Romney says that Americans without health insurance can just go to ER. (photo: Laniado Hospital)
By Dr Jen Gunter
Wielding the Lasso of Truth
25 September 12
ast
night on 60 minutes Mitt Romney was questioned about health care. When
asked if the government had a responsibility to care for the fifty
million Americans who don't have health insurance he replied,
"Well, we do provide care for people who don't have
insurance, people - we - if someone has a heart attack, they don't sit
in their apartment and - and die. We - pick them up in an ambulance, and
take them to the hospital, and give them care."
What Mr. Romney fails to understand is that there is a
difference between acute health problems that require an emergency
department and, well, the other 99% of medical care. It
is true, due to EMTALA if you are uninsured and have a medical
condition requiring emergency care that you will not be booted out of
the emergency department. Medical professionals don't look at your
insurance card before pulling out the crash cart, so you are likely to
get excellent emergency care regardless of your ability to pay.
However, the 70-year-old stroke victim who needs physical therapy can't get that in the ER.
Neither can the two-year-old who needs feeding therapy.
Or the 42-year-old woman who needs chemo for her breast cancer.
Or the 47-year-old man who needs insulin for his diabetes.
Or the 22-year-old who needs a Pap smear.
Or the 6-year-old who needs an influenza vaccine.
What happens when people rely on the ER for their
safety net is that they go without care or get a bill that they can't
ever hope to pay (and still likely didn't get the care they really
needed because an ER can only do so much). Hospitals then have no choice
but to either charge health insurances more to recoup their losses or
to close their emergency departments.
That is why, Mr. Romney, I have seen and wept over women with breast cancers eroding through their skin. Something that could have been prevented by a mammogram and lumpectomy four years earlier. And I have wept over women with cervical cancers who bled to death for want of a Pap smear and a simple office procedure 5 years earlier.
Mr. Romney, what would you say right now
to someone suffering from an illness that is inadequately treated (or
perhaps not even treated at all) because the have no health insurance or
enough money to pay for care. "Are there no emergency rooms?"
What's next, "Are there no work houses?"
Beware ignorance, Mr. Romney.
Dr. Jennifer Gunter is a nationally and
internationally renowned obstetrician/gynecologist. She is the recipient
of numerous research awards and has published extensively in medical
journals and authored many book chapters. "The Preemie Primer" is her
first book. Her writing has also appeared in USA Today, the A Cup of
Comfort series, KevinMD.com, EmpowHer.com, Exceptional Parent, Parents
Press, Sacramento Parent, and the Marin Independent Journal. Dr. Gunter
also writes a sexual health column for examiner.com. She has been
interviewed by numerous national media outlets and magazines, including
CNN.com, More, US News and World Report, Runner's World, Glamour,
Redbook, Woman's World, and Shape.
Dr. Gunter was born and raised in Winnipeg,
Canada, and graduated from The University of Manitoba School of Medicine
in 1990 at the age of 23. In 1995 she completed her OB/GYN training at
the University of Western Ontario and moved to the United States to
complete a fellowship in infectious diseases at the University of
Kansas. After completing her fellowship she continued her studies in
pain medicine and currently is the only OB/GYN in the United States who
is board certified in both OB/GYN and pain medicine. Dr. Gunter is one
of the select few physicians in the United States who holds four board
certifications.