Patients on Medicaid - page 33

by DiEd 33,811 Views | 333 Comments

I hope not to offend anyone out there, but I would appreciate some feedback on taking care of young to middle-aged adults who are on medicaid. It seems that so many (I realize not all) are some of the most difficult patients to... Read More


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    Anger management issues qualify you for SSDI? (Maybe I WILL throw that temper tantrum after all!)
    mc3
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    I work in an outpatient diagnostic testing facility. It is frustrating for us because the majority of no-shows are medicaid subscribers. This is an everyday headache that obviously wastes time and takes up an appointment slot that another patient could have had. It is also frustrating because these procedures run into the thousands of dollars, and medicaid patients have no idea, whereas our patients with insurance fret over whether they will be left with a bill they can't pay, that is, if the test is even authorized by their insurance to begin with. We are located in an economically depressed area, and our patients with regular insurance are certainly not living in the lap of luxury, and they oftentimes have to debate whether they can have a procedure versus paying some other bills, etc. I personally have no health insurance, so it's extremely maddening to me when state of the art testing is at someone's disposal, and it isnt taken seriously by keeping (or simply calling to cancel, imagine that?) an appointment.
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    Quote from MAISY, RN-ER
    You don't get it....$5.00 can make the difference between qualifying or not. Making that extra $100.00, does not pay for the medical insurance required for cancer or any other major illness. Are you kidding? My suggestion to all of you with problems supporting Medicaid or any other government sponsored insurance is to volunteer in a church, soup kitchen or other "giving" agency....no clinics....talk to the people....see what their lives are like.....and don't judge. Walk a mile in their shoes....or just a block. You might change your mind.

    Medicaid would work, if all doctors were made to take it. So if patients are cranky....I'd start there.

    Maisy
    I just wanted to agree with this post. $5 really CAN make a difference.

    my first husband was dx with acute intermittent porphyria and was so terribly sick. when we lost his income we were destitute (sp). we were living on my $275/week as a bookeeper.

    we applied for disability for him. the woman i talked to on the phone told me that it would take 3 years and we would need a lawyer to prove the disability. she said over 90% of applications were denied the first time. we were lucky. they approved him within 6 months.

    during that 6 months we applied for SSI. I made $50 a month too much for us to get help. FIFTY DOLLARS A MONTH! I told the lady i could take a pay cut but she said that i couldnt do that.

    know what she told me to do? we had been married 6 months. she told me to divorce him so he would be approved for assistance. she said while we were married with no children we wouldnt approve for any assistance at all. NONE!!

    so my government, the US government's solution was for me to divorce my husband so he could get the SSI, food stamps and anything else he could get. Ihad purchased an independent insurance policy for him before he was dx with the AIP. i couldnt drop it so he could get Medicaid. they wouldnt give it to him. he was in the hospital for 1-2 months at a time 4-5 times a year. if he could have gotten the medicaid, they would have paid the bills. as it is...he is now dead, i am remarried and STILL paying on those bills.

    how's that for moral values of the country?


    sorry for running on...i get upset about this subject. i've seen soooo many people that didnt deserve assistance. people that could work but wont so they can get assistance. but 2 hard working young people, add in a catastrophic illness and we were screwed.
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    Quote from ksilty
    AMEN - I recently moved to the rural south from Maryland, where I lived in one of the most affluent counties in the country. Most of my neighbors were inexcusably rude. They were impatient and demanding and all thought they were my only patient. They were much too busy to wait in line or wait their turn. THey allowed others to raise their children, then blamed everyone when they turned out to be brats. Of course, not everyone was like that, just as not all poor people on Medicaid are rude and demanding. But having known both groups, I would prefer to work with southern Medicaid any day. At least I can rationalize their bad behavior with poor upbringing and lack of education.
    at my facility we dont accept medicaid. we only accept medicare, insurance or private pay.

    rudeness comes from all walks of people. my building is full of rude people and notone of them are on medicaid.
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    I actually had a medicaid patient say to my face "you keep working now, someone needs to support me!" then he laughed. I've got to say, that me, mid 40's with two herniated and 3 bulging cervical discs, chronic pain, depression, PTSD, functional agoraphobia - who COULD be on disability but refuses - having been spoken to like that by a 20 something HEALTHY (but my back hurts!) male on disability - I've never wanted to beat the crap out of anyone more than I did this arrogant jerk!

    Where I live, we have the highest welfare roles in our state, per capita! There are literally generations being raised on welfare in my small rural city. Someone needs to overhaul this system.

    It's original purpose, for those who found themselves on hard times, but would be off welfare ASAP - I have no problem with. That is a good system - however - allowing these young, LAZY people to be on welfare/medicade for vague "disability" issues, is abuse not only of the system, but abuse of taxpayers as well.

    Blessings
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    Quote from Babs0512
    I actually had a medicaid patient say to my face "you keep working now, someone needs to support me!" then he laughed. I've got to say, that me, mid 40's with two herniated and 3 bulging cervical discs, chronic pain, depression, PTSD, functional agoraphobia - who COULD be on disability but refuses - having been spoken to like that by a 20 something HEALTHY (but my back hurts!) male on disability - I've never wanted to beat the crap out of anyone more than I did this arrogant jerk!

    Where I live, we have the highest welfare roles in our state, per capita! There are literally generations being raised on welfare in my small rural city. Someone needs to overhaul this system.

    It's original purpose, for those who found themselves on hard times, but would be off welfare ASAP - I have no problem with. That is a good system - however - allowing these young, LAZY people to be on welfare/medicade for vague "disability" issues, is abuse not only of the system, but abuse of taxpayers as well.

    Blessings
    And they're popping out one baby after another and getting them diagnosed with ADHD and/or bipolar disorder, often before their second birthday, and getting them on SSI for this.



    It's because of people like this that people who really are disabled can't get assistance.
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    I havent read all of these post but a fair majority of them. I just had to add my opinion. I didnt see it as an attack by the original OP on medicaid patients. Just her opinion of what she see's in her place of employment. I can very much see both sides of the debate. Almost all of our pt's are medicaid or tricare (active duty military) and with alot of these families there is abuse of the system. I work in L&D and see time and time again young girls having baby number 4 or 5 (or more) with bad attitudes. I think this is more related to the ages of the clients served, usually young, than the type of insurance. There is an attitude of entitlement from them and it is hard to deal with. HOWEVER I also have been a young single mother who has relied on medicaid myself. I was divorced after my husband left for another woman, and my children were both young. Each of my children has special needs and qualifies for SSI. I was treated terribly by social workers that wanted to know why I didnt work or wasnt married. I was to humiliated to explain my husband ran off with another woman and my baby was having open heart surgery and couldnt attend daycare. I think the difference in my situation is that when my kids got older and were medically stable I went to nursing school to earn a good income, chose not to have anymore children d/t limited resources and tried to turn my situation around. It's still not perfect but much improved! So for those that need a helping hand....so be it! But for those that dont try to help themselves...well I feel different about that. If you cant afford the kids you have, dont have more. Just my opinion, which we are all entitled to have.
    TCRNCOB61 and rph3664 like this.
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    Back when I was in nursing school, my husband left me and moved to Georgia (I'm in New York). I was literally in school at the time, I found out he left when I got out of class. I was left with no job, no money and 3 children ages 6, 2 and 2months. I applied and recieved welfare, medicaid, food stamps and WIC. 5 days after I finished school, I was working full time and stopped using any social service program. Welfare was meant to be used to help a person get on their feet, not to be used as a way of life.
    Now, years later, I also see Medicaid patients on my unit. It's not Medicaid patients that are rude and demanding and incredibly lazy. Many aren't that way at all. However, the majority of the drug abusers, alcoholics and what I like to call professional patients are on Medicaid. It is this group that is lazy, rude and demanding. It just so happens that this group is also usually on Medicaid. I think that it what the OP is really seeing.
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    Im am 100% with OP. I understand people need assistance. That does not give pts the right to treat staff like garbage with a sense of entitlement. I am human too and I have feelings just as they do and they have no right to treat me this way. Amd I dont care who it offends but the truth
    AngelfireRN likes this.
  10. 0
    I can't even believe this thread is still viable.....

    It's been four years since I posted on this thread....

    The reality is RUDENESS is not tied to poor people!

    ENTITLEMENT seems to run rampant regardless of socioeconomic status!

    And, most importantly....when a patient is in the hospital; IT'S NOT ABOUT YOU!

    M


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