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-- USA vs The World.
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Posted by Sevas Stra on Jan-03-2005 04:27:

In the U.S. the system is much more complicated than you have just described.


Posted by NeoPhono on Jan-03-2005 05:35:

quote:
Originally posted by Sevas Stra
In the U.S. the system is much more complicated than you have just described.


How so? If you walk into the ER, they must treat you, regardless of your ability to pay. In fact, it is against the law for the ER to even ask how you plan on paying. I also know for a fact that state run hospitals (like the one I work for) display signs at all entrances saying that based on need, medical care will be given for free or at a reduced price. There are also, as BadBadNeil said, many organizations (American Cancer Society, etc.) that work to help those in need. This being said, health care is not given out for free to those who can afford it, but no one in need is turned away from a hospital, and every year hospitals budget billions in order to pay for those who cannot.


Posted by occrider on Jan-03-2005 06:34:

Since many would appear to be ignorant of the facts ... from the Federal Emergency Medical Treatment and Active Labor Act:

quote:

(a) Medical screening requirement

In the case of a hospital that has a hospital emergency
department, if any individual (whether or not eligible for benefits
under this subchapter) comes to the emergency department and a
request is made on the individual's behalf for examination or
treatment for a medical condition, the hospital must provide for an
appropriate medical screening examination within the capability of
the hospital's emergency department, including ancillary services
routinely available to the emergency department, to determine
whether or not an emergency medical condition (within the meaning
of subsection (e)(1) of this section) exists.

(b) Necessary stabilizing treatment for emergency medical
conditions and labor

(1) In general
If any individual (whether or not eligible for benefits under
this subchapter) comes to a hospital and the hospital determines
that the individual has an emergency medical condition, the
hospital must provide either -
(A) within the staff and facilities available at the
hospital, for such further medical examination and such
treatment as may be required to stabilize the medical
condition, or
(B) for transfer of the individual to another medical
facility in accordance with subsection (c) of this section.
(2) Refusal to consent to treatment
A hospital is deemed to meet the requirement of paragraph
(1)(A) with respect to an individual if the hospital offers the
individual the further medical examination and treatment
described in that paragraph and informs the individual (or a
person acting on the individual's behalf) of the risks and
benefits to the individual of such examination and treatment, but
the individual (or a person acting on the individual's behalf)
refuses to consent to the examination and treatment. The
hospital shall take all reasonable steps to secure the
individual's (or person's) written informed consent to refuse
such examination and treatment.
(3) Refusal to consent to transfer
A hospital is deemed to meet the requirement of paragraph (1)
with respect to an individual if the hospital offers to transfer
the individual to another medical facility in accordance with
subsection (c) of this section and informs the individual (or a
person acting on the individual's behalf) of the risks and
benefits to the individual of such transfer, but the individual
(or a person acting on the individual's behalf) refuses to
consent to the transfer. The hospital shall take all reasonable
steps to secure the individual's (or person's) written informed
consent to refuse such transfer.

(c) Restricting transfers until individual stabilized

(1) Rule
If an individual at a hospital has an emergency medical
condition which has not been stabilized (within the meaning of
subsection (e)(3)(B) of this section), the hospital may not
transfer the individual unless -
(A)(i) the individual (or a legally responsible person acting
on the individual's behalf) after being informed of the
hospital's obligations under this section and of the risk of
transfer, in writing requests transfer to another medical
facility,
(ii) a physician (within the meaning of section 1395x(r)(1)
of this title) has signed a certification that (FOOTNOTE 1)
based upon the information available at the time of transfer,
the medical benefits reasonably expected from the provision of
appropriate medical treatment at another medical facility
outweigh the increased risks to the individual and, in the case
of labor, to the unborn child from effecting the transfer, or
(FOOTNOTE 1) So in original. Probably should be followed by a
comma.
(iii) if a physician is not physically present in the
emergency department at the time an individual is transferred,
a qualified medical person (as defined by the Secretary in
regulations) has signed a certification described in clause
(ii) after a physician (as defined in section 1395x(r)(1) of
this title), in consultation with the person, has made the
determination described in such clause, and subsequently
countersigns the certification; and
(B) the transfer is an appropriate transfer (within the
meaning of paragraph (2)) to that facility.
A certification described in clause (ii) or (iii) of subparagraph
(A) shall include a summary of the risks and benefits upon which
the certification is based.
(2) Appropriate transfer
An appropriate transfer to a medical facility is a transfer -
(A) in which the transferring hospital provides the medical
treatment within its capacity which minimizes the risks to the
individual's health and, in the case of a woman in labor, the
health of the unborn child;
(B) in which the receiving facility -
(i) has available space and qualified personnel for the
treatment of the individual, and
(ii) has agreed to accept transfer of the individual and to
provide appropriate medical treatment;
(C) in which the transferring hospital sends to the receiving
facility all medical records (or copies thereof), related to
the emergency condition for which the individual has presented,
available at the time of the transfer, including records
related to the individual's emergency medical condition,
observations of signs or symptoms, preliminary diagnosis,
treatment provided, results of any tests and the informed
written consent or certification (or copy thereof) provided
under paragraph (1)(A), and the name and address of any on-call
physician (described in subsection (d)(1)(C) of this section)
who has refused or failed to appear within a reasonable time to
provide necessary stabilizing treatment;
(D) in which the transfer is effected through qualified
personnel and transportation equipment, as required including
the use of necessary and medically appropriate life support
measures during the transfer; and
(E) which meets such other requirements as the Secretary may
find necessary in the interest of the health and safety of
individuals transferred.
http://www.emtala.com/statute.txt


Posted by Sevas Stra on Jan-03-2005 06:49:

quote:
Originally posted by NeoPhono
How so? If you walk into the ER, they must treat you, regardless of your ability to pay. In fact, it is against the law for the ER to even ask how you plan on paying. I also know for a fact that state run hospitals (like the one I work for) display signs at all entrances saying that based on need, medical care will be given for free or at a reduced price. There are also, as BadBadNeil said, many organizations (American Cancer Society, etc.) that work to help those in need. This being said, health care is not given out for free to those who can afford it, but no one in need is turned away from a hospital, and every year hospitals budget billions in order to pay for those who cannot.



wrong, the ER has to do jack shit but to stabilize you because after that the cost is too high and the patient will be asked for insurance information and/or ID for the bill. Paramedics will pick up a bum, that is true but they will not take him to a good hospital. In other cities they will take him to some local county hospital, in new york they'll take him to a rundown clinic mostly likely the CH's in Harlem or the Bronx. If you walk in with no insurance but in need for a heart transplant you are severly screwed.


Posted by NeoPhono on Jan-03-2005 07:03:

quote:
Originally posted by Sevas Stra
wrong, the ER has to do jack shit but to stabilize you because after that the cost is too high and the patient will be asked for insurance information and/or ID for the bill. Paramedics will pick up a bum, that is true but they will not take him to a good hospital. In other cities they will take him to some local county hospital, in new york they'll take him to a rundown clinic mostly likely the CH's in Harlem or the Bronx. If you walk in with no insurance but in need for a heart transplant you are severly screwed.


Talking to you about this is obviously pointless. I've worked in a hospital for the last two years, my dad is an ER doctor, and I'm currently in medical school to become an ER doctor. However, your own misguided opinions are seemingly inseperable from your percieved facts. You believe yourself to have some greater insight than I into medicine, so I'll let you continue with your own depressing views of "real world" healthcare. I urge you however to volunteer your time in a cardiac or oncology unit and see how many people without insurance are being treated for their illness.


Posted by occrider on Jan-03-2005 07:27:

quote:
Originally posted by Sevas Stra
wrong, the ER has to do jack shit but to stabilize you because after that the cost is too high and the patient will be asked for insurance information and/or ID for the bill. Paramedics will pick up a bum, that is true but they will not take him to a good hospital. In other cities they will take him to some local county hospital, in new york they'll take him to a rundown clinic mostly likely the CH's in Harlem or the Bronx. If you walk in with no insurance but in need for a heart transplant you are severly screwed.


I believe EMTALA addresses this as well:

quote:

(3)(A) The term ''to stabilize'' means, with respect to an
emergency medical condition described in paragraph (1)(A), to
provide such medical treatment of the condition as may be
necessary to assure, within reasonable medical probability, that
no material deterioration of the condition is likely to result
from or occur during the transfer of the individual from a
facility, or, with respect to an emergency medical condition
described in paragraph (1)(B), to deliver (including the
placenta).


If you are in need of a transplant, you get added to the transplant organ list just like any other individual:

http://www.optn.org/about/transplan...hingprocess.asp

The ability to pay for a transplant is not one of the criteria for selection.


Posted by Sunsnail on Jan-03-2005 07:40:

What does that have to do with USA vs The World. I guess it side tracked somewhere


Posted by BadBadNeil on Jan-03-2005 14:58:

quote:
Originally posted by Sunsnail
What does that have to do with USA vs The World. I guess it side tracked somewhere


It happens, a topic can only really last so long. Someone must have said USA healthcare is the worst or something to that effect and it must have translated to this.


Posted by Sevas Stra on Jan-03-2005 16:47:

quote:
Originally posted by NeoPhono
Talking to you about this is obviously pointless. I've worked in a hospital for the last two years, my dad is an ER doctor, and I'm currently in medical school to become an ER doctor. However, your own misguided opinions are seemingly inseperable from your percieved facts. You believe yourself to have some greater insight than I into medicine, so I'll let you continue with your own depressing views of "real world" healthcare. I urge you however to volunteer your time in a cardiac or oncology unit and see how many people without insurance are being treated for their illness.


Bafoon, I worked in Maemonodies Hospital for 4 years. But I'll let you pretend you know what you're talking about BTW, retard if you think you have a chance to see an actually experienced doctor who, otherwise would get about 300,000 bucks for a surgery without insurance, you're ---> just because something is on paper doesn't mean jack shit when it comes out to real life.


Posted by NeoPhono on Jan-03-2005 18:13:

quote:
Originally posted by Sevas Stra
Bafoon, I worked in Maemonodies Hospital for 4 years. But I'll let you pretend you know what you're talking about BTW, retard if you think you have a chance to see an actually experienced doctor who, otherwise would get about 300,000 bucks for a surgery without insurance, you're ---> just because something is on paper doesn't mean jack shit when it comes out to real life.


Yeah, and I'll pretend that someone barely 19 years-old has somehow worked at a hospital for four years and has any sort of medical knowledge.


Posted by Sevas Stra on Jan-03-2005 19:40:

Yeah and I'll pretend my mom runs 4 hospitals and my dad is a brain surgeon, something trully in your fashion...


Posted by NeoPhono on Jan-03-2005 21:00:

quote:
Originally posted by Sevas Stra
Yeah and I'll pretend my mom runs 4 hospitals and my dad is a brain surgeon, something trully in your fashion...


I agree, you win. You're the most comlpetely unbelievable. You get to be the first person on my ignore list, congratulations.


Posted by Sevas Stra on Jan-03-2005 21:30:

likewise you are on mine. congradulations, jackass.


Posted by zig on Jan-03-2005 21:44:

Sevas Stra...man why do you go around fucking up every thread you go into..it gets totally boring after a while..ive posted on several threads today on PDD and so have you..two of the threads you have posted in today so far have turned into a total fuckup..so is this gonna be the same everyday your on here or what..and btw i aint gonna get into a flame war with you..yust wondering what your at..like i said boring after a while


Posted by zig on Jan-03-2005 22:06:

For other people reading this just go to the last few pages on The Cruelty of the I D F thread to get a flavour of what im talking about..we all have disagreements but come on..


Posted by Sevas Stra on Jan-04-2005 02:03:

what exectly are you getting at here? cause i proved some bullshitter wrong? what's it to you lol? And the IDF forum, you're an idiot if you think i did anything to that forum go back a few pages and see how that retard Danyua started flaming everyone. I got balls to say what i want when i want, and don't care too much if i get banned.


Posted by hardcore trancer on Jan-04-2005 02:29:

quote:
Originally posted by Sevas Stra
what exectly are you getting at here? cause i proved some bullshitter wrong? what's it to you lol? And the IDF forum, you're an idiot if you think i did anything to that forum go back a few pages and see how that retard Danyua started flaming everyone. I got balls to say what i want when i want, and don't care too much if i get banned.


woow you have balls to say what you want on INTERNET damn you must be a tough guy in real life


p.s. If you dont care about anything why do you even bother posting and ruining other threads?


Posted by Sevas Stra on Jan-04-2005 02:47:

yes...on the internet...LOL. shut up jesus christ LMAO.


Posted by DrUg_Tit0 on Jan-04-2005 15:51:

quote:
Originally posted by NeoPhono
I agree, you win. You're the most comlpetely unbelievable. You get to be the first person on my ignore list, congratulations.


Hehe, I totally worship this guy. It started when he accused me of living in russia and being a russian nationalist...


Posted by zig on Jan-04-2005 18:08:

quote:
Originally posted by DrUg_Tit0
Hehe, I totally worship this guy. It started when he accused me of living in russia and being a russian nationalist...



could have swore you were the image of Vladimer Putin..cousin maybe..HeHe

Ye hes a laugh a minute..


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