How do hospitals survive financially in the US if anyone can walk in needing treatment and they have to offer it even...

How do hospitals survive financially in the US if anyone can walk in needing treatment and they have to offer it even if the person says "sup I don't have any money"?

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ncsl.org/research/human-services/ebt-electronic-benefit-transfer-card-restrictions-for-public-assistance.aspx
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>if anyone can walk in needing treatment and they have to offer it
They don't. Most hospitals are private, and other than legitimate emergency cases, they can refuse anyone.

Most cities/counties have one (maybe more than one) hospital designated for welfare patients. These hospitals get financial help from the state. but they obviously cut corners sometimes in order to make ends meet. You don't go to these hospitals if you can afford otherwise.

>other than legitimate emergency cases, they can refuse anyone.
Wow this country is even more scummed up than I thought.

Huh? Do you think McDonalds should give you free tendies just because you're hungry? Fuck off to 1950's Russia, faggot.

>Fuck off to 1950's Russia
Or any modern developed country.

Food and healthcare should be rights for tax paying citizens. You're a cuck to think otherwise

But yeah lining Raytheon and proctor and gambles pockets is a bigger priority than health insurance for every American citizen

Stay cucked with your third world mentality, everyone else in the civilized world looks down upon your country

No, the government should pay McDonalds to give me the tendies, which is what they do with foodstamps.

Please start by giving the government all of your money first. The rest of us are right behind you, trust me.

the hospital can either choose to harvest whatever they want out of the patient to pay for the service - teeth, organs, skin, blood, etc - or they put the person to work as a janitor and take it out of their paycheck. many doctors began their medical career patients, then became janitors, and then worked their way up to doctor.

>Or any modern developed country.
Nope. The only reason things are different in other countries is because your insurance system is different. Instead of one bad hospital per city, all your hospitals are shitty because they all serve the lowest common denominator.

The U.S. system has issues, sure. But we do have the best care in the world. I'll gladly take our flaws when it means I get to live years longer than your Eurofag ass.

Being poor and being hungry aren't the same thing, retard. I get hungry too, but I'm not a poorfag like you. We have NOTHING in common other than the need to eat food.

>Food and healthcare should be rights for tax paying citizens.
I never said otherwise. But access to healthcare doesn't mean you get to go to any hospital you want under any circumstances. It means you go to the poor people hospital and get poor people care. Don't like it? Get rich.

What in the fuck?

kek'd out loud

My 3k saved up from my wagekek job won't do anything. If we hang the bankers we can get that health insurance you've been cucked into believing is "economically unfeasable"


REMINDER THAT IF YOU ARE NOT WORTH HUNDREDS OF MILLIONS OR MORE YOU ARE A LITERAL KEKHOLD TO ACCEPT THE CURRENT STATE OF AFFAIRS

1st world countries have national health services that are used by the vast majority of the population. Rich people can visit private clinics which are forced to provide exceptional service to justify their expense.

You're an American, so you think in terms of "winners and losers" and don't see a societal big picture. To you, a Walmart employee without health insurance is in that situation because they got themselves there. Any other influential factors don't come into account. You just judge them as incompetent and deserving of their fate, oblivious to advantages you have over them.

America really needs to start thinking about America as whole and realize that uplifting all of America at the same time would do nothing but help everybody.

The divide and conquer tactics your leaders use are effective though

americans need a villain to conquer.
if we can't find one we'll go after our neighbors.

>a Walmart employee without health insurance
There's no such thing, thanks to Obamacare. Your entire premise is false. Virtually everyone in America that has a job has health insurance

Walmart employees are on Medicaid just like they were before Obamacare. Not exactly insurance since neither they nor their employer pays for it.

ACA is targeted more towards people reasonably above the poverty line but not high enough above it to afford the exorbitant costs of HI if they don't get it from their employer. Walmart employees are generally below or at the poverty line thanks to Walton's SAVE MONEY, LIVE BETTER UNLESS YOU WORK HERE :^) philosophy

>1st world countries have national health services that are used by the vast majority of the population.

This is the most retarded argument. Do you see the EU having one model? Of course not, because it would fucking suck. Stop treating the US like it is a one homogeneous country and treat it for what it is, a federation of states with widely different.

>uplifting all of America at the same time would do nothing but help everybody.

“A society that puts equality before freedom will get neither. A society that puts freedom before equality will get a high degree of both.” - Milton Friedman

>get free healthcare when poor in america
>evil americans ch-chauvenism evil patriarchy

Medicaid is for low-income people. Most people with jobs wouldn't need Medicaid, in part because they have private insurance and in part because they have income?

Why are you giving opinions about our health system when you know nothing about it?

>ACA is targeted more towards people reasonably above the poverty line but not high enough above it to afford the exorbitant costs of HI if they don't get it from their employer.
ACA requires employers to offer health insurance. How can you argue against a law when you don't even know what it says?

Jesus, the retards are out in force.

>Most people with jobs wouldn't need Medicaid, in part because they have private insurance and in part because they have income?
takes three seconds on google to see that you're wrong.

Most Walmart workers are low-income. Just because you live in texas where everyone works there doesn't change the federal poverty level any.

Walmart doesn't offer affordable private insurance and you can't buy it even if they did because if your wages are below 1 1/2 times the poverty level you automatically get Medicaid.

except in the south where your state government refused the Medicaid expansion. There poor people can't get any insurance.

R3MkrBYJ has cancer xD

>ACA requires employers to offer health insurance.
Walmart and several other large companies got exemption from the law. Thanks, republicans.

you could google this stuff and save yourself some embarrassment.

>Most Walmart workers are low-income.
>Walmart and several other large companies got exemption from the law.
If you're just going to make up facts, I'm done with you fag. My time is too valuable.

corporate.walmart.com/our-story/working-at-walmart

>ACA requires employers to offer health insurance.
Gee could've fooled me with all those employers dumping people onto the exchanges rather than giving them employer provided insurance.

>A corporate PR website is believable
Talk about retards out in full force.

>My time is too valuable.
I see that.
you didn't bother googling a damn thing.
enjoy your lucrative Walmart career.

>Gee could've fooled me with all those employers dumping people onto the exchanges rather than giving them employer provided insurance.
#fakenews

Sad!

You Trumptards can't even manage a simple debate, let alone a meaningful discussion. I don't know why I try.

oh hey, it's the false-flag fake-liberal again.

Uh, I'm a Berniefag.

Are you a libertarian to the right of the GOP?

No reason for each state to not have a healthcare service which any funds the state can't cough up the Feds provide. You're quoting that kike fuck Milton so I know you're a shabbos goy that thinks he's got it figured it out

Number one cause of bankruptcy in America you dumb hick

also the quickest and easiest bankruptcy I've ever done.
>I see you're writing off $200k in bankcard debt
>yes sir
>is this because of the medical expense?
>most of it, yes
>I see you're also writing off $750k in medical expenses for two people?
>yes, sir
>Case closed. NEXT!

By charging out the ass the people who will pay

>I don't go to debtors prison, my country is totally not a shithole believe me

Meanwhile the idea that I would provide nearly half my income to the state and they wouldn't provide me with health insurance is laughable. It's a social contract, and it's always skewed towards those with the power, but it's particularly acute in America especially for a developed nation.

It's sad really... there are parts of the US that I really enjoy, but it's just a deeply troubled nation. It definitely had and still does have the potential to be the greatest country on earth. But Trumps a lying fuck/he has his hands tied so nothing will change.

>According to the Centers for Medicare & Medicaid Services, 55% of U.S. emergency care now goes uncompensated

I guess this is why insurance charges so much for emergency room stays? Seems like people are better off going to urgent care clinics for anything short of gunshot wounds and the like.

>>I don't go to debtors prison, my country is totally not a shithole believe me
what are you on about?
I fully support the complete socialization of medicine in the US, I think our health care system is the grossest of injustices.

like most people that have a medical bankruptcy behind them. And don't even get me started on how insurers wouldn't cover pre-existing conditions. So if you have a medical bankruptcy you could never get health insurance again.

>you could never get health insurance again.
or how that forces the disabled to remain in poverty because they can't afford to make money and lose their government health care.

the only real consolation I have is that many of the people voting to keep this system will one day be destroyed by it. We all get sick.

Don't all kinds of horrible things happen to you if you go into bankruptcy though? It isn't a clean and happy process people want to have to go through. Also does it clear liens on your property that hospitals or the like may have made?

It usually costs you everything you own worth more than $45k, and it ruins your credit for about 10 years.

it's a terrible option, and right after my last one the Republicans voted to make it more difficult and more expensive to do. So yeah, if you get seriously ill in America you're forced into poverty and lose anything of value you had.

Ironically this happens to the insured almost as often as the uninsured since insurance here had a cap on claims before Obamacare. Getting cancer or any disease that costs more than million dollars your insurance covers is a sentence to poverty and loss of all assets.

for example, in that bankruptcy I lost two cars and a house. Luckily I was allowed to keep two other cars and a house. I had more than I needed of both.

>does it clear liens on your property that hospitals or the like may have made?
hospitals and credit cards can't take liens against your property in my state. It doesn't clear existing liens on cars or houses by your bank, you still owe that money.

Thanks for the info.

thanks for letting me vent my spleen. This is something I feel strongly about having been through that wringer myself.

I wanna feel bad for you, but I can't help but think you brought this on yourself. Why didn't you have insurance? Someone with 4 cars and 2 houses could have afforded it with ease.

>Why didn't you have insurance?
I did.

Then why did you have $950k in medical expenses? That's a hell of a deductible.

I didn't.
'My' total medical expenses weren't much over $1.5 million.

1. not all of that credit card debt was medical expenses. I think about $80k was personal/business.
2. My insurance capped out at $1 million so it wouldn't have covered the debt.
3. The medical condition my kid had is automatically covered by the government (premature birth) so my insurance wouldn't cover any of it. However the government took 2 months to step in and pay the bills so I got stuck with a shitload of debt.

In retrospect I could've perhaps sued my insurance and the government and avoided bankruptcy, but at the time I didn't care about the money, all I wanted was for my wife and kid to live.

go polish some women's boots you faggot beta male supplicator

>The medical condition my kid had is automatically covered by the government (premature birth) so my insurance wouldn't cover any of it. However the government took 2 months to step in and pay the bills so I got stuck with a shitload of debt.
>
>In retrospect I could've perhaps sued my insurance and the government and avoided bankruptcy, but at the time I didn't care about the money, all I wanted was for my wife and kid to live.
Wow. So you fucked up and didn't take advantage of the coverage you had, filed bankruptcy, lost your assets, and gave yourself a self-induced vendetta against the healthcare laws.

Sounds like Darwin was right.

>So you fucked up and didn't take advantage of the coverage you had
legally they had no obligation to cover my kid.

My vendetta didn't come from that.
It comes from how the government and insurance companies treated my son.

he could never get insurance for his lifetime health problems (pre-existing condition).
and the government would only cover him if he makes no money (Medicaid).

meaning he's trapped for life into poverty and welfare because he can't afford his medical bills. Then came Obamacare to fix it. And it did.

but then you elect trump like the cock sucking faggot you are and try to take that away from him. You are the reason for my vendetta. But on the plus side I buy idiots like you every year. You've made me wealthy, and in time I'll take my wealth and move it to a country that doesn't let fuckers like you make the rules.

meanwhile you'll get cancer and lose everything you've worked 50 hours a week all your life for. Despite having insurance. And justice will be served.

>legally they had no obligation to cover my kid.
Legally you're full of shit. Either you had coverage or you didn't. Stop lying.
>he could never get insurance for his lifetime health problems (pre-existing condition).
Prohibited under the ACA.
>and the government would only cover him if he makes no money (Medicaid).
Your problem, not his. Unless he was not a minor in which case he should have had his own insurance.
>then you elect trump like the cock sucking faggot you are and try to take that away from him
Yikes, reading comprehension really isn't your strong suit, retard. I'm the one defending the ACA.
>You've made me wealthy
Roleplaying isn't going to help you.

You're obviously a bitter person because you know you made enormous financial mistakes in your past. You're also obviously a wackadoodle, and I'm not wasting my time debating complex political and financial topics with a barely functional retard.

>Either you had coverage or you didn't.
have a premature kid and see.
>Prohibited under the ACA.
son was born long before the ACA
>I'm the one defending the ACA.
by attacking the people it was designed to protect?

you're an idiot. And I wish you were a tripfag so I could filter your stupid ass.

>by attacking the people it was designed to protect?
I defend the ACA because its a good law; the best that could have passed at the time, and it does a lot more good than the problems it causes.

I attack you because you're a delusional, roleplaying, liar.

The two things are not incompatible. I'm a liberal but that doesn't make me tolerant of stupid people.

One final comment then I'm binning this thread: if you had insurance, as you claim, then you wouldn't have had to file for bankruptcy. Period.

Later.

>I'm a liberal but that doesn't make me tolerant of stupid people.

oh hey, it's the false-flag fake-liberal again

>if you had insurance, as you claim, then you wouldn't have had to file for bankruptcy. Period.
to be fair my son was born before you were, he's 12.

the laws were different way back then. Insurance didn't have to cover anything covered by Medicaid/SSI. And they didn't.

the premature kid argument is basically like the only fucked up thing, which makes it probably some disinfo shill

and the guy on the other side is a retarded autist that probably can't see other perspectives

you both lose.

NO, just no, that is bad for you, free healthcare is bad, universal income is bad.

See pic related

>complex political and financial topics
If this is complex for you... I got some bad news

ITT: taxation isn't theft

Why do you care if politicians control poor people's lives?

you know, there is this thing called free clinics, even in the US.

...

it's the bogged down bleeding machine that is our gov't that got them there, now kindly fuck off, leaf.

The privatized healthcare services in the US are absolute trash. I am currently experiencing a medical emergency that's causing me to permanently lose my eyesight. It's been nine months now and I'm still waiting to get treated.

It's expensive to hire specialists, so the j00s that run the hospitals skimp on hiring them to boost profits, and you have to wait three months for an emergency appointment where they just barely talk to you for 15 minutes and then leave because they're so swamped.

It's a retarded system and there is literally no reason to defend it.

>going blind
>wastes his final sighted days browsing Veeky Forums
You truly are a special little fellow.

>Also, maybe the reason the good doctors won't treat you is because you're an uneducated racist asshole.

>>wastes his final sighted days browsing Veeky Forums
>>Also, maybe the reason the good doctors won't treat you is because you're an uneducated racist asshole.
I mean, if that's what you want to believe to make your retarded ideas about healthcare easier to stomach, then sure go ahead and tell yourself that

They are only obligated to treat emergencies. For most, it lowers their profits but they still make do.

Many in poor areas go belly up because of it, though. Poor people just let their health get so bad and wait until it's a legit medical emergency.

t.former hospital employee.

>Poor people just let their health get so bad and wait until it's a legit medical emergency.
Gee I wonder why that could be. Maybe it's because...THEY CAN'T AFFORD PREVENTIVE CARE?

Maybe they should use they food stamps to buy healthy food and not cigs or booze.

Maybe they should save some money to go to the doctor regularly instead of buying fancy "smart" phones and luxury cars.

You dont you just die. The only place they are required to help you is the ER. Every other place wont help unless you have money.

I don't know what poor people you've been associating with but the only ones who can afford luxury cars are fraudsters.

Also, food stamps do not cover cigs and booze.

not necessarily true. In the US at least we don't usually count the value of 2 cars and one house when determining eligibility for welfare.

so a person could in theory live in a huge mansion, drive a Ferrari and a Lamborghini, and still get free health care. This doesn't happen often though. And when it does people get pissed.

I recall a case in seattle a couple years back. A couple sitting on millions of dollars worth of home and cars qualified for welfare for years. As I recall they were investigated up and down but ultimately not charged with any crime and presumably are still collecting welfare checks.

>Also, food stamps do not cover cigs and booze.

Not in California: sdrostra.com/kimberly-dvorak/welfare-checks-can-be-used-to-buy-alcohol-and-cigarettes-in-california/

t.Californian

It varies by state: ncsl.org/research/human-services/ebt-electronic-benefit-transfer-card-restrictions-for-public-assistance.aspx

California is all kinds of fucked up.

>Wow this country is even more scummed up than I thought.
Oh user... you have no, no idea at all.

The hospital will bill you for services rendered. They don't ask you how much money you have in the bank

That's because this retard is incorrect. Even if private, if the hospital accept Medicare or Medicaid patients, you can't refuse anyone for treatment regardless of their ability to pay.

First off emergency care CHARGES are high, but the cost in reality isn't that much. The doctors and nurses are there anyway and bum fuck nig nog usually comes in, detoxes, shits on the floor, and goes on their way.

Second "losses" are recouped by over charging private insurance holders and attempts to get as high a reimbursement on Medicare and Medicaid. Most nig nogs have Medicaid anyway so it's not that often that there's 0 payment made - just not as much as what the hospital attempted to over charge for.

I work for a hospital, in the emergency department, and no, I'm not Pablo who wipes ass.

>if the hospital accept Medicare or Medicaid patients

>If the hospital accepts poor people, then the hospital accepts poor people

You're a special boy, huh?

>everyone in the civilized world looks down upon your country

lol sure, buddy. why do you even care then? i could give a fuck about your cucked nation.

You need to be 18 to post here, buddy.

Correct because the emergency room is for fucking emergencies, not "i have the sniffles"

>out of pocket maximum, 6k/year

How? Or is it that poor people have 15-20k/year out of pocket maximums and just can't pay it over 3-4 years while not working?

Honestly though if you have assets >45k and shitty health insurance you're pretty retarded.

So you have 4 cars and two houses but no good health insurance if I read this correctly. Well that settles my understanding.

ahahahah this got me

>Unless he was not a minor in which case he should have had his own insurance.

Premature babies are generally minors, muchacho.

I thought they could refuse treatment if it isn't an emergency? Like say someone has some obscure pain disorder and has a flare up. Does that count as an emergency?

All he needed to have was an employer who picked a group of insurance plans which skimped on coverage in areas which happened to impact his situation. It isn't like he'd have much of an easy option to go elsewhere since it was before ACA. And even then an employer plan would've been much cheaper for the employee than just some random plan you have to buy into which encourages employees to just go with whatever their employer offers.

Hey America, explain this

Let me guess, muh evil government. Well you've got quite a ways to go to get on the same level as government provided health care. So good luck with that one.

No that doesn't count as an emergency. If your life isn't in danger then it isn't classified as an emergency.

You post rates for the most easily 'cured' cancers. Post some for stomach or pancreas.

I work for a large cancer institute at a large health care 'system'.

2016 financials were saved by the cost of chemo drugs that were billed. Talk about raping people and insurance. That's how our institute makes money.

> Small, poor people area hospitals
These are all getting bought out by larger systems now. Soon a certain few hospitals are going to be ' too big to fail ' and the government is going to have to help them out when they are in trouble.

> Poor people waiting until it is worst case scenario
This is true. My health care system does a lot of community outreach events and such that does actually get people in for screenings and such. A lot of them don't come back for treatment when they do find something.

>Virtually everyone in America that has a job has health insurance
I just don't think so, Im in that area of income where i don't get subsidized for my insurance thanks to obamacare but yet have to pay $250 a month to have insurance. I know alot of people that are no longer paying their insurance. Why should they pay for peoples insurance that have no job and are useless to society.

The government punishes you hard for trying to do better in life and then they give everything to people that are useless as fuck.

If rich people stopped paying their health Obamacare would collapse due to the way it's is designed to bring everyones money together to pay for each others health insurance whether those people contribute or not.

> Pay $39 to hold your own child

Does this explain it?

But I thought free markets were so much cheaper

>A lot of them don't come back for treatment when they do find something.
So basically we already have people dying in the streets because they can't pay for treatment?

>Im in that area of income where i don't get subsidized for my insurance thanks to obamacare but yet have to pay $250 a month to have insurance.

Perhaps you should be happy that if you ever get down on your luck after losing a job or something you'll have a safety net to keep you from becoming totally destitute.

>If rich people stopped paying their health Obamacare would collapse due to the way it's is designed to bring everyones money together to pay for each others health insurance whether those people contribute or not.

If rich people stopped paying for health insurance that would be taking a big risk on their part. They wouldn't risk it just to "screw over" the poor man. They have plenty of other ways to do that. And if they stopped paying their taxes the system would also collapse but again, they would not want to do that because of the consequences.

That can't be what that means............right?

The trouble is that when these private hospitals and clinics get confronted for having excessive costs, their solution is simply to skimp on care to save their profit margins. When you have a medical problem and the doctor has a choice between runing a test and "let's just wait and see what happens," they'll err on the side of doing nothing.

This isn't just from a patient's perspective either. All of my relatives work in healthcare, my mom is clinical psychologist, and my dad is a nephrologist and one of the hospital's medical directors. These places are about making money first and treating patients second. For fucks sake, the clinic where my mom works is considering axing their entire behavorial health department because it's not making enough money, and leaving all the people with mental health issues in our area out to dry.

The profit motive has no place in healthcare.

>That can't be what that means............right?

That's what it means.

t.husband of mommy-baby care LVN

In the case of a C-section, where the bedside caregiver is occupied caring for the mother during surgery, an additional nurse is brought into the OR to allow the infant to remain in the OR suite with the mother, that nurse costs money.