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SolitaryMarmot t1_j19rv4g wrote

Reply to comment by Grass8989 in ‘Major Trustee, Please Prioritize’: How NYU’s E.R. Favors the Rich by goodguyfdny

LOLOLOLOLOL does everyone get lolipops and a puppy at discharge too?

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Grass8989 t1_j19smk6 wrote

It’s literally law, you cannot turned away from an ER for any reason. You should look into EMTALA. You’ve also clearly never worked in healthcare.

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SolitaryMarmot t1_j1a28gv wrote

Go to the NYS Sparcs data and see how many EMTALA discharges there are in total, particularly outside of L&D. A couple dozen maybe? EMTALA requres stabilization not treatment. If you are on Medicaid and/or uninsured (or of a demographic where you are more likely to me on Medicaid/or uninsured) NYU just has to determine you are stable enough to be wheeled down to the next set of double ED doors and they bring you right into Bellevue and say "this nurse will help you."

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ripstep1 t1_j1d45em wrote

You are so fucking incorrect it’s funny. Hospitals are mandated to admit if you meet admission criteria. They are mandated to find safe discharges. They are mandated to do so regardless of your pay.

We have patients that sit in beds for YEARS and pay NOTHING because they cannot afford a SNF bed.

Why talk about a profession you know nothing about

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SolitaryMarmot t1_j1dli4z wrote

They can't find a SNF willing to take a Medicaid patient so they end up sitting in the hospital (years no...a couple months is normal, seriously LOS data is public information. ) Hospitals do the exact same thing. They find ways to prioritize non Medicaid patients, particularly private insurance patients the same way SNFs do. They aren't supposed to turn away Medicaid patients because they are on Medicaid but the massive disparities in payer mix mean that they find a way to do it. This is literally the system that has been created and allowed to perpetuate. The SNFs are doing the exact same thing the hospitals are doing and vice versa because they are rational actors.

And Payment Topology is also public information. You can look at the public all payer dataset on line. EMTALA isn't treatment, it's just stabilization. And outside women in labor, it's pretty rare. It's actually pretty rare for women in labor too. Because NY actually has a very low uninsured population. Our Medicaid program is pretty expansive here. But it only gets you access to 3rd class or maybe 2nd class treatment.

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ripstep1 t1_j1drp0z wrote

You act like this a conspiracy unique to NYU. Every hospital does everything possible to optimize their payer mix. Rural hospitals are failing left and right because their patients are shitty Medicaid payers. Then dems laugh because they didn’t graciously accept the Medicaid expansion.

We literally have a patient sitting in our ICU bed who has been here for 10 years. Not an exaggeration. Routinely common for SNF placement patients to sit here for months.

These patients are exploiting hospitals for millions and the government sits idly by since it’s the hospitals problem, not theirs. NYU has plenty of these patients.

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