Real World Event Discussions

Make America "GREAT"? We couldn't even hit "average"

POSTED BY: Wishimay
UPDATED: Saturday, March 15, 2025 23:45
VIEWED: 8800
PAGE 7 of 7

Wednesday, January 31, 2018 7:33 AM

https://www.vox.com/policy-and-politics/2018/1/29/16906558/anthem-emer
gency-room-coverage-denials-inappropriate


Now they want you to diagnose yourself before you go to the E.R.






"Emergency room services can be approved ... when a health problem is recent and severe enough that it needs immediate care.”

The Anthem letter goes on to list “stroke, heart attack, and severe bleeding” as examples of medical conditions for which ER use would be acceptable.

Anthem’s new policy mirrors similar recent developments in state Medicaid programs, which increasingly ask enrollees to pay a higher price for emergency room trips that the state determines to be non-urgent.

Indiana implemented this type of policy in 2015, and the Trump administration recently approved a request from Kentucky to do the same. Beginning in July, Kentucky will charge Medicaid enrollees $20 for their first “inappropriate” emergency room visit, $50 for their second, and $75 for their third.

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Wednesday, January 31, 2018 6:14 PM

Quote:

Originally posted by Wishimay:
https://www.vox.com/policy-and-politics/2018/1/29/16906558/anthem-emer
gency-room-coverage-denials-inappropriate


Now they want you to diagnose yourself before you go to the E.R.






"Emergency room services can be approved ... when a health problem is recent and severe enough that it needs immediate care.”

The Anthem letter goes on to list “stroke, heart attack, and severe bleeding” as examples of medical conditions for which ER use would be acceptable.

Anthem’s new policy mirrors similar recent developments in state Medicaid programs, which increasingly ask enrollees to pay a higher price for emergency room trips that the state determines to be non-urgent.

Indiana implemented this type of policy in 2015, and the Trump administration recently approved a request from Kentucky to do the same. Beginning in July, Kentucky will charge Medicaid enrollees $20 for their first “inappropriate” emergency room visit, $50 for their second, and $75 for their third.



My opinion on this is mixed. You know there are a lot of people who abuse the E.R., but scaring people out of using it isn't right either.

Those fees aren't much... now. But as we know, once they've been started THE SKY'S THE LIMIT!!! Especially with healthcare.

I'd feel better about this if there was at least a 1 time per year deal where you weren't billed, but you were warned that your visit was not deemed an emergency, and you were then provided with a SHORT AND TOO THE POINT pamphlet of what is and what is not considered an emergency, with ABSOLUTELY NO LEGALESE inside of it so you don't need a gorram lawyer to figure it out.

This could even be decided by the hospital themselves, rather than a state by state or even federal approach, as there likely is a much more congested E.R. in urban and suburban areas than there are in more rural places. There's probably no need at all for something like this to happen in most cases around you for instance, Wishy.

The Human Resources Department at the Hospitals should be in charge of this. Make them actually do some work for their money instead of bullying people around for thoughtcrime.


Do Right, Be Right. :)

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Saturday, March 15, 2025 11:45 PM

he's trying it again


the Ban of invaders


Trump set to ban people from 43 countries from travelling to the US including Russia and Belarus - with nations warned they will stay on banned list 'if governments do not address deficiencies within 60 days'
https://www.dailymail.co.uk/news/article-14501691/trump-travel-ban-cou
ntries-list-visa.html



Afghanistan, Bhutan, Cuba, Iran, Libya, North Korea, Somalia, Sudan, Syria, Venezuela, Yemen
Belarus, Eritrea, Haiti, Laos, Myanmar, Pakistan, Russia, Sierra Leone, South Sudan, Turkmenistan

Countries have 60 days to address concerns:

Angola, Antigua and Barbuda, Benin, Burkina Faso, Cambodia Cameroon, Cape Verde, Chad, Republic of Congo, Democratic Republic of Congo, Dominica, Equatorial Guinea, Gambia, Liberia, Malawi, Mali, Mauritania, St. Kitts and Nevis, St. Lucia, São Tomé and Príncipe, Vanuatu, Zimbabwe

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