2
0

Emergency Visits Seen Increasing With Health Law - NYTimes.com


 invite response                
2014 Jan 3, 10:26am   10,634 views  40 comments

by RWSGFY   ➕follow (4)   💰tip   ignore  

http://www.nytimes.com/2014/01/03/health/access-to-health-care-may-increase-er-visits-study-suggests.html?_r=0

Supporters of President Obama’s health care law had predicted that expanding insurance coverage for the poor would reduce costly emergency room visits because people would go to primary care doctors instead. But a rigorous new experiment in Oregon has raised questions about that assumption, finding that newly insured people actually went to the emergency room a good deal more often.

The study, published in the journal Science, compared thousands of low-income people in the Portland area who were randomly selected in a 2008 lottery to get Medicaid coverage with people who entered the lottery but remained uninsured. Those who gained coverage made 40 percent more visits to the emergency room than their uninsured counterparts during their first 18 months with insurance.

The pattern was so strong that it held true across most demographic groups, times of day and types of visits, including those for conditions that were treatable in primary care settings.
...
Dr. Chandra, who helped conduct another analysis of emergency department use in Massachusetts after the overhaul, called the Oregon study, with its strong design and clear result, “breathtaking.” In contrast, studies from Massachusetts have come up with conflicting findings. His study, for example, found that emergency room use did not change.

“You would conclude what you wanted to conclude depending on which side of political aisle you were on,” he said, adding, “Now we have an answer.”

#politics

« First        Comments 20 - 40 of 40        Search these comments

20   justme   2014 Jan 4, 11:22pm  

@curious2, why do you write such rambling and ciphered essays? Couldn't you just have written

"I think Bob's wife is an MD that that is moving from state to state to avoid malpractice claims. Now explain why you love him so much."

Then maybe I had thought it was worth answering, but probably not.

ADDENDUM: I have no idea why curios2 has this opinion about Bob. It seems very unlikely that there is any truth to it. It was perhaps an unfortunate example to use as to how little information there is in the rambles of curious2.

21   anonymous   2014 Jan 4, 11:24pm  

If people gave a crap about the health of others, or even themselves, they'd bone up on nutrition and realize that the simplest way to improve the health of all, is thru nutrition. I loathe all the shitty apples to oranges comparisons I've read over the ppaca debated years (imagine half of your mechanics customers stiffing him on the bill and you picking up the tab LOL), but if you're an analogy type of person,,,,,,the western diet suggested by the usfedgov insists that people put gasoline mixed with sugar into their diesel fuel tank. And then let's all flail about like idiots when the car is destined to the mechanic for repairs so costly it may as well be totalled

22   Y   2014 Jan 4, 11:32pm  

is this a facebook action?
CaptainShuddup says

Fuck the poor, they can like the floor like the rest of us, when they get a tummy ache.

23   curious2   2014 Jan 5, 2:04am  

Call it Crazy says

Rah Rah Rah.... Blue Team, Blue Team, Blue Team....

That's why....

Yes, but then the question becomes, with an awful policy that affects everyone and polls at -10, how does Blue Team continue to win elections, and the answer to that question is because Red Team is even worse. Red Team campaigned on policies that poll around -40. I think probably only 20% think honestly about what's going on, and the remaining 80% repeat whatever their tribal leaders tell them.

24   curious2   2014 Jan 5, 6:15am  

Homeboy says

"sugar in the gas tank"?

Subsidized corn and dairy and the resulting subsidized "food" that you buy at McD's and other fast "food" places, fattening you up for your SSRIs. Oh wait, you ignore me, so nevermind, eat up.

25   Vicente   2014 Jan 5, 9:01am  

errc says

You actually had the gall to suggest that poor people would opt to die of illness for fear of hospital bills?

I have personal experience with this.

My brother has a series of symptoms that are extremely alarming. He is barely scraping by, with some help, has been living in his car some. If I had them, I'd be at a doctor immediately. He has no insurance and would have had to pay out of pocket for what could be quite serious so he just doesn't go and tried to pretend it's not there. He's been living from dayjob to dayjob, and TRYING to get a real job. He won't go to the ER because he's afraid of what he'd find out, and he's paranoid that any employers he has applied to, might get word through his smalltown grapevine that he's got health problems. Because you know in an ER, you have to explain to a whole lot more random staffers what is going on with you.

26   RWSGFY   2014 Jan 6, 10:20am  

In case anyone is thinking about starting a thread about "Straw Man cowardly deleting posts", go ahead, but the only stuff I cleaned up was, IMO, useless bickering and personal attacks which added no value to the discussion.

27   anonymous   2014 Jan 6, 1:08pm  

I'm just curious - which part of that, exactly, is "sugar in the gas tank"?

USDA recommendations:

"A healthy eating pattern emphasizes nutrient dense foods such as whole grains"

We all know that they ditched the food pyramid, which suggested the majority of ones diet be comprised of breads,grains, and cereal,,,,for the modern version of pretty much the same thing, choose my plate.gov.

Grains are the sugar in the gas tank, science tells us so

28   bob2356   2014 Jan 6, 3:55pm  

errc says

USDA recommendations:

"A healthy eating pattern emphasizes nutrient dense foods such as whole grains"

That's not recommendations plural it's recommendation singular. You left out the other 14 items they recommend that aren't grains. Are you actually trying to make a point or just spewing your ideology fixation.

29   anonymous   2014 Jan 7, 6:17am  

The old pyramid suggested that grains should be the majority of what you eat. The scientific consensus changed on that, so they changed the pyramid.

-----------

What was it that "consensus science" found out, that they didn't know before, that led them to suggest eating less grains? Was there something bad about consuming all that bread and grains?

Consensus science lol!

30   anonymous   2014 Jan 7, 6:17am  

I don't know the first thing about Atkins. I've never read any of those books, nor do I know what they say about nutrition, so don't put words in my mouth

31   curious2   2014 Jan 7, 6:30am  

justme says

The question remains, why do the right-wingers only hate healthcare for the poor?

That was never the question. You are either using your own private definitions of those words, or merely lying. A better question would be, why do people who insist on butchering and poisoning the poor, as lucratively as possible, call themselves liberal? Do they think that word sounds better than what they really are, or is it a false flag attack? Here we have data showing once again that increased spending isn't helping, or if any of the poor did coincidentally benefit then that was offset by so much harm that their net benefit was zero, and yet some people insist on even more.

32   anonymous   2014 Jan 7, 8:07am  

Atkins-bot? I've never heard the term. I know what atkins diet is more or less, I just never read any of dr atkins books.

I've answered it plenty of times.

Whole grains is the "sugar in the gas tank"

I also feel that "fat free or low fat milk products" is horrible advice

Lean meats is bad advice

I feel animal fats are to be enjoyed, not avoided.

So there you have it, I've answered all your questions, and you will likely continue to avoid mine.

34   anonymous   2014 Jan 9, 4:20am  

errc says

The old pyramid suggested that grains should be the majority of what you eat. The scientific consensus changed on that, so they changed the pyramid.

-----------

What was it that "consensus science" found out, that they didn't know before, that led them to suggest eating less grains? Was there something bad about consuming all that bread and grains?

Consensus science lol!

35   RWSGFY   2014 Jan 9, 6:17am  

So, the bottom line is: another supposed benefit of of ACA - reduced ER visits by uninsured was a lie. They either didn't have data to support that claim, or deliberately deceived the public. Would it pass if it was known then?

36   curious2   2014 Jan 9, 7:14am  

Straw Man says

Would it pass if it was known then?

It was known then. The legislative "debates" were nearly a fact free zone, the public verbiage being irrelevant. Both major parties made up whatever nonsense they thought would fool the base. In the House, one representative after another stood up and read verbatim the same talking points as the one before, to get onto the local news. PhRMA bought the national news (count the ads and see for yourself who's paying those pied pipers), as part of a secret deal the White House initially denied but then admitted, in exchange for hundreds of billions in federal $$$. The federal government spewed propaganda across the airwaves and the web ("healthcare.gov"). Even with all that, the policy polled around negative 10 anyway. All that really mattered was the fix, the vig, who got what kickback and revolving door patronage.

Straw Man says

the only stuff I cleaned up was, IMO, useless bickering and personal attacks which added no value to the discussion.

That's fine, it's your thread, but in my opinion you could have deleted this one also. You deleted my reply, which explained his motive, but left the provocation. (That troll has a long history of drive-by sarcastic strawmen; when he tries to buzz me, I swat him like a fly, but he returns whenever he senses heat from another direction, hoping for a chance to pile on. Some trolls have an adrenaline addiction, they need to fight, and that one needs to boast about driving 80mph sideways, anything for another fix of adrenaline.) You can delete this comment also if you want. Here on this forum we merely exchange anonymous words in the ether; we're not actually legislating over other people's lives.

37   HydroCabron   2014 Jan 9, 7:33am  

Put my man Christie in the White House, and emergency rooms will be limited to foot traffic.

38   curious2   2014 Jan 9, 7:37am  

HydroCabron is Kochel 271 says

Put my man Christie in the White House, and emergency rooms will be limited to foot traffic.

No need to distract him with executive power, just lay him across the receiving bay, mouth open, so the EMTs can spring the gurneys and pop the patients into his mouth. Think Newman as the cleaner, in Seinfeld.

http://www.youtube.com/embed/qRTBVPgHM3Y

39   RWSGFY   2014 Jan 10, 12:29am  

curious2 says

That's fine, it's your thread, but in my opinion you could have deleted this one also.

I agree. I missed it. It's gone now.

40   RWSGFY   2014 Jan 10, 12:36am  

HydroCabron is Kochel 271 says

Put my man Christie in the White House, and emergency rooms will be limited to foot traffic.

Walking is good for ya!

Please register to comment:

api   best comments   contact   latest images   memes   one year ago   random   suggestions