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WITFnews OP t1_jba19sj wrote

This is from my colleague Gabriella Martinez.

It's a pretty in-depth story but the TLDR version is: An undocumented woman, from the Dominican Republic, suffered an aneurysm that required surgery at Lehigh Valley Hospital in Allentown. She experienced some complications so she was induced into a coma.

The hospital tried for two months to find a long-term care facility to accept her but were unable to, so they want to transfer her to the Dominican Republic.

Her family does not want that and wishes she remains here in the United States. Her husband believes the trip to the DR might kill her.

According to a letter from the hospital to the family, it was difficult to find a long-term acute care hospital because such facilities “do not accept medical assistance or patients who are not in the United States on a valid visa.”

There was a protest outside of the hospital, the family has an attorney helping them and it's just a crazy situation.

Full story at the link and remember: it's not behind a paywall and no annoying ads.

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robo45h t1_jbae2u4 wrote

Headline writer is annoying; made me think this was about Pennsylvania Hospital rather than A Pennsylvania hospital.

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sneakysquid102 t1_jbanfbj wrote

My gf was having showing signs of a stroke. Rushed her to LVHN in east Stroudsburg and wheeled her in as she couldn't stand from numbness. She was slurring and a little disoriented. We were sitting in that waiting room for FOUR HOURS. And we still didn't get to see anyone. Her symptoms cleared and never came back. Still don't know what happened that day.

No thanks to LVHN or course. The east Stroudsburg location is full of drugged up, half certified college kids that don't give a fuck about anything or anybody. Fuck LVHN. I have half a mind to go join that protest.

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tinymonesters t1_jbanmbw wrote

I guess they confused the Hippocratic oath with hypocrisy.

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drxdrg08 t1_jbardx6 wrote

Why don't both of you send a check to cover her expenses?

Doctors aren't going to work for free, and medical equipment costs money. Somebody has to pay for it.

This naive take that everything should be free, and if it's not then it's a grave inhumane injustice is getting old.

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jkooc137 t1_jbauzx6 wrote

Ah yes, the go fund me healthcare method, one of the main defects of the American medical system. If only there were some way to just take a little bit of money from everyone's paycheck and put it towards covering the cost of healthcare for literally everyone. "This naive take that everything should be free" like universal, tax funded, and not for profit healthcare systems just don't exist; not to mention they function better because people are more likely to go to the doctor regularly and catch health problems earlier which makes them significantly cheaper and easier to treat. Obviously these guys are saying that EVERYTHING should be free, and definitely not that extortion by price gouging the things people literally need to survive is wrong. It must suck to have to come up with flawed arguments to defend a system that generates a demonstrably worse outcome. Can't be one of those radicals who think taxes should go to social services instead just to the military industrial complex.

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nttnypride t1_jbawk82 wrote

But how would universal healthcare for all work in the US? There’s so few examples, just Canada or France or Germany or Costa Rica or Spain or Ireland or Tunisia or Portugal or Norway or Australia or Japan or Netherlands or Iceland or New Zealand or Sweden or United Arab Emirates or….

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Lunamothknits t1_jbawx4j wrote

Doctors and other medical staff aren’t paid by patient, they’re salary. 🤦🏻‍♀️

If they can cover the cost to toss her out of the country. Why can’t they cover the cost to keep her? Y’all are just brainwashed.

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drxdrg08 t1_jbb1af1 wrote

If a hospital provides free healthcare to non-paying patients, then the paying patients pick up the large bill for all.

A hospital doesn't print money. And what happens when you have too many non-paying patients?

> Hahnemann Hospital, which once served the city’s poorest patients, closed in September 2019. The hospital had been suffering millions of dollars in losses a month

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Kabloosh75 t1_jbb3h3n wrote

The hard truth is these medical services cost money. A lot of money and the family is hoping the hospital would just front the bill.

If the hospital did this for every case they probably go broke and be ran out of business. If the family wants to keep her there then they should find some way to pay for the services.

Doctors, nurses, and facilities aren't free. Buildings need to be maintained. People that work careers need to make a living and pay their bills.

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NerdyRedneck45 t1_jbbbgzg wrote

I know a stranger with no medical experience on Reddit ain’t the best option, but have her test for Lyme Disease! I had this exact same thing happen in 2011. Never even found the tick bite but I’m outside all the time so I’m not surprised.

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sneakysquid102 t1_jbbc4ix wrote

Well we're pretty sure we know how it happened. We just weren't sure what was happening with her body because of it. We smoke a little weed with, who I thought was a trusted friend. I immediately started shaking uncontrollably. Tremors. I felt like I was having one hell of a panic attack. Not too long after that my gf went through the stroke symptoms. Cut that "friend" off immediately. 99% sure it was laced. The question was with what and what did it do to us.

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drxdrg08 t1_jbbcmmc wrote

> that’s in place now

I think you missed the part about the illegal alien being at the center of this case. And how millions more are coming across the border right now. It's not sustainable.

You can either have open borders, or a robust social safety net. Not both.

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sneakysquid102 t1_jbbcr1f wrote

Part of me half believes it might have been an attack because not too long before that incident I had cut another friend off for stealing from me and other various things that have been building up to that. That friend was also friends with the fella who we smoked with. And the person he was staying with at the time. Everything was just a little too coincidentally

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drxdrg08 t1_jbbdjra wrote

This illegal alien individual was admitted for 69 days and counting.

That's almost $200,000 if you take the average cost of a hospital bed per day.

They are not paying for any it either. People that pay health insurance will pay for it with higher medical cost and higher insurance premiums.

> On Dec. 29, 2022, a 46-year-old Dominican mother of two was admitted to Lehigh Valley Network’s Cedar Crest hospital

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SomeMaleNurse t1_jbbja9r wrote

Love how people are angry at the hospital. Hospital I work at has multiple illegal immigrants in a damn near brain dead state, no insurance, no long term care facilities will take them due to inability to pay, so the hospital wastes staff and resources to permanently take care of them while the families refuse to let them die.

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feels_like_arbys t1_jbboyym wrote

I mean sure but at the same time she's been hospitalized for 10 weeks and had brain surgery. Unless the patient and family pay out of pocket, this will be entirely free of charge.

And while in a coma, she might not require to be hospitalized any longer. Then of course, where does she go? No rehab will take her in.

What is LVHN to do if someone doesn't require hospitalization?

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feels_like_arbys t1_jbbue49 wrote

I'm genuinely curious what else lvhn should do. Options are, as I see them. A) keep her as a patient forever B) send her back to her native country C) place her outside on the curb

I'm in favor of universal Healthcare. All for protecting illegal aliens and letting them become a citizen. But this happens often and in other developed countries

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Patiod t1_jbbzkxp wrote

So non-profits pay all the property, state income and sales tax?

So when I give a non-profit ID # to stores when I buy stuff for the non-profit charity fund-raising group I'm affiliated with, we're NOT getting the benefit of claiming to be a non-profit?

(I was under the impression non-profit health care providers in PA had to provide a certain amount of charity care, but sadly, I was very wrong.)

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Airbornequalified t1_jbc0r57 wrote

They do not pay them all. They do get tax benefits for being non-profit. But non-profit doesn’t mean charity. It means they basically can’t make profits, so if they made more in a year than they spent, they have to basically spend that money (such as for upgrades, or bonuses)

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Patiod t1_jbc13xt wrote

So where do you draw the line on where that should stop? A free lollipop? Free generic drugs? 1 day of treatment? 10? 100?

For-profit or not for profit, it is flat out immoral to view health care decisions based on profit opportunities, and it's flat-out immoral to judge whether to provide life-saving health care based on an ability to pay. And if you think it's a great way to make money and that a person should not get care if they don't cough up for it (or have someone paying for it) YOU are why this country is suffering from the late-stage effects of malignant capitalism.

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feels_like_arbys t1_jbc1jzb wrote

I'd argue lvhn is making zero dollars on this case and judging from the article LVHN provided emergent brain surgery and 10 weeks of care.

If you were in another country and needed brain surgery. How many months of care would you seek to get without being asked to return home?

This is an all around unfortunate situation, but should we provide her emergency citizenship and provide her medicaid? I'm all for it but that's not lvhns role

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effdubbs t1_jbc39ko wrote

I’m very torn on this. The article doesn’t say of the woman is brain dead. If she is, that changes the conversation.

OTOH, corporate health care is repulsive. It doesn’t just affect this woman and her family and dramatic situations. It’s near impossible to get an appointment and communication has ground to a halt. This was done by business administrators, not the workers. However, the workers take ALL of the displeasure from patients. This case is just one example of how far we have strayed.

I don’t know the answer. Keeping this patient is costly and taking up a bed for another patient who may need it. I suspect she has neurological deficits, but isn’t brain dead. She’s probably stable from a vital signs standpoint, but requires skilled care due to brain damage. She’s too stable for hospital; too sick to be home. Sigh. Very sad.

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Yankiwi17273 t1_jbdbrey wrote

To be fair, I did not know that there was a hospital that was itself called “Pennsylvania Hospital”, and I would assume that most Pennsylvanians outside of the Philly area would be similarly ignorant of that fact. That said, it is always good for journalists to learn when they are corrected on it, so that this mistake which may have confused the millions who are aware of the “Pennsylvania Hospital” will not repeat

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ronreadingpa t1_jbe9l4j wrote

Article says there were complications. Seems to me the Lehigh Valley Network’s Cedar Crest hospital might be culpable. A possible strategy to keep her in the U.S. is to sue the hospital, doctors, etc for malpractice. Getting an injunction to keep her under hospital care in the U.S. Surprised they haven't done that already.

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worstatit t1_jbell02 wrote

Unaware of the coma care situation in the Dominican Republic, though healthcare is free there and it seems to rank in the middle of every list I can find quickly. There's no indication the patient is in need of icu care, and apparently the transporting air service specializes in medical transfers. Not trying to argue here, but, without more knowledge of this particular case, this is more about immigration law than any medical concerns.

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foresthag652 t1_jbercon wrote

Just wondering if your opinion would be different if they were citizens with insurance whose families wanted to wait to see if they recovered.

A coma is not a vegetative state.

The way you talk about your patients reflects how you consider their personhood and value. These are people, not occupants of a spot on a list.

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SomeMaleNurse t1_jbervqi wrote

It’s a case by case basis. I understand the difference between a coma and a vegetative state. Legal or illegal is not my main concern. My concern is watching patients suffer for months on end despite being told by multiple specialized physicians recovery is not possible.

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tmaenadw t1_jbf2nyp wrote

Just because they are a charity doesn't mean that they have endless resources. They have to pay suppliers, the people that work there need to be paid.
The reality of medical care is that it will always be rationed, always. There will always be some expensive therapy out there that can be tried, even if it shouldn't be.
My husband used to work at the county hospital in Seattle. People would fly their relatives in from another country and try to get them care there. The hospital struggled some years to care for those who lived in the county.
As a country, we decide who rations the medical care, and right now we are letting the insurance companies do it based on who can afford premiums and how much profit they want to make in the current year.
There will always be tough decisions to make in health care, and there will always be families who cannot let go and think their supreme being will perform a miracle, meanwhile the medical staff is at fault when the miracle doesn't occur and everyone is mad when care costs money.
Our inability to set clear policy as a country and as a society means that the medical staff and those who are trying to keep the hospital afloat will bear the brunt of society's inability to step up on this topic.
Even non-profits cannot operate in the red.

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ticktocktoe t1_jbvqc07 wrote

What about it is an attrocity? This woman could be discharged. Her family wants no onus. Are you proposing she just take up limited space in a hospital while they foot the bill.

This isn't the hospitals problem as far as I'm concerned.

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