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August 11, 2006

Illegal immigrants up ER costs

by Rick Forman
The Republican Tour!

"TennCare pays about $15 million yearly in emergency care for illegal immigrants, and Vanderbilt paid about $3.8 million for the same group during the past 12 months."

From National Center for Health Statistics study Tennessee has about 5,000 hispanic births per year and if Tenn. is comparable to N.C. and Gerogia for the rate of uninsured childbirth then Tenn. hospitals are losing $50 million per year.

"there was a dearth of data on how much illegal immigrants contribute to the problem and no clear consensus for what should be done about it."

First, stop absurdities like ambulances in New Mexico and Arizona making emergency runs into Mexico because Congress mandates it. Put an end to birthright citizenship, aka anchor babies. Remove the incentives for illegal foreign nationals to be here.

Uninsured births by illegal foreign nationals account for a large part of the cost. A recent AP story indicated that in one North Carolina hospital less than 3 percent of hispanic families have health insurance while some years they make up 90% of the births. "Fortunately, the state provides a special Medicaid payment to help offset such unreimbursed care", said Dr. Granados.

Ah, yes Medicaid. The mythical rich uncle. The expanding rich uncle. The bottomless pit.

From a recent story on MSNBC, "Each year about 16,000 babies are born at Parkland Memorial Hospital in Dallas. The hospital estimates about 70 percent of them are delivered by undocumented mothers."

Estimated over $70 million for childbirth alone. Estimated because they can't ask their citizenship?

And once they are born and recognized (incorrectly) as legal citizens, they become a ward of the taxpayer and receive an official U.S government issued debit card.

These hearings are a joke and political ploy. They don't want to solve the problem. They want you to believe they are working on it prior to the November elections. Then during the lame duck session it will be 1986 all over again.
Hastert has already indicated compromise.

Posted in Immigration

Comments

Focusing on Healthcare Costs of Illegal Immigrants Draws Attention Away from the Real Problem

Too many illegal immigrants are overwhelming the healthcare system and driving up health insurance costs. That's the latest sound bite in the war of words over immigration reform. In a recent poll, a majority of the respondents thought that illegal immigrants were responsible for 50 percent or more of the uninsured treated in Southern California hospitals. But is that really the case?

While it is true that providing treatment to undocumented immigrants creates a drain on hospital resources, the question is: How much of the problem can reasonably be attributed to the undocumented? And if we solved the problem of illegal immigration tomorrow -- which we won't -- would healthcare costs return to "reasonable" levels?

Illegal immigrants are responsible for roughly 20 percent of the $2 billion in unreimbursed care that Southern California hospitals deliver each year. Even if you consider that factor, you have to conclude that it's the larger problem of just simply having so many uninsured patients that is a key driver of rising hospital costs.

In order to receive federal Medicare and Medicaid payments, a hospital must agree to treat and stabilize everybody who shows up to a hospital ER regardless of their ability to pay or their immigration status. That means undocumented immigrants who show up at the emergency room will receive treatment regardless of their immigration status or whether they're insured. But so will legal immigrants, naturalized citizens and native-born Americans.

It is a matter of law that these people receive treatment. Indeed, we may have an ethical responsibility to do so as well. The problem is that most hospitals in California end up being paid for only about 5 percent of the medical care given to uninsured patients. And that leads to the question: So, who's going to pick up the tab?

In the absence of strong political leadership on the question of insuring the uninsured, the answer, inevitably, is that hospitals and those patients with insurance, as well as those uninsured who do pay, will end up paying for those who seek care without insurance -- regardless of whether they are here legally or not.


http://www.hasc.org/lott.cfm

Posted by: Jim Lott at August 15, 2006 4:31 PM
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