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Doctor: Illegal aliens are killing US hospitals

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  • Doctor: Illegal aliens are killing US hospitals

    Be sure to read the entire article, as well as the comment that
    follows by a US citizen who describes how citizens are being charged
    $6,000/hour - $8,000/hour CASH for operations as a way for US
    hospitals to recoup the money they lose to hordes of non-paying
    illegal aliens who receive treatment FREE via the Emergency Medical
    Treatment and Active Labor Act of 1985 (EMTALA).
    Illegal Aliens & EMTALA

    by Dr. Madeleine Cosman, PhD, ESQ

    The influx of Illegal Aliens has devastating, hidden medical
    consequences. We judge reality primarily by what we see. But what we
    do not see can be more dangerous, more expensive, and more deadly than
    what is seen.[1] Illegal Aliens' stealthy assaults on medicine now
    must rouse Americans to alarmed alert.[2] Even President Bush
    describes Illegal Aliens only as they are seen: strong physical
    laborers who work hard in nasty jobs with low wages, who cultivate
    their families, and who pursue the American dream. What is unseen is
    their free medical care that has degraded and closed some of America's
    finest emergency medical facilities and caused hospital bankruptcies:
    84 California hospital are closing their doors forever.[3] An
    important cause of these hospital closures is the Emergency Medical
    Treatment and Active Labor Act of 1985 (EMTALA).

    What is seen is the political statistic that 43 million lives are at
    risk in America because those people have no health insurance.[4] What
    is unseen is that medical insurance does not equal medical care.
    Uninsured people get medical care in hospital Emergency Rooms under
    the coercive EMTALA that obligates hospitals to treat the uninsured
    but does not pay for that care. Also unseen is the percentage of
    uninsured who are Illegal Aliens. No one knows how many Illegal Aliens
    reside in America. If 10 million, they constitute nearly 25% of the
    uninsured. If more, more.


    EMTALA requires each Emergency Room to treat anyone who enters with an
    "emergency" associated with cough, headache, hangnail, cardiac arrest,
    herniated lumbar disc, drug addiction, alcohol overdose, gunshot
    injury, automobile trauma, HIV-positive infection, mental problem, or
    personality disorder. Definition of emergency is flexible and vague
    enough to include almost any condition as requiring mandatory care.
    Any patient coming to a hospital emergency room requesting emergency
    care must be screened and treated until stabilized for discharge or
    stabilized for transfer whether or not insured, whether or not
    "documented," and whether or not able to pay.

    A woman in labor must remain to deliver her child. Babies born to
    Illegal Alien women are called Anchor Babies for once they are born,
    like anchors dropped to keep boats safely in harbor, they pull their
    Illegal Alien parents and siblings into lucrative residency. The
    babies instantly qualify as citizens for welfare benefits. They have
    caused volcanic eruptions in Medicaid costs and skyrocketing stipends
    under Supplemental Security Income and Disability Income.[5],[6]

    What is seen is the strong-backed Illegal Alien who will come to the
    Emergency Room and cough, sweat, and bleed but is assumed basically
    healthy even though he and his Illegal Alien wife and kids never were
    examined for contagious diseases. By our glance and by our shrug we
    grant Illegal Aliens health passes. What is unseen is that many
    Illegal Aliens harbor within their bodies fatal diseases that long ago
    American medicine fought and vanquished. Now Illegal Aliens carry drug
    resistant strains of tuberculosis, malaria, leprosy, plague, polio,
    Dengue Fever, and Chagas Disease.[7],[8]

    A hospital with an Emergency Room must have specialists ready to treat
    on call at all times for all departments that provide medical services
    and specialties within the hospital's capabilities. EMTALA is an
    unfunded federal mandate. Government imposes viciously stiff fines and
    penalties up to $50,000 for each incident upon any physician and any
    hospital refusing to treat any patient that a vigorous prosecutor
    deems an emergency patient even though the hospital or physician
    screened and declared the patient's illness or injury
    non-emergency.[9],[10] But government does not pay either the hospital
    or the physicians for treatments. In addition to the fiscal attack on
    medical facilities and personnel, EMTALA is a handy truncheon to
    pummel politically unpopular physicians by falsely accusing them of
    violating EMTALA.

    High-tech hospital emergency units degenerated into local free medical
    offices. In California, for instance, between 1993 and 2003, 60
    hospitals closed because of over 50% of unpaid services, and another
    24 California hospitals closed in 2004. Even ambulances from Mexico
    come to Emergency Rooms with indigents because the drivers know that
    EMTALA requires accepting patients who come within 250 yards of a
    hospital. That geographic limit has figured in many lawsuits.[11],[12]

    Los Angeles County Trauma Care Network, built in 1983, was one of
    America's finest Emergency Medical Response organizations. Consisting
    of 22 hospitals, super-high-tech equipment, superior emergency
    physicians, surgeons, specialists, nurses, and technicians, it offered
    365-day, round-the-clock emergency care for people suffering
    life-threatening car crashes, industrial accidents, urban crime,
    natural disasters of earthquake and wildfire, and national disasters
    of terrorism. Now most trauma hospitals have left the Network and so
    have many emergency physicians and surgeons.[13] EMTALA contributed to
    the Trauma Care Network's loss of focus and loss of money.[14]


    Illegal Aliens perpetrate much violent crime whose physical results
    arrive in ERs. [15],[16] "Dump and Run" patients dropped on the
    hospital sidewalk or at the emergency room entrance before the car
    speeds away usually are connected to drugs and gangs. Patients
    requiring tracheotomies and thoracotomies for stab or gunshot wounds
    are dumped at hospitals whether or not exclusively dedicated to trauma
    care and EMTALA governs their treatment.[17],[18]

    While nationally most people coming to emergency units are not poor
    and have medical insurance,[19] cities such as Los Angeles with large
    Illegal Alien populations, high crime, and powerful immigrant gangs
    are losing their hospitals to the ravages of unreimbursed care under
    EMTALA. In Los Angeles, 95% of outstanding homicide warrants are for
    Illegal Aliens, likewise for 66% of fugitive felony warrants. The
    notorious 18th Street Gang has 20,000 members the California
    Department of Justice deems 60% Illegal Aliens, but 80% according to
    the Los Angeles Police Department. The Lil' Cycos Gang notorious for
    murder, racketeering, and drugs in Los Angeles's MacArthur Park was
    thought 60% illegals in 2002, though higher now. Francisco Martinez of
    the Mexican Mafia ran the gang from prison while incarcerated for
    felonious reentry after deportation.[20]

    Illegal Aliens move freely in crime sanctuary cities. [21],[22] In Los
    Angeles, San Diego, Stockton, New York, Chicago, Miami, Austin, and
    Houston, no hospital, physician, city employee, or police officer can
    report immigration violators to the Department of Homeland Security's
    Bureau of Immigration and Customs Enforcement (the old INS). Los
    Angeles Police Department Special Order 40 (begun in 1979 by then
    Chief Daryl Gates) prohibits cops from "initiating police action where
    the objective is to discover the alien status of a person."

    Daily as many as 10,000 Illegal Aliens cross the 1,940-mile-long
    border with Mexico. [23],[24] About 33% are caught. Many try again,
    immediately. Authorities estimate about 3,500 Illegal Aliens daily
    become permanent U.S. residents, at least 3 million
    annually.[25],[26],[27] EMTALA rewards them with extensive, expensive
    free medical services if they claim emergency requirement for care.

    Government welcomes Illegal Aliens by refusal to police our borders,
    by reluctance to prosecute people who violate basic American law, and
    by fervor to please those who snidely abuse our generosity and
    cynically ply our compassion against ourselves.


    1, Frederic Bastiat's Selected Essays on Political Economy: What is
    Seen and What is Unseen. Irvington-on-Hudson, New York: Foundation for
    Economic Education, 1995.
    2, Madeleine Pelner Cosman's Who Owns Your Body?: Doctors and Patients
    Behind Bars. Westport, CT: Praeger, 2005.
    3, Chong, J-R. Hawthorne Hospital to Shut Doors. R.F. Kennedy Medical
    Center Cites Financial Problems for ClosureSixth ER in La County This
    Year. Los Angeles Times, September 24, 2004.
    4, John Goodman, Gerald Musgrave, Devon Herrick's Lives at Risk:
    Single Payer National Health Insurance Around the World. Lanham and
    New York: National Center for Policy Analysis, Rowman and Littlefield,
    5, Wright, CM. SSI: The Black Hole of the Welfare State. Cato Policy
    Analysis 224, April, 1995.
    6, Peter J. Ferrara's Social Security: The Inherent Contradiction.
    Washington: Cato Institute, 1980.
    7, Lee B. Reichman's Time Bomb: The Global Epidemic of Multi-Drug
    Resistant Tuberculosis. New York: McGraw Hill Professional, 2001.
    8, Laurie Garrett's The Coming Plague. New York: Penguin, 1995.
    9, Cosman MP. Medicare and the Criminalization of American Medicine:
    1965-1993. 6:1 National Trial Lawyer (1994).
    10, Turner GM. HIPAA and the Criminalization of American Medicine.
    22:1 Cato Journal, Spring/Summer 2002.
    11, 237 F 3d 1074.
    12, Arrington v. Wong, 237 F3rd 1066 (9th Cir. January 22, 2001)
    13, Roark AC. Surgeon Tires of Effort to Plug Gap in Trauma
    Care-Hospitals: A doctor on call in emergency rooms. Los Angeles
    Times, December 23, 1990.
    14, Weber T., Ornstein C, Landsberg M. King/Drew Trauma Unit Faces
    Closure. Drew Proposal Assailed. Los Angeles Times, September 14,
    15, Michelle Malkin's Invasion. Washington: Regnery, 2004.
    16, Jon E. Dougherty's Illegals: The Imminent Threat Posed by our
    Unsecured U.S.-Mexico Border. Nashville: WND Books, 2004.
    17, Roark AC. Surgeon Tires of Effort to Plug Gap in Trauma
    Care-Hospitals: A doctor on call in emergency rooms. Los Angeles
    Times, December 23, 1990.
    18, Heather Mac Donald's The Illegal-Alien Crime Wave. New York:
    Manhattan Institute, 2004.
    19, Weber, EJ. Does Lack of a Usual Source of Care or Health Insurance
    Increase the Likelihood of an Emergency Department Visit? Results of a
    National Population-Based Study. Annals of Emergency Medicine,
    October, 2004.
    20, Heather Mac Donald's The Illegal-Alien Crime Wave. New York:
    Manhattan Institute, 2004.
    21, Heather Mac Donald's The Illegal-Alien Crime Wave. New York:
    Manhattan Institute, 2004.
    22, Michelle Malkin's Invasion, Washington: Regnery, 2004.
    23, Michelle Malkin's Invasion. Washington: Regnery, 2004.
    24, Colorado Alliance for Immigration Reform (CAIR)
    25, DeWeese T. The Mexican Fifth Column. 2003
    26, Guzzardi D. Illegal Aliens: The Health Cost Dimension. January 25,
    27, DeWeese T. The Outrages of the Mexican Invasion. American Policy
    Center. February 27, 2003.

    Dr. Cosman is a medical lawyer located in California. Her forthcoming
    book in 2005 is Who Owns Your Body?: Doctors and Patients Behind Bars.
    She lectures worldwide on medical law and medical policy, has
    testified before Congress on medical law issues, and has spoken in
    Washington for Cato Institute and Galen Institute. She wrote the ABCs
    of the Clinton Medical World for Congress in 1993. A Director of
    California Rifle and Pistol Association, she writes "Guns and
    Medicine" for Firing Line. One of her 15 published books was nominated
    for the Pulitzer Prize, National Book Award, and was a Book of the
    Month Club Dividend Selection.

    Madeleine promotes free-market, patient-centered medicine, and Health
    Savings Accounts.

    Her J.D. is from New York's Cardozo School of Law, Ph.D. from Columbia
    University, M.A. from Hunter College, and B.A. from Barnard College.
    She is a member of the New York State Bar, New Jersey Bar, American
    Bar Association's Health Law Section, and American Inns of Court.
    Madeleine is Professor Emerita of City College of City University of
    New York and a Life Fellow of the New York Academy of Medicine.

    Comment From Davd B.

    Jeff -

    I'm attempting to get hernia surgery. I finally found an independent
    center in El Paso, TX with a reasonable cost, primarily because
    they're new and they know the physician. Why couldn't I get it in Las
    Cruces, NM, or in nearby Deming, NM? Because the surgery centers are
    connected with hospitals, and their prices are between $6000 to $8000
    for ONE HOUR!!!

    After getting one honest person on the phone, explaining that I'm
    paying for this myself and I want to know why it's so expensive, this
    is what I was told--"the illegals are coming to the hospitals in
    droves and can't be turned away and the hospitals are attempting to
    recoup their expense". She continued "I'm very sorry, I know it's not

    No, it's not. It's hard enough not having insurance, but to pay this
    kind of outrageous fee for people that are not even supposed to be
    here really pisses me off.

    I have been married three times, and my first two wives are hispanic.
    They have always been angry about the illegals, but when I see them
    now they're really angry. So am I....

    David Brandt

    "So, likewise, a passionate attachment of one nation for another produces a variety of evils. Sympathy for the favorite nation, facilitating the illusion of an imaginary common interest in cases where no real common interest exists, and infusing into one the enmities of the other, betrays the former into a participation in the quarrels and wars of the latter without adequate inducement or justification. It leads also to concessions to the favorite nation of privileges denied to others, which is apt doubly to injure the nation making the concessions by unnecessarily parting with what ought to have been retained, and by exciting jealousy, ill will, and a disposition to retaliate in the parties from whom equal privileges are withheld; and it gives to ambitious, corrupted, or deluded citizens (who devote themselves to the favorite nation) the interests of their own country without odium, sometimes even with popularity, gilding with the appearances of a virtuous sense of obligation, a
    commendable deference for public opinion, or a laudable zeal for public good the base or foolish compliances of ambition, corruption, or infatuation . . .

    "Against the insidious wiles of foreign influence (I conjure you to believe me, fellow-citizens) the jealousy of a free people ought to be constantly awake, since history and experience prove that foreign influence is one of the most baneful foes of republican government . . . Excessive partiality for one foreign nation and excessive dislike of another cause those whom they actuate to see danger only on one side, and serve to veil and even second the arts of influence on the other. Real patriots who may resist the intrigues of the favorite are liable to become suspected and odious, while its tools and dupes usurp the applause and confidence of the people to surrender their interests.

    " . . . nothing is more essential than that permanent, inveterate antipathies against particular nations and passionate attachments for others should be excluded, and that in place of them just and amicable feelings toward all should be cultivated. The nation which indulges toward another an habitual hatred or an habitual fondness is in some degree a slave. It is a slave to its animosity or to its affection, either of which is sufficient to lead it astray from its duty and its interest."

    -- President George Washington
    Farewell Address
    September 26, 1796
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