Obamacare rates shocker.

[zwhit]

Both are giant black holes where money disappears.

racist

 

[billfred]

Emergency rooms need to have a $20 cover charge. That would at least push some of these people to a clinic. Has anyone here been to an emergency room lately? I was there for my back - 2 hours, $8k. One guy next to me came in for heartburn. Doc said, did you drink a lot this weekend - "Si" remember last time you came in here for the same problem - "Si" Ok - here is your prescription grade prilosec that you can get at Walgreens OTC. Let me bill this to the guy in the booth next door with insurance and extra cash.

This went on the whole time I was there. Not one real emergency.

 

[zwhit]

I was there a few times when my wife's blood pressure spiked when she was pregnant. it was ridiculous. basically the same scenario you described

 

[shirlene29]

yeah

my last big emergency room experience was Gregs motorcycle accident...that obviously went right to the front of the line (level 1 trauma) but it was still 6 or so hours before they decided he wasn't going to actually die AND they assumed because of his army tats he was a gang member and probably only had medicaid at best...uhm no fuckfaces , how bout we treat the seriously injured pt first then worry about whether he has coverage or not. Note I said "seriously", I think the automatic $20 copay isn't the worst idea I've ever heard but I see problems with that too...how many legitimately seriously ill pts would die because they didn't have the twenty bucks.

 

[shirlene29]

And often times this is a stereotype. There are people who have died because emergency room staff took their conditions in the same light you did and they ended up dying in the emergency room

unfortunately its not a stereotype. It difficult to NOT get jaded in emergency medicine when you see bullshit abuse after bullshit abuse. I took a couple weeks off from work when I flipped a little on someone that called 911 for a broken toe in an extremely limited service area ...thereby taking an ambulance (the only ambulance) offline for absolute bullshit.

And I can say that I made a good catch once with an older female pt that just didn't "feel right" who's coworkers called 911. I got the impression something was wildly awry because she wasn't your typical frequent flyer; turned out I was right.Her BP was all over the map to the point where I thought I was screwing up and kept changing BP cuffs. She was having an MI and didn't present in a typical fashion.
My jaded partner sort of brushed it off but not entirely. People that ABUSE emergency services make people that work in the field non-receptive.

I also got completely snowed once by some asshole drug seeker that had right upper quadrant pain (complete with rebound tenderness) down to a fucking science. I still would like to run that fucker over.

 

[billfred]

yeah

my last big emergency room experience was Gregs motorcycle accident...that obviously went right to the front of the line (level 1 trauma) but it was still 6 or so hours before they decided he wasn't going to actually die AND they assumed because of his army tats he was a gang member and probably only had medicaid at best...uhm no fuckfaces , how bout we treat the seriously injured pt first then worry about whether he has coverage or not. Note I said "seriously", I think the automatic $20 copay isn't the worst idea I've ever heard but I see problems with that too...how many legitimately seriously ill pts would die because they didn't have the twenty bucks.

None - when life is on the line, someone is going to come up with $20, even if it is just a good samaritan passing out $20 at the door.

 

[bigbassturd]

Bill you know that good samaritan shouldn't be giving out his hard earned money on his own

Going to need to put an ER cover tax on your income so that everyone can get/pay their fair share when it's redistributed.

Oh, and think about the children. The children!

 

[ceo]

unfortunately its not a stereotype. It difficult to NOT get jaded in emergency medicine when you see bullshit abuse after bullshit abuse. I took a couple weeks off from work when I flipped a little on someone that called 911 for a broken toe in an extremely limited service area ...thereby taking an ambulance (the only ambulance) offline for absolute bullshit.

And I can say that I made a good catch once with an older female pt that just didn't "feel right" who's coworkers called 911. I got the impression something was wildly awry because she wasn't your typical frequent flyer; turned out I was right.Her BP was all over the map to the point where I thought I was screwing up and kept changing BP cuffs. She was having an MI and didn't present in a typical fashion.
My jaded partner sort of brushed it off but not entirely. People that ABUSE emergency services make people that work in the field non-receptive.

I also got completely snowed once by some asshole drug seeker that had right upper quadrant pain (complete with rebound tenderness) down to a fucking science. I still would like to run that fucker over.

This is absolutely 100% correct. I spent several years working in the ER, and shirl is right. gjohnson, I wish we were wrong and we were stereotyping, but we're not. Drug seekers are another category that shirl touched on. People with nothing wrong with them who have become experts at faking symptoms. You can x-ray, scan, palpate, and not find anything but you can't take the chance of sending away a patient "in extreme pain" without at least trying to manage their pain (pain meds). Meanwhile, they've spent 3 or 4 hours (or more) in the ER and used other resources (x-rays, scans, etc.) all at a cost...to someone.

 

[dabuffguy]

California the most diverse?

Lol, everybody knows So Cal is purely rich white people.

 

[Headholio]

california the most diverse?

Lol, everybody knows salt lake city is purely rich white people.

fyp