A long standing fiscal problem has engulfed hospitals forcing them to refuse Medicaid and Medicare patients because the federal reimbursement schedule of reimbursements and state support have become inadequate. In Colorado, the state has failed to pay its share of the cost of Medicaid patients' care. The Urology clinic has refused to take anymore new Medicare patients and Internal Medicine is not taking any Medicaid or Medicare patients, except for dire emergencies where life or limb is threatened. The problem is more related to the doctors than the hospitals. The doctors apparently break even on Medicare but lose money on Medicaid patients.
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Indigent care, as it is sometimes referred to, has always been underfunded with the result that other private insurance plans have seen extraordinary cost increases to make up for the cost of caring for the uninsured. The presence of many uninsured illegal aliens and major state budget shortfalls have combined to give doctors and hospitals a huge problem. It is similar to the problem that caused many border state emergency facilities to close as they faced bankruptcy. The solution to the first part of the problem is fairly straightforward: comprehensive internal enforcement with expeditiously repatriation of all of the illegals who are apprehended. If they are ill, stabilize their condition and remove them to their homeland for further treatment. The U.S. cannot afford to be the charity hospital for 12 million illegals. Now is the time to act and begin the systematic solution of this problem.
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