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Originally Posted by golfnutt
Lol. Well, you are obviously familiar with the hospital world...
Intimately so. But seemingly, you are not, as evidenced below.
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So, you sort of want to make emergency room access not easy. If the patient is coherent enough, you do want to do insurance verification, benefit checks, deductible application, etc. You want them perhaps to sign arbitration clause. If they claim poverty, you may make them sign document under penalty of perjury that their income or assets do not exceed a certain threshold.
And...if the patient can sign all these documents, there is usually someone else in much worse condition that needs to be treated immediately.
Semi-intentionally designed waiting game.
Federal statutes require that emergency care be rendered independent of ability to pay. That means everyone gets an exam and/or tests without pre-determining their ability to pay for them. The penalties for inquiring about payment capabilities prior to rendering an exam and/or performing necessary tests to determine their status are onerous and virtually no one in my field would do so.
The fact is, ER access is easy and that is how it should be. And I couldn't give a tinker's damn about insurance verification, benefits, deductibles, arbitration clauses, or documents signed "under penalty of perjury."
I have no idea what a "semi-intentionally designed waiting game" means.
As to your notion that someone else in a worse condition needs more immediate treatment, we agree. After all, the ER is a place where, "Worse come, first served."