Brilliant Republican Healthcare Solution: Don’t Take Children With Broken Bones To The ER

Since Billy and Agnes have insurance, why do they visit an emergency room for a scratch? It's because someone else is paying the bill. Hell, Agnes believes that the cost of visiting the emergency room is $50.

The price for Agnes to have her scratch stitched at an ER may be $50, but the cost is closer to $2000. It's easy to spend someone else's money.


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Originally posted by: pjstroh
People without insurance don't have a doctor...doctors dont like to accept new patients who don't have insurance - so they don't accept them. Its that simple. Cool, huh? that's why uninsured people go to the ER for stuff a regular doctor can do at a far cheaper price. It would help if Republicans in Congress would educate themselves on this basic dynamic so as to avoid making moronic points like the one pointed to at the beginning of this thread.

fOR THE LAST 7 YEARS Republicans could sit in the peanut gallery and feed mindless ideology to their base that no sane expert of any political orientation would bless. But now they have to govern. They have to actually be thoughtful, listen to experts, and weigh consequences with their ideas - because now their ideas will actually matter and impact lives. Giving a microphone to Representative Huizenga was not a good start. Hopefully they'll send him on vacation when the actual bill gets put together.


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Originally posted by: IndyBoilerman
Since Billy and Agnes have insurance, why do they visit an emergency room for a scratch? It's because someone else is paying the bill. Hell, Agnes believes that the cost of visiting the emergency room is $50.

The price for Agnes to have her scratch stitched at an ER may be $50, but the cost is closer to $2000. It's easy to spend someone else's money.


Quote

Originally posted by: pjstroh
People without insurance don't have a doctor...doctors dont like to accept new patients who don't have insurance - so they don't accept them. Its that simple. Cool, huh? that's why uninsured people go to the ER for stuff a regular doctor can do at a far cheaper price. It would help if Republicans in Congress would educate themselves on this basic dynamic so as to avoid making moronic points like the one pointed to at the beginning of this thread.

fOR THE LAST 7 YEARS Republicans could sit in the peanut gallery and feed mindless ideology to their base that no sane expert of any political orientation would bless. But now they have to govern. They have to actually be thoughtful, listen to experts, and weigh consequences with their ideas - because now their ideas will actually matter and impact lives. Giving a microphone to Representative Huizenga was not a good start. Hopefully they'll send him on vacation when the actual bill gets put together.



Its pretty arrogant/ignorant for you to pretend to know what someone else spends on healthcare and for what. You don't know their situations or what they've paid into the system. And its not relevant to the topic.

Republicans aren't going to get very far if their big idea for healthcare reform is to tell people to voluntarily skip the Emergency Room - but if you want to cheer them on in that effort so be it. Its a free country. Merry Christmas.
Couple of corrections to Mr. Boilerman about my stitches situation. Unfortunately my family doctor does not work on Saturday or Sunday. Since the injury occurred on Saturday, I went to an Urgent Care facility - which is totally different (including the cost savings to all) - than an Emergency Room.

Which again proves my original point - folks do not seem to know the difference in family practice, Urgent Care, and Emergency Room - including the costs to all involved. It could be a great savings to our healthcare system if folks could learn the difference.

I find it strange that you "assume" to know what I think about ER costs. My husband was the benefits director of a large (approx. 10,000 employees) business for many years. Unfortunately, we know more about the ugly underbelly of healthcare than we care to admit.
Since Agnes explained that she has a "Cadillac" like insurance program, we can assume that her premiums are low, that her deductibles are low, and that her ER co-pay is low.

Since she has a top notch insurance plan, then her ER co-pay is going to be tiny................in the $50 range. Maybe Agnes will be nice enough to tell us how close Boiler is with his educated guess.


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Originally posted by: pjstroh
Quote

Originally posted by: IndyBoilerman
Since Billy and Agnes have insurance, why do they visit an emergency room for a scratch? It's because someone else is paying the bill. Hell, Agnes believes that the cost of visiting the emergency room is $50.

The price for Agnes to have her scratch stitched at an ER may be $50, but the cost is closer to $2000. It's easy to spend someone else's money.


Quote

Originally posted by: pjstroh
People without insurance don't have a doctor...doctors dont like to accept new patients who don't have insurance - so they don't accept them. Its that simple. Cool, huh? that's why uninsured people go to the ER for stuff a regular doctor can do at a far cheaper price. It would help if Republicans in Congress would educate themselves on this basic dynamic so as to avoid making moronic points like the one pointed to at the beginning of this thread.

fOR THE LAST 7 YEARS Republicans could sit in the peanut gallery and feed mindless ideology to their base that no sane expert of any political orientation would bless. But now they have to govern. They have to actually be thoughtful, listen to experts, and weigh consequences with their ideas - because now their ideas will actually matter and impact lives. Giving a microphone to Representative Huizenga was not a good start. Hopefully they'll send him on vacation when the actual bill gets put together.



Its pretty arrogant/ignorant for you to pretend to know what someone else spends on healthcare and for what. You don't know their situations or what they've paid into the system. And its not relevant to the topic.

Republicans aren't going to get very far if their big idea for healthcare reform is to tell people to voluntarily skip the Emergency Room - but if you want to cheer them on in that effort so be it. Its a free country. Merry Christmas.



People who pay a significant part of the bill will forgo the Emergency Room unless it is really an emergency. Urgent care is a suitable substitute in many cases and Medicaid should be accepted at urgent care facilities. Medicaid participants need to have "skin in the game". Maybe co-pays should be withheld from any tax refunds / credits for Medicaid participants? People only make economically wise decisions when there are economic consequences.
Since Cadillac Plans by definition cost over 10k a year one would have to go to the ER several times "for a scratch" before one exceeds the amount of money taken out vs put in.

If the idea of spending someone else's money is so objectionable to you, Boilerman, then you should opt out of Health Insurance all together and just pay your own bills 100% out of pocket. Insurance of any kind is designed to spend other peoples' money for a subset of participants. If you are going to complain when people utilize that benefit then you should remove yourself from the same pool they are in. Otherwise you subject yourself to the same awful dynamic of "spending other peoples' money."
My parents taught me to never waste money, no matter who's paying the bill. I've taught the same to my children. It would be a happy day if I could just instill such an ethic onto Liberals. When other's are paying the tab, you guys order the most expensive thing on the menu. My mother taught that this was in bad taste.


Quote

Originally posted by: pjstroh
Since Cadillac Plans by definition cost over 10k a year one would have to go to the ER several times "for a scratch" before one exceeds the amount of money taken out vs put in.

If the idea of spending someone else's money is so objectionable to you, Boilerman, then you should opt out of Health Insurance all together and just pay your own bills 100% out of pocket. Insurance of any kind is designed to spend other peoples' money for a subset of participants. If you are going to complain when people utilize that benefit then you should remove yourself from the same pool they are in. Otherwise you subject yourself to the same awful dynamic of "spending other peoples' money."


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Originally posted by: pjstroh
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Originally posted by: alanleroy
Quote

Originally posted by: pjstroh
People without insurance don't have a doctor...doctors dont like to accept new patients who don't have insurance - so they don't accept them. Its that simple. Cool, huh? that's why uninsured people go to the ER for stuff a regular doctor can do at a far cheaper price.

One of the great promises of Obamacare was that with all the newly insured people, the program would pay for itself because of less abuse of Emergency Care. Unfortunately that has simply not been the case.

Contrary to goals, Emergency Room visits increase under Obacare.

"Three-quarters of emergency physicians say they've seen ER patient visits surge since Obamacare took effect — just the opposite of what many Americans expected would happen"

People thought getting low cost, government subsided health insurance would get them back into the mainstream of American healthcare...with their own Doctors and everything. Then they found out that there weren't enough primary doctors to go around. Then they found out that their deductibles and out of pocket costs meant they were still paying for their own health care that they couldn't afford. So they just continued to use the Emergency Care anyway....because they didn't have a family doctor and still couldn't afford their medical care...and the Emergency rooms have to treat them. Cool, huh?


so if Paul Ryan dispels the Medicaid expansion from Obamacare as he proposes and sends 10 million people back to the streets,....you are saying that won't impact ER visits? And where would you suggest those people go since they don't have a doctor or insurance?

A significant part of our population lives at an income level that makes any healthcare costs unaffordable. The question needs to be asked what level of care should they receive. Because even a $100 bill is going to be beyond their means to pay
I'm just the messenger. How does PJ explain the surge in Emergency Room visits since Obamacare took effect? Maybe I need to repeat that...."Three-quarters of emergency physicians say they've seen ER patient visits surge since Obamacare took effect — just the opposite of what many Americans expected would happen". Sure doesn't seem to be working....does it?

The article I linked implied that even though all these people are now insured they still don't have family doctors. Even though they are now insured, their deductibles and max out of pocket means their health care still isn't affordable. It's unfortunate, but the ACA didn't really address healthcare costs in any significant way. It didn't increase the number of doctors. It didn't decrease emergency room visits. It appears to have become a massive bureaucratic boondoggle. Shocking, huh?

Quote

Originally posted by: IndyBoilerman
My parents taught me to never waste money, no matter who's paying the bill.


Unfortunately they never teached you to stop waisting oxygen.....
At least boils has come to the realization that talking in the third person made him sound even stupider. Progress.
Now if we can help him address the subject matter, we just might end up with a useful participant.
Keep hope alive
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