So obvious it hurts.
The working poor have been trained to go to the doctor’s office less and to the emergency room more. Besides, when you feel crappy, you don’t want to make an appointment with a doctor’s office and go through that rigmarole of “does my insurance cover this”, how much is the co-pay, how late is the doctor running, this is going to take about 3-4 hours out of my day probably, and in the end I don’t know if I’m going to get fixed, I only know that I’m getting a brief consultation. When you feel crappy you want to go where you’re going to be proactively seen and diagnosed, and probably set up with a course to recovery; guess what, that’s what the emergency room does, in spades. And the ER can’t turn you away, even if you don’t have insurance, regular or Obamacare. Even if you’re referred to another doctor from the ER, at least you know what to do, and if you can’t afford the ridiculously overpriced care, you try to get aid, or simply don’t pay it, because you don’t need to worry much about your credit report. Cheap rent, used cars, overpriced car insurance which gets dropped often, cell phones that get changed often with different numbers each time… all of it creates an underclass by gov’t regulations meant to make things better.
The movie Elysium, but right here on Earth.
Who’d a-Thunk It?
Here’s the opening paragraph of a report in today’s New York Times – a report titled “Emergency Visits Seen Increasing With Health Law”:
Supporters of President Obama’s health care law had predicted that expanding insurance coverage for the poor would reduce costly emergency room visits because people would go to primary care doctors instead. But a rigorous new experiment in Oregon has raised questions about that assumption, finding that newly insured people actually went to the emergency room a good deal more often.
And a few paragraphs down:
The findings cast doubt on the hope that expanded insurance coverage will help rein in emergency room costs just as more than two million people are gaining coverage under the Affordable Care Act. And they go against one of the central arguments of the law’s supporters, that extending insurance to large numbers of Americans would reduce emergency room use, and eventually save money.
In remarks in New Mexico in 2009, Mr. Obama said: “I think that it’s very important that we provide coverage for all people because if everybody’s got coverage, then they’re not going to the emergency room for treatment.”
The study suggests that the surge in the numbers of insured people may put even greater pressure on emergency rooms, at least in the short term. Nearly 25 million uninsured Americans could gain coverage under the law, about half of them through Medicaid. The first policies took effect on Wednesday.
“I suspect that the finding will be surprising to many in the policy debate,” said Katherine Baicker, an economist at Harvard University’s School of Public Health and one of the authors of the study.
Indeed. People do not typically behave in the ways that ‘men of system’ – equipped as they always are with grand plans the parts of which are strung together with rococo chains of reasoning – assume that they will behave.
via Who’d a-Thunk It?.