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	<title>Comments on: YES WE CAN &#8230; DUMP POOR PATIENTS</title>
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	<link>http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/</link>
	<description>Cleaning the Augean Stables of the Health Care Debate</description>
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		<title>By: Marc B.</title>
		<link>http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294317</link>
		<dc:creator>Marc B.</dc:creator>
		<pubDate>Sun, 24 Aug 2008 08:18:06 +0000</pubDate>
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		<description>Yes, it seems extraordinary that you complain incessantly about tax payers picking up the bill for the poor being dumped on overstretched emergency rooms and then you complain again when someone does something about it. What would please you?</description>
		<content:encoded><![CDATA[<p>Yes, it seems extraordinary that you complain incessantly about tax payers picking up the bill for the poor being dumped on overstretched emergency rooms and then you complain again when someone does something about it. What would please you?</p>
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		<title>By: SmartDoc</title>
		<link>http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294299</link>
		<dc:creator>SmartDoc</dc:creator>
		<pubDate>Sun, 24 Aug 2008 06:00:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294299</guid>
		<description>Hypocrisy/dishonesty/elitism/corruption/evil we can believe in.</description>
		<content:encoded><![CDATA[<p>Hypocrisy/dishonesty/elitism/corruption/evil we can believe in.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294274</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Sun, 24 Aug 2008 03:13:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294274</guid>
		<description>I might be willing to give them the benefit of the doubt if this weren&#039;t part of a larger and pretty consistent &lt;a href=&quot;http://www.healthcarebs.com/2008/05/26/yes-we-can-deny-care-to-the-indigent/&quot; rel=&quot;nofollow&quot;&gt;pattern of behavior&lt;/a&gt;.</description>
		<content:encoded><![CDATA[<p>I might be willing to give them the benefit of the doubt if this weren&#8217;t part of a larger and pretty consistent <a href="http://www.healthcarebs.com/2008/05/26/yes-we-can-deny-care-to-the-indigent/" rel="nofollow">pattern of behavior</a>.</p>
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		<title>By: Nurse K</title>
		<link>http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294248</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Sat, 23 Aug 2008 22:59:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcarebs.com/2008/08/23/yes-we-can-dump-poor-patients/#comment-294248</guid>
		<description>I think you&#039;re misinterpreting the article---sounds like they&#039;re getting poor, uninsured patients hooked up with clinics so they don&#039;t have to use the ER for basic care which is better suited for a clinic anyway.  I have dreams about this kind of stuff.

&lt;i&gt;They say that, rather than having to wait hours at U. of C.&#039;s emergency room, those patients get seen sooner and at less expense at neighborhood clinics and other hospitals. U. of C. even offers them a ride on a shuttle bus to other centers and sometimes provides the doctors at those facilities.&lt;/i&gt;

I&#039;m not sure how the &quot;other hospitals&quot; aspect factors in here (I&#039;m sure they&#039;ve looked at the EMTALA considerations), but there is something that many ERs do called &#039;triaging out&#039;, where patients with non-urgent problems are sent to a clinic affiliated with the hospital so they don&#039;t tie up the ERs.  I&#039;m guessing they are told they don&#039;t have an emergent medical condition in triage after a basic medical screening exam, and told options about where to get care for their sore throat or pink eye, some of which include clinics at other hospital/facilities that serve the poor.  

Maybe these patients then stick with the clinics they are referred to, some of which are associated with other hospitals.  

I&#039;d need more information, but this sounds like a good idea to me.</description>
		<content:encoded><![CDATA[<p>I think you&#8217;re misinterpreting the article&#8212;sounds like they&#8217;re getting poor, uninsured patients hooked up with clinics so they don&#8217;t have to use the ER for basic care which is better suited for a clinic anyway.  I have dreams about this kind of stuff.</p>
<p><i>They say that, rather than having to wait hours at U. of C.&#8217;s emergency room, those patients get seen sooner and at less expense at neighborhood clinics and other hospitals. U. of C. even offers them a ride on a shuttle bus to other centers and sometimes provides the doctors at those facilities.</i></p>
<p>I&#8217;m not sure how the &#8220;other hospitals&#8221; aspect factors in here (I&#8217;m sure they&#8217;ve looked at the EMTALA considerations), but there is something that many ERs do called &#8216;triaging out&#8217;, where patients with non-urgent problems are sent to a clinic affiliated with the hospital so they don&#8217;t tie up the ERs.  I&#8217;m guessing they are told they don&#8217;t have an emergent medical condition in triage after a basic medical screening exam, and told options about where to get care for their sore throat or pink eye, some of which include clinics at other hospital/facilities that serve the poor.  </p>
<p>Maybe these patients then stick with the clinics they are referred to, some of which are associated with other hospitals.  </p>
<p>I&#8217;d need more information, but this sounds like a good idea to me.</p>
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