Explain the American health system please?

Question

Two examples

1- A guy has a heart attack in a busy main street but has no health insurance

2-A lady has type 1 diabetes and requires medication for the rest of her life but again has no insurance.

Can you explain how these peope would be treated or even if they would be treated?

Say the lady with diabetes has no money for her medication-Would dhe be left to suffer,same with heart attack man?

Answer 1

The gentleman in scenario number one can be taken to the emergency room to have life stabilizing treatment....even if he has no insurance and has no means to pay for it. After that, he may possibly be transferred to a county based hospital which is supported by tax-payer dollars or a non-for profit has the choice of keeping him. In the end, the total cost for treatment ususally winds up being covered by the typical tax payer. The importance in this scenario is that he cannot be refuse life-sustaining emergency treatment. However, once he is stabilized, a private hospital has no obligation to keep him. In reality, they will ususally "find a place for him."

2. Scenario number 2. If the patient has been declared meidcally disabled due to her illness, she may qualify for medicare. If she has a family and lives below a certain poverty line, she may be covered under public aid; however, the level of public aid varies from state to state. If she is single, she may be required to spend down her assessts (sell her home) in order to qualify for public aid. She would then need to find a provider for her medical care and testing supplies that accepts the public assistance program.

While most of the healthcare system in the US is private (ie, medical coverage is purchased by an individual either through employment group-based policies or private purchase); there are a great number of people who do not have this type of coverage. Those declared medically disabled, or those who have been employed for at least 10 quarters and are now over the age of 65 are eligible for an entitlement program...ie, Medicare. Those who do not meet either qualifications may be eligible for social support of a public assistance program which is supported by state taxes. Those without either usually receive treatment at the county level pretty much at the tax payer's expense.

There is usually SOME way treatment is received. For example, I had a patient who was hospitalized for 5 months with pancreatitis...he had about 11 surgeries and spend 8 weeks in ICU...he worked for less than minimum wage, had a family of 5 and was an illegal alien. Pretty much wound up as a write off for the hospital.

Answer 2

In situation 1, in an emergency situation, all hospitals have to accept the patient. More than likely someone would call for an ambulance. The ambulance would take the heart attack victim to the nearest hospital. The hospital would stabilize the patient, and than ask for insurance or payment option. Patient not having insurance, would be sent to the billing office, upon recovering. They will work out a payment plan. Also, the hospital has a fund to eat the medical costs for the uninsured.
In situation 2, the woman should contact the various cheap prescription drug programs. If she met the program requirements, she would get her insulin at a discounted price or free. The cheap insulin would probably be the regular insulin, and not the long acting or other speciality ones. She would than go to charity clinics for her regular check ups.

Answer 3

1- A guy has a heart attack in a busy main street but has no health insurance

That's nice for him, but just because you don't have health insurance does not mean you don't get treatment, when a doctor graduates he takes a oath to do what ever is necessary to make sure a patient does not die. If you don't have health insurance, that means YOU must pay for the bills yourself. Simple.

2- A lady has type 1 diabetes and requires medication for the rest of her life but again has no insurance.

Then again, tough ****, you must pay for your bills, or you could pay for Health Insurance.

Both those examples are ridiculous, people do not have health insurance because they can't afford it, I don't think the government should pull more money then it has out of their *** to make sure everyone has it. Hey, I got one for ya.

3 - A homeless man lives on the Washington D.C streets, he has no theeth. He has no health insurance.

Answer 4

Well, it is a mess. USA is the only developed country that does not provide health care to its citizens. Even Peru ( at least some years ago ) gave free health care.
In USA, besides being a mess, they are only after your money. That includes dentists as well.
About the guy with the infarction, in Florida, you can take him to a hospital and they should take care of him. Later they will skin him, cut him into pieces and sell the skin and pieces to get their money back.
About the lady, I sure feel sorry for her. She should go to another country

Answer 5

Finally, an easy question.

Explanation: You're on your own.

In smaller, out of the way places like Maine, by going to the Emergency Room to start with, you can often obtain the referrals you will require for follow-up care afterward. But beyond that, it is like who can draw that magnificent sword out of the stone?

Answer 6

If you've got money, it's the best system in the world; as long as you can pay. If you have insurance, you are at the mercy of what they will or won't pay for.
If you don't have any insurance or money, they will just let you die. They will indeed refuse treatment to an uninsured patient.

Answer 7

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One way to approach diabetes is to use integrative holistic medicine, also known as alternative medicine, a medical specialty that focuses on caring for the whole person, treating and preventing disease, and empowering patients to create conditions for optimal health.

Answer 8

the guy will be attended to as higher insurance premiums paid for by employers to employees'spouses or employees pays for emergency care.
many states pay for medication for elderly and the disabled even though medicare is supposed to.

Answer 9

just kiss yuor butt good-by we really do not have a good system it all for the doctors,lawyers and government people. its a big money game