Emergency rooms become a “gateway” as the rural hospital crisis is getting worse

There is a health care crisis that is preparing in the heart of the country, as evidenced by A historical study Directed by the Rand Corporation in collaboration with the best national emergency doctors.

The study of the Arlington for non -profit research institute revealed that the emergency rooms (ER) are no longer the safety net, but the proverbial “gateway” of the American health system, in particular after a 1986 law, forcing the ERS to stabilize patients or to deliver babies to women in work, whatever their ability to pay.

This has led to instability and hospital closures through the heart, including in the states where a a dozen or more have closed, Like Texas, Oklahoma and Tennessee. States such as Virginia-Western, Pennsylvania, Carolines and Alabama have also been affected.

“This Rand study is the very first which indicates this crisis, namely that the emergency services and the care that patients receive in them are generally so essential that, in particular for the conditions sensitive to the time that patients can have, just the fact that you must travel as far as you may have, or even in some cases if a hospital is near Atlanta.

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“(I) n emergency medicine, we do high quality care sensitive to time as long as we have the resources to do so. And this study shows that we really have a brewing crisis here.”

Nearly $ 5.9 billion in emergency services are not remunerated each year, according to the study. Overcrowding and waves of violence against staff have exacerbated the problem.

Emtala, the aforementioned law, is essentially an unprecedented mandate in many cases, and the lack of funding for hospitals which deal with a large proportion of this unpaid care – which tends to fall into rural areas or poor neighborhoods in cities – leads to the double problem of higher patient volumes and more unprecedented patients.

Many hospitals outside the cities cannot fully explain the financing gap, said Pilgrim.

“The economy of the reimbursement of the care of doctors plays a huge role.

“Doctors will not go where they are necessary if there are not enough resources or reimbursement to attract them.”

Rural hospitals are paying characteristic less than high -end urban hospitals and have fewer local resources.

With the “higher than ever” hospital demand, all the above factors mean that help is necessary now.

Pilgrim said he had met HHS secretary Robert F. Kennedy, Jr. and other senior officials from the agency, to discuss the issue – and that Washington’s hope will be able to help.

“”Secretary Kennedy … did a good job by listening to what we said about the imminent crisis that would probably occur during this administration, “said Pilgrim.

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“And he was concerned about this because he could say that you cannot make patients in good health unless you have a healthy health system so that they are committed. So I am very encouraged that secretary Kennedy and his staff do to try to make a difference on the parts they control.”

He also said that Congress should act, in particular to because 10,000 Americans are 65 years old each day and are therefore eligible for Medicare, which presents a different environment from separate Medicaid.

“This is where we see more volume of patients, more complexity and much more clinical demand. But if the Medicare reimbursement does not follow this request, once again, you are in this vicious cycle where emergency services will be more at risk, starting with rural areas and badly served and to move forward from there.”

Some at the Congress have gathered to defend the problems related to health care, including the members of the Bicameral “Doctors Caucus”.

A member, the representative Greg Murphy, RN.C., is a Greenville urologist who has previously been chief of staff in a level I trauma center. “Congress cannot leave rural America,” he said.

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“The most important thing that the Congress can do is repair the reimbursements of health insurance to decrease rural suppliers and guarantee that health insurance companies do not play games with refused care and refused payments,” he said, pinning the decrease of 33% since 2001 if it is adjusted for inflation, “Murphy told Fox News Digital.

The legislator has added that many hospitals in its region do not have commercial payers as part of their sources of funding to help compensate for the losses of the Medicare and Medicaid amounts – and that all hospitals must also eliminate waste.

Pilgrim was also asked why Americans outside their hearts with more reliable emergency care should support additional funding or resources for miles from them.

“In a big city like Atlanta, if rural health care is not in good health and patients have to go elsewhere, they will end up ending up in your hospital … So spending a dollar elsewhere in addition to your own hospital if you are in a better place makes a lot of sense for you …”, he said.