5 ms·

In NYC and not only Manhattan housing is expensive. Yet in NYC is where a lot of jobs are. Taking care of very poor populations who may indeed have very high

In NYC and not only Manhattan housing is expensive. Yet in NYC is where a lot of jobs are. Taking care of very poor populations who may indeed have very high medical costs are substantially reduced by giving them stable housing which is hard to do with zoning density restrictions that makes housing expensive.

DrScump 9y ago
very high medical costs are substantially reduced by giving them stable housing Do you know of any study that documents such an effect?
- Mz 9y ago
  Not exactly what you requested, but a pertinent source: http://www.salon.com/2017/06/10/cuts-in-federal-housing-help-would-hurt-peoples-health-research-suggests_partner/ http://www.salon.com/2017/06/10/cuts-in-federal-housing-help... I also know that health crises for homeless people tend to hard to resolve and cost a lot more than for people who are housed. Medical advice like "stay off your foot and soak it twice a day" simply cannot be complied with if you are homeless. The health issues of the homeless tend to compound and get incredibly expensive, in most cases. Source: I have had a class on homelessness and public policy, I am homeless, I run a few websites pertinent to this problem space. (In essence, I am kind of a SME here.)
- davidf18 9y ago
  It us known in medical circles that take care of the poor. I am speaking of people that cost the medical system a huge amount of money. This is a great explanation. http://www.newyorker.com/magazine/2011/01/24/the-hot-spotters http://www.newyorker.com/magazine/2011/01/24/the-hot-spotter...
  - DrScump 9y ago
    Saying "it is known" is not data. For example the "it is known" premise that the ACA and Medicaid expansion would result in lower consumption of medical care overall. The opposite has happened. One example, with data: http://www.mercurynews.com/2017/06/21/emergency-room-visits-by-medi-cal-patients-soaring-state-data-shows/ http://www.mercurynews.com/2017/06/21/emergency-room-visits-...
    - davidf18 9y ago
      Did you read the article? A number of people who have very expensive medical bills when given a home the bills went down substantially. Read the article.
      - DrScump 9y ago
        I can't find where it says that or gives comprehensive hard numbers (or references to same) at all. The relevant question is: is any resulting consumption of medical care dollars reduced by more than the cost of these frequent in-home care visits? Generally, personnel costs (especially in public agencies) far outweigh the cost of (mostly generic) meds. I see no hard numbers for either statistic. What did I miss?
        davidf18 9y ago
        Look, just read the article and you'll see it: "After several months, he had recovered enough to be discharged. But, out in the world, his life was simply another hospitalization waiting to happen." Hospitalizations can cost thousands of dollar per day. So this stay cost in the several hundred thousand dollar range. [skipping some paragraphs]. He is given a stable housing environment: "I spoke to Hendricks recently. He has gone without alcohol for a year, cocaine for two years, and smoking for three years. He lives with his girlfriend in a safer neighborhood, goes to church, and weathers family crises. He cooks his own meals now. His diabetes and congestive heart failure are under much better control. He’s lost two hundred and twenty pounds, which means, among other things, that if he falls he can pick himself up, rather than having to call for an ambulance." The entire article is about this sort of thing and about many cases.
        davidf18 9y ago
        Look, just read the article and you'll see it: "After several months, he had recovered enough to be discharged. But, out in the world, his life was simply another hospitalization waiting to happen." Hospitalizations can cost thousands of dollar per day. [skipping some paragraphs] "I spoke to Hendricks recently. He has gone without alcohol for a year, cocaine for two years, and smoking for three years. He lives with his girlfriend in a safer neighborhood, goes to church, and weathers family crises. He cooks his own meals now. His diabetes and congestive heart failure are under much better control. He’s lost two hundred and twenty pounds, which means, among other things, that if he falls he can pick himself up, rather than having to call for an ambulance." The entire article is about this sort of thing and about many cases.
- analyst74 9y ago
  A small Canadian city has eliminated homelessness by giving them housing for free, which is actually cheaper for the city. http://www.cbc.ca/radio/asithappens/as-it-happens-thursday-edition-1.3074402/medicine-hat-becomes-the-first-city-in-canada-to-eliminate-homelessness-1.3074742 http://www.cbc.ca/radio/asithappens/as-it-happens-thursday-e...
  - DrScump 9y ago
    Medicine Hat is hardly a magnet for out-of-area homeless like S.F. is, nor is it ever likely to become one.

DrScump 9y ago

very high medical costs are substantially reduced by giving them stable housing Do you know of any study that documents such an effect?

Mz 9y ago
Not exactly what you requested, but a pertinent source: http://www.salon.com/2017/06/10/cuts-in-federal-housing-help-would-hurt-peoples-health-research-suggests_partner/ http://www.salon.com/2017/06/10/cuts-in-federal-housing-help... I also know that health crises for homeless people tend to hard to resolve and cost a lot more than for people who are housed. Medical advice like "stay off your foot and soak it twice a day" simply cannot be complied with if you are homeless. The health issues of the homeless tend to compound and get incredibly expensive, in most cases. Source: I have had a class on homelessness and public policy, I am homeless, I run a few websites pertinent to this problem space. (In essence, I am kind of a SME here.)
davidf18 9y ago
It us known in medical circles that take care of the poor. I am speaking of people that cost the medical system a huge amount of money. This is a great explanation. http://www.newyorker.com/magazine/2011/01/24/the-hot-spotters http://www.newyorker.com/magazine/2011/01/24/the-hot-spotter...
- DrScump 9y ago
  Saying "it is known" is not data. For example the "it is known" premise that the ACA and Medicaid expansion would result in lower consumption of medical care overall. The opposite has happened. One example, with data: http://www.mercurynews.com/2017/06/21/emergency-room-visits-by-medi-cal-patients-soaring-state-data-shows/ http://www.mercurynews.com/2017/06/21/emergency-room-visits-...
  - davidf18 9y ago
    Did you read the article? A number of people who have very expensive medical bills when given a home the bills went down substantially. Read the article.
    - DrScump 9y ago
      I can't find where it says that or gives comprehensive hard numbers (or references to same) at all. The relevant question is: is any resulting consumption of medical care dollars reduced by more than the cost of these frequent in-home care visits? Generally, personnel costs (especially in public agencies) far outweigh the cost of (mostly generic) meds. I see no hard numbers for either statistic. What did I miss?
      - davidf18 9y ago
        Look, just read the article and you'll see it: "After several months, he had recovered enough to be discharged. But, out in the world, his life was simply another hospitalization waiting to happen." Hospitalizations can cost thousands of dollar per day. So this stay cost in the several hundred thousand dollar range. [skipping some paragraphs]. He is given a stable housing environment: "I spoke to Hendricks recently. He has gone without alcohol for a year, cocaine for two years, and smoking for three years. He lives with his girlfriend in a safer neighborhood, goes to church, and weathers family crises. He cooks his own meals now. His diabetes and congestive heart failure are under much better control. He’s lost two hundred and twenty pounds, which means, among other things, that if he falls he can pick himself up, rather than having to call for an ambulance." The entire article is about this sort of thing and about many cases.
      - davidf18 9y ago
        Look, just read the article and you'll see it: "After several months, he had recovered enough to be discharged. But, out in the world, his life was simply another hospitalization waiting to happen." Hospitalizations can cost thousands of dollar per day. [skipping some paragraphs] "I spoke to Hendricks recently. He has gone without alcohol for a year, cocaine for two years, and smoking for three years. He lives with his girlfriend in a safer neighborhood, goes to church, and weathers family crises. He cooks his own meals now. His diabetes and congestive heart failure are under much better control. He’s lost two hundred and twenty pounds, which means, among other things, that if he falls he can pick himself up, rather than having to call for an ambulance." The entire article is about this sort of thing and about many cases.
analyst74 9y ago
A small Canadian city has eliminated homelessness by giving them housing for free, which is actually cheaper for the city. http://www.cbc.ca/radio/asithappens/as-it-happens-thursday-edition-1.3074402/medicine-hat-becomes-the-first-city-in-canada-to-eliminate-homelessness-1.3074742 http://www.cbc.ca/radio/asithappens/as-it-happens-thursday-e...
- DrScump 9y ago
  Medicine Hat is hardly a magnet for out-of-area homeless like S.F. is, nor is it ever likely to become one.