When doctors swear the Hippocratic oath, they pledge to do all in their power to help their patients. But medical care is extremely expensive today, and hospitals run on money, not ideals.
Balancing the ideals with financial reality is an ongoing struggle for medical professionals, and the number of illegal immigrants seeking medical treatment they can't afford exemplifies the problem."We are legally, and morally required to give emergency medical treatment to anyone who comes in needing it," said Robbie Nicol, director of development and community relations at the Yavapai Regional Medical Center. "It's a moral certainty that we must help those in need, but the fact remains it takes a lot of money to run a hospital."
The federal Emergency Medical Treatment and Labor Act requires hospitals to treat emergency patients, regardless of the patient's status or ability to pay. This complicates the financial situation with illegal immigrant patients who cannot pay for their treatment.
A government program exists to help reimburse hospitals for some of the costs that they incur in treating illegal immigrants who are unable to pay: Section 1011 of the Medicare Modernization Act of 2003. The section distributes $250 million among hospitals across the county, allocating more money to states with higher rates of illegal immigration.
According to data from the 2007 State Allocations for Section 1011 of the Medicare Modernization Act, an estimated 7 million unauthorized residents live in the United States, and 283,000 in Arizona alone.
Of the $250 million that Section 1011 distributes nationwide, Arizona receives more than $6.7 million based on its percentage of undocumented aliens, and about $37.8 million based on number of state illegal alien arrests, for a total of $44.5 million.
The Section 1011 money Arizona receives helps hospitals relieve some of the financial burden of treating illegal immigrants, but the amounts they receive are "a drop in the bucket" compared to the losses local hospitals take each year, Nicol said.
In one year, YRMC treated approximately 2,135 people who fall under the 1011 payment provisions. That number does not include undocumented immigrants who paid cash or whose employers paid for them. YRMC estimates the cost for those medical bills exceeds $2.4 million.
http://www.dcourier.com/main.asp?SectionID=1&subsectionID=1&articleID=50007
2007-11-26
16:21:06
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