Triage TagOverheard at the deli last week, paraphrased to give you the gist of the conversation. Two local hospital administrators:

Hospital admin #1 "No, it's good these people are coming to us"
Hospital admin #2 "What are you talking about — they have no insurance"
Hospital admin #1 "Right, so AHCS picks up the tab"
Hospital admin #2 "Oh yeah, right"
Hospital admin #1 "And the state pays faster and never argues unlike those a$$h&les at Aetna, United and Pacificare"
Hospital admin #2 "Great"
Hospital admin #1 "You just triage them a little lower in the ER to keep the paying customers happy"

J.T. Holley responds:

Here's my neighbor's response; he's a ER doc here in a Richmond, VA hospital commonly referred to as the "Gun and Knife Club of Richmond."

Probably goes on, but it is illegal and if anyone had good data that this happens, then that hospital is at risk of losing every last Medicare/Medicaid dollar. Usually not worth that big of risk. EMTALA law forbids the ER triaging based on insurance status.

There are pretty straightforward criteria to triage patients based on vital signs, chief complaint, etc. It really isn't worth the risk to get you're a$$ sued or have an EMTALA violation for one or two "satisfied" customers.

Don't know who those admins were, but they sound like dumba$$es as well as unethical — both no big surprise.

Tom Ryan extends:

RaytheonIt's not about the healthcare, it's about the money. Healthcare is just a small microcosm of the bigger picture problem which basically boils down to this: Once you create a system where a substantially large portion of your population derives their paycheck either directly from the government (in my community that would be the University, the Air Force base, the Border Patrol, the list is endless) or say one degree removed (again, in my community one of our biggest employers is Raytheon), once that group gets large enough as a proportion of the total population, you reach a turning point from which there is no going back. That group will simply just keep voting in their economic interest and expand like a virus. More programs, more jobs, more money, bigger budgets, larger departments, War on Drugs, War on Immigration, War in Iraq, War on Terror — Now we will have a war on healthcare and a government sponsored healthcare industrial complex - the list is endless and expanding. It will never stop until we are bankrupted and have to show ID just to get across town. My friends who call themselves "conservative" are just as responsible for this expansion of government as the liberals. They may be "conservative" in a gods-guns-gays way of thinking, but in my book they are proponents of big nanny government just like the liberals.

Gary Humbert explains:

Rent-seekers become successful by rewarding special interests at the expense of the general public, since the amounts are huge to the special interests, but the costs are spread around over the general public.

Hillary's mistake the first time was to take on the healthcare industry as a whole.  She will not make the same mistake again. She will simply raise taxes to spend on a nationwide health insurance program, getting industry to agree by promising to spend a ton of money on them.





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