Tuesday, August 18, 2009

Whose Healthcare is it anyway?

From the Nevada University Medical Center:

“Our people are really torn,” said Brian Brannman, UMC’s chief operating officer. “We want to take care of people who are ill. We’re proud that we can save lives. But our employees are also worried about the survival of UMC. They know that the appetite of taxpayers for helping undocumented immigrants is limited.”

Since April, UMC has been spending about $2 million per month providing emergency dialysis services to 80 illegal immigrants, Brannman said.

He projects that these services at UMC could run more than $24 million in the current fiscal year.

In each of the five prior years, the hospital provided the same emergency services to half as many illegal immigrants for a little more than $1 million per month.

Brannman said the hospital receives no reimbursement from federal, state or local sources to provide this life-saving treatment for people who have entered the country illegally.

But under federal law, any patient who shows up at an emergency department requesting an examination or treatment for a medical condition must be given an appropriate medical screening to determine whether there is an emergency. If there is, treatment must be provided.

“When we’re projecting a budget deficit of $70 million for fiscal year 2010, you can see that $24 million in dialysis treatment that’s not reimbursed is an awfully big chunk,” Brannman said.

UMC health care professionals say discussion of how to reform the nation’s health care system must include how to shore up taxpayer-supported hospitals, strained to the breaking point by following the law to care for those who are breaking it…

…”The federal government kicked the can down the road on the immigration issue and gave the bill to us,” Brannman said. “This is a federal policy failure that is driving huge health care costs to our citizens.”



1 comment:

Ellen said...

Anne: This is an interesting article. In this current debate, I believe there is not nearly enough coverage of how uninsured people are driving up costs by using emergency rooms for treatment. I'm curious if you think emergency rooms should have the right to turn uninsured people away? What do you think about the public health implications for the general population--i.e. if they are carrying diseases like antibiotic resistant TB? Also, if so, do you think they should have the ability to refuse treatment not just to illegal aliens, but also to American citizens who can afford to, but choose not to, purchase health insurance, as a lot of young people do today? Ellen