- Mar 25, 2007
- 1,310
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Kim, I think it is just a matter of this: When someone else is paying for you, they DO get to tell you how to live.
There's all sorts of instances in society where we pay for someone else's benefit, and as a result we get to tell them how to live. You don't get to do whatever you want at work--your boss tells you that you can't spend all day on BYC, makes you do certain tasks which might be annoying, tiresome or distasteful, probably makes you dress a certain way, talk a certain way, write a certain way.
We have emergency rooms for a reason, to treat people who are dangerously ill. What if everyone who came into the ER with a heart attack was told, "I'm sorry, if you have no insurance we can't treat you"? What if they had just been robbed of their wallet and had no proof of insurance? What if they had a heart attack in the middle of the night and couldn't find their wallet before the paramedics arrived? What if they had just received a new insurance card and the old one lapsed yesterday, but they hadn't put the new one in their wallets yet? What if they lost their job and their COBRA had run out before they could be eligible for self-insurance? What if their state laws were such that no self-insurance was available to them? What if they had a pre-existing condition that made them uninsurable in their state? There's no end to the legitimate reasons that make it infeasible to refuse treatment on the basis of inability to pay in an emergency room. An emergency is just that, you don't have three hours to dig through paperwork for the right card or to compile bank statements, you need treatment NOW. And that treatment can easily bankrupt any savings someone might have. It usually does bankrupt uninsured people. So, we don't demand payment in emergency rooms because doing so is tantamount to letting them die in horrible pain, or, sometimes worse, letting them live maimed and crippled in horrible pain while they die a slower death.
In countries where emergency rooms are not required by law to treat people, lots of people who go to the ER die shortly thereafter for that very reason, and the wealthy have private doctors with business connections to private hospitals, so they never have to worry about ERs. It's not a pretty sight, although the private hospitals are often quite lovely and patronized by Westerners.
There's all sorts of instances in society where we pay for someone else's benefit, and as a result we get to tell them how to live. You don't get to do whatever you want at work--your boss tells you that you can't spend all day on BYC, makes you do certain tasks which might be annoying, tiresome or distasteful, probably makes you dress a certain way, talk a certain way, write a certain way.
We have emergency rooms for a reason, to treat people who are dangerously ill. What if everyone who came into the ER with a heart attack was told, "I'm sorry, if you have no insurance we can't treat you"? What if they had just been robbed of their wallet and had no proof of insurance? What if they had a heart attack in the middle of the night and couldn't find their wallet before the paramedics arrived? What if they had just received a new insurance card and the old one lapsed yesterday, but they hadn't put the new one in their wallets yet? What if they lost their job and their COBRA had run out before they could be eligible for self-insurance? What if their state laws were such that no self-insurance was available to them? What if they had a pre-existing condition that made them uninsurable in their state? There's no end to the legitimate reasons that make it infeasible to refuse treatment on the basis of inability to pay in an emergency room. An emergency is just that, you don't have three hours to dig through paperwork for the right card or to compile bank statements, you need treatment NOW. And that treatment can easily bankrupt any savings someone might have. It usually does bankrupt uninsured people. So, we don't demand payment in emergency rooms because doing so is tantamount to letting them die in horrible pain, or, sometimes worse, letting them live maimed and crippled in horrible pain while they die a slower death.
In countries where emergency rooms are not required by law to treat people, lots of people who go to the ER die shortly thereafter for that very reason, and the wealthy have private doctors with business connections to private hospitals, so they never have to worry about ERs. It's not a pretty sight, although the private hospitals are often quite lovely and patronized by Westerners.