Saturday, September 22, 2007

EM for Immigrants?

The immigrant debate seems to have crashed into Emergency Medicine coverage for the uninsured. This NYT article got me thinking:

U.S. Rule Limits Emergency Care for Immigrants

With healthcare costs skyrocketing, why should we provide chemotherapy, expensive experimental medications, transplants, etc. that definitely aren't critical emergencies to foreigners without insurance? I think that it is a lot to ask Americans that are going broke trying pay for healthcare costs and medical insurance.

Equally troubling is what coverage we as taxpayers should shoulder for children born here from illegal immigrants. Tetralogy of Fallot is a life long condition that typically several heart surgeries. As a chronic condition, I don't think treatment should be automatically provided. However, withholding ongoing treatment can lead to more expensive and traumatic treatment for acute emergencies.

No easy answers, but heart chemotherapy for illegal alien may mean dozens of poor kids don't get regular care, including immunizations and other preventative measures.

No comments: