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Reply to "Is there or isn’t there a crisis on the border?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]You're a lunatic, 22:47.[/quote] +1 I'd love to know exactly how "fixing our healthcare system" would prevent illegal immigrants from receiving free healthcare at our ERs - well, free for them. The rest of us wind up paying for it. I'd also love to know how many illegal immigrants 22:47 is personally sponsoring - feeding, housing, clothing, and educating. [/quote] Not PP, but why would anyone need to house and feed them? The undocumented people I know bust their ass, pay taxes, and support not only their families here but more back at home. [/quote] Who pays their ER bill?[/quote] When the dad was hurt on the job the employer paid the medical bills. [/quote] 1. Out of pocket? 2. To the tune of how much cash? 3. What was the injury?[/quote] a good analysis in Forbes - https://www.forbes.com/sites/theapothecary/2018/02/26/how-american-citizens-finance-health-care-for-undocumented-immigrants/#2c0c95ef12c4 too many sections to quote, however the heart of the article: [quote]For purposes of discussion, I am going to focus principally on financing health care for unauthorized immigrants who are uninsured since we know that about 70% of care for America's uninsured is uncompensated, meaning that ultimately it is paid for by society in one way or another.[/quote] [quote]39% was covered by various federal programs (e.g., [b]disproportionate share payments to hospitals[/b]); 23% by state and local governments (e.g., [b]via taxpayer support of state and locally owned hospitals[/b]); 12% came in the form of physician charity care covered; 25%--was covered by hospitals (arguably by [b]"cost-shifting"[/b] i.e., higher charges to privately insured patients that effectively cross-subsidize care for patients who do not pay full freight etc.). An unknown fraction of this stems from EMTALA--the Emergency Treatment and Active Labor Act--a federal law that requires hospitals to treat emergency patients regardless of their ability to pay. EMTALA is an example of "taxation by regulation" insofar as the same outcome might have been achieved by using tax dollars to pay hospitals to treat such patients voluntarily.[/quote][/quote] The main problem with those numbers is that health care providers inflate their rates and charge uninsured patients their highest rates, much higher than they charge Medicare, Medicaid, or privately-insured patients. When you see your Explanation of Benefits, and a charge for $2,000 for something was reduced by your insurance Preferred Provider rates to $500, do you ever wonder who is stuck paying $2,000 for something that cost you and your insurer $500? The $2,000 charge to the uninsured lets them claim that when they ask the federal government to reimburse them for uncompensated care, so even if the federal government only covers 30% of what they claim, that would be $600, more than their PPO rates. And they don't write off the rest of the $2,000 bill, they try to collect it from the uninsured person. This is how the current idiotic billing system for health care forces people who do not have insurance to either declare bankruptcy or have to pay 3 or 4 times more than insured patients pay for the exact same services. [/quote]
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