Quote:
Originally Posted by CactusFlesh
(snip) I have never heard of anybody recieving free health care in the US and I have lived here all my life.
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This is off topic, and it's my fault because I took it there, but literally (I'm guessing) hundreds of thousands of people get free medical care in the US on a daily basis, certainly tens of thousands. In California, anybody can walk into any hospital anywhere and receive emergency care at no charge if they are "medically indigent" (ie can't afford to pay.) That law applies to both legal residents and non legal. The ER's in San Diego are full to overflowing 24/7 with Mexican nationals. There were instances of "patient dumping" in the past where seriously injured patients were refered to County hospitals (which have always been free for the indigent) and died en route. After the law suits stemming from that practice, private hoispitals are afraid to turn any seriously injured person away; as they should be. The costs for this care is picked up by the insured via $50.00 aspirin etc. and by Federal subsidies which require a percentage of cost to be "written off as uncollectable."
In the area of non-emergency care anybody in California (must be U.S. Citizen) who doesn't own property and doesn't work (for any reason including personal choice) or meets "low income criteria" (low wage w/dependents) can obtain a medical card for the asking. This card (called "the key to the kingdom" by medical workers) entitles them to every medical service there is, up to and including cancer surgery, open heart surgery, anything short of sex change/cosmetic surgery. I believe there is a lawsuit in the works to cover sex change surgery under MediCal. Medi Cal reimburses at a rate substantially lower than private insurance, and as a result there are many doctors (about half) who refuse Medi Cal patients. There are many clinics whose patients are all Medi Cal. As a rule they are more crowded, with longer waits than those facilities which do not accept Medi Cal patients. Are MediCal doctors all "veternarians" as some claim? I don't think so as a rule, but there is a lot of fraud in the MediCal program, much of it commited by clinic doctors. The majority of clinic docs are foreign born and have degrees from off shore medical schools.
I believe Medi Cal patients generally receive equal treatment in most large hospitals. That has been my observation. I have had many friends and some family members who have been MediCal recipients. When I visit them in the hospital, I don't see a big "M" on their forehead. They seem to be getting the same treatment as anyone else. No deductable, no co-pay. Flat out free.
Currently, MediCal has dropped dental and mental health coverage due to budget concerns; California is essentially bankrupt. Part of the reason for that are those ER's in San Diego. PART of it, not all of it. California is completely out of control as far as transfer payments. We can't blame the illegals for everything, though they are the most frequent scapegoat. We have cultivated our own native underclass for a few generations now, and they pretty much run the State. That's why we don't enforce the auto insurance law, for instance. 1/2 the drivers in Ca. don't carry insurance...the same half who don't pay income tax.
Those are the facts as I know them.
I'll add my opinion that the people who get flat out FUCKED by the medical system in the US are the "working poor." That would be anyone working for a company who doesn't offer medical insurance and who don't have an income suffecient to purchase their own. "Too much for welfare, not enough for insurance" is how it's usually put. That's a lot of folks. If you own a home they will take it away from you to sastisfy medical bills, although many hospitals will make reasonable payment plans. These debts can be so great, however, that they utterly destroy a persons credit rating for life. While those with MediCal cards will go the doctor anytime they have a headache, working people without insurance will just get up and go to work.
I was one of those people for many years, and worked with broken ribs, severe pnemonia, nail gun injuries. I've been knocked unconscious and gotten right up and gone back to work several times (maybe that explains a few things, right?)... just about anything you can think of. I didn't see a doctor for about 10 years...for ANYTHING. I was buying a home and didn't have medical insurance. Many months I ate rice and beans to make the house payment...I certainly couldn't afford insurance. I watched my wife (a part time MEDICAL worker without insurance at that time!) refuse anesthetic while having her lung ventilated after it collapsed, to keep it off her bill! You could hear the fucking tube puncture her lung from 6 feet away! She bit on a rag. I'm not making this up! That sort of thing was (is) common in construction and many other industries I'm sure. I CHOSE that career, and I would make the same choice again...but I was very lucky too. I waited until I had insurance to get Cancer.
The fear of most Americans concerning Government medical care is that we will ALL be on MediCal. That would be better than NO insurance, but worse than what many of us have through our private insurance.
The biggest impediment to meaningful reform are the lawyers. We now have government by, for and of lawyers. How many of you know that the current healthcare reform bill(s?) contains a provision that States which put a cap on malpractice awards will be denied funding? California did that a few years ago because so many doctors simply quit (or moved) because malpractice insurance was so expensive they couldn't afford to practice here, where awards were into the mega millions.