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December 10, 2005

Guidelines for charity care schemes in the Untied States are rigmarole in nature, I understand that every U.S. state needs some kind of guidelines to help hospitals in those states deliver crucial health care to its patients. However, the United States would do much better if it were to develop guidelines for delivering crucial health care to all of its residents based on equal terms, regardless of income and ability to pay. Why? Consider this example, in an article (Encarta Reference Library 2003, “ Health Care System in Canada”) cites that Canada’s scheme for delivering health care, which is on equal terms, regardless of age, income, and ability to pay, is less complicated and less expensive to operate for that country than the U.S. health care scheme is; if the United States developed a health care scheme similar to Canada’s then I surmise that delivering health care in America would be less rigmarole or less complicated and less expensive to do.

Now, you might think I’m trying to make an argument to give publicly funded health care to the wealthiest living in America, however that’s not what I’m trying do. The argument I’m trying to make is that publicly funded care delivered on equal terms, especially, crucial health care is a better scheme than a scheme invented on bureaucratic attributes, which can led to an unequal playing field for America’s low-income residents.

In the U.S. state of Maine there is a charity care scheme call “Free Care” (10-144 Chapter 150). One of the guidelines Section (1.10 “ Obligation To Provide Service And Adopt Policy”) states: that no hospital in Maine can deny services to a Maine resident because of their inability to pay for those services; this section and similar sections like it in other U.S. states should be changed to read: All hospitals in the State of Maine (or another U.S. state) must provide crucial health care services to all of its residents on equal terms, regardless of the factors of age, income, inability to pay and without subjecting its residents to a evaluation of such factors; with this change, then the United States like other industrialized nations like Canada will be taking a step in the right direction in the policy war over more equality on low-income issues regarding health care.

Anon. User

controversy over "charity care"

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This might belong under “Non Profit Organization,” but someone should address the huge and growing issue of how much charity care a hospital should provide to deserve its exemption from local property and sales taxes. Among the issues: Should not for profit hospitals provide a specific dollar amount worth of charity care? What should be included in “charity care” – discounts for expensive services? - care that is free because the patient never paid the bill? - the gap between the cost of Medicaid services and the reimbursement? Who should get charity care -- patients with incomes up to 100% of federal poverty level? 200% ? 300% Here are two commentaries on the subject.

http://www.washingtonpost.com/wp-dyn/content/article/2006/09/12/AR2006091201409.html

http://www.ihatoday.org/issues/payment/charity/support.pdf

Bettf 19:46, 31 January 2007 (UTC)[reply]

PROD

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Look for references first, if you do not find them, then is the time for proposing deletion.DGG (talk) 01:55, 17 November 2007 (UTC)[reply]


I would agree for some kinds of content, but a paragraph that seems to be using "many people advocate ..." language to express opinions really don't merit a reference search. Paul Turner (talk) 22:03, 25 July 2009 (UTC)[reply]
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