I am just the average Joe... I do not claim to know anything about politics nor do I really want to. Honestly to me politics sound like a bunch of people bickering about whos idea is bigger, better, and who gets rich from the deal... With that being said, I want to propose my "average joe" solution to money issues and health care.
I work on an Ambulance and I take care of people every day. What I see in one weeks time disgusts me to no ends of the earth. I find it harder and harder every day to keep doing this job because of the high percentage of people that abuse social heath care in this country. I want to start off by saying that the company I work for is a private company and we do not refuse ANYONE the right to be transported to the hospital. From anywhere in this small city it is less than 4 miles to the hospital. The "basic" bill for an ambulance ride of 4 miles costs between $400-$500. This is for basically a "taxi-ride" to the hospital. add in a cardiac monitor, IV, and any drugs needed for an emergency and the cost goes from $750-$1500 depending on the type of emergency and what intervention is taken.
A good guess would be that 80-85% of the people we transport are on Ohio Medicaid. Not to say that Medicaid is a bad thing, but when missused, it comes directly from my pocket and yours. We have people in town here that call an ambulance so frequently, many of us know their most personal information. These calls are 99% of the time absolutely bulls***. Most are calls for headaches, stomach aches, back pain (because they "have" chronic back pain) and general flu-like symptom and "not feeling well". All of these ailments DO NOT require an Ambulance. In order to establish medical necessity for an Ambulance in an "emergency" situation, you have to be able to prove the illness is "life threatening" or the patient due to injury is unable to travel by other means to the ER. Most times, patients request we respond with "no lights or siren" because its not a life threatening emergency... Well then WHY call an Ambulance?!?! The reason is because no matter HOW INSIGNIFICANT the illness or injury, Medicaid PAYS for the bill. People also have the misconception that by calling an Ambulance, you will be taken right into the ER and be seen immediately... THIS IS FAR FROM THE TRUTH... If you are ambulatory on arrival, smoking a cigarette, with a suitcase packed complaining of 10/10 back pain, I (along with most EMTs) will make SURE you go to the waiting room and wait just like everyone else... Especially if you call at 3:30 in the morning and you have already consumed a 12 pack of alcoholic beverages.
Medicaid was never ment to be used by lazy, unmotivated, unemployed people as a way to obtain medication for either personal use or profit by selling it. There are no restrictions on WHO can use medicaid except that if you are a hard working-poorly paid American... Because you don't qualify for at least TRYING to better yourself. This country is backwards and it all starts with Government Health Care. By imposing restrictions to those who do NOT attempt to gainfully employ themselves within a timely manor. Review the cases turned in by frequent ER visitors to determine whether medical necessity has been established or not... And if not, send the bill directly to the people responsible for abusing their coverage. Penalize Government Health Care uses when abuse occurs by revoking their coverage until they pay their medical bills and attempt to gain benefits through employment. Make people act responsibly to get assistance rather than just serve it on a golden platter that says "your bills are paid".
In the City I work, we have approx 18,000 residents. At least 150-200 of these residents we transport weekly, some 4-5 times a week. Almost ALWAYS these patients do not need an Ambulance, let alone an ER visit. They ask what Doctors are working so they know what routine to display to get what they want. Add the numbers... 200 people call an average of 2 times a week, minimum $400 a trip. Thats $160,000 a week, $8,320,000 a year in this tiny little hole in the wall in Ohio! Thats on the minimal side of what really happens on a week to week basis!
Just like in most cities, in the event of a non-life threatening emergency, city buses will transport free of charge to the Emergency Room. There is also a 24 Hour-A-Day transport service that will provide Medicaid covered individuals transport to and from a hospital that bills Medicaid a FRACTION of the cost for an ambulance ride!
No one can tell me whats wrong with Health Care in this country... I see THE problem everyday. Imagine the impact on the economy/health care/war efforts if this issue was seriously looked at and the attention was used to fix the problem at hand rather than add to the already dysfunctional heath system....
Sorry this was so long, but I really feel that more people need to be aware of how their tax money is being wasted and paying for others to ride free. If you had the patience to read this whole message, I would like to hear what everyone thinks....
sonofsam
Wee' Gonna Win..
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sonofsam
Wee' Gonna Win..
2,052
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Tue, Mar 16, 2010 2:53 AM
Mar 16, 2010 2:53 AM
Mar 16, 2010 2:53am