Obesity significantly increases risk of serious disease, researchers warn

At the ER they ask you whether you have insurance, medicaid/medicare and employer/financial information. Whether you provide it or not they have to treat you.

Unfortunately yes. Under the law any govā€™t information has to be available in your native language if you arenā€™t English Literate.

Do you have a link for this claim. I think only ERs are required to treat patientsā€¦hospitals and doctors can opt out regarding other services.

You misread me. Public hospitals and clinics getting federal dollars are required to accept medicare and medicaid.

I canā€™t quote the federal reg but itā€™s one we dealt with when I was on a couple of different rural hospital boards.

You could maybe dig through this site and find the specific regā€™s if you want to.

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/Hospitals.html

You find the regs and post links. You made the claim.

It is more often the doctors that determine whether they will take Medicare patients or not. Some will take them only if they sign a contract saying that they will pay the full charges regardless what the Medicare allowance is.

https://www.medicareinteractive.org/get-answers/medicare-covered-services/outpatient-provider-services/participating-non-participating-and-opt-out-providers

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People do not understand that doctors are private businesses and can do what they like.

Doctors decide if they will take medicare and medicaid as well as private insurance.

My physician will accept no medicaid patients nor anyone with ACA insurance. He only accepts medicare from existing patients as thy reach eligibility, no new medicare patients.

His reasoning:

  1. Medicaid reimburses below his cost.
  2. ACA insurance rules are prohibitive. If a person doesnā€™t;t pay their premium he is required to service them for 90 days. The first 30 days the insurance covers the bill. Days 31-90 he has to cover the cost.
  3. Medicare, slow reimbursement as well as low reimbursement.
  4. He also rejects all Cigna insurance as they demand he accept their ACA customers.

Private hospitals are required to take a person and stabilize them regardless of insurance or not. They then transport them to a public hospital.

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Hard for you easy for most people.

Denver Health is a public hospital.

Sky ridge medical is a private hospital where I go if I have a problem.

In every ER they post their responsibility. Private hospitals post it clearly that they will stabilize and transport a person without insurance. The will accept medical however will not accept medicaid.

ā€¦and most doctors are not employees of any hospital.

Individual doctors can refuse certainly but not hospitals and clinics that receive federal funds.

I canā€™t remember the exact source of the regs, it could be buried in the EMTLA legislation somewhere.

Some of our NHS hospitals are colossal. They will have everything including all the bariatric facilities and trauma units. Private hospitals tend to focus on more routine procedures, things which are not life threatening and sends you to the back of the NHS queue. The contrast is stark. In one you will be seen as a burden, in the other a valued customer with the care and service appropriate to what you pay or what your insurance pays.

Ironic isnā€™t it, that with our so-socialist system, we seem to have far more of a two tier structure than you do.

We very much have a multi tiered system with thousands of different insurance companies, ppoā€™s, private groups etc and both public and private hospitals.

Typically the best hospitals in the US are university associated teaching hospitals and private specialty hospitals like MD Anderson.

Hospitals employ their own doctors for in-house services. Private hospitals hire ER doctors, public hospitals generally contract to doctors. Most doctors have privileges at hospitals of their choice.

Our private hospitals are a bit different. The one close to my home offers a full range of services from cancer treatment, orthopedic services to births vices and special chiders unit in the hospital as well as ER. Many are the same to remain competitive.

We also have specialty surgical centers, most are private where you can bypass the hospital surgical units. Most are orthopedic type facilities.

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Poor millennials. Fat and unhealthy too.

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Itā€™s much the same here. In the public hospital you will have 2-4 parents per room and treated as a commodity.

In the private hospital like the one I use, private room, order your meals from a menus, the people are there to help you. Call for a nurse there magically appear with little wait. Public hospital, call for a nurse and wait.

I did go to a public hospital for an orthopedic service, never again.

Most of them are couch potatoes so thatā€™s not at all surprising.

Almost half of them are still living with Mommy and daddy spending all day playing video/computer games.

Iā€™ve unfortunately spent a lot of time in hospitals the last ten years and Iā€™ve always had either a private room or a two bed room at most and all of them have been public hospitals.

Maybe in the major cities itā€™s differentā€¦ ?

A bit of an exaggeration you think???

Millennials are the largest generation in the U.S. labor force

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It happens to every generation. In a few years they will be running the show. :grimacing:

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They already outnumber us.

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