bloggin' all things brownsville

Thursday, August 7, 2008

Hey! What's Up With That???!!!



This question was submitted July 31 to BATB email address hey.wuwt@gmail.com. Let's see if we can get some commentary going on this one.

~Melissa

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If people from Mexico can go to the hospital, get treated and released and are gone forever, then why do I have to pay if i go to the hospital? How do hospitals collect from people from Mexico?


Sincerely,

>>David Dierlam

14 Comments:

Blogger BobbyWC said...

They do not - I have been arguing for years that their visa should be revolked unless they make arrangements for payments and keep to the payments - even if only $10.00 a month

Bobby WC

Thursday, August 07, 2008  
Anonymous Anonymous said...

Our hospitals are going broke providing free medical care for ILLEGAL immigrants. Why don't we just open a free hospital in Mexico - and save them the trip.

Thursday, August 07, 2008  
Blogger Rob Nixon said...

It isn't just illegal imigrants or just mexican nationals not paying their bills and getting away with it. There are plenty of people that are US citizens that default on their medical bills.

In 2005, Texas hospitals posted a $10.2 billion loss in uncompensated medical care. They have to treat anyone who comes in the emergency rooms.

I had to take my wife to Valley Baptist two years back because she mistakingly took a medication she was allergic to. When we told them that we wanted to pay our bill before we left, the doctor's and administrator's jaws hit the floor. It took them an hour to find someone too get us our bill and take our payment!

Thursday, August 07, 2008  
Anonymous Anonymous said...

How do hospitals collect from people from Mexico?

The feds give the hospitals some pocket change out of guilt that they haven't fixed the immigration problem.

Ironically, since citizens and legal residents are subject to collection, some who don't have insurance sometimes go to an IMSS clinic in Matamoros.

Patricia A.

Thursday, August 07, 2008  
Anonymous Anonymous said...

David youtoo can get away with out paying. Just roll the "r" in your last name and chamfle your there. BTW i am latino and I agree with the gringos. I figure if they have thousands to pay a coyote they surely can pay the hospital. Horale wey paga tus biles.

Thursday, August 07, 2008  
Blogger Rorschach said...

That is an interesting comment on the illegals having money to pay the coyotes but don't have money to pay for their hospital bill here in the United States. Well, its basically the same thing in Brownsville with its Mexican American residents. Many own expensive homes and vehicles with very dark tinted windows and expensive rims and tires but I see their kids with dirty diapers, dirty clothes and hungry. They have money for unnecessary items but no money for basic necessities for their children. Also these people own all of this and they still receive welfare. Just pass by the government food store by Joe Colunga Street in Brownsville and see the types of vehicles these people arrive in. No, they are not junk vehicles, but expensive ones. Also the health care here in Brownsville is frightening. This town has seen an increase in "doctors" from India. Are they even real doctors? How do their patients know? Doesn't it feel strange how they all came from India to Brownsville. Forget big wealthy cities, lets go to Brownsville. Even doctors in Brownsville that have been educated in the US are pitiful.

Friday, August 08, 2008  
Anonymous Anonymous said...

Texas has the highest rate of uninsured citizens...fault them too!

Friday, August 08, 2008  
Blogger Rorschach said...

BobbyWC, shouldn't it be better to argue about the corruption and crime that has been going on for years in Brownsville instead of unpaid medical bills. All this crime is costing us a lot of money. Illegal aliens come and go, but undetected crime costs us more. For the person that said, "Why don't we just open a free hospital in Mexico - and save them the trip." How about making a hospital for uninsured US citizens here in Brownsville instead. Or a veterans hospital in Brownsville to save our war veterans a trip to San Antonio. To Rob Nixon, I guess its the uninsured people's fault for not having high paying jobs to purchase health insurance to cover their medical bills. Remember, Brownsville residents have to choose between acquiring health insurance or paying the rent, the utility bills and food. Guess which option they choose.

Friday, August 08, 2008  
Anonymous Anonymous said...

ROR u arre so right. I am a mexican AMERICAN and I agree with you. I am working class and drive a 2000 Malibu with hub caps i might add. I do not understand why people go buy these expensive rims and tires and pay $120 a week and yet live in the projects or might have a nice house and on foodstamps. Yes some of my people do take advantage of the system I guess they feel they are owed. I on the other hand feel I owe my county for all the grreat things it provides me and my family. We are all born hear including our parents and am very proud to say none of my siblings have ever gone on foodstamps, but it is great to know they are there if we ever need them. Til then I feel blessed to have lived in the greatest country in the world. Where even the dishonest people are given a helping hand. If these same folks would return their tires and rims we might just have a lot more resources for those that do indeed need them.

Saturday, August 09, 2008  
Anonymous Anonymous said...

Off topic: There's a Special Meeting of the City Commission on Tuesday, August 12.

Agenda

Patricia A.

Saturday, August 09, 2008  
Anonymous Anonymous said...

As a consumer, you can visit the CMS website and see the real cost of procedures in hospitals. Compare that cost to what is billed to your insurance company or employer if you enrolled in a a self-funded plan. It can be as much as 800% over cost. That translates to a 800% profit. Most employers contract with PPO's (Preferred Provider Organizations)for discounted reimbursements which have been negotiated between the provider and the PPO. When you ask the PPO for a copy of a contract which reflects these discounts, you are told you can't see it. One school district in the RGV were told recently they would save $1 million per year by contracting with one PPO over another. I for one do not believe that is true. In this case, this was a nationally known carrier with clients being the State of Texas, TRS and Federal Employees System. We have to ask ourselves, if hospitals are going broke and are having to treat so many Mexican Nationals with no payment, why would hospitals discount their rates to 60-70% to patients with insurance? This does not make sense. But, year after year counties, cities and school districts swallow it hook, line and sinker never even laying eyes on the acutual contract they agreed to enter into as a third party payor.

Monday, August 11, 2008  
Anonymous Anonymous said...

To the previous poster I do believe the difference in PPO rates/discounts. I have recently been hospitalized in another state and have a different insurance. The discounts are pitiful compared to when I had the previous carrier and a different PPO. Such as a 25000 bill being paid at 7000 last year this year an 18000 bill paid at 13000. PPO's do differ greatly.

Monday, August 11, 2008  
Anonymous Anonymous said...

PPO contracts are negotiated on a provider by provider basis. What may be a 10% discount on a procedure code at one provider, may be 30% for the provider down the street. PPO "A" may have better discounts on heart related procedures where PPO "B" may be better on cancer related procedures. When a network discount is evaluated on a employer group of 1,500 employees with $10 million in claims, the discount averages out due to variance in discounts on ALL procedure codes and all providers. There are four paying groups for hospitals. Medicare, Medicaid, uninsured and insured. Medicare and Medicaid are the lowest reimbursements. Hospitals may or may not get their money from the uninsured. That leaves the insured. Insured are guaranteed payment. Why would a hospital agree to discount their fees by 72% from a "guaranteed" source of income? What was the agreement with the PPO as far as setting the charges on the procedures? If a hospital agrees with one PPO to bill at $1,000 with a 50% discount, I owe $500. If the hospital agrees with the other PPO to bill at $1,500 with a 67% discount, I still owe $500. Fuzzy, fuzzy, math.

Tuesday, August 12, 2008  
Anonymous Anonymous said...

In my case they billed the same but the discounts were much different. I realize it is a case by case situation but still some even across the board are much better but when you are part of group insurance you take what you get.

Thursday, August 14, 2008  

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