Advice is cheap, take it from me. So here?s a tip for anyone who lives in Los Angeles. Or anyone who might soon be traveling to, near or through that city: Eat your vegetables, take your vitamins and whatever you do don?t get sick. Or injured. Or shot.
Why? Because it?ll soon be harder than ever to get the medical care you?ll need to survive.
Last month, officials announced two emergency rooms in L.A. County would close by the end of this year. That makes six shuttered facilities in the last two years. ?We cannot stand any more closures in an emergency system capacity in Los Angeles -- this system is on the brink of absolute chaos,? announced Jim Lott, executive vice president of the Hospital Association of Southern California.
We?re about to find out what?s beyond ?the brink.? This week, the county?s health services agency announced it would pull the ?trauma? designation at King/Drew Medical Center. Last year, that facility treated (or failed to treat, depending on your viewpoint) some 2,100 trauma patients; most were shot or involved in traffic accidents. The county says those patients will now be taken elsewhere. No doubt some will die on the way.
The problems at King/Drew involve long-term mismanagement. But they?re also financial. About one third of the elderly patients treated there have no insurance; one in five children seen is uninsured.
Other facilities are plagued by this same problem. Officials at Good Samaritan Hospital told the Los Angeles Times they?re losing $10 million per year because of uninsured patients. The paper also reports that Downey Regional Medical Center loses $2 million annually covering the uninsured, and may soon start turning away 5,000 ambulances each year.
All right, so we?ve identified the problem: Too many people without insurance swamping the health-care system. But before we can solve that problem, we must figure out where these people are coming from. And that one?s easy: Many are illegal immigrants.
?Every day, nay, multiple times each shift, I?m treating people who willingly admit they?re here illegally,? an Orange County E.R. nurse told me. ?They laugh at the ease of crossing the border and of obtaining treatment (they have related that there are groups in Mexico telling them U.S. hospitals must care for their every ailment). They cheerfully present their admittedly false IDs with no guilt with respect to what they?re doing in breaking so many laws, to people in their community, or everyone?s insurance prices, or anything else.?