Accordingly, hospitals is absorbing the Bill for millions of dollars in expenses not reimbursed by year while patients, trapped in bureaucratic limbo, are sometimes deprived of services that can be offered to a small fraction of the price.
"Many of these people is no longer necessary care, but because they have no resources, and many have no family here, we, unfortunately, take care of them a much more expensive institution as necessary on their clinical needs, said LaRay Brown, senior vice President for the health and hospitals Corporation of the city.". Under the law of the State, public hospitals are not allowed to discharge patients shelters or street.
Medicaid often pays for emergency for illegal immigrants, but do care not for continuing care, and many hospitals in places with large concentrations of illegal immigrants, such as Texas, California and Florida, the dilemma of where to send the patients well enough to leave. In New York City officials say they have many of these patients who take money from the health system as the cost of keeping people in acute care hospitals continues to rise.
But even if Medicaid pays for some care, taxpayers are ultimately consumed by patients who could be cared for in homes of nursing or other health care facilities, and even at home if favourable services were available. Care for a train to languish patient in a hospital may cost more than $100,000 per year, while in a nursing home care can cost $20,000 or less.
Patients able to be released from the hospital but having no place to go remain generally of five years, said Ms. Brown. It estimated that there are approximately 300 patients in such a situation throughout the city, mostly in public hospitals or higher qualified public care nursing, although snippets homes were in private hospitals.
A patient, a technician of the former Hospital of Queens, lived in the Hospital of Coler-Goldwater and facilities of nursing care of the city on Roosevelt Island for 13 years because the hospital has no place to send him, said Ms. Brown. The patient, who is in his mid-1960s, was there since a disease blood cost him part of his leg below the knee and he left in a wheelchair. System of public health of the city refused to provide the names of all patients in the long term or make available for interviews, citing confidentiality laws.
Five years ago Yu Kang Fu, 58, who lived in Flushing, Queens and was a cook in a Chinese restaurant in New Jersey, dropped by his boss to New York Downtown hospital, a private institution in Manhattan, complains of headaches severe. Mr. Yu was admitted to the intensive care unit with a stroke.
Within days, he was well enough for the hospital staff begin planning his release, but as an illegal immigrant (he had dragged a work visa a decade ago), he was not eligible for health benefits. And no nursing home or rehabilitation centre he would take. Neither would his son in China, nor the Chinese Government, although the hospital volunteered to fly there at its own expense.
First Chronicle of hospital stay extended by Mr. Yu in an article in the New York Times in 2008 on the treatment of uninsured immigrants.
Mr. Yu has remained in the hospital for more than four years until he was transferred last spring, on the rehabilitation of Atlantis and the residential health care facility, a centre of Fort Greene, Brooklyn, after the Federal certified him as a "under color of law permanent resident", essentially recognizing that he could not be returned to China and qualifying him for medical benefits.
"This Mr cost us $ million," said Jeffrey Menkes, President of New York Downtown. "We try to provide physical, occupational therapy, but it is an acute care hospital." "This patient should not be here."
Mr. Yu, said the hospital had treated well, but that he had made enormous progress in regaining his ability to walk in his Atlantis rehabilitation scheme. He hopes to return to China when it is well enough to be released.
"Here, I am very pleased," he said. "It is very nice - No. 1".
New York Downtown serves a largely immigrant population and many patients do not have insurance or the evidence that they are legally, the United States and which is necessary for the purposes of the discharge and potential refunds, said Chui Man Lai, Vice President Assistant services to patients at the hospital.
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