended.

/and before you jump down my throat and accuse me of being callous and heartless, these are attention-pleas. my brother is a doctor, my cousin (my mom's nephew) is a local fire-fighter/paramedic, and his ex-wife is a main nurse at my mom's preferred hospital. my cousin has responded to her 911 calls more than any other paramedic. he knows her history.
//she has more mental issues than medical issues.


Not to tell you your business, but.......You should probably call her more often, and or find someone to look after her permanently.

/ there are many programs out there for whily seniors. Toward the end of her life; my granny would have accidents. She'd get hurt, wake up in a hospital, not know where she was and attempt to head for the hills. She once got out of her hospital bed, dressed, packed and in the elevator; all with a half dollar sized hole in her left leg before the night nurse tracked her down.
2013-04-26 02:21:34 AM  
1 vote:

WhiskeyBoy: Jesus!  When I was in college, if we couldn't find a cab, we would just order pizza delivery from a nearby pizza place, then wait out front for the delivery driver to walk out and ask him if this was the pizza to [my address]?  Then we would slip him an extra $10 or so and hitch a ride home and get a pizza out of it.

/I thought everyone did this?


in a college town, that happens all the time.

late 90's, non-college town, my roommate and I would order pizza, ask to talk to the driver, and then ask the driver stop at a Walgreen's, liquor store, 7-11... to pick us up cigarettes, milk, bread, pop, chips...

now of course we reimbursed him and tipped him well enough to cover that hassle. and this was something that took years of being loyal customers and recognizing and being nice to the delivery guys.

if we were playing poker or having a party, we would invite the delivery guys to come back later after their shift and invite their coworkers.

they'd come back around 2am with a handful of waitresses ready to party.
/I don't think that would happen now.
2013-04-26 02:05:50 AM  
1 vote:
mom?

srsly, she loves the attention. she's prone to "seizures". the funniest was when she pulled that sh*t outside of her preferred-hospital area and the ambulance was going to take her to another hospital that was more "black" than she would've preferred.

she perked right up in the back of the ambulance and the seizure ended.

/and before you jump down my throat and accuse me of being callous and heartless, these are attention-pleas. my brother is a doctor, my cousin (my mom's nephew) is a local fire-fighter/paramedic, and his ex-wife is a main nurse at my mom's preferred hospital. my cousin has responded to her 911 calls more than any other paramedic. he knows her history.
//she has more mental issues than medical issues.
2013-04-26 02:02:38 AM  
1 vote:
Jesus!  When I was in college, if we couldn't find a cab, we would just order pizza delivery from a nearby pizza place, then wait out front for the delivery driver to walk out and ask him if this was the pizza to [my address]?  Then we would slip him an extra $10 or so and hitch a ride home and get a pizza out of it.

/I thought everyone did this?
2013-04-26 01:49:47 AM  
1 vote:

AverageAmericanGuy: So when health care is universal and "free", we will be rationing ambulance service based on the judgment of some government bureaucrat? I'm not sure I'd be too happy about getting left at home because I called for an ambulance one too many times.


LOL! I feel like arguing so I'm gonna make something up and get all melodramatic! Derp-a derp-a doo! Obama's gonna implant a microchip in my tongue to sense if I eat bacon more than twice a week so he can deny me a whaaaambulance ride when I have my my-O-cardial in-FARK-shun! Derrrrrr!
2013-04-26 01:44:44 AM  
1 vote:
Yeah, about 15 years ago, I got knocked out playing football with friends.  They helpfully called an amberlamps and the ride was 1800 dollars. Big bucks for a uninsured college freshman.  I could pay the hospital or the ambulance-mafia, apparently I choose poorly.after a year, they ambulance bastards turned it over to collection and I got the snot sued out of me.
Even now, with nice insurance, if I got injured and an ambulance shows up, I would deck anyone who tries to stuff me in it.  An assault charge and a free ride from the police would be infinitely cheaper.
100 times?
2013-04-26 01:35:23 AM  
1 vote:
Hey! What kind of injury do you think I would have to fake to get a free helicopter ride?
2013-04-26 01:30:13 AM  
1 vote:
Good for them for having her arrested.  I dealt with that crap a lot when I did EMS.  There were multiple times they had to call in an ambulance from a distant station for legitimate emergencies in our district because we were tied up transporting some homeless guy with a vague medical complaint who wanted a free ride/wanted to go some place with air conditioning/wanted to get out of the rain, etc.
2013-04-26 01:29:55 AM  
1 vote:

KrispyKritter: that ride starts at $750 where i live.


Well hers were paid for by medicaid according to TFA. So your tax dollars paid for this shiat.
2013-04-26 01:22:09 AM  
1 vote:
that ride starts at $750 where i live.
2013-04-26 12:41:23 AM  
1 vote:
Flagrant abuse of emergency services?


24.media.tumblr.com
2013-04-25 11:47:39 PM  
1 vote:
fark that biatch.
 
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