весь пост на английском, т.е кто не читает, можете под кат не ходить. А кому интересно...
Задание было написать список литературы, которую можно порекомендовать нам, т.е одногруппникам для чтения по теме "healthcare in distressed communities"
И вот одна из сокурсниц, написала свой список, название одной из книг я скопировала ниже. Профессор первоначально думаю заподозрил, что книгу она не читала и задал ей вопрос. ...Девушка ответила неожиданно. И этот ее ответ меня просто убил.
промолчать я не смогла. (я за мир во всем мире)Разнесла в пух и прах
уверенна что ошибок море, поэтому не придирайтесь, я даже не проверяла, писала на эмоциях, теперь бегаю на сайт каждые 5 минут проверяю что же она мне ответит. Так что можете почитать и высказать, а что вы думаете по етому поводу.
Student:
Reinventing American Health Care: How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone Systemby Ezekiel Emanuel. Whether you agree with the affordable care act or not I think it is a wise book to read or at least take ideas from. This is s system that is supposed to help people with no health care does it really do that. Are people actually using it or are people still gambling and not having insurance. I think it would be an interesting read although maybe provide a slightly biased point of view.
Professor:
I'm especially interested in the Ezekiel Emanuel book. You say it's slightly biased. I wonder what you see as the book's biases.
Student:
I actually bought the book and started reading it. When I stated there may be some bias I was referring to the subtitle which I just realized I did not give with the main title of the book. The Subtitle is "How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously expensive, Grossly Inefficient, Error Prone system. You can see how I made the generalization that the book might be biased (again I know I am not supposed t generalize, which is why I bought the book). Because besides healthcare being available and affordable to all, I wondered how it was being paid for or by who. Personally, I have health insurance through my job so I think it is important how I am affected by the bill, and how my doctors are as well, many doctors do not support the affordable care act and therefore do not take that insurance. I also wanted to see if the book went into the inefficiencies not just of the affordable care act but of Medicare, Medicaid, and disability. Millions actually I am sure more I would need to do more research are given to people who might not need the amount they are getting. I am not judging but some people do like to try and get around the system. I also wanted to see if the book took into account the amount of people we help in our hospitals who do not live here. I am not talking about illegal immigrants or anything like that, but people who fly on a plane or cross our boarder just for the medical care because they do not have the resources or are on a list in their own country. Just recently a man from Liberia where Ebola was prevalent came to the Texas to "visit his sister" but was taken to the emergency room right away with Ebola. He was sent away at first and then came back, but deep down he had to have known that Ebola was a possibility. So why not be treated here. He is now being trialed in his country. I am sure scenarios like that happen all the time: and it effects everyone. That's why health care and medical care is so prevalent when it comes to public health and why people need to be informed because it is ever changing and progressing. Everyone does need to be medically covered but I also think you can not force people who do not want to. Some people do opt out not to take health insurance that is there prerogative that is their right as a free person in this country so making them pay 200 dollars for not having it I believe is wrong.
Reply:
It seems like you don't really know how the health care works. I am sorry, but it is really upsetting how you pass your judgment of immigrants based on one case. Even that person you mentioned, with Ebola, could've not known that he is actually sick. It is a bad judgment and labeling. This is how the bias starts, first you say "go get a medical treatment at home" the next is "go get your education home" and so on…sad
Contrary to your belief about hospital treatments for immigrants, thousands of them don't ever go to the doctors unless it is life threatening illness. They don't want to end up with bills they can't afford. Many of them, you will not believe it, but they go back to their countries to get treatment.
Also, it is a fact that major planned surgeries, procedures and chronically diseases are not treated in the emergency room. Immigrant will rarely ever get a planned surgery unless he has some form of medical coverage.
It is very hard to get around the system as you call it. It is practically impossible for an immigrant to receive a medical care in the US unless the bigger half of perspective bill is paid up front. Check random hospital policy.
We do have discrimination based on medical coverage. People do believe that just because they pay taxes they are covering medical bills for all those poor, unemployed, blacks, browns, Mexican, or for immigrants illegal or naturalized. Bias! That is the biggest bias that still exists.
Have you ever been to the emergency room? Have you seen how many people are waiting there to be seen for hours? Who are those people? What is there color or ethnisity? Why do they have to wait for so long? Can you guess what insurance they have? Think again.
If they would have private insurance do you think they would wait for hours?
Also, consider the fact that just because we live in a metro area where amount of Medicaid/Medicare patients is higher than in the nation (check statistics, articles etc) it doesn't' mean that the actual amount of low or no income people is that great. I would not tell you the percentage of the population of those on public coverage unstop of my head but it is so low you would be surprised. That is why bothers is always me when people say "Immigrants go home. Get your health coverage there. I pay taxes and I am not paying for your treatment" I am not citing you precisely but there is a similar comment in your post.
Most likely you get bigger part of you taxes back on your tax return and while you are getting it back those poor are still waiting in the emergency room to get treatment. And those immigrants, who came here to visit their sister, not in quotes, who actually came to visit their family and became ill, they are not to be judged instantly based in their status.
I am sorry again, if it sounds too harsh, but I just can't stay indifferent when I read something like that. I am an immigrant myself and if my sister, my mother or any other relative comes to visit me and God forbid they will need to go to the hospital I will take them without any hesitation. I will take them not to go around the system, or not because they couldn't get a treatment back home but because things happen and you never know what is there for you tomorrow.
I still hope I misunderstood your main argument.
Student:
I think you did misunderstand my main argument completely. I was more trying to focus on how money was being spent when it came to medicare and medicaid and disability. I think we need to take care of the sick and poor 100%. I am in no way saying we should not do that. If we do take care of visitors who come into this country and they heaven forbid fall down ill we will treat them we always do, but that puts money and strain on our economy because if they dont pay for it out of pocket because insaurance does not go across the globe (maybe it should) we (meaning the hospital) absorbs the cost no? Also I think maybe if you know you are traveling to visit somewhere you get health insuarance. I went abroad for four months and got health insaurance heaven forbid something happened to me so maybe that needs to be addressed. If travelers came over with travelers medical coverage they would not wait so long to seek medical attention because I am pretty sure the longer you wait the more serious your illness could become and thats when surgeries, antiobiotics, test, treatments hospital stay that all adds up and who gets slapped with the bill.
Also I have been to and ER and waited hours with everyone else to get treatment so that I think is a misconception on your part. I also worked in an ER as a Registered nurse and you treat people first come first serve. Spot opened up the first person that was there regardless of color, ethnicity, or creed you were next. I treat everone the same with dignigty and respect and I will continue to do so. I am happy to treat anyone that comes through the door because I want to, and that is what patients deserve, thats why I am a nurse and that is why I love my job and want to continue my education. I think we live in such a fragile system when it comes to health and it needs to be read and addressed which is why I thought it would be a good book and is why I bought it and am reading it. THe affordable care act will help a lot of people and for that I am happy for those people it helps, but for the government to make it mandatory, and to make people that dont want it still pay 200 dollars or whatever it is and increase the payment every year you do not get it I think takes a freedom away. I think that part is wrong. You should be entitled to your own mistakes and if you do not want insurance then you face the consequences of the bill when it comes in the mail.
