From the other side (in the U.S. at least)
I probably shouldn't post this, partly because I'm just a student, not EMT yet, and partly because its from when I was the patient, but... I drove myself to the hospital one evening for an emergency ------ (under the circumstances, I keeping this private) and waited about three hours while an intake person was arguing with my insurance company about coverage. I had tried to get my doctor's answering service to page my gp earlier, without getting a response, and was unable to wait to make an appt (take my word on this). The lady (I think she was an intake nurse) then came and told me that if anything like this comes up to call 911 and get an ambulance. "But..." I argued "this problem has nothing to do with my ability to drive to the hospital!" She patiently told me it doesn't matter, that health insurance companies will much less likely challenge a claim, and approve treatment quickly if someone calls 911 and calls it an emergency, no matter what the condition is.
So while I realize there are a lot of patients who abuse the system out of stupidity, this kind of behavior is actually ENCOURAGED by the system. People know you're writing up something to present to insurance companies, and may be afraid they won't get ANY treatment unless they make outrageous claims. It sucks.
I probably shouldn't post this, partly because I'm just a student, not EMT yet, and partly because its from when I was the patient, but... I drove myself to the hospital one evening for an emergency ------ (under the circumstances, I keeping this private) and waited about three hours while an intake person was arguing with my insurance company about coverage. I had tried to get my doctor's answering service to page my gp earlier, without getting a response, and was unable to wait to make an appt (take my word on this). The lady (I think she was an intake nurse) then came and told me that if anything like this comes up to call 911 and get an ambulance. "But..." I argued "this problem has nothing to do with my ability to drive to the hospital!" She patiently told me it doesn't matter, that health insurance companies will much less likely challenge a claim, and approve treatment quickly if someone calls 911 and calls it an emergency, no matter what the condition is.
So while I realize there are a lot of patients who abuse the system out of stupidity, this kind of behavior is actually ENCOURAGED by the system. People know you're writing up something to present to insurance companies, and may be afraid they won't get ANY treatment unless they make outrageous claims. It sucks.
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