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Georgia Gov. Nathan Deal.
Georgia Gov. Nathan Deal, a former Replican member of Congress, has a plan to reduce health care costs: Changing federal law to allow hospitals to turn people away from emergency rooms.
“If they really want to get serious about lowering the cost of health care in this country, they would revisit another federal statute that has been there for a long time,” Deal told a crowd of dozens at a University of Georgia political science alumni gathering.  “It came as a result of bad facts, and we have a saying that bad facts make bad law.”
There's no question that in many situations, emergency rooms are an extremely inefficient way of delivering care, but the problem hasn't been that ERs are open to anyone, it's been that there haven't been other options. And Deal, who not only has refused to expand Medicaid in Georgia but also wants to repeal Obamacare, is staunchly opposed to providing those other options.

In Deal's dream world, he'd kick lower-income people off Medicaid, force people in the individual insurance market to go back to junk coverage, and erect moats around hospital emergency rooms. But he's against Obamacare, because Sarah Palin once said something about death panels.

Originally posted to Daily Kos on Wed Feb 26, 2014 at 09:40 AM PST.

Also republished by Kos Georgia.

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Comment Preferences

  •  This fool assumes that he and his family won't (19+ / 0-)

    ever be left to die outside an emergency room in his Beyond Thunderdoom dreamworld.

    You have exactly 10 seconds to change that look of disgusting pity into one of enormous respect!

    by Cartoon Peril on Wed Feb 26, 2014 at 09:46:18 AM PST

    •  If his wealth ever does fail him I think he's (13+ / 0-)

      counting on having his cronies to fall back on. Georgia is becoming more and more of a two tier society, from HOT (toll) Lanes on the highways, to Delta's new SkyMiles programs which will be based on the amount of money spent rather than the number of miles flown. As Jeff Robertson, VP of Delta's SkyMiles says, "We'd like to provide more benefits to our premium customers."

      In this way, people with money will in no way be inconvenienced by people without money. Isn't that special.  

      Rep. Alan Grayson from our neighbor to the south had it right. Don't get sick. If you do get sick, die quickly.

      "The object of persecution is persecution. The object of torture is torture. The object of power is power. Now do you begin to understand me?" ~Orwell, "1984"

      by Lily O Lady on Wed Feb 26, 2014 at 09:56:42 AM PST

      [ Parent ]

      •  Oh please. (0+ / 0-)

        Delta's new SkyMiles program is now a political issue?

        Loyalty programs have always been about rewarding the most loyal customers. They've just changed to metric to something more sensible. People who had spent a lot of their money on an airline and were unable to get access to rewards would have regarded the old system as more unfair. (What is a "mile," anyway?) Somebody's ox gets gored, but that doesn't make this rise to the level of healthcare or food stamps. Sheesh.

        People with more money get to buy more things. Let's not dispute that. Let's stick to the real issues: 1) More people need access to jobs and the ability to earn money, and 2) Money should not also bring extra political influence.

        If you don't stick to your values when they're tested, they're not values. They're... hobbies. -- Jon Stewart, Jan. 22, 2009

        by pat208 on Wed Feb 26, 2014 at 11:15:51 AM PST

        [ Parent ]

    •  Delta has loudly decried discriminating against (7+ / 0-)

      gays as a bad business move, but they have no problem discriminating against people based on wealth. It's not personal, it's business.

      "The object of persecution is persecution. The object of torture is torture. The object of power is power. Now do you begin to understand me?" ~Orwell, "1984"

      by Lily O Lady on Wed Feb 26, 2014 at 09:58:58 AM PST

      [ Parent ]

      •  I don't rule out a racial component to this, the (3+ / 0-)
        Recommended by:
        Lily O Lady, cany, Aunt Pat

        popular image of welfare freeloaders usually involves persons of color.

        You have exactly 10 seconds to change that look of disgusting pity into one of enormous respect!

        by Cartoon Peril on Wed Feb 26, 2014 at 10:01:49 AM PST

        [ Parent ]

        •  It's a toxic brew of ugly no matter (2+ / 0-)
          Recommended by:
          Aunt Pat, Cartoon Peril

          how you stir it. I just can't stand the man. even when he does do something right because I know what he's capable of.

          "The object of persecution is persecution. The object of torture is torture. The object of power is power. Now do you begin to understand me?" ~Orwell, "1984"

          by Lily O Lady on Wed Feb 26, 2014 at 10:08:19 AM PST

          [ Parent ]

        •  Indeed. It's just covert. (4+ / 0-)

          The best our side can do is to get out the vote. Even in So. states because, at this point, people don't seem willing to discard their discriminatory beliefs.

          I often ask myself in cases like this what MLK might do. He'd organize, wouldn't he?  Wouldn't he hold clinics to get those IDs?  Wouldn't he make sure everyone went to vote and everyone raised their voices?

          If we do nothing, tempting as that might be to people like me who are outsiders, more people will suffer and die. They need a strong voice to follow, one they believe in.

          I don't know who that is, but I wish they would step forward really soon.

          202-224-3121 to Congress in D.C. USE it! You can tell how big a person is by what it takes to discourage them. "We're not perfect, but they're nuts."--Barney Frank 01/02/2012

          by cany on Wed Feb 26, 2014 at 10:11:02 AM PST

          [ Parent ]

    •  Hi CP (0+ / 0-)

      I hope you have been able to come up with a decent option for a new health plan. I have been thinking of your diary.

  •  typical f***ing Republican. (13+ / 0-)

    Let's start with HIS family. These fuckers really need to feel the effects of the punitive bullshit they propose.

    ... all that oration sounds like capitulation now.

    by Darwinita on Wed Feb 26, 2014 at 09:46:21 AM PST

  •  In WHAT universe does this make sense? (17+ / 0-)

    We have a hard enough time keeping our citizens healthy, and an even harder time getting them health care in a timely manner when they are uninsured and health issues crop up (as they always do).

    Is Deal subliminally cribbing from Alan Grayson's read on The Republican Health Care Plan?

    "Don't get sick, or Die Quickly"

    His comments are ABSOLUTELY DISGUSTING!

    America's LAST HOPE: vote the GOP OUT in 2014 elections. MAKE them LOSE the House Majority and reduce their numbers in the Senate. Democrats move America forward - Republicans take us backward and are KILLING OUR NATION!

    by dagnome on Wed Feb 26, 2014 at 09:46:27 AM PST

  •  The problem is that when people say things like (10+ / 0-)

    this (i.e. we should let people bleed to death outside a hospital) we debate with them intellectually, when what they actually deserve is a good ass kicking...and I don't give a shit if people say that's violent. You're not going to convince brainwashed political ideologues or sociopaths to have some compassion. At least you can delivery some moral righteousness to them with a foot in the ass.

    Just doing my part to piss off right wing nuts, one smart ass comment at a time.

    by tekno2600 on Wed Feb 26, 2014 at 09:47:35 AM PST

  •  What a charming guy! (9+ / 0-)

    A real deep thinking, compassionate man.
    Up for sainthood, no?

    If I ran this circus, things would be DIFFERENT!

    by CwV on Wed Feb 26, 2014 at 09:48:34 AM PST

    •  Exactly! (5+ / 0-)

      This has been the Republican fallback position: weirdly, they're against anything else being doled out "for free" (N.B.: read the fine print), but they imagine that there is a health care utopia where people can turn up on the emergency room doorstep, declare themselves indigent, and then collect their 'free' health care.

      Like the bill collector won't totally be knocking on the putative patient's door a month or so later.

      Now, of course, Republicans want to close the one loophole that even they themselves used as their last line of defense for explaining what poor people should do to get access to health care. And of course, it's done in a classically Republican way, which is to say, a Dickensian way.

      Nothing requires a greater effort of thought than arguments to justify the rule of non-thought. -- Milan Kundera

      by Dale on Wed Feb 26, 2014 at 10:00:19 AM PST

      [ Parent ]

    •  Apparently the Mitt-Deal 2016 ticket is off (0+ / 0-)
  •  This has always been my fear. (10+ / 0-)

    If we can't get the Medicaid expansion, then hospitals are under extreme pressures from having to treat the uninsured.  So obviously for the sociopaths in the GOP the solution is to allow ERs to turn people away!  

    Doesn't Deal remember the scandals that caused even St Ronald Reagan to support laws against patient dumping?  Probably not.

    This is disgraceful and lays bare the callousness and lack of humanity at the core of today's GOP.  What an irony that so many if them consider themselves "Christians". But they never read Matthew.

    Don't bet your future on 97% of climate scientists being wrong. Take action on climate now!

    by Mimikatz on Wed Feb 26, 2014 at 09:49:25 AM PST

    •  Gives a whole new spin on the Parable of (1+ / 0-)
      Recommended by:

      the Good Samaritan. Just pass by on the other side because it's too expensive to help just anybody.

      "The object of persecution is persecution. The object of torture is torture. The object of power is power. Now do you begin to understand me?" ~Orwell, "1984"

      by Lily O Lady on Wed Feb 26, 2014 at 10:13:18 AM PST

      [ Parent ]

  •  I've been waiting for this one. (7+ / 0-)

    I have considered it a matter of time before they "fixed that little problem" as a way to solve high health care costs: "we just don't treat people who don't have health insurance. No more free health care." Yessiree.  Looks like as good a time as any to agree with Deal that the high cost of emergency care for the uninsured is a serious problem. That's the reason we're sure he'll agree to Medicare for all.

    "Whenever a fellow tells me he's bipartisan, I know he's going to vote against me."-- Harry S. Truman

    by irmaly on Wed Feb 26, 2014 at 09:49:39 AM PST

  •  Georgia churches should be creaming this guy. (5+ / 0-)
    Recommended by:
    tekno2600, catwho, cany, aitchdee, TomFromNJ
  •  just when you thought repubs could go no lower (6+ / 0-)

    they bring up a new way to kill off their opponents.
    this isnt really a repub vs demo thing though, it's a rich vs poor thing. the poor are the enemy.

    it's just that the repubs are truly representing the rich a lot more than the dems

    every time i think i hang around here too much, i remember why i do come here.
    stories like this, it just encourages me to do more than vote.

  •  How about a dual entrance. ER / Mortuary. (11+ / 0-)

    Those with insurance to the left and those w/o insurance to the right.

    Now they have the 2nd (safety net for sloppy) Amendment, and can't be infringed to actually treat their gun like a gun and not a video game controller.

    by 88kathy on Wed Feb 26, 2014 at 09:51:39 AM PST

    •  Hospitals of the future (2+ / 0-)
      Recommended by:
      88kathy, Lily O Lady

      No mattresses.  Families provide mattresses (for the antique hospital beds) and blankets, do patient's laundry.  

      No patient rooms.  All care is done in crowded hallways with rickety beds stacked end on end.  Families sleep under the beds as there is nowhere else to be near their loved-one.

      No food.  The family provides the food, feeds the patient.

      No medicine.  Doctors write the Rx, families obtain the medicines (if they can, if they are even available), learn how to administer them.

      Few nurses.  Families learn how to bathe and care for          bedbound patients.  

      Bribes help, if you could slip some money to the administrator, you may get permission to hang some plastic wrap to isolate patients from raging nosocomial infections.

      Actual examples of hospitals in third world countries: The Coming Plague by Laurie Garrett.

  •  Paging Alan Grayson (4+ / 0-)
    Recommended by:
    tekno2600, JeffW, Lily O Lady, TomFromNJ

    "Don't Get Sick.  And if you do get sick, die quickly."

    "If you are cast on a desert island with only a screwdriver, a hatchet, and a chisel to make a boat...go make the best one you can. It would be better if you had a saw, but you haven't." T.Roosevelt on politics.

    by NCJan on Wed Feb 26, 2014 at 09:51:42 AM PST

  •  How dare he speak ill of Reagan (7+ / 0-)

    After all it was Reagan who came up with that idea of not turning away people from the ER.

    I have a better idea though, how about the people of Georgia boot his dumb heartless ass out of office, strip him of his pension, him and his family's healthcare and any and all perks from teh evul gubmint that would normally go his way.  Then when he gets ill, turn him away from the ER and let the fucker die.  

    This is your world These are your people You can live for yourself today Or help build tomorrow for everyone -8.75, -8.00

    by DisNoir36 on Wed Feb 26, 2014 at 09:51:45 AM PST

  •  Perhaps they could just toss the bodies (8+ / 0-)

    of accident and heart attack victims without cash or valid insurance on the front lawn of the hospital. This would motivate all others to go out and get rich immediately. In the case of children, they could just go pick different parents.

    We have only just begun and none too soon.

    by global citizen on Wed Feb 26, 2014 at 09:52:36 AM PST

  •  "Don't Get Sick, Or Die Quickly" (4+ / 0-)
    Recommended by:
    88kathy, a2nite, JeffW, Lily O Lady

    Alan Grayson presented the Republican healthcare plan years ago. They haven't changed it.

    "When the going gets weird, the weird turn pro." - HST

    by DocGonzo on Wed Feb 26, 2014 at 09:53:13 AM PST

  •  As a Georgia resident (11+ / 0-)

    I can testify the Governor Deal is an idiot and a moral pygmy.  He resigned Congress to avoid an ethics investigation and is in hot water for ethics violations as GA governor.  Hopefully the ethics problems will blossom during the Fall campaign and we can replace him with Jason Carter.

    Reporting from Tea Bagger occupied America

    by DrJohnB on Wed Feb 26, 2014 at 09:54:46 AM PST

  •  How does a jack ass like this (4+ / 0-)
    Recommended by:
    live1, tekno2600, JeffW, Greenfinches

    get into public office. In a decent society he would not have a chance in hell of ever getting his voice even heard. Today GOP the party of hate and that is on a good day.

    Dogs and Philosophers do the greatest good and get the fewest rewards (Diogenes)

    by Out There on Wed Feb 26, 2014 at 09:55:09 AM PST

  •  If I were a doctor I'd seriously consider (3+ / 0-)
    Recommended by:
    Aquarius40, tekno2600, JeffW

    not treating Nathan Deal if he came into my practice or my hospital. Assholes like this think health care is a privilege, not a right.

    And is this Governor up for re-election? The ads write themselves.

  •  Sit out on the curb (5+ / 0-)

    maybe you will get better.

  •  This is the guy that stranded Georgia drivers (5+ / 0-)

    on Atlanta highways, rather than warn them of storm conditions. Apparently, he likes an egg facial once a week.

    "I'm gonna dance between the raindrops"

    by IB JOHN on Wed Feb 26, 2014 at 09:56:21 AM PST

  •  Actually the reason health care costs are too high (3+ / 0-)
    Recommended by:
    a2nite, tekno2600, JeffW

    is because when farts like him get really ill then theyre all for the gummint spending millions of dollars to keep their worthless asses alive for a few more months while they pray to Jeesus for being such worthless shits their entire lives.

  •  Raw Deal... n/t (2+ / 0-)
    Recommended by:
    tekno2600, Lily O Lady

    Float like a manhole cover, sting like a sash weight! Clean Coal Is A Clinker!

    by JeffW on Wed Feb 26, 2014 at 10:01:38 AM PST

  •  Awesome! (2+ / 0-)
    Recommended by:
    tekno2600, Greenfinches

    Because letting people die on the curb cost nothing.


  •  He should know that even rich people, (2+ / 0-)
    Recommended by:
    a2nite, tekno2600

    or loved ones of rich people, can fail a wallet biopsy if they lose their wallet.

    Fry, don't be a hero! It's not covered by our health plan!

    by elfling on Wed Feb 26, 2014 at 10:02:11 AM PST

  •  Can these Rs get more cartoon-villainish? nt (3+ / 0-)
    Recommended by:
    tekno2600, Lily O Lady, aitchdee
  •  Hooray! (0+ / 0-)

    Finally! A politician FOR assisted suicide!!
    Wait, what? That policy suggestion didn't accompany this abomination? So don't just die, but go suffer and die slowly?
    Just when I thought I couldn't be more pipped to Republicans...

  •  And surround ERs with drones. (0+ / 0-)

    Oh, wait, there's no money for that.

    I'm not always political, but when I am I vote Democratic. Stay Democratic, my friends. -The Most Interesting Man in the World

    by boran2 on Wed Feb 26, 2014 at 10:05:35 AM PST

  •  Many Americans are conditioned to overuse (2+ / 0-)
    Recommended by:
    live1, aitchdee

    the ER through lack of health insurance. Who among us has not known someone with chest pain or other potentially lethal problems who has avoided seeking care?

    Under our corporate law, a person can only have one medical bill bankruptcy. After that, there goes your house.

    Right now with no new Medicaid patients being accepted in my city of 55K, the only two places who will see the surge in these patients is the county health department and the ER.

    The Regressives are all heart, eh?

    We have it within our power to make the world over again ~ Thomas Paine

    by occupystephanie on Wed Feb 26, 2014 at 10:08:44 AM PST

  •  Huh. (0+ / 0-)
    ...a former Replican member of Congress...
    He's a replicant?!!  No wonder he's held those positions.

    I'm not always political, but when I am I vote Democratic. Stay Democratic, my friends. -The Most Interesting Man in the World

    by boran2 on Wed Feb 26, 2014 at 10:08:48 AM PST

  •  A Mother's Joy (2+ / 0-)
    Recommended by:
    live1, aitchdee

    His mother must be so proud of Nathan today.  The apple of her eye has become an amoral sociopath.

  •  What a great idea! Another cracker Republican (1+ / 0-)
    Recommended by:

    with cracked plan.

  •  How about market-based organ swapping for (3+ / 0-)
    Recommended by:
    Lily O Lady, aitchdee, foresterbob

    healthcare services? Can't pay for your heart operation? We'll just take that extra kidney of yours. The trouble is, somewhere out there is a Republican who actually doesn't know this is snark and says "what a good idea."

    Just doing my part to piss off right wing nuts, one smart ass comment at a time.

    by tekno2600 on Wed Feb 26, 2014 at 10:10:39 AM PST

  •  Once again, Alan Grayson seen to be prescient: (4+ / 0-)

  •  Not taking up for the guy (0+ / 0-)

    But as I have mentioned before, I know quite a few people, as liberal as I am or more, who have not signed up for insurance under the ACA.

    About half are poor and just have not made themselves set down and do it.

    About half making more than me but who see premiums lower than what I pay as "a waste of money" because they are well and can pay most of their minor health care expenses out of pocket, and are planning instead just to pay the fine and go without.

    Now I, and they know if something really bad, or unforseen happens they can still get treatment or even sign up when they are sick since they can't be denied for a preexsisting condition.

    So somebody like me who pays for insurance, and saw how much dems sacrificed to pass this law so people could get insurance, while I would never want to deny people treatment even if they personally made the choice or were too lazy to sign up for the ACA , I think about how quick those people would sign up if their decision would be potentially life threatnening.

  •  Deal and his enablers (3+ / 0-)
    Recommended by:
    Lily O Lady, aitchdee, Ahianne

    in the state legislature are determined to turn Georgia into a third-world state.

    The thing I cannot understand (not being rich and greedy):

    In what way does making life worse for others improve the lives of the rich?

    Those whose lives are already comfortable should be happy to see others improve their own lives. Instead, we have all these rich and powerful people who want more for themselves and less for everybody else.

  •  ...and remember everyone... (0+ / 0-)

    GOP = Party of the Father, Son, and the Holy Ghost, and all that is good and decent in His sight.

    Democrats = Evil, Godless, Satan-Worshpping Communo-Fascist Subhuman Mongrels.

    Message to Dems: We HAVE to start showing up for Midterms.

    by Jank2112 on Wed Feb 26, 2014 at 10:14:49 AM PST

  •  Any new OR/ER data? (0+ / 0-)
    the problem hasn't been that ERs are open to anyone, it's been that there haven't been other options
    I thought that the best available evidence on this, the OR study on ER use, showed that even with options, ER use increased among the insured. Is there any contrary evidence that would support Lewison's claim here?
    In 2008, Oregon initiated a limited expansion of a Medicaid program for uninsured, low-income adults, drawing names from a waiting list by lottery. This lottery created a rare opportunity to study the effects of Medicaid coverage by using a randomized controlled design. By using the randomization provided by the lottery and emergency-department records from Portland-area hospitals, we studied the emergency department use of about 25,000 lottery participants over about 18 months after the lottery. We found that Medicaid coverage significantly increases overall emergency use by 0.41 visits per person, or 40% relative to an average of 1.02 visits per person in the control group. We found increases in emergency-department visits across a broad range of types of visits, conditions, and subgroups, including increases in visits for conditions that may be most readily treatable in primary care settings.
    •  Saw this 30 years ago (1+ / 0-)
      Recommended by:

      The RAND health insurance experiment found that lower income people who had insurance (thanks to the experiment) used the emergency department more than upper income people with comparable insurance.
      O'Grady, K.F., Manning, W.G., Newhouse, J.P., Brook, R.H., "The Impact of Cost Sharing on Emergency Department Use" N Engl J Med, August 22, 1985, 313, pp. 484-490.
      Location and provider discretion affect where people seek care.  
      Regarding the sciencemag article, just because you have Medicaid doesn't mean you can find a private practice doctor who will see you.  Some years ago, a colleague and I did an evaluation of a Medicaid-funded program for enhanced case management for schizophrenics.  One of the case managers' duties was to find a primary care physician for each patient.  Case managers told us that they had to beg physicians to accept these Medicaid patients.  I mean that literally.  One told me that she got down on her knees before a doctor to get him to take her patient.

      •  Then the unwelcome conclusion (0+ / 0-)

        is that providing health insurance will not result in cost-savings from decreased use of the emergency room, other options notwithstanding. Not good.

        •  Providing health insurance gives more access ... (0+ / 0-)

          ... so total spending has to go up, other things equal.  Sick people getting health care!  It's not unwelcome.  It's what we want!
          Savings (reductions in the growth of spending) can come thanks to having a standard for health insurance.  This gives us a lever for reducing excessive payments and improving the coordination of care.  To read about the potential savings, especially the opportunities for reducing the need for emergency medicine, which would address your concerns, please see Atul Gawande, "The Hot Spotters," The New Yorker, Jan. 24, 2011.
          Of course, putting everybody on Medicare or Medicaid would get us there faster.  

  •  Well, they're getting there. (2+ / 0-)
    Recommended by:
    aitchdee, foresterbob

    At least in terms of coming up with an honest -- albeit ultimately cruel and horrifying -- alternative that's to the right of the ACA. But they need to go a couple of steps further.

    First, repealing EMTALA and merely allowing ER's to turn away patients (by no longer requiring them to treat all comers) might not have much of an impact, because a lot of them might continue to do it anyway, whether out of compassion or fear of liability. In other words, it won't prevent enough people who can't pay from getting treated, and passing the cost on to others,  to make a significant difference. You'd have to take the extra step of forbidding ER's from treating anyone without first ascertaining their ability to pay, but you can't really enforce that, so instead what you have to do is forbid patients from going to the ER or calling 911 if they can't pay, making it a federal crime to do so (or, on the state level, prosecute under theft-of-services statutes). You allow or require ER's and 911 call centers to set up gatekeepers to check incoming patients' financial information, and limit liability for negative medical outcomes caused by delays or errors in making financial determinations, particularly in time-sensitive circumstances.

    And that's not to mention the assumption, which one would have to make, that doing all this would cost less than simply providing emergency treatment to all who need it.

  •  Please continue, Governor.. (2+ / 0-)
    Recommended by:
    aitchdee, foresterbob

    None of us could hope to display the guiding values of your team better than key players like you!

    Keep filming....

  •  Still have those babies (2+ / 0-)
    Recommended by:
    aitchdee, foresterbob

    we are forcing you to have without Planned Parenthood, birth control and abortion, though. Have them at home or on the street, and don't you dare come to the ER when you or they get sick.

    We also don't want you to have any food, if you are hungry. You parasites!

    Go head, Georgia. You can pass this law and you can also pair up with the Arizona law so that hospitals can deny service to even those with health insurance, if they don't APPROVE of them.

    What a wonderful world...

  •  is Deal's middle name "BUM? it should be (1+ / 0-)
    Recommended by:
    Lily O Lady

    or maybe raw, bad , shady, crooked, fixed, or sorry

  •  Great CNN Article (0+ / 0-)

    I'm seeing more of these.

    Basically says that people can retire a little earlier (letting a younger person move-up) or quit their job to form a start-up company and still have affordable health insurance.

    Imagine that! Who would have thought that possible?

  •  His argument is a red herring (3+ / 0-)
    Recommended by:
    ItsSimpleSimon, aitchdee, foresterbob

    He talks about, "excessive costs associated with unnecessary visits to the emergency room.” but by statue EMTLA requires care be administered to those whom are deemed to be a medical emergency defined as:

    ""a condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in placing the individual's health [or the health of an unborn child] in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of bodily organs.""

    An ER physician would have the authority, through medical screenings to make that determination, and Deal infers this as "unnecessary"??

    Additionally the ETMLA applies to "participating hospitals" defined in part as any hospital that accepts medicare funding. SO in essence the government is saying if you accept money from us, you better make sure you treat patients who require emergency(as defined by medical screenings that are already used) to those who come through your doors before you make hem open their checkbook first.

    Despite the problems that some hospitals face with uncompensated care (which the medicaid expansion was designed to help alleviate) I can be darn sure that most hospitals are not going to want to give up the Medicare money.

    This was a bipartisan law that passed with Ronald Reagan's signature.  imo this is just an attempt to shirk partial culpability for the string of georgia hospital closures lately(which some blame at least in part upon his decision not to expand medicaid in his state)

  •  CNN ..... Please Move ! (0+ / 0-)

    I wish CNN would consider moving out of Atlanta.

    Or at least relocating a significant PART of it's operation out of that conservative Repugnant-can hell hole.

    Why the network continues to operate in a GOP controlled, politically stagnant and socially backward state like Georgia is puzzling.

    Better yet, why can't wealthy Democrats, (yes there are some, such as Soros and Stephen Spielberg), put in a bid for CNN.

    Come on, Al Gore. Help us with this. You got a bundle of money when you sold your stake in in that station to the Al Jazeera network. What did you did with all that money anyway ? Did you do some GOOD with it.

    I hope you didn't commit it all to environmental causes. Because unless we have some change of political leadership in Washington FIRST, there will be no meaningful action by Congress on climate change.

    Where are you Mr. Gore ? You seem to be Missing In Action when it comes to helping the left in this country regarding getting our message across with a major media purchase.  

    "Love Is Why We're Here"

    by Paniolo Joe on Wed Feb 26, 2014 at 10:44:54 AM PST

  •  One way to reduce healthcare costs... (1+ / 0-)

    ...but increase funeral costs

    We have no desire to offend you -- unless you are a twit!

    by ScrewySquirrel on Wed Feb 26, 2014 at 10:49:55 AM PST

  •  It is not a problem because it is not a fact, but (0+ / 0-)

    another sorry-assed RW meme:

    but the problem hasn't been that ERs are open to anyone, it's been that there haven't been other options.

    That, in its essence, is fascism--ownership of government by an individual, by a group, or by any other controlling private power. -- Franklin D. Roosevelt --

    by enhydra lutris on Wed Feb 26, 2014 at 11:00:45 AM PST

  •  Everyone but Righties should die (0+ / 0-)

    Are these really human beings?  Such lack of compassion only,proves what disgusting folks they are.  You can put lipstick on a pig but it's still a pig.  They can quote Leviticus until they all drop dead but they will never be welcome in Heaven.  Alan Grayson said it the best of all.  That is why they got him out once and are trying to do so now.  Such wicked,rotten to the core sub humans.  They are the real mongrels of life.  May they all suffer long,and hard.  Take this morons insurance away and every hospital refuse to admit him and his family.  That's what they need,a really,rude awakening.

  •  "Replican!" is that new, a Jedism if you will? (0+ / 0-)

    Hadn't seen that before.  I really really like it!

    "Well, yeah, the Constitution is worth it if you succeed." - Nancy Pelosi, 6/30/07 // "Succeed?" At what?

    by nailbender on Wed Feb 26, 2014 at 11:21:31 AM PST

  •  WHAT? (1+ / 0-)
    Recommended by:
    Lily O Lady

    Just last year the Heritage Foundation (Jim Demint) said uninsured Americans “will get better health care just going to the emergency room.”  And now those same conservatives want to change Federal Law to prevent it?  Morons.

  •  An alternate plan (0+ / 0-)

    If I were to propose the alternate plan of dragging Deal into the street (one of those streets named Peachtree, I guess) and clubbing him to death, would that plan be more or less radical than the plan Deal proposes?

    If you object that my plan is horrific, grossly inhumane, lawless and unjust, well, those are all valid points, but at least my plan has this going for it compared to Deal's, that it won't involve the slaughter of nearly so many people as Deal's.  

    The states must be abolished.

    by gtomkins on Wed Feb 26, 2014 at 05:51:25 PM PST

  •  Deal is making good on his promises. (0+ / 0-)

    He has cut healthcare for state employees and teachers and support staff of local schools. By diverting funds and only allowing one company to be in on final bid, he basically provided junk insurance this year. It didn't take employees long after January 1 to find out what a "raw Deal" they had received. If you want to see examples of people begging for prescription coverage, pregnancy coverage, and previously approved surgeries now denied just check in on the facebook group "T.R.A.G.I.C." The group is over 14,000 in just 2 months and forced Deal to make some minor tweaks to coverage this year, but he even seems to be backpedaling on this. We are not waiting for the election in November. Our goal is to vote him out in the primary and have an election in November between two candidates who will listen to constituents. A lofty goal, to be sure, but with 650,000 angry employees, maybe we can get enough of them to vote together in the primary to make a difference.

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