Monday, August 17, 2009

Healthcare and undocumented immigrants: What about EMTALA?

Photo used under Creative Commons from brykmantra.

As we have stated before, undocumented immigrants are not eligible for federal welfare benefits like Medicaid. Ah ha! Some may say, what about EMTALA? EMTALA is the Emergency Medical Treatment and Active Labor Act of 1986. According to the United States Department of Health and Human Services:

In 1986, Congress enacted [and President Ronald Reagan signed] the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are then required to provide stabilizing treatment for patients with EMCs. If a hospital is unable to stabilize a patient within its capability, or if the patient requests, an appropriate transfer should be implemented.

EMTALA also does not allow a hospital to refuse otherwise eligible emergency treatment because of someone's citizenship or immigration status. EMTALA was passed without funding, however, and states complained that it was an "unfunded govermental mandate." As a result, Congress passed the Medicare Modernization Act of 2003 (MMA). The MMA does provide $250 million dollars per year to reimburse hospitals for their unrecoverable costs for emergency care to undocumented immigrants under EMTALA.

It is important to remember that EMTALA was designed to prevent "patient dumping" from private hospitals to public ones. It was not designed as immigration legislation. It was a public policy decision that Congress and President Reagan made. They did not want any patients- U.S. citizens or otherwise-to be refused emergency medical care because of an inability to pay. EMTALA does not provide health insurance for illegal immigrants. EMTALA was enacted to keep patients from dying because of they had no insurance or money to pay for treatment.

So if both Joe Illegal and Joe Citizen are in a car wreck and need emergency care, the hospital is not going to let them die in the waiting room while they verify their immigration status and credit rating. It is correct to say that there are costs associated with EMTALA but according to the Kaiser Family Foundation, all immigrants, including the undocumented, were less likely to visit the emergency room of a hospital than their citizen counterparts.

So once again, please remember that illegal immigrants are not eligible for federal welfare benefits. All people in the United States, regardless of immigration status, are covered under EMTALA.



34 comments:

  1. Thank you for saying this so clearly. The news, even MSNBC, have not explained that, by law, hospitals have been providing medical care for illegal aliens since 1986. And that this comes out of the Ronald Reagan Administration and Congress with EMTALA. This has nothing to do with current healthcare reform.
    Are the Republicans willing to say they want people to die in the street?
    The fact that Ronald Reagan didn't want that to happen could soften some hearts and change some minds. That is an important message.

    ReplyDelete
    Replies
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  17. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura visit his website https://drsakurahealthclinic.wixsite.com/website or the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me  or whatsApp  davidclara223@gmail.com +1(440)359-4106  .....

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  19. FINALLY FREE FROM HERPES VIRUS
    I thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhota cure them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Ebhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus

    ReplyDelete
  20. My health was horrible before I decided to try the Protocol Of taking Dr. Omola pure herbal mixture. I felt there was no hope for my health and I was to try the Protocol, thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by a Instagram friend to try the herbal medicine because I wanted to get rid of Herpes virus. The herbal mixture that was given to me was really quick and easy to take, within 2 week i was fully cured from Herpes. The herbal medicine really work and I will like to share this great doctor contact with you all email him dr.omolaherbalhome@gmail.com or WhatsApp +2348118116254 you won't regret it, i promise.

    ReplyDelete
  21. FINALLY FREE FROM HERPES VIRUS
    I thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhota cure them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Ebhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus

    ReplyDelete
  22. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Robert Mary
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    ReplyDelete
  23. My brother David has been diagnose with HERPES for a little more than a year. He showed signs of it for close to three years and no Doctor was able to figure out what was wrong, until my sister whom he had been living with kept trying to bring him to each doctor ---- finally found a doctor who recognised almost immediately that he had HERPES. He has been taking medication that was made available to him only through a medical grant funding from those who have donated to the continuing research for a possible cure. He has slowed down in the progression, but without side affects. My hopes and prayers are that, you can HERPESo contact the Doctor for possible cure if you have HERPES or any relative suffering for same disease here is their contact is as follow. healthmedlab@gmail.com OR info@healthmedlabclinic.com  their Website: www.healthmedlabclinic.com

    ReplyDelete

  24. Greetings to the general public, i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Dr. Omola i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex whicmptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr. Omola cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, i am a free person now without problem, my HERPES result came out negative. I pray for you Dr. Omola God will give you everlasting life, you shall not die before your time for being a sincere and great man. Am so happy, you can also contact him if you have any problem, Email Address dr.omolaherbalhome@gmail.com or whatsapp or call him +2348118116254. thank me later.

    ReplyDelete
  25. I am here to give my testimony about Dr Ebhota who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by salami, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedies on HERPES and I saw comments of people talking about how Dr Ehbota cured them. When I contacted him he gave me hope and sent Herbal medicine to me that I took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so haas I am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Ebhota healing herbal cure of all kinds of sickness you may have like
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    (10)SIMPLEX HERPES AND GENITAL
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    ReplyDelete
  26. Finally I am free from herpes virus, with the help of Dr.Omola pure herbs, This Virus appeared at the age of 29, with no hope of a cure from the hospitals i have went to, I thought my life have come to an end, until a Facebook friend of mine told me about Dr. Omola who treats all Kinds of diseases including Herpes, I contacted him via his email: dr.omolaherbalhome@gmail.com, I explain everything to him so he ask for my home address, after telling me the cost of the herbal medicine so we agree at a particular price, he prepare the herbs and make delivery to me via FedEx delivery service they deliver the herbs to my door step, I drink the herbs as him instructed, I went for test in 3 different hospital and it was negative, today I'm free from herpes virus.
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    ReplyDelete
  27. I’m here to testify about what Dr. Omola did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 3 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday.This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of Mary on the internet testifying about a Man called Dr. Omola on how he cured her from 5 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,, Dr. Omola prepared and sent me Healing Oil, Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after four weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as Dr. Omola assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HBV, ALS, HBP, CANCER etc. you can contact Dr. Omola for help via dr.omolaherbalhome@gmail.com or whatsapp +2348118116254.

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  28. I am here to give my testimony about Dr Ebhota who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by salami, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Ehbota cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Ebhota healing herbal cure of all kinds of sickness you may have like
    (1) CANCER,
    (2) DIABETES,
    (3) HIV&AIDS,
    (4) URINARY TRACT INFECTION,
    (5) CANCER,
    (6) IMPOTENCE,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA
    (10)SIMPLEX HERPES AND GENITAL
    (11)COLD SORE
    HERPES. he also cure my friend from cervical cancer Email: drebhotasoultion@gmail.com or whatsapp him on +2348089535482

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  29. months ago I felt some pains and I went to the hospital my doc told me I had Herpes about 1 year ago and I need to start the treatment early, he gave me some medicine to be taking and I told him no I’ll not, because I hated taking medicine when I won’t not see cure for the purpose. After I got home I started getting worried searching for strong advice and I found valid natural treatment online a lot of people says they got herpes cure from DR ODUDU and I contacted DR ODUDU that same day I purchase his cure online, after three weeks of taking the herbal treatment i got cured totally. i tested negative all thank to DR ODUDU you can reach out to him through his email: [dr.oduduherbalhome@gmail.com ] or message him on WhatsApp +2348101571054 stay safe and bless you

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  30. Are you need a solution for male infertility like: AZOOSPERMIA, LOW SPERM COUNT, WEAK ERECTION, and PREMATURE EJACULATION? Look no further! Dr. Uduehi has the cure/remedy to any type of male infertility. It’s been 4 months since he cured me of azoospermia and my spouse is currently pregnant for me. I was diagnosed of Non‐obstructive azoospermia (NOA), which people believes it’s impossible to be cured or treated. But with Dr Uduehi’s medication, I got cured. I am expecting a baby anytime soon and I was introduced to the doctor by someone whom he treated of low sperm count. So, I deemed it fit to share my experience with the doctor to the general public and to give hope to those who don’t know who to meet for their problems. The doctor’s contact: (uduehiherbalcare@gmail.com) (+2347084878384)

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  31. Are you struggling hard from AZOOSPERMIA, LOW SPERM COUNT OR WEAK ERECTION? Contact Dr. Uduehi for a everlasting cure. I am 58 years old and he helped cure me for azoospermia when I thought all hope was lost. My wife and I have a child to call our own now with his help. I also know about other ailment he can cure when I contacted him. Reach out to him now for help through: (uduehiherbalcare@gmail.com) (+234-708-487-8384) or (+234-706-647-4917)

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