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Sat May 18, 2019, 09:15 AM

free medical care for all discourages getting medical care

https://www.modbee.com/news/state/california/article230552184.html

Oh my. Another one of those things the Bernie brats should read, but probably won't.

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As patients forced to wait longer in California ERs, more are leaving against medical advice

Emergency room patients increasingly leave California hospitals against medical advice, and experts say crowded ERs are likely to blame.

About 352,000 California ER visits in 2017 ended when patients left after seeing a doctor but before their medical care was complete. That’s up by 57%, or 128,000 incidents, from 2012, according to data from the Office of Statewide Health Planning and Development.

Another 322,000 would-be patients left the emergency room without seeing a doctor, up from 315,000 such episodes in 2012.....

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There's a map at the link, showing how long patients have to wait.

California, New York, New Jersey, Delaware, Maryland are all six hours or more.

Red states, considerably less time (Nebraska for example: no more than an hour and a half).


4 replies, 278 views

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Reply free medical care for all discourages getting medical care (Original post)
imwithfred May 2019 OP
bernt-toast May 2019 #1
imwithfred May 2019 #3
bernt-toast May 2019 #4
His Daughter May 2019 #2

Response to imwithfred (Original post)

Sat May 18, 2019, 11:15 AM

1. my first question was how many of those patients belonged in the ER to begin with

since my direct experience in hospital work is that a lot of them don't. They suck up ER resources and slow everything down for non-emergencies, when they really belong either at a clinic or urgent care center but don't want to wait for an appointment or until the next morning.

So I checked out the link and found this:

“Most patients are sick but not critically ill,” said Dr. Steven Polevoi, medical director of the emergency department at UCSF Helen Diller Medical Center at Parnassus Heights. “Emergency care doesn’t equal fast care all of the time.”

ERs are for EMERGENCIES.

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Response to bernt-toast (Reply #1)

Sat May 18, 2019, 10:26 PM

3. ".....my first question was how many of those patients belonged in the ER to begin with....."

Having grown up while the parents ran small-town hospitals, I know that probably many don't, and the majority of those who don't, are on "free medical care."

They go to the emergency room and its free treatment just for the attention.

It's like someone calling 911 because the pizza delivered him was cold.

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Response to imwithfred (Reply #3)

Mon May 20, 2019, 02:55 PM

4. yup. so if long waits weed them out I consider it a good thing!

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Response to imwithfred (Original post)

Sat May 18, 2019, 10:19 PM

2. Triage matters

ERs gets too many non-emergencies since there is often no other "must care" facility available. Some ERs set up a secondary stream for non-emergencies under the same roof to handle it.

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