{"id":613,"date":"2009-05-13T19:58:00","date_gmt":"2009-05-13T23:58:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=613"},"modified":"2009-05-13T19:58:00","modified_gmt":"2009-05-13T23:58:00","slug":"foregoing-care-due-to-cost-new-america-blogs","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=613","title":{"rendered":"Foregoing care due to cost | New America Blogs"},"content":{"rendered":"<p><a href=\"http:\/\/www.newamerica.net\/blog\/new-health-dialogue\/2009\/health-care-if-emergency-please-press-cant-afford-it-11752\">HEALTH CARE: If This Is An Emergency, Please Press &#8220;Can&#8217;t Afford It&#8221; New America Blogs<\/a>:<br \/><em><\/em><br \/><em>From the New America Healthcare Blog &#8230;<\/em><\/p>\n<p>&#8220;Imagine being sick enough or hurt enough to rush to an emergency room\u2014and then leaving without getting the recommended tests or treatment because you can&#8217;t afford it.<\/p>\n<p>&#8220;Doctors have a name for those discharges\u2014&#8217;Against Medical Advice.&#8217; It seems to be happening more often, both in the ER and in the rest of the hospital as health costs rise and insurance coverage falls.<\/p>\n<p>&#8220;<a href=\"http:\/\/www.msnbc.msn.com\/id\/30628634\/\">MSNBC interviewed several doctors and patients about how the economy is affecting emergency care. <\/a>A patient with acute appendicitis needing emergency surgery who waited for his mother to drive him to the hospital so he wouldn&#8217;t have to pay for an ambulance. A patient with an infected kidney stone. People with chest pains who were not in the throes of a life-threatening heart attack that very minute but who couldn&#8217;t or wouldn&#8217;t follow up to find out what the pains signaled. A 31 year old knocked unconscious in a bike crash, who asked about the cost of the recommended follow up, only to be told by the ER doctor, that she was &#8216;a physician, not an accountant.&#8217; Declining treatment, he still got a $600 bill.&#8221;<\/p>\n<p><em>There&#8217;s more at New America and at MSNBC&#8230;<\/em><br \/><em><\/em><br \/><em>I would only add this, <a href=\"http:\/\/cmhmd.blogspot.com\/2008\/09\/letter-health-care-fiction-letter.html\">from a wise NY Times reader<\/a>:<\/em><\/p>\n<blockquote>\n<p>Mr. Krugman rightly notes that emergency room care cannot substitute for health insurance since the cost will be billed directly to the patient.<\/p>\n<p>There is another reason emergency rooms cannot provide adequate health care. Emergency rooms are for emergencies. They can treat a patient in a diabetic coma, but they cannot provide continuing help in managing diabetes. They can treat a full-blown asthma attack, but they cannot provide the medications needed to manage asthma daily.<\/p>\n<p>They can treat a woman who has gone into early labor, but they cannot provide prenatal care.Emergency rooms cannot offer any help for managing Parkinson\u2019s, Alzheimer\u2019s or cancer. On a more basic level, they cannot provide eyeglasses, hearing aids or dentures. <\/p>\n<p>Republican claims that no American is without access to health care because \u201cyou can just go to an emergency room\u201d are openly false as well as appallingly callous.<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>HEALTH CARE: If This Is An Emergency, Please Press &#8220;Can&#8217;t Afford It&#8221; New America Blogs:From the New America Healthcare Blog &#8230; &#8220;Imagine being sick enough or hurt enough to rush &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=613\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Foregoing care due to cost | New America Blogs&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[32,23,27,33],"tags":[],"class_list":["post-613","post","type-post","status-publish","format-standard","hentry","category-anecdote-off","category-access-to-treatment","category-health-insurance-cost","category-rationing-health-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/613","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=613"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/613\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=613"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}