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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 explanat

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.

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.