homeless pt's? - page 6

This is my first winter in the ER. The weather just turned really cold and yesterday I had 3 homeless pt's come in with vague complaints...one had just moved from a warmer climate to our bitter cold... Read More

  1. by   babynurselsa
    http://www2.ktul.com/news/stories/1205/283260.html

    Now multiply this by let's just say 3 ER visits for each arrest. Let us say that Each ER visit costs $500. I am being EXTREMELY conservative here.
    3900 x 500 = 1,950,000. This individual has LOTS of friends who are not so far behind him in arrests or ER visits. I can think of AT LEAST 10 by name right off the top of my head.
    Many times the officers will send an individual to the ER rather than transport them in their own car. One reason being that the jail will not accept someone who is extremely intoxicated. Another reason being that they don't WANT to put them into their cruiser.
    In the article you will see mentioned just some of the resources available in this community, not all.
    I will repeat yet again, I do not have the answer to this problem. But, I do not think that the answer lies within the ER.
    I DO NOT think that a price should be placed on human life. Though this is just a glimpse of some of the money that our hospital systems are eating in non-reimbursable care. Would there be a more effective way for these dollars to be spent on a WHOLE GROUP of like individuals???????? Something that would be more effective than routine lab work, a banana bag, occupied bed space, occupied staff, and pages of shunned referrals?
  2. by   LoriAlabamaRN
    My question is, why haven't they gone on public assistance? Every day I drive past a huge public housing complex, seeing nicer cars than mine parked in the lot. I have had Medicaid patients come in with their manicured nails, braided up hair and cell phones, 3-6 kids, and yet have never held a job and don't intend to. Why should they? When they have illegitimate children they get nice houses, even condos, and the government pays for it. These are not disabled people. They could get a job at Walmart, McDonalds, really anywhere. But they won't, because they can sit back and watch their cable TV and eat steak bought with food stamps. I even overheard one lady (on her cellphone of course) saying she was gonna get knocked up as quickly as possible, because a fifth child would get her an extra $600 a month. I would vote for anyone who would be willing to cut these people off after one year of welfare. And NOT increase the payments one cent for having illegitimate children. I would require them to have a Depo shot while on public assistance. And no more than one year of assistance out of every 20 years.

    As for the homeless, I do feel for them. I think that the majority of them belong in mental care houses, and not dying on the street. When I was in NYC I was devastated by the human wreckage I saw. I don't understand why they can't be in public-assistance housing when the others can.
  3. by   traumaRUs
    I live in Illinois and we are one of the strongest welfare to work states. There is a limit of 5 years that a person is allowed to have TANF which is TEMPORARY Aid to Needy Families and there are only two levels: with and without children and it doesn't matter how many kids you have - you get the same amount. You might get an additional few dollars in food stamps, but that is all. There are several programs that will put the needy through school also. I help to run my church's Food Pantry and we provide food for about 30 families/month. We have many people with needs. In the ER I am also seeing more older homeless - those over 50 or 60 that have been working minimum wage jobs all their lives, but got laid off, lost their housing, whatever and they are now homeless. So...I guess we haven't solved the world's problems here, but at least this has given many of us food for thought.
  4. by   KatieBell
    Quote from traumaRUs
    I live in Illinois and we are one of the strongest welfare to work states. There is a limit of 5 years that a person is allowed to have TANF which is TEMPORARY Aid to Needy Families and there are only two levels: with and without children and it doesn't matter how many kids you have - you get the same amount. You might get an additional few dollars in food stamps, but that is all. There are several programs that will put the needy through school also. I help to run my church's Food Pantry and we provide food for about 30 families/month. We have many people with needs. In the ER I am also seeing more older homeless - those over 50 or 60 that have been working minimum wage jobs all their lives, but got laid off, lost their housing, whatever and they are now homeless. So...I guess we haven't solved the world's problems here, but at least this has given many of us food for thought.
    TraumaRus- I'm a huge fan of Wlefare to work- when it works. Recently I met a young lady in the ED with her child- and she was telling me, "Yes I used to get welfare, but now I have "real insurance" for my baby, and I feel so good to be making money for him" SHe had done some secretarial training through a TANF type program, and she really inspired me...made me have some hope for these situations. I just wish more people felt like her....
  5. by   egood
    Lori Alabama RN-----I totally agree with you! I believe that people may need public assistance at some point in their lives, but it should be limited. Too many people abuse the system . My mother was a single mom, she worked her arse off to provide for us. she has no college degree, but she did what she needed to do for us. She eventually remarried, but ended up divorced, pregnant (2nd child), and lost her job (lay offs). At the time of her divorce and job loss she was 6 months pregnant. She went on unemployment and eventually welfare. This lasted a total of about 5 months. she found a job when my my brother was about 2mos. old and she went off welfare and went back to work------hence -public assistance for a limited time when in need. She has since had a job and continued to sacrafice and work her arse off to give my brother and I a life. I respect her and am so proud she in my mother. She instilled in us life is not easy, it takes sacrafices and hard work. I am so glad she did not abuse the system, because I believe it becomes a way of life for a lot of the people on PA, and it goes on from generation to generation. The people who ABUSE the system sicken me, while people like my mother worked and sacrafice their whole life and their hard earned money goes to the abusers. Again- I believe people may need limited assistance at some point in their lives- and thats ok- but eventually they need to be responsible productive people.
  6. by   egood
    Oh, one other thing, the ER is for EMERGENCYS!!!!!!!! I don't understand why that is so hard for people to understand. A person with lets say a stuffy nose :angryfire is not an EMERGENCY. Patients who are in an emergency are not being treated in a timely manner and are suffering because people(not only homeless) are coming to the ER for non-emergent situations. It's so unfair and frustrating.
  7. by   Jerico
    Quote from teeituptom
    I feel for all the homeless, whether its temporary or long term, whether by choice or by need. But I also realize that Homelessness is a situation that has no chance of improvement under an Republican and uncaring administration.
    OH PLLLLEEEEESSSSEEEEEE! What a ridiculous statement! Under WHAT administration EVER has homelessness gotten better? It will ALWAYS be with us regardless of the "administration"!


    Why don't we just go to a socialist or communist administration and all the world will be right!
  8. by   LoriAlabamaRN
    Quote from traumaRUs
    I live in Illinois and we are one of the strongest welfare to work states. There is a limit of 5 years that a person is allowed to have TANF which is TEMPORARY Aid to Needy Families and there are only two levels: with and without children and it doesn't matter how many kids you have - you get the same amount. You might get an additional few dollars in food stamps, but that is all. There are several programs that will put the needy through school also. I help to run my church's Food Pantry and we provide food for about 30 families/month. We have many people with needs. In the ER I am also seeing more older homeless - those over 50 or 60 that have been working minimum wage jobs all their lives, but got laid off, lost their housing, whatever and they are now homeless. So...I guess we haven't solved the world's problems here, but at least this has given many of us food for thought.
    I think the program sounds fantastic! Although I wouldn't go for FIVE years... but that's just me :wink2:
  9. by   LoriAlabamaRN
    Quote from egood
    Lori Alabama RN-----I totally agree with you! I believe that people may need public assistance at some point in their lives, but it should be limited. Too many people abuse the system . My mother was a single mom, she worked her arse off to provide for us. she has no college degree, but she did what she needed to do for us. She eventually remarried, but ended up divorced, pregnant (2nd child), and lost her job (lay offs). At the time of her divorce and job loss she was 6 months pregnant. She went on unemployment and eventually welfare. This lasted a total of about 5 months. she found a job when my my brother was about 2mos. old and she went off welfare and went back to work------hence -public assistance for a limited time when in need. She has since had a job and continued to sacrafice and work her arse off to give my brother and I a life. I respect her and am so proud she in my mother. She instilled in us life is not easy, it takes sacrafices and hard work. I am so glad she did not abuse the system, because I believe it becomes a way of life for a lot of the people on PA, and it goes on from generation to generation. The people who ABUSE the system sicken me, while people like my mother worked and sacrafice their whole life and their hard earned money goes to the abusers. Again- I believe people may need limited assistance at some point in their lives- and thats ok- but eventually they need to be responsible productive people.
    Amen to that. The closest I ever came was when I worked for a mortgage company that had a 50% layoff due to skyrocketing interest rates. I accepted unemployment for almost a month. I don't understand how people can be comfortable living off of the government like they do- just collecting unemployment made ME feel guilty.
  10. by   teeituptom
    Quote from Jerico
    OH PLLLLEEEEESSSSEEEEEE! What a ridiculous statement! Under WHAT administration EVER has homelessness gotten better? It will ALWAYS be with us regardless of the "administration"!


    Why don't we just go to a socialist or communist administration and all the world will be right!

    I dont really think we need to go that far left to communism, just a little further left maybe to Being Democratic or even Libertarian would be nicer, anything would be more of a help than the Republican Party.

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