Dead People Don't Lie
ironjustice
CONTRARY to what they have been telling us.
Uninsured more likely to die after trauma
Published: Monday, November 16, 2009 - 17:00 in Health & Medicine
Americans without health insurance appear more likely to die
following admission to the hospital for trauma than those with
health care coverage, according to a report in the November
issue of Archives of Surgery, one of the JAMA/Archives journals.
In 2007, 45.7 million Americans were uninsured, according to
background information in the article.
"Uninsured patients currently face health-related disparities in
screening, hospital admission, treatment and outcomes," the authors
write.
"Uninsured adults have a 25 percent higher risk of mortality than
insured adults, accounting for approximately 18,000 deaths per year
in excess.
Evidence regarding the effects of lack of insurance on traumatically
injured patients suggests that they are at added risk."
Heather Rosen, M.D., M.P.H., of Children's Hospital Boston and
Harvard Medical School, and colleagues analyzed records from the
National Trauma Data Bank, which contains information from 2.7
million patients admitted for traumatic injury to more than 900 U.S.
trauma centers.
Demographic, medical history, injury severity, outcomes and charges
were assessed for 687,091 patients age 18 and older admitted between
2002 and 2006. Patients were divided into five insurance categories:
uninsured, a managed care organization, commercial indemnity
insurance, Medicare or Medicaid.
Overall, uninsured patients had the highest rate of death following
admission for trauma, even after controlling for age, sex, race and
severity and mechanism of injury. An analysis of patients age 18 to
30—selected because they were less likely to have co-occurring
illnesses—revealed that uninsured patients in this group still had
the
highest odds of death.
The same was true in a subanalysis of only patients with head
injuries
and in another analysis of those with one or more co-occurring
illnesses.
Lack of insurance may increase the risk of death after trauma in
several
ways, the authors note.
Uninsured patients may experience treatment delay; receive different
care, including fewer diagnostic tests; or possess a lower rate of
health
literacy.
"Most recent research has concentrated on decreased (or lack of)
access to care as a result of being uninsured," the authors write.
"However, we found that, even after admission to a hospital, trauma
patients can have worse outcomes based on insurance status.
This concerning finding warrants more rigorous investigation to
determine
why such variation in mortality would exist in a system where
equivalent
care is not only expected but mandated by law."
"In addition, treatment often is initiated before payer status is
recognized;
thus, this provokes the question of whether differences exist in
processes
of care during the hospital stay," they conclude.
"We can only speculate as to the mechanism of the disparities we have
exposed; the true causes are still unclear.
Although the lack of insurance may not be the only explanation for
the
disparity in trauma mortality, the accidental costs of being uninsured
in the
United States today may be too high to continue to overlook."
Source: JAMA and Archives Journals
Who loves ya.
Tom
Jesus Was A Vegetarian!
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Man Is A Herbivore!
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DEAD PEOPLE WALKING
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Peter B
news:00d7ca6a-9d58-4eeb...@o9g2000prg.googlegroups.com...
30-selected because they were less likely to have co-occurring
illnesses-revealed that uninsured patients in this group still had
Who loves ya.
Tom
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not seeking to destroy your myths but it is quite the opposite in SoCal
where the illegal get full treatment until "Cured" whereas those with
insurance get minimal care until the insurance is verified and they find
their normal HC Provider. The poor white trash are kicked aside in favor
of the illegal (btw this applies by law to any illegal of any
nationality) The poor black is hit an miss depending on which hospital.
That said...........
Anyone who gets into the hospitals with life threatening injuries are
treated immediately without regard to stature or income.
In a hospital the gown is a common denominator.
Oh, dead people don't lie, but live ones with agenda's always do.
PeterB - Original
>
> Oh, dead people don't lie, but live ones with agenda's always do.
Good of you to admit it.
Peter B
"PeterB - Original" <p...@mytrashmail.com> wrote in message
news:0c4b13d8-bbf6-4133...@g27g2000yqn.googlegroups.com...
On Nov 17, 8:25 pm, "Peter B" <origin...@frag.com> wrote:
>
> Oh, dead people don't lie, but live ones with agenda's always do.
Good of you to admit it.
=============================================
Why, were you feeling too cowardly and left it to others to post the
truth?