Originally Posted by
moonsky
For immigrants, IMO firm line should be drawn on the illegal ones. They should be treated only it is emergency.
I guess that sounds good in theory if you like that sort of thing. Let me give you an example of how that works in practice. We've had several illegal immigrants show up in the emergency room with undiagnosed kidney failure. They need dialysis three times a week or they die. It can take months to iron out all the paperwork to get them outpatient stable dialysis. Until then, they need to show up in an emergency room three times a week. An emergency room physician has to assess them and draw labs to confirm that yes, they still have kidney failure. Then they have to consult me and I have to arrange for an inpatient dialysis treatment. If we don't have any others scheduled that day, I have to pull in a nurse and a tech to do it. The hospital gets paid, sort of, for doing this because it's emergency care. But they don't cover their costs.
I can't give them anemia drugs to keep their blood counts up - those drugs are expensive and not considered emergency treatment. So instead I wait for their blood counts to drop to critical levels and then give them a transfusion, drawing blood out of a bank that's always short. I can't get a surgeon to place a fistula in their arms - again, not emergency treatment. So they use temporary plastic catheters that carry a hundred-fold higher risk of bloodstream infections. If they get infection, they'll be hospitalized for weeks of IV antibiotics. Which we'll lose money on. I can't give them the special injectable Vitamin D they need, so their bones erode and their parathyroid glands enlarge to the point that a surgery to remove them is their only option - once they finally get coverage. By the time they are granted dialysis coverage - and many are - they have a whole host of complications that are expensive to treat and often lead to lifelong problems, all of which were preventable.
Can you imagine what it's like to be in this situation? I can't imagine the patient's side of things. I only get the frustration at all the waste that takes place - money, resources, time, manpower. And I've not heard other options from the Republican side. Do they want us to let these people die in the streets? Or should we deport them, which is the same thing as a death sentence, literally they will die within a week. I don't believe that most Republicans would want that, except in some of my darker hours. But the current rhetoric that you cite is, forgive me, either willfully blind or dangerously naive.
Katie, Mom to two boys
Retraining my dopamine circuits thanks to David Kessler, MD.
Jonathan: Halloween 2004
Alex: A smidge past Groundhog Day 2007