Are you saying what should happen is those that can’t pay get no care?
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yes, get insurance, if not, you gotta pay directly.......
So. What you are saying is that someone that is denied insurance and does not have the money to pay the bill should receive no care at all?
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denied? what do you mean by that?
Here is an example,
John Jacobs graduates college with a nice degree and goes to work for a small company that does not provide health insurance but offers him a nice salary of 30 grand a year. Mr Jacobs then goes to an insurance company and applies for medical insurance coverage. They look at his medical record and go "oh ,you have Type-1 diabetes, so we are forced to deny your application for insurance. Mr Jacobs goes to 10 other companies and they all tell him the same thing
Since he does not have insurance he chooses to use cheap WalMart insulin and 2 months later ends in the ER due to hyperglycemia. He is rushed to the hospital where they discover he has no insurance and does not have the available means to cover the ER visit or the 2 to 3 day stay that normally accompanies such an event.
At this point, should the hospital tell him to leave since he does not have the means to pay?
The FDA requires that all "cheap" (aka generic) drugs have the same dosage as name brand drugs. As per FDA:
Do generic medicines work the same as brand-name medicines?
Yes. Any generic medicine modeled after a brand-name medicine must perform the same in the body as the brand-name medicine. This standard applies to all generic medicines. A generic medicine is the same as a brand-name medicine in dosage, safety, effectiveness, strength, stability, and quality, as well as in the way it is taken and the way it should be used. Generic medicines use the same active ingredients as brand-name medicines and work the same way, so they have the same risks and benefits as the brand-name medicines. The FDA Generic Drugs Program conducts a rigorous review to make certain generic medicines meet these standards, in addition to conducting 3,500 inspections of manufacturing plants a year and monitoring drug safety after the generic medicine has been approved and brought to market.
It is important to note that there will always be a slight, but not medically important, level of natural variability—just as there is for one batch of brand-name medicine compared with the next batch of brand-name product. This variability can and does occur during manufacturing, for both brand-name and generic medicines. When a medicine, generic or brand-name, is mass produced, very small variations in purity, size, strength, and other parameters are permitted. FDA limits how much variability is acceptable.
For example, in a very large research study
1 comparing generics with brand-name medicines, it was found that there were very small differences (approximately 3.5%) in absorption into the body between generic and the brand-name medicines. Some generics were absorbed slightly more, some slightly less. This amount of difference is expected and acceptable, whether for one batch of brand-name medicine tested against another batch of the same brand, or for a generic tested against a brand-name medicine. As a rule, the difference for the generic-to-brand comparison was about the same as the brand-to-brand comparison. -
Generic Drugs: Questions & Answers