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Jewish World Review Dec. 30, 2005 / 29 Kislev, 5766 Immigration and Medicine: Cost of caring for the ‘undocumented’ is high By Drs. Michael A. Glueck & Robert J. Cihak http://www.JewishWorldReview.com | We don't want to be thought of as Scrooges post Christmas -- particularly with New Years 2006 dashing approach -- but we did want to make some comments regarding the consequences of illegal immigration on medicine and health care. This is certainly one of the most important and far reaching issues of this year, 2005. We have received many letters from readers asking us to, "Please say something," on this emotional, factual and fractional issue. An old axiom states that what happens in California is a precursor to what happens in the nation. Unfortunately this is true. So look for these issues to be coming to a capital in your state soon -- if they haven't arrived already. According to the Department of Homeland Security, in 2000 the population of California had the highest percent of illegal immigrants in the country. The estimate by the Immigration and Naturalization Service was that there were 2,209,000 aliens residing illegally in the state, which was 31.6 percent of the estimated national total. Current 2005 illegal estimates vary between 14,000,000-22,000,000 nationwide. A study by The Federation for American Immigration Reform estimated that in 2004 the annual uncompensated cost of medical care for illegal immigrants in California was $1,400,000,000. Total uncompensated educational, health care and incarceration costs were estimated to be 10,500,000,000. Care is frequently provided to illegal immigrants by emergency rooms and is provided when a crisis exists rather than as preventative practice. Both phenomenon add to the high cost of health care. For 12 states, the government pays hospitals for providing emergency services to Illegal Aliens. In 2005, the state of California got $70,000,000 to help with dismal shortfalls. California's San Diego County was about $100,000,000 in the red and Los Angeles County about $140,000,000. Many California hospitals cannot afford to absorb costs and many are forced to close due to financial mandates for treating illegal immigrants. As recently reported, 84 California hospitals are closing their doors forever. Hospital closure degrades health care to all in the community and results in job losses. Federal laws provide states incentives to provide Medicaid coverage to illegal immigrants. All state Medicaid programs offer an endless list of services with some states like Florida literally including the kitchen sink if home repairs and maintenance are needed. Only four states check for citizenship before awarding Medicaid. California escalated in one year from 450,000 Illegal Aliens on Medi-Cal in 2002 (California's version of Medicaid) to 750,000 in 2003. Medi-Cal (Medicaid in other states) covers well-baby maternity care, delivery expenses, and long-term care that are incurred for children born to illegal immigrants. Thus "anchor babies" become medical insurance policies. Comments Medical Lawyer Madeleine Cosman, J.D., Ph.D., in her on-line journal, August 27, 2005, "Promoters of open borders and elevating the status of Illegal Aliens brilliantly use Americans' medical compassion against ourselves." The medical literature reports that many undocumented sequester within their bodies infectious and fatal diseases that long ago were fought and eliminated by American medicine Now illegals may carry drug resistant strains of tuberculosis, malaria, polio, leprosy, plague, Dengue Fever, and Chagas Disease. Are there Potential Solutions? A number of potential solutions to reducing uncompensated health care costs require federal participation, which means that Senators and Congressmen from California and elsewhere must introduce federal legislation while State legislators and administrators do what is within their power to improve state laws and regulations. Some potential solutions include: Adopt measures to systematically collect information on undocumented alien use of taxpayer-funded services. Health care providers and civil libertarians have blocked past attempts to collect such information. Withhold foreign aid to the country of origin in the amount spent providing uncompensated medical care and refund these moneys to providers that granted services. Require graduates of US medical schools who are citizens of foreign countries to spend community service time treating illegal immigrant patients in US as contribution in kind to defray expenses billable to that country of origin. Provide transportation to cities in country of origin where that country is able to provide medical care. Let's resolve this New Year, 2006, to promote a respectful exchange of ideas and opinions aimed at achieving a sane, safe, and sensible solution to the immigration and medicine dilemma. With this goal our citizens, legal immigrants, illegal immigrants and those who desire to come to America and play by the rules will have a better quality of life. It is far easier to make progress within a win-win, rather than a win-lose or lose-lose overture. Such said, An uplifting New Year to you all! Editor's Note:: Michael Arnold Glueck, M.D. wrote this week's column. Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here. Michael Arnold Glueck, M.D., is a multiple award winning writer who comments on medical-legal issues. Robert J. Cihak, M.D., is a Discovery Institute Senior Fellow and a past president of the Association of American Physicians and Surgeons. Both JWR contributors are Harvard trained diagnostic radiologists. Comment by clicking here. Archives © 2005,

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