Earlier quoted context omitted.
When we lived in Italy, my then toddler had one of these: https://en.wikipedia.org/wiki/Breath-holding_spell and as the article says "a breath-holding spell is a frightening experience for observers", which is actually a monumental understatement. We called the equivalent of 911 with no thoughts whatsoever about money because it's simply not a factor there. He was fine before the ambulance pulled up (very quickly) bu…
but the USA has more millionaires
The ER has become a sanctuary for society’s unmet needs
51–60 of 114 posts
Re: The ER has become a sanctuary for society’s unmet needs
#52Earlier quoted context omitted.
Well we're not only talking about adults but also talking about children here. At 9pm you get a small AND deep cut requiring stitches. It won't stop bleeding if you take pressure off. what do you do? At 9pm your family member accidentally drops a kettle of of hot but not life threatening water on your child and they get a large blister on their chest, what do you do? These are probably not serious situations but the…
Why not an urgent care?
Re: The ER has become a sanctuary for society’s unmet needs
#53ER docs that can deal with incoming gun shot victims etc are a scarce resource and ER beds are expensive. There really should be a secondary channel people like this can flow into & the lack of this is a societal failure.
Leaning on the good heart & caring of ER gang is the wrong answer.
Re: The ER has become a sanctuary for society’s unmet needs
#54This bugs me every time I read about free clinics and/or ER costs. It seems most Americans with limited or no healthcare is: 1. Go to the ER and pay $X000 2. Wait in line at a free clinic for 9+ hours and maybe/maybe not see a doctor This seems like a gigantic need for a middle ground to be filled. I know that CVS and WalMart have done things like the $60 Physician's Assistant visit at retail locations but that alway…
Re: The ER has become a sanctuary for society’s unmet needs
#55On 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…
The ER might bill $6k for a cut requiring stitches, but most people have insurance, they will have a lower negotiated rate. A typical copay with insurance is more like $250, plus another $10-$20 copay to pickup medication.
Something not immediately life threatening like a cut requiring stitches could go to urgent care, they might bill $400, and your copay is under $100.
Re: The ER has become a sanctuary for society’s unmet needs
#56This bugs me every time I read about free clinics and/or ER costs. It seems most Americans with limited or no healthcare is: 1. Go to the ER and pay $X000 2. Wait in line at a free clinic for 9+ hours and maybe/maybe not see a doctor This seems like a gigantic need for a middle ground to be filled. I know that CVS and WalMart have done things like the $60 Physician's Assistant visit at retail locations but that alway…
My guess is that, despite in some sense being a "free market" system, US health care is hyper regulated, and almost everything is either mandatory or forbidden, sometimes both.
Re: The ER has become a sanctuary for society’s unmet needs
#57On 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…
When we lived in Italy, my then toddler had one of these: https://en.wikipedia.org/wiki/Breath-holding_spell and as the article says "a breath-holding spell is a frightening experience for observers", which is actually a monumental understatement. We called the equivalent of 911 with no thoughts whatsoever about money because it's simply not a factor there. He was fine before the ambulance pulled up (very quickly) bu…
[0]https://www.oecd-ilibrary.org/sites/154e8143-en/index.html?i...
Re: The ER has become a sanctuary for society’s unmet needs
#58On 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…
Half of children are covered by Medicaid and there would be zero copay. It is a great program that has saved and improved many lives. The ER might bill $6k for a cut requiring stitches, but most people have insurance, they will have a lower negotiated rate. A typical copay with insurance is more like $250, plus another $10-$20 copay to pickup medication. Something not immediately life threatening like a cut requiring…
Re: The ER has become a sanctuary for society’s unmet needs
#59On 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…
Half of children are covered by Medicaid and there would be zero copay. It is a great program that has saved and improved many lives. The ER might bill $6k for a cut requiring stitches, but most people have insurance, they will have a lower negotiated rate. A typical copay with insurance is more like $250, plus another $10-$20 copay to pickup medication. Something not immediately life threatening like a cut requiring…
But then again, I can't believe hospitals don't have to have a 'menu' on their web site that shows their cash and average insurance cost of their 20 most common procedures.
I know almost nobody pays cash price, but I don't want my medical care to be treated like Kohls or JC Pennys where they show me a $7 t-shirt is "regularly $27" so I feel like i'm saving, even though we both know they never, EVER charged $27 for that t-shirt..
Re: The ER has become a sanctuary for society’s unmet needs
#60Earlier quoted context omitted.
I've always been told ER is for _emergencies_, I'd never go there for a 2nd degree burn or a small cut. Emergencies as in "if I don't go there _now_ I might suffer _grave_ long term consequences" not as in "ouchie it'll be painful until I get it looked at tomorrow"
Except if you try to get medical treatment for a minor injury the response is often 'no go to the ER' because people want to avoid liability.