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    Who are the NERD fund donors Mr Snyder?

    Raise the curtain.

    Study Says: "D'oh!"

    By JGillman, Section News
    Posted on Fri Jan 03, 2014 at 10:46:46 AM EST
    Tags: Rick Snyder, Medicaid Expansion, Health Lobby, Emergency Rooms, Obamacare, Statistics, Hospitals, Oregon, NCPA, RomneyCare, Congressional Budget Office, RINOS, Progressives In The Party, Same Snake Two Heads (all tags)

    One of the major reasons used for justifying medicaid expansion in Michigan was that too many were using the hospital emergency rooms, rather than using a regular doctor.

    If fact, during the building expansion debate in 2013, Michigan's Governor Rick Snyder claimed as much:

    "Currently, Snyder says we are funding the Emergency room visits of those without coverage through our increased insurance fees. He believes it would save money to send them to doctors opposed to the Emergency room.

    Patriot Radio's "Trucker Randy" Bishop asked why he didn't opt out of Obamacare, like other states have done. The governor replied because that will leave people without healthcare and at the mercy of emergency rooms."

    Huh, I guess he was wrong.

    At least as is being reported in the Detroit News (and in a million other [surprised] outlets) he was:

    " A new study has found that people enrolled recently in Medicaid went to the emergency room 40 percent more frequently than others, often seeking help for conditions that could be treated less expensively in a doctor's office or an urgent care clinic."
    And there you go.

    And it wasn't as if there was no warning.  It wasn't as if there was no one talking about an increase in Medicaid use, coupled with a reduction of Doctors to handle such things.

    Continued below the fold

    In July of 2013, we pointed out:"
    - 4) The free market rule is supply and demand. With increased demand from 470,000 new patients receiving reimbursed care they do not have to pay for, demand for services will increase prices for all of us.
    - 5) Medicaid patients statistically demand more services, stay in hospitals longer, and still have poorer outcomes and greater mortality rates. How does making this available to another half million people translate into lower premiums?
    It wasn't just guessing either.

    The National Center for Policy Analysis (NCPA) raised some points in 2010 addressing this directly.  Reminding us that even the Congressional Budget Office warned of increasing use of services. That Obamacare would eventually cause 32 million uninsured people to obtain health insurance they otherwise would not have had, including HALF of those enrolling in taxpayer funded Medicaid.  They noted the problems associated with the coming increase:

    "Emergency Room Use. A common myth is the belief that the uninsured use the emergency room a lot more than people with private health insurance. Yet as the figure shows, the percent of uninsured going to hospital emergency rooms every year is not much higher than for those with private insurance. (And after adjusting for health status, there is no difference in the average number of visits.) Medicaid enrollees, on the other hand, visit emergency rooms significantly more often than either the insured or the uninsured.

    Why is that? The main reason appears to be that Medicaid fees are so low that patients have difficulty finding private practitioners who will see them. Often, the emergency room turns out to be the only place they can access care. Studies show that even the uninsured have an easier time making doctors' appointments than Medicaid enrollees.

    Predicting Emergency Room Use Based on Change in Health Insurance Status. Assuming that 1) half the uninsured obtain insurance; 2) the newly insured enroll 50/50 in Medicaid and private plans; 3) the newly insured are reflective of the current uninsured population; and 4) the newly insured behave in a way similar to other enrollees in the plans they join:

    • Among the newly insured under age 18, the number going to the emergency room each year will climb from 18 percent to 22 percent.
    • Among those ages 18 to 44, annual emergency room traffic by the newly insured will increase from 21 percent to 28 percent.
    • Among those ages 45 to 64, the increase will be from 19 percent to 28 percent.

    In terms of the actual number of visits, emergency room use by the uninsured and the privately insured are about the same. Medicaid enrollees, on the other hand, have more than twice as many visits. Consequently, we project that insuring between 32 million and 34 million additional people will generate between 848,000 and 901,000 additional emergency room visits every year.
    More than three years prior to Rick Snyder's expansion of Michigan [welfare] Medicaid, the warning was made.

    Now Michigan legislators who stood firm AGAINST this expansion are seeing the first warning signs in Oregon, and hopefully they are feeling appropriately vindicated for their strength and foresight.

    The others who voted for it, including the a governor who lied (or was too ignorant to look at the predictors) will have to wipe the egg off their faces.  The higher costs associated with reimbursed emergency room visits will likely shorten the small window of financial advantage Michigan's leaders THOUGHT they had achieved.  

    Diffusing the bomb that is Obamacare just took a bad turn for the McGuyvers in Lansing. The wrong wire was cut.

    Countdown to fiscal collapse in 3 .. 2 .. 1 ..

    < Thursdays Divertere: Scripted News | Sunday Satire >

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    But .. but .. but... (none / 0) (#1)
    by Corinthian Scales on Fri Jan 03, 2014 at 10:58:04 AM EST
    You're not following the Snyder/Obama/Baird meme...

    Better question. (none / 0) (#2)
    by KG One on Sun Jan 05, 2014 at 02:39:14 PM EST
    Since we now all have "access" to health care, why do we have a law on the books requiring emergency rooms to accept patients, regardless of ability to pay?

    Isn't that a bit redundant?

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