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Politics : Politics for Pros- moderated -- Ignore unavailable to you. Want to Upgrade?


To: Lane3 who wrote (15120)11/4/2003 8:40:58 AM
From: John Carragher  Read Replies (1) | Respond to of 793625
 
What if you pay for medical coverage and then you need it but the insurance company says no.... so you leave the hospital at risk.. hemorrhage at home and then have to go back for another few days or a week because someone said according to statistics you were ready to go home... Where do lower income people who pay for medical coverage come up with cash for an extra day in a hospital.. What is the charge for a one day stay in a hospital on average.. $2000 or more? Then if doctors check up on you.. added another $500 or so..

What i like is when my kid was told to leave the hospital in pain after donating a kidney as the hospital didn't have enough nurses for coverage... and wanted to avoid a law suit if something happen , so they released the least sick patients to make sure they complied within the law. We have a serious shortage of nurses in this country.. last number i heard was 80,000. so even if you had insurance you still get kicked out... g



To: Lane3 who wrote (15120)11/4/2003 2:59:21 PM
From: LindyBill  Respond to of 793625
 
Would that model not work?

A lot of these type of things might work. The problem right now is, who do I, the patent, have on my side? I am not competent to prejudge how long I need to stay in the Hospital for any procedure. I have to trust Kaiser. But I hear from people that all plans really rush you out.

Now part of this needs to be that way. The longer you lay around the Hospital, the more likely you are to catch something, and you also need to get back on your feet ASAP. But the HMOs save money by pushing you out.

The other problem is procedures that you may or may not need. You have something wrong. You want a particular thing done for it. If you are PPO, you can usually get it approved. If you are HMO, you may get turned down. I hear from people who say they have had this problem. But is it true? I have no way to know. A lot of people are complainers, and want things they don't really need.

My attitude going in is to intimidate the people at Kaiser and insist on what I want. Haven't had to do it. They have been more than nice about everything, IMO. But I really haven't been in an "iffy" situation yet.