Re: “Arizona to halt some Medicaid enrollment, readies for cuts,” ModernHealthcare.com, April 30: So, the state won't pay, the hospital gets stuck with the bill and the patient for an indefinite time. If they need skilled nursing or there is no family to care for them, no one else will take them without insurance, so they stay in the acute-care hospital.
The hospitals are already struggling with cutbacks, and this is not a good use of resources. If the patients have a catastrophic illness, they won't have coverage to receive treatment. Some Republicans screamed about rationing and pulling the plug on granny. Only instead of letting healthcare professionals talk about end-of-life wishes with granny who has an end-stage illness, who has lived a long, productive life, and is dying in spite of what we do, we are rationing healthcare to the young who have lost their jobs and their health insurance and who may have a curable condition, or a trauma patient, that with time and rehab, will be productive again.
Palliative-care senior specialist