Medicaid. Is it being abused? - page 19

Medicaid was a great idea when first introduced to assure that even the very poor could get quality health care. I just wonder when I see someone drive up in a newer car come up to the triage desk... Read More

  1. by   mercyteapot
    Quote from DidiRN
    They did not stop their attempt, and they found someone at the person's country to accept them as a patient. They ended up becoming more unstable and that is why they stayed here. BTW, this would not have been an ambulance ride, this would have been a 12 hr plane ride (and probably longer than that, that's just my estimate).
    Federal laws can be changed (assuming your statement is correct), and in this time of crisis, I'm sure they soon will be. We simply cannot afford to take care of everyone anymore.
    People are fed up, and rightfully so. Things are already starting to slowly change, with talk of building a wall, the formation of a volunteer militia to help watch for illegals, etc. Some of it I may not feel is correct or won't be effective, but I can certainly understand the frustration and anger behind it.

    Telling us that we are so awful for feeling this way doesn't change anyone's opinion, frankly. In fact, I believe it fuels even more anger. It certainly wont change anyone's mind. Not mine, at least.
    Do you really believe that the talk of walls and volunteer militias are something new? They're not. By a long shot. As a matter of fact, some parts of the border already have a wall, and there are volunteer militias in CA, AZ and TX, at least.
  2. by   DidiRN
    Quote from mercyteapot
    Do you really believe that the talk of walls and volunteer militias are something new? They're not. By a long shot. As a matter of fact, some parts of the border already have a wall, and there are volunteer militias in CA, AZ and TX, at least.
    I'm well aware parts are already walled off, thank you. But I believe there is talk of doing the entire thing. To me, at least by what is getting reported, it is becoming much more serious than ever before.
    As for the militia, they are fairly new. I guess it depends on your definition of new, though.
  3. by   mercyteapot
    Quote from DidiRN
    I'm well aware parts are already walled off, thank you. But I believe there is talk of doing the entire thing. To me, at least by what is getting reported, it is becoming much more serious than ever before.
    As for the militia, they are fairly new. I guess it depends on your definition of new, though.
    Right, if you consider 20 years as new. They were here when I got here in 1986.
  4. by   ERnights
    I need to add something here again. At the ED where I work, people do not get treated differently based on the insurance or lack of. While I stand by my claims that there are many people on medicaid that appear to be abusing the system, this doesn't mean that they get poor treatment. Any person who comes to the ED for a foolish reason ends up getting a less than million dollar workup. A sick homeless, poor, nonspeaking, etc person gets the same treatment that everyone else gets. People that complain about the lack of treatment they get stating their insurance is making them be discriminated against, are ridiculous. This is the same person probably abusing the system to the max. I'm sorry but in Mass, some medicaid recipients have no money for cabs, rx, etc, but their cellphones are state of the art. Their acrylic nails are done, their clothes are name brand. I responsibly pay my bills and try to save, then I may think of acrylic nails, although I can't stand to look of them.
    I have gone up to the docs when I'm trying to discharge someone to ask for the tylenol or motrin script and I'm told that they can get it otc by the doc. I certainly can't make them write it. When it involves a child that I'm worried will maybe not get the meds, I'll bug the doc more or give a couple of doses of tylenol to go. But for adults that are better dressed than all of us, forget it, I will not break a sweat, I'll ask once.
    I dont know where you all are from, but in Mass we have a real problem in our ED's. We are holding too many patients at a given time, including vented patients waiting for ICU beds to open up. The psych holds are unbelievably long. The amount of workups we now do in ED's are unbelievably long and keep you busy, so people who come to the ED for convenience sake annoys me tremendously. It takes away from my taking care of sick patients. This includes the medicaid people who don't have a large copay therefore it's not a big deal for them, this includes every foolish person who could of waited for their doc. As far as immigrants, don't get me going. I'll say I've taken care of very lovely older people who have needs. But the other day I took care of a lovely lady who had her daughter interpreting. Pt has been in country for 3 days. Daughter told me pt's chest pains and dizziness have been occurring for 3 weeks. She told me that they took her to a doctor in her own country who told her it would be months before tests could be done and she should take her to the states. I still treated them nicely but couldn't believe that daughter thought this was alright to say.
    I would of been embarrassed to say this. Perhaps I'll go to Russia and demand an interpreter and a cab voucher. Or I'll go to the Dominican Republic and ask for food stamps and a physical at the ER. I'd like to know where they get the information that they can get all of these services when many Americans don't know this. Then there are the people who are looking to for any reason to get rich with a suit. We know who they are, the mva's, the slip and falls at (they always name the store), the fall at work. I want to tell them that they probably will not get to retire from their bruised whatever. I'll stop now saying something has to be done to make people own up to their responsibilities and take care of themselves, there isn't enough money in the world to continue in this manner.
    Again I'm stereotyping, the student nurse who's trying to get ahead isn't the person who I feel is abusing systems. This is what programs are meant for. I bet with her kids and school, she doesn't spend however much it is per 2 weeks for the acrylic nails. Everyone take care and have a good week.
  5. by   DidiRN
    Quote from mercyteapot
    Right, if you consider 20 years as new. They were here when I got here in 1986.
    I am referring to the Minuteman Project, which started operations on April of 2005 (fairly recent, in my book). If there are any more organized, grassroots efforts out there, perhaps you can enlighten us all.

    Fact is, people are angry and upset over the flood of these illegals. Folks like you can blow us off as ignorant, racist, or whatever, but my point is, doing such a thing fuels it. You certainly have a right to your opinion on this, as well as I do. My concern over the anger is that it may very well lead us eventually into something you and I both do not want for our country. For example, whether it be a huge barbed wire electric fence across the entire border, or shipping off illegals and dumping them into the desert (like another country did over in Europe did recently). This wont happen overnight, but I can see it starting. Change happens slow.
  6. by   mercyteapot
    Quote from DidiRN
    I am referring to the Minuteman Project, which started operations on April of 2005 (fairly recent, in my book). If there are any more organized, grassroots efforts out there, perhaps you can enlighten us all.

    Fact is, people are angry and upset over the flood of these illegals. Folks like you can blow us off as ignorant, racist, or whatever, but my point is, doing such a thing fuels it. You certainly have a right to your opinion on this, as well as I do. My concern over the anger is that it may very well lead us eventually into something you and I both do not want for our country. For example, whether it be a huge barbed wire electric fence across the entire border, or shipping off illegals and dumping them into the desert (like another country did over in Europe did recently). This wont happen overnight, but I can see it starting. Change happens slow.
    I didn't refer to you as ignorant, or racist, and I certainly don't appreciate your implication that I did. OTOH, perhaps it is an oversensitivity on your part, to read things into comments that just aren't there. Honestly, if you're going to debate a hot button topic, you should expect some differing points of view without claiming people are calling you names. As for the Minuteman Project, since you didn't refer to them earlier, I certainly had no way to know that's what you were thinking about.
  7. by   grannynurse FNP student
    Quote from DutchgirlRN
    From the little of the thread that I've read it seems to have become really heated. I'm not sure what that is all about but I just wanted to make an observation.

    Friday I went to see a medicaid patient in a very poor area of town. Very tiny house, nasty carpet, nasty curtains, just nasty nasty. The patient was very pleasant. BTW they had a large flat screen TV and a Direct TV satellite hanging on the side of the house. Hum, not taking his generic Dilantin because he cannot afford it, again, Hum.
    Can't sleep.

    Did you ever stop to think that the big screen TV and direct TV satelite might be a grift from someone else. I have access to the internet and I live on a very small fixed income. There are some who would question my spending money for internet access. Well, I don't. My daughter pays for it and I have access off of her. And ten months ago, I purchased a new computor, at Wal-Mart for $498. I saved the money for a long period of time. It is my money and I am free to spend it in any manner I wish, without anyone else having one tiny say. Your patient can't afford his generic dilantin. Funny, in every state medication is covered by Medicaid. Some states may limit the number of scripts that can be covered but that can be appealed. If he were my patient, I would be making a call to a social worker to found out why his Medicaid isn't paying for his dilantin.

    Grannynurse
  8. by   DidiRN
    Quote from mercyteapot
    I didn't refer to you as ignorant, or racist, and I certainly don't appreciate your implication that I did. OTOH, perhaps it is an oversensitivity on your part, to read things into comments that just aren't there. Honestly, if you're going to debate a hot button topic, you should expect some differing points of view without claiming people are calling you names.
    No, you didn't say that. I said, "folks like you"...I didn't say you personally. What I should have added was the word "some" before that. My error. It's your opinion that I am oversensitive, but I disagree. I certainly believe it is covertly done in arguments though, not just on here but in society today.

    Having an ultra liberal twin brother and an ultra liberal best friend, I'm pretty well aware of different opinions. And we all get along great.
  9. by   mercyteapot
    Quote from DidiRN
    No, you didn't say that. I said, "folks like you"...I didn't say you personally. What I should have added was the word "some" before that. My error. It's your opinion that I am oversensitive, but I disagree. I certainly believe it is covertly done in arguments though, not just on here but in society today.

    Having an ultra liberal twin brother and an ultra liberal best friend, I'm pretty well aware of different opinions. And we all get along great.
    It isn't my opinion that you're anything. I said "perhaps", meaning maybe you are and maybe you aren't. I was just trying to find some explanation for your claim that there are people who consider you racist or ignorant, when I have yet to see anyone use those words in print.
  10. by   mstigerlily
    Quote from grannynurse FNP student
    So what do you suggest be done? I have an idea. Pregnant and go into labor, illegal, ship their a** back across the border before they can give birth. And make sure you hold their legs together to impede their ability to deliver until you drop them off on their side of the border. In this manner, you save tax dollars and make one less citicizen to grab your California, Arizona, New Mexico, Texas tax money and clog up your ERs, school systems, etc, etc. And if you have a baby in this country and you are illegal, we will tie your tubes, solving two problems--you can't have any more kids and you can't use up our tax dollars, by coming back here to deliver.
    Oh my goodness! Well the first thing that needs to stop is if you have a baby here, that baby is automatically citizen. You don't see people flying to France or England or Tahiti to have babies because most countries don't have this particular law.

    Did you read that first article I posted? It explained the second thing that needs to stop in California which is the definition of emergency service is way too broad. The article stated that in Texas if it is not emergent (with stricter well defined guidelines), people are told they can be seen but they will be cash pay - or they are turned away.

    I think those two things alone would solve most of the problem right there.
  11. by   mstigerlily
    Quote from mercyteapot
    I understand full well what your point was. My point, which is the one I'm attempting to make, after all, I suggested you post something to document that undocumented immigrants get full scope Medi-Cal. Instead, you posted a bunch of information about emergency Medi-Cal, which, while interesting, merely strengthened what I was saying.
    What?!? That makes no sense. Fine, illegal aliens don't get "full scope Medi-Cal". However, it doesn't matter what they CALL the Medi-Cal they are getting - that is just semantics. Because whether it is "emergency" or "full scope" if an illegal immigrant family can easily USE IT ALL THE TIME just like any citizen who gets Medi-Cal.
  12. by   erShocker
    Is Medicaid being abused?

    YUP!

    no news there. In Kentucky, If you have medicaide you get a cab ride from the ER to home or a voucher. If you are retired and old and living with Medicare, you better call a family memeber or walk. A cab ride is not covered.

    Joke. Its become that. The people who have it will tell you, proudly at triage how they got it and are getting over. They know and will tell anyone who listens. Just nobody listens expect the triage nurse and we cannot say anything.

    Its the job.
  13. by   mercyteapot
    Quote from mstigerlily
    What?!? That makes no sense. Fine, illegal aliens don't get "full scope Medi-Cal". However, it doesn't matter what they CALL the Medi-Cal they are getting - that is just semantics. Because whether it is "emergency" or "full scope" if an illegal immigrant family can easily USE IT ALL THE TIME just like any citizen who gets Medi-Cal.
    Forget it.
    Last edit by mercyteapot on Jan 9, '06

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