It is easy to explain, most hospitals and doctors have programs in place to reduce costs for the…
Nathanial Poling


You apparently believe that hospitals generate their own wealth with no outside sources, and they use this largesse in a benevolent way to aid the indigent.


When a patient cannot pay his bill, the hospital has three choices.

One — they can just absorb it. If this is a small bill, and only happens rarely, this is feasible. However, bills that cannot be paid are often large bills, and due to the number of people who are either uninsured or inadequately insured, this isn’t feasible, and overuse of this option will put the hospital out of business.

Two — they can apply for government funding to compensate them. There are some funds at the federal level to reimburse hospitals for caring for the indigent, and some states also have such funds. These funds aren’t nearly enough to cover the need. And guess who pays for these funds? The taxpayer does. I assume that would be you, unless you don’t pay taxes.

Three — they can increase their rates to cover these costs, which puts the burden on the patients who CAN pay to cover the costs of those who can’t. Increasing fees increases insurance claims. Increasing insurance claims increases insurance premiums. Increasing insurance premiums prices more people out of the system, giving us more uninsured people, and making the problem worse.

Insisting on everyone having insurance — even if it has to be subsidized by the government — eliminates the problem of taxpayers and insureds being saddled with the costs run up by uninsured people. Furthermore, an insured person is more likely to get regular doctor visits and regular medication, which is usually less expensive in the long run than an ER and hospital bill running into the six figures for a heart attack, stroke, diabetic coma, or other emergent condition that could have been managed and mitigated by regular health care and medication. It’s cheaper to keep people healthy than it is to treat them when they are severely ill.

Trump wants to go back to the broken system we had that necessitated the ACA in the first place. Wake up.

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