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Old 03-04-2010, 09:11 AM   #11
Papa_Complex
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Yea still....a hospital is a privately owned business...
... with legally imposed social requirements.
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Old 03-04-2010, 09:14 AM   #12
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Referring people without insurance to other hospitals for follow up care is wrong, and it sounds like they will be disciplined for it. Outside of that I really don't see a problem. That some people are willing to pay for and are receiving a high level of care does not lower the level of care others are receiving.
they want people to think that they'll get into trouble but as long as they treat and stabilize before transporting, they can do it. every private hospital does it. trust me.

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Old 03-04-2010, 09:36 AM   #13
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... with legally imposed social requirements.
I'm sure that you're right sir but I thought that the words "life threatening" were involved somehow...
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Old 03-04-2010, 09:52 AM   #14
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Except that a hospital has a duty to see any patient that comes their way, while an apartment complex is a "members and guests only" zone.
I'm not sure but I think there is no duty for hospitals that do not receive government funding except for life-threatening injuries (as Lon stated).
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Old 03-04-2010, 09:53 AM   #15
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they want people to think that they'll get into trouble but as long as they treat and stabilize before transporting, they can do it. every private hospital does it. trust me.

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Old 03-04-2010, 06:39 PM   #16
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... with legally imposed social requirements.
It may be d in canada, but in the US a clinic does not have to see you if you dont have ins. Only the ER cannot turn anyone away.
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Old 03-04-2010, 09:39 PM   #17
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It may be d in canada, but in the US a clinic does not have to see you if you dont have ins. Only the ER cannot turn anyone away.
I told you so!
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Old 03-05-2010, 06:38 AM   #18
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It may be d in canada, but in the US a clinic does not have to see you if you dont have ins. Only the ER cannot turn anyone away.
In Canada we have a different system (single payer), which generally means that turning away a patient is unnecessary.

There have been several well publicized issues in the US of hospital ER rooms stabilizing a patients to a sufficient level and then "patient dumping" them in areas where social services can deal with them over the years, no? It seems to me that was illegal, or at least straddling the line.
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Old 03-05-2010, 07:29 AM   #19
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In Canada we have a different system (single payer), which generally means that turning away a patient is unnecessary.

There have been several well publicized issues in the US of hospital ER rooms stabilizing a patients to a sufficient level and then "patient dumping" them in areas where social services can deal with them over the years, no? It seems to me that was illegal, or at least straddling the line.
It probably still happens in some areas. The only transfers we do are to burn centers and nursing homes for the most part. If theres an issue with finding abed for a pt we do transfer some of the pediatric and psych cases.

Most of the people I send hoime I will give them the # to the appropriate clinic for follow up and if they dont have ins I willtell them they may be better off at kings county ( some clinics ONLY take uninsured people there) but we cant officially document that.

I even tell the pts I dont care where they get seen for follow up, its so long as the DO get seen is whats more important.
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Old 03-05-2010, 09:05 AM   #20
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I don't know...if poor/non-insured people are "busing in" from outside the hospital's normal service area then I don't blame them for turning them away if the injury/illness is non-life threatening. That's like the hood-rats the drive across town to swim in the pool at my GF's $1,500/month apt complex. I suggest you hop on back on the bus and take your butts to Walmart and buy that Sponge Bob wading pool for $19.95...

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