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PDF Editor FAQ

Should the state let an uninsured person that needs expensive medical help but can't pay for it die, or should the state help them?

If you are asking about America, the state is paying for very complex and expensive healthcare for those without insurance.In Los Angeles alone, there is the following:LADHS operates four hospitals three teaching hospitals and one rehabilitation hospital. Harbor-UCLA Medical Center, LAC+USC Medical Center, and Olive View-UCLA Medical Center each provides inpatient, outpatient, and emergency services for men, women, and children. DHS hospitals are affiliated with the University of Southern California School of Medicine and UCLA School of Medicine to provide education and conduct research along with health services. The Rancho Los Amigos National Rehabilitation Center provides physical therapy services to individuals around the country.This is the amount of work they do yearly:DHS provides health services to over 800,000 patients[3] including many uninsured patients.[23] LAC+USC Medical Center provides care for half of HIV/AIDS and sickle cell anemia patients patients in Southern California.[24]In 2012, the DHS system had a hospital bed capacity of 1,465. DHS hospitals had 74,811 admissions, 1,251,553 outpatient visits, and 4,850 births. Over the past 20 years, the number of births performed at DHS hospitals has declined substantially since Medi-Cal expanded coverage for pregnant women in the 1990s.[25]In Fiscal Year 2011-2012, the DHS system (inclusive of MACCs) received over 300,000 emergency department admissions, over 2.6 million ambulatory care admissions and nearly 230,000 urgent care admissions.[26] DHS hospitals recorded 295,000 emergency department visits, 1.1 million outpatient hospital visits and 76,000 urgent care visits.[26]That's all at taxpayer expense in Los Angeles County. There is no requirement for insurance at any of the above listed hospitals and every private hospital and their physicians are required by law to care for any patient needing admission through the emergency room. This includes patients needing heart bypass surgery, automobile trauma with compound fractures, vascular reconstruction for ischemic limbs, you name it.Los Angeles County Department of Health Services

Politics of the United States of America: Who should save the sight of S.C. GOP man who can’t afford surgery?

Mr. Lang should go to the emergency room of one of the teaching hospitals in South Carolina. It's likely that he would then be referred into the teaching program for care. This care is paid for by the taxpayers of the state and America's doctors are in part trained by taking care of patients like Mr. Lang.South Carolina Teaching HospitalsSimilarly in California uninsured people regardless of whether they are in the country legally or illegally receive care through the university teaching hospitals supported by the taxpayers. For Los Angeles County in 2012, over $3 trillion was spent to care for uninsured. These hospitals are supervised by UCLA and USC and the care is given by medical students, residents and subspecialty fellows.DHS provides health services to over 800,000 patients[3] including many uninsured patients.[23] LAC+USC Medical Center provides care for half of HIV/AIDS and sickle cell anemia patients patients in Southern California.[24]In 2012, the DHS system had a hospital bed capacity of 1,465. DHS hospitals had 74,811 admissions, 1,251,553 outpatient visits, and 4,850 births. Over the past 20 years, the number of births performed at DHS hospitals has declined substantially since Medi-Cal expanded coverage for pregnant women in the 1990s.[25]In Fiscal Year 2011-2012, the DHS system (inclusive of MACCs) received over 300,000 emergency department admissions, over 2.6 million ambulatory care admissions and nearly 230,000 urgent care admissions.[26] DHS hospitals recorded 295,000 emergency department visits, 1.1 million outpatient hospital visits and 76,000 urgent care visits.[26]Los Angeles County Department of Health ServicesThere are many structural problems with healthcare in America and they aren't solved by Obamacare. The number of uninsured are still in the range of 13.4%. In no state is the number zero.So even states that embraced Obamacare and Medicaid expansion have continued stories like that of Mr. Lang. The idea that this kind of problem doesn't continue in states that accepted Medicaid expansion is false. Obamacare has not and will not be a panacea for the uninsured. Large numbers of the poor and working poor remain without care some because of choice and others because of access.Rates of Uninsured by State Before & After ObamacareObamacare was not and is not the only solution for healthcare reform in America.It's particularly distasteful that "liberals" delight in the fact that Mr. Lang is a Republican and therefore deserving of his plight. How incredibly uncharitable. It's like blaming the girl with the short skirt for getting raped. Neither invite or deserve it.

What is your review of Respiratory Therapists?

6I became an Inhalation therapist (AKAIT’s, tank jockey) after my fourth day working in rather large hospital in L.A. I remember the first time I had to report to a “Dr STILLHEART”, CODE BLUE, just me and a doctor attend the CODE, only for a few minutes as the patient was elderly, and dying. The Doctor turned to me and said, “Stop! see you killed the Patient” and left.I was 17 and navine. IT’S (RT) operated than, than Medications, for inhalation was given to us via a small cup measured out by the RN, so we not entrusted with such details.That was 1967 one month after high school, Jan 1968 was induced (meaning, helped with the LAPD, bad driving record for speeding, and driving with a suspended license, none for accidents) to the Military….USMC, After Boot camp and ITR (now SOI). WHILE waiting to attend communication school in San Diego MCRD, We, about hundred students in formation.At random the last ten in formation was picked for Nam as Radioman and was send to a modified Staging. I Found myself in Nam less than 10 days later. By day 2, covered by night. We were HIT! Followed an explosion while in a convoy to 27th Marines. two months or so, I found myself in the hospital, for 4 months, half of the time in Coma and Psych lock unit. Then not knowing when nor how After 2 months rehab, as so called, I was returned to full duty and sent to crypto school and given a TS clearance. And gained a driver license, government issued. those my Cali license was suspended!After a another tour in Nam and later with 3rd FSR was released early (4 years changed to 2,6 years). So after a few weeks, July 3, 1970, of soul searching , was I rehired by Queen of Angels hospital, which now had it own RESPIRATORY CARE department, That September I entered ELAC with the MAJOR Respiratory Therapy AS. Later to transfer to Cal-State for a BS in Biology, then no Major for a BS Respiratory. But entered a master program for Heath care management.By August 1972 I applied at LAC/USC women's hospital for new a new field of research Neonatal Care. During that time I met many people of the Noble fields and a few of the others! Not to mention what a few felt of me,Now after more than 40 years in NICU as an NPS, RCP, I retired 2009, only after getting hit by an auto in 2009. I have met either by working with them or introducing them to the field of NEONATAL RESPIRATORY CARE over 40+ years.I believe I can say that many are devoted to their the professional Skills, and this has proven to be a field that is needed. However, Just this past December I had a bad case of Bronchitis and was attended by a male RN, BSN. He delivered all the care of an RCP in addition to EKG tech, x=ray tech and the additional skills of an RN, never having to call for anyone! I believe this is the direction of RESPIRATORY CARE, being done by the RN, they out number us by more than 20 to one. Besides those skills lower the cost of care and time response!So just as in the 1960’s the shift is towards the RN. so consider the field of Nursing, and if you are Male consider it skill with better pay and promotions an than an RCP. Besides during codes you will fine yourself in a better position than an RCP.Nothing is really easy?Good Luck……………..thj

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