Medical insurance is no guarantee of care unless you can afford concierge healthcare, and Medicaid provides no assurance for patients.
America is believed to be a place where healthcare is a paramount concern and provided to all, especially those in need. As delineated by guidelines, the needy are those who live near or under the poverty line, which varies by state. For them, there is Medicaid, but that may mean little opportunity for care. How can that be?
The fees that Medicaid pays are so far below the usual fees that healthcare professionals receive that there is a refusal to take these patients. Practitioners will say they have no openings or are not taking on new patients. I was witness to a glaring example one day as an ENT surgeon blurted out to his colleagues why he was leaving medical practice.
In his late 60s, the surgeon said, “I get $75 for an operation on a kid where I would usually get $3K, and I’m not going to do it anymore. I’m retiring.” He had the means by virtue of many years in practice and having married a wealthy woman, so no financial loss for him, and he could play golf every day.
Where would those children who need an ENT’s expertise receive needed healthcare? It might fall to the charity sections of local hospitals and health clinics. There was no concern for them as he…
