When someone chooses not to buy health insurance and they do not have money to pay for doctor and/or hospital what do we do. Should we refuse service? Should we let them die? It is their choice to not have Insurance.
Do we provide service and let the government pay for what they cannot pay. The government is us. Why should we pay for someone who chose not to spend their money on insurance?
The responsible end up paying for the irresponsible.
Well those HEARTLESS GOP thought about that way back in 1986!
In 1986, Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are then required to provide stabilizing treatment for patients with EMCs. If a hospital is unable to stabilize a patient within its capability, or if the patient requests, an appropriate transfer should be implemented.
Emergency Medical Treatment & Labor Act (EMTALA) - Centers for Medicare & Medicaid Services
Now this was a compassionate idea that once again turned into an avalanche with people with no insurance go into the emergency room for sniffles.
The hospital then absorbs the costs known as "Uncompensated Care" costs were $6,822,970
So you from the Northwest may know this hospital:
Legacy Emanuel Medical Center in Portland Or.
Their gross revenues in 2016 were $1,674,267,308.
So how do they recover this $6,822,970 costs?
As one hospital CEO when asked "
How do hospitals deal with the cost of the uninsured? His answer"
Like any business, we pass it on to the paying customers."
They pass it on in the form of billing the paying customers, i.e. Medicare, health insurance companies, etc.
So how do they pass it ON?
Again Legacy Emanuel...
Well for example they performed CT Scans on 1,765 patients that the AVERAGE CHARGE per scan is: $1,576
Yet the Average Cost to do the scan: $135
What Medicare Paid per claim: $182
Guess who pays the $1,576 IF there is no negotiations i.e. the insurance companies?
This is how the health care system works...the organizations that pay are overcharged to cover the "uninsured"!
Solution? There is one and I'll share if you want to know!