You call your doctor’s office in East Harlem; you wait an hour to get to a representative. You explain that you need to see a doctor as soon as possible; you’ve noticed blood in your stool for the past 2 weeks. You’re scared, your dad passed away from colon cancer when he was 45 years old. The operator tells you that the next available appointment is in 2 months, you panic. “I’m worried that I have colon cancer!” you plead with the representative who simply apologizes. You hang up with your mind racing. Then it hits you, you can Google another doctor who may have a sooner appointment. You find a doctor who’s 15 minutes away and who has an appointment in 5 days! When you call their office, you get to a representative on the second ring; but this representative tells you “Unfortunately Dr. John doesn’t accept your insurance”, Medicaid. Now what? Go to the ED and risk paying a large bill or wait 2 months?
What you’ve just read is not uncommon.
Patients with Medicaid often have longer wait times to see a primary care doctor. Why you ask? How can this happen in the great and free United States?
Because:
1. Medicaid has higher administrative costs for hospitals and clinics compared to private insurance companies. So, many hospitals and clinics decide to forgo seeing patients with Medicaid altogether.