Suing for free medical care?

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DeLaughterDO

Ghost in the Machine
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Has anyone seen this? Now patients are suing over the "right" to free medical care? I hate the sense of entitlement the people in this country have... AHHHHH!

jd

Class Action Lawsuits Question Tax Status of Non-Profit Hospitals

Last week, uninsured patients filed six federal class action lawsuits against hospitals and hospital systems that they claim fail to provide charity care in return for tax exemptions. These lawsuits are the most recent in a string of litigation against 27 hospital systems in 15 states.

The lawsuits allege that the hospitals promised to provide charity care in exchange for receiving federal tax-exempt status, sales tax-exempt status and ad valorem tax-exempt status. The cases also allege violations of the Emergency Medical Treatment and Labor Act (EMTALA), saying the hospitals require uninsured patients to sign a form promising to pay in full prior to care in emergency departments.

"I don?t see the EMTALA element as a valid element in the cases," said Stephen Frew, JD, a risk management consultant who specializes in EMTALA issues.

"EMTALA violations are an individual cause of action only. The individual allegation may or may not be true, but in a class action case, I?d find it hard to believe that one case contributes to the validity of the class action suit. It wouldn?t show a generalized situation," he added. "I don?t see it as a major contributing factor in these cases."

Mr. Frew cautioned that the hospitals should be mindful of the allegation about providing enough care, but that some states have different laws, and "not for profit" is not necessarily the same thing as "charity."

Named as a conspirator in all of the cases is the American Hospital Association (AHA), which the plaintiffs claim provides advice to the nonprofit hospitals on billing and collection practices.

Experts said the issues raised in this lawsuit could highlight exemption issues for state governments, Congress and the IRS, as well as prompt a review by congressional committees to determine if nonprofit hospitals are legally obligated to provide discounted or free medical care to uninsured patients.

The plaintiffs are seeking unspecified monetary damages, as well as injunctive relief. This appears to be the first litigation by a private party arguing that a non-profit hospital is required to provide charity care based on its Federal tax exemption.
 
This country is a joke. It's been that way for a while now, but it's become increasingly so in recent years... 🙄
 
DeLaughterDO said:
The cases also allege violations of the Emergency Medical Treatment and Labor Act (EMTALA), saying the hospitals require uninsured patients to sign a form promising to pay in full prior to care in emergency departments.

"


The pt's I've seen in the ED will sign a paper telling you they're Ghandi as long as you write a script for vicodin. The only patient I've ever seen worry about paying was a stripper from the Spearming Rhino who twisted her ankle...and she didn't want to wait to be seen and left! Of all the dirty SOB's with hangnails who meander through the ED the one non-emergency pt you want to stick around flee's. Life is unfair 😡
 
iliacus said:
The pt's I've seen in the ED will sign a paper telling you they're Ghandi as long as you write a script for vicodin. The only patient I've ever seen worry about paying was a stripper from the Spearming Rhino who twisted her ankle...and she didn't want to wait to be seen and left! Of all the dirty SOB's with hangnails who meander through the ED the one non-emergency pt you want to stick around flee's. Life is unfair 😡
That's "exotic dancer" to you, you insensitive clod! 🙂
 
DeLaughterDO said:
Has anyone seen this? Now patients are suing over the "right" to free medical care? I hate the sense of entitlement the people in this country have... AHHHHH!

jd

Class Action Lawsuits Question Tax Status of Non-Profit Hospitals

Last week, uninsured patients filed six federal class action lawsuits against hospitals and hospital systems that they claim fail to provide charity care in return for tax exemptions. These lawsuits are the most recent in a string of litigation against 27 hospital systems in 15 states.

The lawsuits allege that the hospitals promised to provide charity care in exchange for receiving federal tax-exempt status, sales tax-exempt status and ad valorem tax-exempt status. The cases also allege violations of the Emergency Medical Treatment and Labor Act (EMTALA), saying the hospitals require uninsured patients to sign a form promising to pay in full prior to care in emergency departments.

"I don?t see the EMTALA element as a valid element in the cases," said Stephen Frew, JD, a risk management consultant who specializes in EMTALA issues.

"EMTALA violations are an individual cause of action only. The individual allegation may or may not be true, but in a class action case, I?d find it hard to believe that one case contributes to the validity of the class action suit. It wouldn?t show a generalized situation," he added. "I don?t see it as a major contributing factor in these cases."

Mr. Frew cautioned that the hospitals should be mindful of the allegation about providing enough care, but that some states have different laws, and "not for profit" is not necessarily the same thing as "charity."

Named as a conspirator in all of the cases is the American Hospital Association (AHA), which the plaintiffs claim provides advice to the nonprofit hospitals on billing and collection practices.

Experts said the issues raised in this lawsuit could highlight exemption issues for state governments, Congress and the IRS, as well as prompt a review by congressional committees to determine if nonprofit hospitals are legally obligated to provide discounted or free medical care to uninsured patients.

The plaintiffs are seeking unspecified monetary damages, as well as injunctive relief. This appears to be the first litigation by a private party arguing that a non-profit hospital is required to provide charity care based on its Federal tax exemption.

Did any of you actually read the article. The patients are NOT bringing suit because they have a "right" to free medical care, but because they are third party beneficiaries of an enforceable priomise by the hospital to provide the care free of charge.

In this case the hospital AGREED to provide medical care to those who cannot pay IN EXCHANGE FOR certain tax exemptions (that is, the privilege of not having to pay what would otherwise be a tax burden shared by all people and businesses living in the community. The pyschotic pro-doctor, pro-medical establishment myopia of this forum sees nothing wrong, I guess, in giving hospitals free money (ie., abrogating their obligations to pay taxes just like the rest of us) without a corresponding obligation.

More to the point, however, this case isn't about some ephemeral right to medical care, but rather about the enforcement of a contract obligation to prorvide care IN EXCHANGE for something of value - ie., tax exemptions.

judd
 
I'm not an expert by any means on this case but it seems to me that this is another case of class action lawyers going after the deepest pockets they can find. I doubt that these hospitals signed away the right to collect any money for services rendered. We have a number of hospitals here in town that provide 10's of millions of dollars of uncompensated care every year, thus qualifying as charity care. However, they still try, quite aggresively at times, to collect what they can when they can. If they didn't the amount of uncompensated care would be orders of magnitude higher and they would all be quickly bankrupt. Just because the hospitals try when possible to collect for their services doesn't in my mind mean that they aren't providing plenty of charity care.
 
juddson said:
The pyschotic pro-doctor, pro-medical establishment myopia of this forum sees nothing wrong, I guess, in giving hospitals free money (ie., abrogating their obligations to pay taxes just like the rest of us) without a corresponding obligation.

judd

As opposed to equally psychotic, pro-lawyer, pro-legal system, right and wrong don't exist, all that metters is what can be sold to a jury myopia?
 
docB said:
As opposed to equally psychotic, pro-lawyer, pro-legal system, right and wrong don't exist, all that metters is what can be sold to a jury myopia?

This is not an argument. If I accuse you of thinking the sky is green, it's no answer to point out that the lawyers think the sky is green too. 🙁

Judd
 
juddson said:
The pyschotic pro-doctor, pro-medical establishment myopia of this forum sees nothing wrong, I guess, in giving hospitals free money

judd

Yes, all the hospitals I've ever seen are huge cash cows. And I do suppose that doctors who get sued over and over because nature took its course are being a bit defensive here. (sarcasm intended)
 
ship him or her ASAP to Bagdhad for real care.....

It is real BS...patients think they are entitled to things....

I think we have to blame lawyers and lack of unity in our profession....

WE back stab each other for cheap expert witness fees......

Damn all of those who sell our profession.
 
I'm not familiar enough with the case to know whether there was a contract between them at the various government entities to provide free care. IIRC, you don't have to necessarily give away stuff for free to qualify as a non-profit, as lots of non-profits that I can think of don't give away stuff for free.
 
"The plaintiffs are seeking unspecified monetary damages, as well as injunctive relief. This appears to be the first litigation by a private party arguing that a non-profit hospital is required to provide charity care based on its Federal tax exemption."

Ok, so if the plaintiffs aren't suing over not getting free care, then why is it not the state in which the hospital is licensed or Medicare/Medicaid suing or passing injunctions? How exactly is a bunch of patients suing a hospital going to make any difference in how this hospital is run?

They want free care. And they sue when they don't get it. End of story.

And hospitals are huge cash cows.. that's why so many of them have closed down over the past decade?

jd
 
DeLaughterDO said:
And hospitals are huge cash cows.. that's why so many of them have closed down over the past decade?

I was being sarcastic

jd
 
iliacus (like the name BTW)

Sorry, I thought I read somewhere else up there someone making this point in seriousness...

my bad.

jd
 
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