Posted: 10:02 am Tuesday, February 25th, 2014

Nathan Deal: Tighten access to hospital emergency rooms 

By Jim Galloway, Greg Bluestein and Daniel Malloy

nathan deal

Gov. Nathan Deal/AJC file

Gov. Nathan Deal has often called on Congress to reconsider the Affordable Care Act. But on Monday evening, he pushed his former Washington colleagues to revisit a separate health care law that fewer politicians openly critique.

The Emergency Medical Treatment and Labor Act is a 1986 law that requires hospitals to provide emergency health care treatment to anyone who needs it, regardless of citizenship or their ability to pay. It’s provided life-saving care to countless people, but it’s also strained hospital resources and turned emergency rooms into the first stop, instead of a last resort, for some.

Your daily jolt on politics from the AJC's Political insider blog“If they really want to get serious about lowering the cost of health care in this country, they would revisit another federal statute that has been there for a long time,” Deal told a crowd of dozens at a University of Georgia political science alumni gathering. “It came as a result of bad facts, and we have a saying that bad facts make bad law.”

Legislative supporters in the 1980s cited cases of pregnant women being turned away from emergency rooms because they couldn’t pay. Deal, who long served on a key House health panel, said lawmakers can build in protections for pregnant women and others while tightening access to ERs in other ways. Said the governor:

“I think we should be able in this passage of time to figure out ways to deal with those situations but not have the excessive costs associated with unnecessary visits to the emergency room.”

This is an important topic for Deal, given that many hospitals in rural Georgia are caught in the financial pinch caused by the governor’s refusal to expand Medicaid rolls, and the Affordable Care Act’s reduction of federal cash for indigent care.

***

Governor Deal has conducted a delicate dance with Common Core, the education guidelines that his Republican predecessor helped set in motion.

Deal supported the program initially, but last year called for the state Board of Education to review the state’s participation amid growing pushback from tea party types and other critics.

But at the same event Monday, the governor seemed to lament the controversy stoked by conservatives who see Common Core as a federal takeover of education:

“It’s unfortunate that that has diverted so much time and attention when I think we could have spent our efforts and resources perhaps more focused on advancing education.”

He went on to note that Common Core doesn’t stray into more controversial subjects, such as social studies:

“We’ve only adopted in two areas. One is math. Now I don’t know that there’s a federal math and if there’s a Georgia math. I have a hard time figuring that one out. The other is language arts. I know we talk differently than they do in other parts of the country, but a sentence is a sentence, and it has its components, and people ought to know how to write a sentence and compose a paragraph. I have a hard time seeing the political implications of the two.”

***

Speaking of education: Former Hall County commissioner Ashley Bell this morning announced his GOP candidacy for state school superintendent in a conversation with Tim Bryant and Martha Zoller on WGAU (1340AM) in Athens. He’s banking on north Georgia support to make it into the runoff made necessary by a crowded GOP field.

Bell said his top priority as school superintendent would be to fix a school grading system that he says is rigged:

“It’s on a basis of zero to a hundred. Ninety’s an ‘A,’ eighty is a ‘B.’ The reality is, is that there’s been 10 points hidden in that system to buff and fluff up schools’ grades. It’s actually on a scale of 110 instead of 100.

“So our parents will go on that website, trying to determine which school to go to, and looking at some schools that look like a ‘C,’ when they’re actually a ‘D.’ Some schools look like a ‘B,’ but they’re actually a ‘C.’ They’re not being upfront. This scale is skewed.”

***

The Club For Growth, a deep-pocketed conservative group focused on fiscal issues, is out with its annual scorecard of members of Congress. And unlike National Journal, this one is in line with the prevailing view of the Georgia Senate race: Paul Broun wins the race to the right.

clubforgrowthchart

In the Club scorecard – which often challenges Republicans to vote against leadership wishes, as in the case of the Farm Bill – Broun scored 97 percent last year and has a lifetime score of 99 percent. For the other two Senate candidates, you can call it the “Broun effect:” their Club scores were higher than average last year.

Phil Gingrey’s 93 percent score was above his lifetime average of 86 percent and Jack Kingston’s 87 percent beat his lifetime 83 percent.

The Club has been coy about whether it will drop a big independent media buy into Georgia before the May 20 primary. One theory is it could not support any one candidate, but could mount an attack on someone it doesn’t like. Such as Kingston. But the Club’s targets typically rate far worse than a B+.

***

Bloomberg’s Kate Hunter delivers another national media take on the Senate race from Gainesville. In addition to the obligatory Todd Akin references, Hunter reports that Broun has a new metaphor for the federal government:

“Standing on the bed of a white pickup truck, Broun, who supports abolishing the Environmental Protection Agency and the Department of Education, likened the federal government to a dragon and pledged to ‘put it back in its cage.’

“‘The cage bars are the enumerated powers of the Constitution, and I will not rest until we put that dragon back in the cage where it belongs — forever,’ he said to cheers and applause.”

The story reports that Sandy Springs Mayor and former Georgia GOP chairman Rusty Paul is backing Jack Kingston and makes note of some of Michelle Nunn’s more interesting fundraising sources:

“Georgia business leaders with a record of backing Republicans have been writing checks to Nunn. They include John Wieland, founder of John Wieland Homes and Neighborhoods Inc.; Jim Cox Kennedy, the chairman of Atlanta-based communications company Cox Enterprises Inc.; and Tom Cousins, a developer who helped shape downtown Atlanta in the 1970s and 1980s.”

Expect a Wall Street Journal look at Broun and his fellow Senate candidates in the near future. A reporter with that organization was at Saturday’s debate.

***

Speaking of which: Art Gardner, the Republican attorney from Atlanta who is attempting to pry his party from the grip of social conservatives, says remarks he made regarding illegal immigration at Saturday’s Gainesville debate are being misconstrued. Says Gardner in a note:

“There are reports out there that state that I said I am in favor of requiring military service for all illegal aliens.  This is untrue.  What I said at the debate in Gainesville was that only through military service would an illegal gain citizenship.  (The vast majority of illegals would not.)  But they would have to register and pay taxes to stay.”

Gardner provided this link to a (Korean) video of the debate. His response on illegal immigration can be found at about the 46:30 mark.

***

Many people have asked what Michelle Nunn has been up to while not appearing on stages with her Democratic primary rivals. She has been collecting names. Important names, often with large wallets.

The Nunn campaign on Monday released the membership of its “business leaders advisory group” – essentially a listing of the candidate’s corporate support. From the list:

Claire Lewis Arnold, CEO, Leapfrog Services, Inc.

J. Veronica Biggins, Managing Partner, Diversified Research

Becky Blalock, Managing Partner, Advisory Capital

Arthur M. Blank, The Blank family of Businesses

Genevieve Bos, CEO, IdeaString

Charles Brewer, Managing Partner, Las Catalinas

Matt M. Bronfman, CEO, Jamestown

Martha Finn Brooks, Corporate Director, Former President & COO of Novelis

Thomas G. Cousins, Chairman, CF Foundation

Ann W. Cramer, Senior Consultant, Coxe Curry & Associates

Jesse C. Crawford, President & CEO, Crawford Media Services, Inc.

Bobbie Culbreath, President, Regen-Leigh: Art and Design Consultants

Larry Dorfman, Chairman/CEO, Automobile Protection Corp. (APCO)

William DuPont, President, THINK Interactive, Inc.

Gail Evans, Adjunct Professor, Georgia Institute of Technology, Bestselling Author and Former Executive VP at CNN

Reade Fahs, CEO, National Vision, Inc.

Duriya Farooqi, Principal, Bain & Company

J. Rex Fuqua, CEO, Fuqua Capital

Kelly Gay, President & CEO, Omnilink, Inc.

Jim Geiger, Founder, Chairman & CEO, Cbeyond

Greg Giornelli, President & COO, Purpose Built Communities

Lillian Cousins Giornelli, President, CF Foundation

Robert C. Glustrom, CEO, RCG Holdings

Dave Gould, Partner, TechOperators Venture Capital

Jim Grien, President & CEO, TM Capital Corp.

Daniel Halpern, CEO, Jackmont Hospitality

Phil Harrison, CEO, Perkins & Will

Jeff Hilimire, CEO & Co-Founder, Dragon Army

John P. Imlay, Jr., Chairman, Imlay Investments, Inc.

Ben F. Johnson III, Retired Managing Partner, Alston & Bird LLP

Wyatt Thomas Johnson, Jr., Chairman Emeritus, LBJ Foundation; Retired CEO, CNN

Ingrid Saunders Jones, Chair, National Council of Negro Women

Jeff Levy, CEO & Co-Founder, OfficeHours

Charles Lipman, CEO, DiversiTech Corporation

Mary A. Madden, Co-Founder & Chapter Chair, Women Corporate Directors

Mary Moore, Founder & CEO The Cook’s Warehouse

I. Sigmund Mosley, Jr., Vice Chairman, Imlay Investments, Inc.

Susan Nethero, Founder/CEO Emerita and Board Member, Intimacy Retail Sales

Vicki Palmer, Retired Executive Vice President, Coca-Cola Enterprises

Egbert Perry, Chairman & CEO, The Integral Group

David Peterson, Chairman Emeritus, North Highland

Luis Manuel Ramirez, President & CEO, Global Power Equipment Group

Wendell Reilly, Chairman, Berman Capital Advisors

John G. Rice, Vice Chairman, GE

Roy Richards, Chairman of the Board, Southwire

A.J. Robinson, President, Central Atlanta Progress

Teresa Wynn Roseborough, Executive VP, General Counsel & Corporate Secretary, The Home Depot

H. Jerome Russell, President, H.J. Russell & Company

Michael Russell, CEO, H.J. Russell & Company

Louise S. Sams, Executive VP & General Counsel, Turner Broadcasting

R.K. Sehgal, Chairman, SFC Energy

Geri P. Thomas, President, Bank of America Georgia

Evan Toporek, CEO, Alternative Apparel

Ed Trimble, President, Kevy

Felker W. Ward, Jr.,  CEO, Pinnacle Investment Advisors

Carl Ware, Retired Executive Vice President, Coca-Cola

A. Ray Weeks, Jr., Chairman, Weeks Robinson Properties

John Wieland, CEO, Chattahoochee Enterprises, LLC

***

With Eugene Yu dropping out of the U.S. Senate race and into the GOP primary for the 12th Congressional District, we now have at least five candidates in race to oust U.S. Rep. John Barrow, D-Augusta.

One of them, former congressional staffer John Stone, is pitching a solution. He’s called for an emergency Republican caucus to be held in the 12th, to anoint a candidate ahead of next week’s qualifying period.

From the press release:

“We lost this seat in 2012 under the same primary race conditions we now find ourselves facing today, and John Barrow has to be cackling in delight over the developments of the last two weeks,” says Stone.

 Stone says the current field of five candidates greatly increases the likelihood of a Republican runoff on July 22 instead of having a nominee on May 21.   “Barrow is running unopposed, so he will be politically unscathed with millions in the bank heading into the general election while we will have spent millions in another brutal primary and be penniless on July 23.”

100 comments
Bernie31
Bernie31

This Governor is who Kasim REED has Tied his Political Hopes and Dreams too and says he is such a Great Leader. 

Something Tells Me we REALLY NEED to rethink Kasim REED for Gorvernor in 2018! or for any higher political office at that, if KASIM thinks and believes this Governor is a GREAT LEADER.


Nathan Deal will Look back on these Hateful words at some future date and will regret its very UTTERANCE..by then it will be far too LATE to re state an ill advised comment. 

This is what Vainful PRIDE LOOKS like that Jesus was speaking of and warning ALL Christians,Believers and Followers of his WORD to Avoid.


Avoid it.....change from its path lead...for it will surely lead you to the Depths of the PIT where there will be No help or ear to listen to the Mary Cries when they come.


Only a Follower of the Angel of Light, would make such a Vile and INHUMANE Recommendation.

Bernie31
Bernie31

Jesus would say, "Its TIME for a NEW Governor"......

uh..huh.

Bernie31
Bernie31

this is the Kind of Leadership a Citizenry gets when they VOTE for RURAL GOOBERS...They Just Do Not Get it....The Do Not Want TOO..and They Never Will Get or Understand You and Your Expectations Of them as a LEADER.

Its Not in Cards...nor in their Thinking....They Just want to be Your KING!

uh...huh.

Bernie31
Bernie31

Just when You Think the ARROGANCE cannot get Bolder in its presentation...You Now have a Governor Trying to get Himself out of the Path of a Runaway Train and he only STOPS and STARES at the incoming Head Light. 

Georgia can do better than Nathan Deal....

uh..huh

Buzzzz
Buzzzz

Please be sure you post all of the business supporters for the Republican candidate so that I can support them.  Thank you for highlighting those that I won't.

ljax
ljax

First thing the new Democratic governor needs to do is fire the Insurance Commissioner and then put the state in the exchanges and get it out of the Federal exchanges.  Then BCBS georgia would get more plans for the people of GA to buy their own insurance for those that don't have coverage.  Obama has leveled the playing field by not allowing people to be turned down for pre-existing conditions.  Vote against Deal in November 14.

ljax
ljax

The Falcons say rise up and we all need to RISE UP and kick Deal out of office in November 14. He has done nothing but hurt this state since he got in office.  Just look how he handled the snow and ice debacles.  He did the teachers of this state in with their new healthcare plan.  Now he wants to cut off care to the ER's.  RISE UP AGAINST DEAL SHOULD BE THE NEW SLOGAN IN THIS STATE. 

Roger142
Roger142

I realize that municipal hospitals are having a tough time financially, and I know most privately ran non profit hospitals in Ga. are doing just fine.  Maybe Governor (lets make a) Deal should look into why hospitals charge the uninsured 900% more for services than an insurance company would pay for the same procedures?


My local Lawrenceville non profit hospital charges the uninsured $4,800 for a  CT scan, where as insurance companies pay $700.  The irony is at this hospital if an uninsured person can pay their bill within 30 days and begs for a discount, the hospital will give them a 40% discount.  Which is still going to be 300 to 400% more than an insurance company would pay for services


I did not realize until the ACA was proposed just how powerful the medical industry lobbyist are.  Tonight's home work kids is to google "non profit hospital profits."  

ljax
ljax

Deal needs to go. Look what he did for the teachers of this state with their Healthcare coverage.  Vote him out in November and send him packing. 

OldJacketFan
OldJacketFan

You have got to be effing kidding me, not so good a Deal. Unbelievable........

Michael2255
Michael2255

Them poors are just rooning the kuntry.

findog
findog

Wait a minute; Governor Deal must be mistaken the most honorable President Reagan was in office in 1986.

Stuffy
Stuffy

So let me get this straight:


Refuse to expand Medicaid and prevent people from getting affordable health insurance and thus access to primary, preventive care and THEN prevent them from using the ER? 


It's frightening how this man's mind works. He truly has no conscience. 

tomkat1111
tomkat1111

Just charge a $ 100 fee to even get into the emergency room, then sit back and watch the crowd dwindle.

SEP-AU
SEP-AU

So this criminal, this total incompetent, A-hole of a governor not only wants to deny Georgians affordable health insurance, he also wants to deny us emergency room treatment.  There's a special place in Hell, if you believe in that kind of thing, for jerks like Nathan Deal.  Ugh!  Too bad, I won't be there to watch him gnashing his teeth.    

NoahVale
NoahVale

@ Galloway - nice amount of space you gave to Michelle Nunn's campaign.  A substantial donation made to your retirement fund?

Ultraman8
Ultraman8

Cbeyond's Jim Geiger? the money man? Gee- who'd of thought he was a democrat? the same Cbeyond on interstate N Pkwy that let go all those  loyal long time people in favor of cheaper newbies and then the bonuses came out for the big wigs. Wow- he changed stripes. All those poor people at cbeyond. Been there for years and then-gone. Replace by cheaper workers. what a shame.

SaraJames
SaraJames

While this doesn't make me popular, I will say again, if Georgia Medicaid was made accountable for the budget they currently have and go after fraud and Medicaid's own paid claim errors, you wouldn't need to expand Medicaid as it would naturally allow more to be covered.  We have to be more diligent as taxpayers and hold those who get our tax dollars accountable and we are not doing that with any agency that I can see.


While this may be about the only thing I agree with Deal on, he is right about our ERs.  They cannot be continued to be as a catch all.  This does not mean those who truly need emergency care will not get it, they most certainly will and quicker if we address the current use of the ERs.


Taxpayers are overburdened to the max.  We all want to help the poor.  But who is going to do that when those helping the poor find themselves poor trying to keep everyone afloat?  To think the rich are picking up their share of the cost is wishful thinking.  You've seen the reports in the news....the rich aren't getting richer because their helping anyone else.


Also, regarding for profit vs not for profit hospitals.  I have been in both.  For profit allows hospitals have the resources to have the best and latest state of the art equipment, which could save your life.  I have always received the best care and recovered faster after being in a for profit hospital.  This is true for both inside the Perimeter and outside the Perimeter hospitals.  With that said, I do concede Grady is the one not for profit that can rival care in several areas against the for profits.

DS
DS

The Emergency Medical Treatment & Labor Act (EMTALA) requires hospitals to evaluate and stabilize patients who come to the ER with an emergency medical condition, including active labor, regardless of their ability to pay.

What would Deal have the hospitals do instead? Let such people die on the curb?

We're not talking about non-emergency health care here, which isn't even covered by this law. We're talking about treating emergency medical conditions.

If Deal really wants to help contain the costs, then he needs to get behind expanding Medicaid coverage in Georgia. Changing EMTALA isn't a humane option.

Boxtradamus
Boxtradamus

Same ole same ole, NON hard working African NON Americans and liberal dems wanting FREE healthcare from the ER paid for by whitey. This is NOT sustainable.

Charles50
Charles50

Bravo Wheeler Dealer.  Once again you are passing the buck on an issue.  Make the Feds change the law but continue to deny Georgians expansion of Medicaid.  You really don't give a rats azz about the average Joe Blow do you?  I hope he shows you the same consideration in May or November.

JoshB11
JoshB11

@OldJacketFan  my roomate's mom makes $66 /hour on the internet .

She has been out of work for 10 months but last month her paycheck was $21593

 just working on the internet for a few hours.

 see this page>>.

www.bay90.com

ljax
ljax

@BravesFan456  I agree with you.  Deal needs to go. He is already denying poor people of this state rights to get on Medicaid which the federal government will fund 100% for the first couple years and will continue to fund at 90% for a long time.  If anybody makes less than 20,000 then they cannot get on Obamacare and cannot get Medicaid because of Georgia not participating in Obamacare exchanges at the state level.  He needs to go.  Vote for the Democrat in November 14.

JAWJA
JAWJA

@SEP-AU  Did you read where Dirty Deal has boarded up 1st floor door to his office to keep out disabled protesters who have been visiting him? 

CJKatl
CJKatl

@SEP-AU  Agreed. What and who dictates whether an emergency room visit is warranted? Are we supposed to sit and wait to determine if indigestion is actually a heart attack? Do I need to worry that Deal will later decide my hernia wasn't painful enough to warrant an ER visit?


Does this fool not realize the irony? Support affordable care and people won't have to go to the emergency room as often. Don't support providing basic healthcare and the ER becomes the only solution for many to access care. Not supporting affordable healthcare but demanding people stop visiting the ER is pretty much a death sentence for some. 


Perhaps if we found a way for Deal to get cash in his pocket every time someone gets affordable healthcare he'd somehow get behind the idea. Until and unless there's a way for Deal to financially profit, he's obviously not interested. But what did we expect when we elected a broke man laden in debt? And why isn't anyone digging into how, on his small governor's salary, those debts seem to no longer be an issue? 

Frankie581000
Frankie581000

@SEP-AU  Wow...the "EMERGENCY ROOM" was named for just that, EMERGENCIES and life threatening care, not the first stop for a stuffy nose or you scrape your knee "free clinic"!!....next time you are near a hospital stop by the ER, see for yourself. This law created and still mandates that ER's have become "clinics". For NON emergency treatment there are over a hundred "Urgent Care" facilities in ANY area of the city or suburbs.

Chris30338
Chris30338

@SaraJames  

Taxes are at historic lows. What are you talking about???And by the way, Grady is a Non-profit hospital.

mrob
mrob

@SaraJames  


Grady is a hospital for profits. Please take a look at the "Super Speeder Bill" and the thousand of dollars coming from local motorists and out of state travelers passing through Georgia leaving behind large amounts of tax dollars.

honested
honested

@SaraJames  

Which taxpayers with incomes in excess of say $350k are 'burdened to the max'?

Without adequate taxation, how do the 'rich' finance the system that keeps them rich (or at least prevents revolution)?

JohnD101
JohnD101

@DS  You need to understand the law.  The law leaves no room for interpretation or diversion to alternative medical facilities - once the patient is on foot in your building.  Most legal departments will not allow hospital staff to even DISCUSS alternatives, as it may be construed as an an effort to deny care.  You can thank a lack of tort reform for that.

anothercomment
anothercomment

Now here is a couple of ways to fund the hospital ER's how about the forfeiture laws, instead of Paul Howard's home security system and The Dekalb DA's senior citizen party, these funds should go o the ER's because the biggest expense is treating shooting and stabbing victim's.

2.) allow international driver licenses to be held and used by all in the state legal or illegal. They can be issued by their home counsel. Then the state can add an extra $100 charge to allow the use of them in Georgia for over 30 days per year. This way insurance requirements must be met.

3.) Med pay of $50,000 minimum should be required on all cars. Because the facts remain that many people do not still have medical insurance with this refusal to expand Medicare. We know at least 600k are left in this donut hole.

4.) Georgia's minimum liability coverage of $25,000 is inadequate. I was rear ended by someone with $50,000, I have three damaged discs in my neck and neuropathy down my arm. $50,000 doesn't come close. Try to get your own uninsured policy to pay off is next to impossible. I have lived in Georgia for 30 years the minimum insurances coverages of 10/25/50 have been in effect the entire time. $25,000 will not cover any serious injury and rehab. It will not cover any surgery if you need it. Back Fusion Surgery and a two day stay at St. Joes, not including the surgeons fees is $92,000, for example in 2010. Last year a ride in an ambulance between CHOA and Atlanta Medical center is $1500. Both ER's will bill you 2,500 to $3,500 min. If then release you send you or a neurologist. He sends you to another MRI 1500 to therapy. Etc.. Car insurance minimum needs to be raised to 50/100/250 min. Policies should come standard with $50,000 in Med pay. People think they are covered by their car insurance but they are not if it is their fault and they do not have med pay. Your health insurance refuses to,pay.

Frankie581000
Frankie581000

@DS  Really....that is EXACTLY what he is talking about and he ADDRESSED that! What he is talking about is the fact that many make the "ER" their FIRST stop because of this law. The ER is for EMERGENCIES and LIFE threatening conditions! Oh, and by the way read the EMTALA, ER's CAN NOT turn away ANYONE that doesn't have insurance, regardless of the medical condition that brought them there....he doesn't want to "let such people die on the curb" he want to stop the current use of the ER as a "free clinic" for every ailment....

Eustis
Eustis

The problem is how much testing is done to assess the patient for an emergency/non-emergency.

First time some ER nurse/doctor eyeballs a patient declares a non emergency when it is an emergency, it won't be pretty.

JohnD101
JohnD101

@CJKatl @SEP-AU  - The issue isn't affordable health care - the issue is as much education and a lack of any deterrent to use the ER as a clinic for poor or indigent population.  The REAL issue is that non-emergency cases consume resources that can't be appropriately directed to true, life-threatening emergency conditions.  


Just as Frankie581000 mentoins, a triage nurse at Grady is not permitted - by law - to redirect a patient to the adjoining clinic if the patient has non emergency symptoms, without doing a full scale work up to insure no additional issues exist.   So even if the person is in the ER because the prescription they had ran out; or they are there because they failed to fill the prescription for their diabetes, or because they cut their finger and and didn't have a band-aid handy- the 1986 law makes it illegal to redirect those patients to a perfectly suitable alternative.    This doesn't even begin to discuss the homeless or other patients who know the key words to use to insure a warm bed, a sandwich and some fresh clothes, with buzz words like 'dizzy' and 'chest pains'.


So, unless your hernia is bleeding internally- while it may be uncomfortable - it doesn't necessarily constitute a life-threatening emergency.   Go to a primary care, or make an appointment to the clinic.  You still have access to the full resources of the hospital - but you aren't taking up time or space for someone who just flew threw a windshield.  


Oh - and if you just feel that every person is entitled to unlimited, free health care - fine, take that position.  

ATLWmn
ATLWmn

@CJKatl @SEP-AU    Yes, actually, you are supposed to wait and see if your indigestion is more serious.  Go to a minute clinic, or your PCP for small things like that.  Call them up, and if the doctor tells you it sounds like it needs immediate care, THEN go to the hospital.  When you have to sit in an ER during a real crisis, you'll realize how petty some people's "emergencies" really are.  

SaraJames
SaraJames

@Chris30338 @SaraJames I might ask what you are talking about.  People still have to pay taxes based upon their income. The higher the income, the higher the tax bracket.  "And by the way," I said Grady is a not for profit hospital - that means it is a non profit.

JoshB11
JoshB11

@mrob @SaraJames  my roomate's mom makes $66 /hour on the internet .

She has been out of work for 10 months but last month her paycheck was $21593

 just working on the internet for a few hours.

 see this page>>.

www.bay90.com

Frankie581000
Frankie581000

@mrob...NO, Grady is a NON profit, always has been and always will!. The "Super Speeder" FINES were enacted to help keep Grady from going under because the local counties OWED Grady MILLIONS for treating the "uninsured"...look it up....and while your doing that look up the report from 2009 and just see how many dollars were being spent treating the poor....

JohnD101
JohnD101

@honested @SaraJames  Well - are you suggesting that since the top 20% of the tax payers pay 92% of all federal income tax, they are somehow under-taxed?? It's a CBO statistic - look it up.


Or may be the top 10% should take on more -those who make $115,000 or more/year.  They only shoulder 71% of the federal tax base. 

SaraJames
SaraJames

@honested @SaraJames I find it hard you are seriously asking that question.  Clearly, the more you make the higher your tax bracket.. As we all do, at tax time they also look for legitimate tax write offs to keep as much as they can, but they might also be in a position due to their circumstances to have more tax write offs, which is fair if they are entitled to it. That answers your second question if you want to refer to that as a system.


My earlier point (which seems to have been lost) was the bulk of the tax burden to support programs rests upon the backs of the middle class.

DS
DS

@Frankie581000 Read the law. It requires hospitals to evaluate and stabilize patients who have emergency medical conditions or active labor

EMTALA does not require hospitals to treat patients with non-emergency conditions.

This conversation reminds me of Gilda Radner's SNL character, Emily Litella, who would appear on the Weekend Update and make impassioned speeches about things that she did not understand. ("What's all this complaining I hear about violins on television?") Once corrected ("No, that's 'violence' on television...") she would respond, "Oh. Never mind."

In this case, we have complaining about people getting treated at the ER for "any ailment" because of EMTALA. No, they don't. Just emergency medical conditions or active labor. 

It's even in the title of the law!

Laurie1113
Laurie1113

@JohnD101 @CJKatl@SEP-AU My daughter has type I diabetes, and not being able to get insulin (for whatever reason) IS an emergency.  I stopped reading your post after that remark, cause you are obviously a jack wagon.

JohnD101
JohnD101

@mrob  mrob - Hey genius. The super-speeder proceeds are specifically allocated for trauma care centers- specifically Level 1 trauma centers.  Understanding basic physics, traffic accidents at high speed almost always involve trauma cases.  


So yeah, if you're from out of state and want to introduce increased risk on our highways and potentially have to utilize our services - you're going to pay a nice premium if you're caught.  

Frankie581000
Frankie581000

@mrob...first of all, it is NOT tax dollars, it is FINES for breaking the law! Get off the DEM mantra, and the "bail out" you mention...if it weren't for the reorganization and cuts, along with these FINES.....Grady would have had to CLOSE or severely limit care, and that included closing one of the best TRAUMA Units on the east cost. It would have also severely limited the "teaching" aspect that Grady has...do a little research, if you would care to remember,, Pete Correll and a bunch of other business leaders, if not for them we would have lost a great hospital. During that time the very few DEMS in the gold dome supported the funding that was given to Grady, since that time, the UNINSURED have AGAIN eaten away the budget.  And to answers your question, no,  the so called "bail-out" was not specifically to "serve the poor who need medical attention" it was done to save a very viable asset to Atlanta,  

mrob
mrob

@Frankie581000


So Grady was "bankrupt" and need tax dollars to stay afloat and the Super Speeder bill was introduce to keep Grady in business to serve the poor?


From what you are saying, Grady was "Bailed Out" to serve the poor who need medical attention?

SaraJames
SaraJames

@JohnD101 @honested@SaraJames According to the U.S. Department of Commerce in 2013, middle class income ranged between $50,800 and $122,000 annually.  These figures indicate the middle class is shouldering quite a lot.

Frankie581000
Frankie581000

@DS...so then, I suggest that you, on ANY night, walk into the ER at Grady...there is NO way that all those folks are there for only  "Just emergency medical conditions or active labor"....try it and you will see just what the Gov is talking about......