Newspaper article Pittsburgh Post-Gazette (Pittsburgh, PA)

How Do They Sleep?

Newspaper article Pittsburgh Post-Gazette (Pittsburgh, PA)

How Do They Sleep?

Article excerpt

I am one of those people who believes that if you have something that isn't working as it should be, then we should try to fix it, not toss it into the waste bin unless we have a better working replacement. I say this in response to the Commonwealth Foundation's Elizabeth Stelle and her letter "Medicaid Is High Cost for Low Quality" (Dec. 2), in which she trashes Medicaid health care for the poor.

I am not so sure that her baseline assumptions about the program's lack of success are totally on target.

When she states that adult Medicaid patients, as contrasted with the uninsured, are three times more likely to go to an emergency room for care, perhaps part of the reason is her earlier statement that one out of three doctors won't take new Medicaid patients. If they can't find a primary care doctor to see them and they are ill, and if Medicaid will cover an ER visit, what choice would they have?

If uninsured, they may wait longer to go, worrying about how they will possibly pay the bill. …

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