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(CBS News)   One reason for the high cost of emergency hospitalization in the America? "Superusers" that are clogging the nation's emergency rooms by treating them like party rooms for any little thing that ails them   (cbsnews.com) divider line 259
    More: Interesting, Villareal, emergency rooms, San Francisco General Hospital, emergency physician, primary care physicians, MedStar Washington Hospital Center, rubber bands, American College of Emergency Physicians  
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9827 clicks; posted to Main » on 15 Oct 2013 at 10:22 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-10-15 11:43:35 PM  

Shryke: ZeroCorpse: Maybe if everyone had basic preventative care covered by their tax dollars and public funds, like in EVERY OTHER CIVILIZED COUNTRY IN THE ENTIRE FARKING WORLD, then people wouldn't abuse emergency rooms by treating them like doctor's offices.

But no, we need to keep the insurance companies fat and rich. The people who buy into the whole idea that universal health care is "other people going to the doctor on MY dime" are farking assholes and complete idiots. By keeping our neighbors free from illness and disease, we ensure our community has productive workers, safe roads (sick people driving = more accidents), safe schools and neighborhoods (mental illness, if caught early, could prevent some random acts of violence), and slower spread of communicable diseases.

Simply put: If my tax dollars can keep someone from making ME sick by allowing them to visit a doctor and receive treatment, then my tax dollars are aiding ME and my family. Indeed, my entire community. If my tax dollars can protect ME from some sick person passing out and crossing the median while driving, then my tax dollars are aiding ME and my family. If my tax dollars can ensure that the roads get plowed, the cops show up for work, and the grocery store isn't staffed with contagious workers, then my tax dollars are aiding ME and my family. It's simple math. I pay taxes, they see doctors, I'm less likely to be killed, injured, or inconvenienced by their untreated illness.

But short-sighted assholes believe what insurance companies pay politicians and pundits to spew, and we're stuck with a health care system that works GREAT for people who make a large sum of money, but totally abandons everyone else.

When America dies, it won't be because of terrorism, war, or some natural disaster. It will be because we let sick folks spread a virus that could have been easily contained if only we'd created a system that made it easy and affordable for EVERYONE to visit a doctor when they feel ill. Americ ...



Why can't we have a hybrid system where those who want to keep their private insurance can, but everyone, regardless of income, can sign up for Medicaid?
 
2013-10-15 11:44:27 PM  

Shryke: Second, the for-profit U.S. system you decry so vociferously is, in fact, responsible for over half of the WORLD's medical research and advancement.


No, that would be the university systems via government funded grants, performing basic/ground level, but unprofitable research. That often times gets scooped up and refined by medical companies, but without the unprofitable research (shouldered by the government), we'd be getting jack squat in terms of medical advancements.
 
2013-10-15 11:44:35 PM  
This is how poor people get health care.  They call 911.  For a cold.  Because they don't own a car.  Because they've never been employed.  And this is normal for them.
 
2013-10-15 11:46:44 PM  
Use urgent care centers!
 
2013-10-15 11:46:55 PM  

Lsherm: This is how poor people get health care.  They call 911.  For a cold.  Because they don't own a car.  Because they've never been employed.  And this is normal for them.


thanks obama
 
2013-10-15 11:47:31 PM  

PsiChick: ginandbacon: "Superusers are a small but expensive group: One large study conducted from 2009-2012 at a Los Angeles hospital noted that 99 percent of ER visitors come in fewer than 10 times a year, with nearly 67 percent coming in just once. But, the remaining 1 percent of visitors accounted for thousands of visits in one year."

This paragraph is completely devoid of meaning.

Most "superusers" are like me, people with chronic conditions that put them in crisis at least a couple of times a year. I have excellent insurance (thank goodness) but I have 4 neurological conditions that have me dialing 911 not infrequently. Some people are certainly using ERs when they could use a PCP but that's not really that common. Ers suck. Hospitals suck. I've discharged myself against advice from both because I knew they were only keeping me because they didn't know what to do or because I would be an interesting case for the students the next morning. No one spends six hours in an ER for something minor. (Six if you're lucky. I've spent that long just waiting to be seen and then another six for tests before being admitted.) 

I don't understand why we keep vilifying patients and championing the assholes who profit off the ones they can and try to bankrupt the ones they can't exploit.

Well, FTFA it sounds like there's also people who just can't afford any other type of care and so end up in crisis more often, too, but I sympathize with you. That would absolutely suck.


That article was weak to say the least. The one I posted above gave a better account of who "superusers" actually are. Most of us actually have serious health issues.

And thank you but I'm lucky as I mentioned since I'm not likely to die from any of this crap and I do have insurance. I just think it's pure BS to demonize .2% of patients for no good reason.
 
2013-10-15 11:49:04 PM  
As someone who sat with his wife while his underage children sat home waiting for her kidney infection and 105 degree fever, waiting for the girl that drank too much the night before to finish puking and the baby with a runny nose to get seen  by a doctor, this is pretty much dead on.  Lots of people look at the emergency room as a regular clinic, and a guy that needed to be seen waited 6 hours (leg pain, dizzyness, known cardiovascular patient at least 75 years old in a wheelchair) waits first come first served.
 
2013-10-15 11:49:27 PM  

Shryke: Second, the for-profit U.S. system you decry so vociferously is, in fact, responsible for over half of the WORLD's medical research and advancement


lol, is it?

I'm pretty doubtful.
 
2013-10-15 11:49:46 PM  
Stop blaming the victim.
 
2013-10-15 11:51:35 PM  

Ablejack: The US would continue R&D with a completely socialist healthcare system.


And this is why all other socialist medical systems do squat? Stunning observation.
 
2013-10-15 11:51:37 PM  

Lsherm: This is how poor people get health care.  They call 911.  For a cold.  Because they don't own a car.  Because they've never been employed.  And this is normal for them.


What percentage of American adults have never had a job?  Please provide citation.
 
2013-10-15 11:53:08 PM  

Felgraf: No, that would be the university systems via government funded grants,


That is a good deal of it, but your idea that no profit occurs is quite false. Patents and funds pour in to said universities OUTSIDE of tax dollars en masse. From guess where?
 
2013-10-15 11:53:11 PM  
My girlfriend's been to the ER multiple times this year because her PCP is an incompetent twit. It took six months to get a specialist to answer the freaking phone and I had to resort to lawyering up just to file a greviance.

Health insurance in this country is maintained only because something must feed the Shoggoth, lest they multiply and run amok.
 
2013-10-15 11:53:29 PM  

Nutsac_Jim: The dude can pay for it.  It goes like this.  I have a couple of green bills in my pocket.  How much for a colonoscopy to check for X is I pay cash.. up front right now.  Oh, its 20% of the normal bill?  OK then. lets go.


In many cases it doesn't matter if you can pay for it.  If you don't have insurance, they will not do the procedure.  You could wave a bunch of hundreds in their face and the answer is still no.

Ok, so you say "then you can pay for insurance."  Nope.  Even if you can afford insurance, pre-existing condition clause (which can include "you need x procedure") means no insurance for you.
 
2013-10-15 11:53:46 PM  

spamdog: I'm pretty doubtful.


Great paper published by the EU recently concerning this subject. Google it.
 
2013-10-15 11:54:31 PM  
I had one of these frequent fliers two doors down from me, back when I lived in the ghetto. This fat biatch (between 350-400lb) called on average about twice a week, and every time an ambulance would come and usually one or two fire trucks. I felt really bad for the guys that had to haul her fat ass down the stairs, because of course she was on the second floor. I'm pretty sure she was the mother of the seven kids that lived there, but there were plenty of 'em running all over the place so it was hard to tell. I'm guessing she was just a noncompliant Type 2 diabetic abusing the shiat out of the system.

Speaking of the system, now that I know much more about it, I'm confident in saying that a big chunk of that 1% is eligible for Medicaid, they just choose not to fill out the paperwork and continue to abuse the ER. The ones who aren't are usually illegals. Both these groups together are a big chunk of why aspirins are $50, and other stupid-high hospital costs. It's also been covered in a variety of places lately - you can call and negotiate your bill down, and a large part of what they're stripping off is from other people's bills that don't pay.
 
2013-10-15 11:54:43 PM  

solitary: Stop blaming the victim.


Thank you.
 
2013-10-15 11:55:29 PM  
Also, the reason I hated fat biatch so much was because of her herd of annoying sprogs, and the fact that when she called and a fire truck showed up, they'd block off the whole damn road. /csb
 
2013-10-15 11:58:31 PM  

AliceBToklasLives: Nice article - good job mentioned the key reason there are "superusers" - lack of health insurance.  For many people, the only way to see a doctor is to go to the ER.


Most Urgent Care and Minute Clinic facilities will see you for a small fee without insurance.  Minute Clinics are ~$80 cash for a visit.  The Urgent Care facility I use is run by Memorial, which charges about $75 and if they have the generic onsite they will give it to you as part of your cost. 

Actually, most doctors will see you rather cheaply without insurance if you just ask them.  I had a growth removed and checked for cancer for under $200 because I told them I wanted to pay cash.  That is a reasonable price to see a specialist for a common job that includes local sedation, surgery, and a prescription
 
2013-10-15 11:59:13 PM  

solitary: Stop blaming the victim.


Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?
 
2013-10-15 11:59:26 PM  

GreenAdder: Can't we just disable root access at the admin level?


Not really. That would allow r/w problems at the blood access level.
 
2013-10-16 12:00:52 AM  

Adolf Oliver Nipples: solitary: Stop blaming the victim.

Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?


No.
 
2013-10-16 12:02:02 AM  

Infernalist: Adolf Oliver Nipples: solitary: Stop blaming the victim.

Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?

No.


Why not? Didn't they incur costs that have to be paid for? Would you do things job-related for me for free? Why would you ask them to?
 
2013-10-16 12:04:14 AM  

Adolf Oliver Nipples: Infernalist: Adolf Oliver Nipples: solitary: Stop blaming the victim.

Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?

No.

Why not? Didn't they incur costs that have to be paid for? Would you do things job-related for me for free? Why would you ask them to?


Because they can afford it.
 
2013-10-16 12:06:27 AM  

ginandbacon: "Superusers are a small but expensive group: One large study conducted from 2009-2012 at a Los Angeles hospital noted that 99 percent of ER visitors come in fewer than 10 times a year, with nearly 67 percent coming in just once. But, the remaining 1 percent of visitors accounted for thousands of visits in one year."

This paragraph is completely devoid of meaning.

Most "superusers" are like me, people with chronic conditions that put them in crisis at least a couple of times a year. I have excellent insurance (thank goodness) but I have 4 neurological conditions that have me dialing 911 not infrequently. Some people are certainly using ERs when they could use a PCP but that's not really that common. Ers suck. Hospitals suck. I've discharged myself against advice from both because I knew they were only keeping me because they didn't know what to do or because I would be an interesting case for the students the next morning. No one spends six hours in an ER for something minor. (Six if you're lucky. I've spent that long just waiting to be seen and then another six for tests before being admitted.) 

I don't understand why we keep vilifying patients and championing the assholes who profit off the ones they can and try to bankrupt the ones they can't exploit.


First of all, you are not a superuser. One of my tenants is a 71 yr old woman who has an itch and goes to the ER. Nothing came from it. She went in January for a rash and nothing came from it, she scrubbed herself to hard in the shower and it made a red mark. February is when her husband died, she had an emergency trip for "woman problems" but they sent her home with no prescriptions.

She has absolutely no reason to goto the ER except for the attention she gets - only once was a valid reason, her skin doesn't allow her to stay in the sun to long or it gets harden - she heads to the ER When she's out of cream  for it........
I think In August she had a massive headache and went to the ER.

Was she in dire pain in any of these situations? Nope - I was once a superbug when I went to the ER 7 times in less than 40 days. I had massive pains behind my eye for about an hour - the worst pain you could ever feel, and it would disappear.
Finally I got the right doctor who remembered reading about it in his college books - I had clustered headaches. Turns out my overwork habits caught up with me and my sleeping habits went to hell so my headaches came out. He printed me a sheet of paper of what to eat, how to control my sleep habits and asked me to book a date with the best nerosurgeon as soon as I can.

It took 7 trips because I had no clue what it was, I suspect not all people are lonely or having imaginary pains - mine I simply couldn't Identify it even with the internet's help. However people have no clue what other people medical conditions are, you can't point to me and say I am healthy when clearly I have one of the most harshest diseases known to man.
 
2013-10-16 12:06:53 AM  
Sadly, part of the problem is also that people who don't necessarily need health care also abuse the system because it gets them something they want, attention.

I know it's awful to say but I've seen people in my neighborhood do this.  They go to the emergency room for the smallest of things because all of a sudden people care at least a little about them vs. being on the street where they're consistently ignored and disparaged.  It pisses me off that it's seen as a better thing to pay for emergency care rather than some simple social services.
 
2013-10-16 12:08:31 AM  

sendtodave: So, yeah, free riders suck, and drive up prices. But the heatlhcare bus costs way too much already in the US. Bunch of thieves.


To be clear, I don't consider all poor people "free riders."  Just a very small percentage that take advantage of the system, as well as a small percentage of healthy middle class people who don't have insurance (hence mandatory coverage in ACA).  Most poor people do in fact work, and they work for insufficient wages - they are not "free riders."

I'm happy to be taxed so that everyone has access to health care, just like I'm happy to be taxed so that everyone has access to food.   The funny thing is, if we had such a health care tax (or some kind of universal single-payer system) we would probably pay less than we do now.  Setting aside the waste of going to the ER for minor issues, all the (costly) bureaucratic bullshiat, etc., preventative care for poor people means more people are working (not dying of preventable or treatable illnesses) which means a high GDP, more tax revenue, and generally win for everyone.

But that will never happen because IT'S NOT FAIR:(
 
2013-10-16 12:08:51 AM  
have more walk-in clinics open in evenings.

problem solved.
 
2013-10-16 12:10:46 AM  

Shryke: Ablejack: The US would continue R&D with a completely socialist healthcare system.

And this is why all other socialist medical systems do squat? Stunning observation.


No. It is because the US government already funds medical research.
 
2013-10-16 12:10:50 AM  

Infernalist: Adolf Oliver Nipples: Infernalist: Adolf Oliver Nipples: solitary: Stop blaming the victim.

Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?

No.

Why not? Didn't they incur costs that have to be paid for? Would you do things job-related for me for free? Why would you ask them to?

Because they can afford it.


Well, we can now dismiss your opinion. Someone go to school for 8+ years, learns a highly demanding discipline where failure means somebody dies or is crippled for life, incurs a six-figure debt, and then puts themselves out there so that people can use them because "they can afford it"? No wonder we have a doctor shortage, who would put themselves through that just so people like you can hose them. There's absolutely no justice in that.
 
2013-10-16 12:11:20 AM  
Anecdote: I have Tricare. Good insurance but in the last 6 months I had to find a new PCP. I guess Tricare is not profitable enough because a doc (under the auspices of a large corporate group) can no longer take my insurance. I went to the ER a couple of weeks ago. I am no hypochondriac, but 2 days of a tight chest and difficulty in breathing scared me. Turns out it may be pleurisy. Meds - i am fine 2 days later. What bugged me was the slack jawed chick in the ER who had a very, very newborn, dressed in a cute outfit, sprawled on her lap. She brought her baby in because the baby was not "acting right". I suggested she wrap the baby in a snug blankie and she said "She hates that and kicks them off." Newborns need that. She bundled her baby and voila she quit acting fussy - baby girl was bundled up and silent. Stupid young mother with no mothering skills. That is in our ERs.
 
2013-10-16 12:13:02 AM  

cardex: pete1729: What my girlfriend who is an ER doc has to deal with on a regular basis.

http://www.youtube.com/watch?v=Q6sRyrB_UMA

My x in college was exatly like her, I can't remember how many times I spent the night in an effect waiting room becouse he had a seizure after we were together for 2 years I found out that he had been fakeing them to get disability. I don't know how I missed it for so long and it messed me up for a long time not able to trust anyone.


My ex-wife was faking seizures for a few years too. Some people...
 
2013-10-16 12:13:46 AM  

Shadowtag: My girlfriend's been to the ER multiple times this year because her PCP is an incompetent twit. It took six months to get a specialist to answer the freaking phone and I had to resort to lawyering up just to file a greviance.

Health insurance in this country is maintained only because something must feed the Shoggoth, lest they multiply and run amok.


So... I read that as her being on PCP and thought she must be a crazy lay.
 
2013-10-16 12:14:52 AM  

theflatline: swingerofbirches: I wish that primary doctors were in hospitals.

I don't see my primary care doctor too often because it takes a long time to get into see him, once you're there you have to wait longer than at urgent care places (not ERs), and he always has to send you to a specialist. The specialist never does anything on the first visit, or they send you somewhere else for lab work.

It would be nice if you could see your primary care doctor in a hospital, get any lab work you need at the same time, and if you're referred to a specialist, have that specialist at the same hospital and not start from square one again.

Even for more chronic things, I tend to go to my urgent care because they have a lab there and it's much faster to be seen (usually less than 15 minutes) compared to waiting up to 4 hours for a scheduled appointment with your primary care doctor. I then usually e-mail those lab results to my primary care doctor and communicate that way. I do have a great primary care doctor; he's just way overworked (especially compared to the specialists) and he has no equipment to do any testing in his office.

As someone who spent 20 years in the medical field you do not have a great primary care doctor.

You should never have to wait more than 20 minutes outside of your appointment time.  If he is too busy, he should not take on new patients.

He should have a lab in house.  Lab equipment is expensive, but that is where the majority of the money is made in a medical practice, and it allows him to be a better doctor.

Why does he always have to send you to specialist?  Because he gets a referral fee.  So he bills you and gets the payola.

You need a new doctor and not a greedy cheapskate.


OMG....I am gut-laughing like I haven't done in years! So funny.....

For those who don't know, this guy is an imbecile, and clearly doesn't have 20 minutes experience in the field, much less 20 years. Making money on in-office labs? Ha!!!! Try $4 for any lab draw, which barely pays for the needle you use. "Referral fees?" What world do you live in? This has NEVER been legal in the US, and the only "payola" any PCP gets is a basket of cheese doodles and a nice thank you card. Christ, specialists would give their left nut to be able to pay for referrals, but is so unbelievably unethical that no one would dare risk their own license, much less the license of the PCP. No license, no money, work at McDonald's. Shear stupidity.

I'm assuming I'm the only jackass biting on your troll, but for the ignorant, thought I'd shine a light on your silly, silly post. Grats on your super-fail.
 
2013-10-16 12:15:13 AM  
ER nurse here (RN at a level 2 trauma center with ten years experience, charge nurse, triage nurse, trauma lead, pediatrics, blah blah blah.) A few thoughts:

- In medicine, you can have it be cheap, modern, or fast. For every system out there, you can only pick two of those attributes. We in the US pick modern and fast, most other first world countries pick modern and cheap, the third world goes cheap and fast. But you can't have all three, or at least we as humans haven't figure out how to do that yet. There are pros and come to each. It isn't ALL bad here in the US. Pretty bad, but there is a sunny side.
- There are ways to deal with frequent fliers (those who abuse the system for attention or drugs or a free warm place to sleep or because they are too stupid to know better). Sit them in triage for a thousand years until they leave, send social workers at them to give them resources to help themselves, arrest them for malingering and trespassing, education about the difference between their chronically perceived "emergencies" and actual emergencies, treat and street in fastback ASAP, and a few other tricks. And rarely are illegal immigrants those who abuse our resources.
- Obamacare is, depending on who you talk to, the end of American healthcare or a toothless half-measure without any lasting impact.
- I see no big changes in sight. You can't fix stupid and you can't refuse care to troglodytes without opening yourself to massive litigation.
 
2013-10-16 12:15:21 AM  

solitary: Stop blaming the victim.

 
2013-10-16 12:16:31 AM  

Adolf Oliver Nipples: Infernalist: Adolf Oliver Nipples: Infernalist: Adolf Oliver Nipples: solitary: Stop blaming the victim.

Who is the victim in all of this? I'm having trouble figuring it out. The sick person with no means to pay who gets care is a victim? How can that be? How about the hospital that has to eat the costs, are they victims in this? How about the doctors that take Medicare patients when Medicare doesn't pay the cost of care? Are they victims?

No.

Why not? Didn't they incur costs that have to be paid for? Would you do things job-related for me for free? Why would you ask them to?

Because they can afford it.

Well, we can now dismiss your opinion. Someone go to school for 8+ years, learns a highly demanding discipline where failure means somebody dies or is crippled for life, incurs a six-figure debt, and then puts themselves out there so that people can use them because "they can afford it"? No wonder we have a doctor shortage, who would put themselves through that just so people like you can hose them. There's absolutely no justice in that.


Yeah, pretty much.

Also, I don't give a single fark.  The lives of American citizens are more important that a rich fark getting richer.

Stick that in your pipe and smoke it.
 
2013-10-16 12:17:14 AM  

spamdog: Shryke: Second, the for-profit U.S. system you decry so vociferously is, in fact, responsible for over half of the WORLD's medical research and advancement

lol, is it?

I'm pretty doubtful.


No doubt on the research. I take issue with calling it advancement.
 
2013-10-16 12:18:45 AM  

AliceBToklasLives: Nice article - good job mentioned the key reason there are "superusers" - lack of health insurance.  For many people, the only way to see a doctor is to go to the ER.

And no, no one gets "free" treatment at the ER.  They send a bill and the patient is responsible for his care.  Of course hospitals have a hard time collecting since lack of health insurance is generally accompanied by a lack of monetary resources.  So who pays for a good chunk of ER visits?  Everyone else.

Also, you cannot get just any kind of treatment at the ER.  Sure, if you are having a heart attack they will stabilize you, and if you have a primary care physician you might (as TFA suggests) get some needed tests.  But it's not like you can walk in and say "I have a family history of colon cancer, I'm 50 and I'd like a colonoscopy."  Well, you can say that but you ain't getting no colonoscopy.  So you don't get the preventative treatment.  Who pays for your frequent visits during your bout with colon cancer?  You know who.


I think you miss the point that the 1% of retards who think the ER is the place to go when they have the sniffles waste time and money. And yes, idiots think the ER is the place to go for minor medical problems - Lord knows there are tons of rediclinics and other places for simple problems, they just can't be bothered with that.
 
2013-10-16 12:19:17 AM  
It is very,very intimidating being in a thread with so many health care experts.
 
2013-10-16 12:19:45 AM  

Adolf Oliver Nipples: Well, we can now dismiss your opinion. Someone go to school for 8+ years, learns a highly demanding discipline where failure means somebody dies or is crippled for life, incurs a six-figure debt, and then puts themselves out there so that people can use them because "they can afford it"? No wonder we have a doctor shortage, who would put themselves through that just so people like you can hose them. There's absolutely no justice in that.


Actually Adolf, it's people like you that get hosed. The doctors and hospitals get paid; by you, others with insurance, and the government (you again). The US government pays more for healthcare per capita than the French government does.
/if only our healthcare were as good.
 
2013-10-16 12:19:51 AM  
Yeah, before I had insurance, I had to hit the ER for a genuine emergency (pancreatitis), and I noticed on my bill that my three-minute visit to the triage nurse cost $300.00. I tried adding up her salary for her time spent with me, institutional power and resources used, and it came nowhere near that; I would have pegged it at $40.00, generously. I was left wondering how much of that was due to overhead, insurance and such, and how much was due to people like me.

My debt was eventually forgiven, due to my poor financial standing, but that really made me boggle.
 
2013-10-16 12:21:16 AM  

ginandbacon: "Superusers are a small but expensive group: One large study conducted from 2009-2012 at a Los Angeles hospital noted that 99 percent of ER visitors come in fewer than 10 times a year, with nearly 67 percent coming in just once. But, the remaining 1 percent of visitors accounted for thousands of visits in one year."

This paragraph is completely devoid of meaning.

Most "superusers" are like me, people with chronic conditions that put them in crisis at least a couple of times a year. I have excellent insurance (thank goodness) but I have 4 neurological conditions that have me dialing 911 not infrequently. Some people are certainly using ERs when they could use a PCP but that's not really that common. Ers suck. Hospitals suck. I've discharged myself against advice from both because I knew they were only keeping me because they didn't know what to do or because I would be an interesting case for the students the next morning. No one spends six hours in an ER for something minor. (Six if you're lucky. I've spent that long just waiting to be seen and then another six for tests before being admitted.) 

I don't understand why we keep vilifying patients and championing the assholes who profit off the ones they can and try to bankrupt the ones they can't exploit.


Not one statement in your post is correct, regarding anyone other than you.
 
2013-10-16 12:22:12 AM  

OscarTamerz: [www.screeninsults.com image 500x368]
Thanks for the free healthcare estupido gringos. Send the bill to general delivery TJ and a check will be in the mail sooooon. I'm sure glad I voted for Hobama!


Hit the nail right on the head.

Most if not all illegal aliens are taught to use the emergency room for all their medical care.
 
2013-10-16 12:23:50 AM  

fusillade762: But I've been assured by very serious people that our health care system is perfect as it is?


Few people think our health care system is great, let alone perfect.  Many people believe that Obamacare will make things much worse.  That's not the same thing as saying the system is perfect, great, or anything else including "in dire need of major changes".
 
2013-10-16 12:24:50 AM  

phunkey_monkey: OscarTamerz: [www.screeninsults.com image 500x368]
Thanks for the free healthcare estupido gringos. Send the bill to general delivery TJ and a check will be in the mail sooooon. I'm sure glad I voted for Hobama!

Hit the nail right on the head.

Most if not all illegal aliens are taught to use the emergency room for all their medical care.


There's just something about the Main page that drags out the retards.
 
2013-10-16 12:27:44 AM  

Ablejack: Actually Adolf, it's people like you that get hosed. The doctors and hospitals get paid; by you, others with insurance, and the government (you again). The US government pays more for healthcare per capita than the French government does.
/if only our healthcare were as good.


Infernalist: Also, I don't give a single fark. The lives of American citizens are more important that a rich fark getting richer.


Yep, rich. That's it.

For every doctor you see driving a Beemer and jet-setting there are 10 struggling the same as you. The arrogance of the position you guys are taking is astounding. A doctor owes you nothing. NOTHING. As much as any other person in the workforce, he earns his living. Yet you demand his charity, or, more to the point, his blood, out of some absurd sort of social justice which doesn't exist and isn't anything of the sort under any circumstances.
 
2013-10-16 12:28:44 AM  

YouFarkingIdiot: fusillade762: But I've been assured by very serious people that our health care system is perfect as it is?

Few people think our health care system is great, let alone perfect.  Many people believe that Obamacare will make things much worse.  That's not the same thing as saying the system is perfect, great, or anything else including "in dire need of major changes".


Obamacare is the only hope for the insurance based system. Without ACA, the US would socialize medicine much more quickly; out of necessity.
 
2013-10-16 12:30:24 AM  

AliceBToklasLives: Nice article - good job mentioned the key reason there are "superusers" - lack of health insurance.  For many people, the only way to see a doctor is to go to the ER.

And no, no one gets "free" treatment at the ER.  They send a bill and the patient is responsible for his care.  Of course hospitals have a hard time collecting since lack of health insurance is generally accompanied by a lack of monetary resources.  So who pays for a good chunk of ER visits?  Everyone else.

Also, you cannot get just any kind of treatment at the ER.  Sure, if you are having a heart attack they will stabilize you, and if you have a primary care physician you might (as TFA suggests) get some needed tests.  But it's not like you can walk in and say "I have a family history of colon cancer, I'm 50 and I'd like a colonoscopy."  Well, you can say that but you ain't getting no colonoscopy.  So you don't get the preventative treatment.  Who pays for your frequent visits during your bout with colon cancer?  You know who.


After ~ 7 years working at an island ER in a community with absolutely no outreach or poverty intervention programs, I've witnessed that this is the norm.  Irony: most of the 'working poor' I knew (motel housekeepers, service industry folks) might be able to get medicaid for the kids, but no adult coverage existed if you did not have a legally defined physical disability.

You have the ER Visit abusers, always. Then you have sincerely needy people who put off something small that could have been treated simply with a brief office visit that they had no way to afford. But with no coverage, the person waits it out, hoping over the counter measures will work. When it doesn't, and increasing pain or threat of work-loss happens, the ER becomes the only recourse because we couldn't refuse treatment over ability to pay.
 
2013-10-16 12:30:56 AM  

Mitch Taylor's Bro: Peter von Nostrand: I believe the correct nomenclature is frequent flyers

That's in the article, too. But using generally accepted terms doesn't generate web site traffic and ad impressions.


Or generate sympathy.

Let's see how to make this look REALLY BAD.

Water is a natural right, everyone needs it to live. The government should take over so that farmers and ranchers never need to spend a penny of their own for it, and the rest of us should pay for it. (note:I'm pretty sure this actually happens and I hate it)
 
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