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The ER has become a sanctuary for society’s unmet needs

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11–20 of 114 posts

Re: The ER has become a sanctuary for society’s unmet needs

#12
post #7

On the flip side.. as someone who pays their bills, the ER has become the #1 priority to avoid. I'd prefer not to pay 5000 or 6000 total - $3000 to a hospital and $3000 to an ER doctor agency for a small 2nd degree burn or small cut requiring stitches, or any other issue I may have been taken there in the past for. I'll sew my child up before I take them to a pediatric ER and I'll order the antibiotics from India or…

It is robber baron type stuff. It is absolutely nuts. I completely understand people escaping ambulances to avoid a $10K Aspirin. I avoid going to the US on the off chance that I might need medical care.

Somebody has to pay for all the "free" care.

Re: The ER has become a sanctuary for society’s unmet needs

#13
post #6

When you don't spend the time and money on preventative care as a society, you end up spending much, much more on emergency care. I feel like this has been quantitatively demonstrated again and again, but it's somehow still a political football.

> "I feel like this has been quantitatively demonstrated again and again, but it's somehow still a political football." I am aware of a number of studies which looked for a negative correlation between preventative care spending and overall healthcare spending, but all (of which I am aware) failed to find it.

Preventive care and good founding probably overshoots the point of very diminishing returns by alot so that should not be too suprising. Correlation is linear.

Re: The ER has become a sanctuary for society’s unmet needs

#14
post #2

Libraries also function in this role, but for different types of problems.

What do you mean?

The library is one of the only places that it's legal to loiter indoors. They also provide free internet, which is increasingly necessary to access pretty much everything these days.

Re: The ER has become a sanctuary for society’s unmet needs

#15

When you don't spend the time and money on preventative care as a society, you end up spending much, much more on emergency care. I feel like this has been quantitatively demonstrated again and again, but it's somehow still a political football.

This is like telling a tech monopoly to make a better product when they could just charge hundreds per hour for support calls.

When you allow lobbying this is the kind of issue that becomes rampant.

Re: The ER has become a sanctuary for society’s unmet needs

#19

When you don't spend the time and money on preventative care as a society, you end up spending much, much more on emergency care. I feel like this has been quantitatively demonstrated again and again, but it's somehow still a political football.

This mentality applies not just to health care but all sorts of infrastructure. There's money to build it but never money to maintain it.

Re: The ER has become a sanctuary for society’s unmet needs

#20
post #7

Earlier quoted context omitted.

It is robber baron type stuff. It is absolutely nuts. I completely understand people escaping ambulances to avoid a $10K Aspirin. I avoid going to the US on the off chance that I might need medical care.

There's expensive insurance products for a short term trip. They'll even fly you back to wherever you're from if it's serious enough.

I do get the extra insurance, it’s still a major hassle I’d rather not deal with. Plus I don’t trust insurance companies who have a strong incentive to weasel out of their obligations. A commonly known strategy is Deny, Delay, Defend. You have to make sure you have enough money saved to hire a lawyer for when you need to sue the insurance company to get them to pay. Which is an extra hassle I’d rather not deal with.
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