Those Undocumented Thieves?
Saturday, February 21st, 2009So a buddy of mine sent me an email with a video link discussing “illegal immigrants” using health care facilities in the United States. Along with the video came some text (that he did not write). It’s one of those emails that gets sent around to the ever present protesting subculture of web users. Here’s the text that was in the email:
This is one small hospital in Florida…Unbelievable! PLEASE WATCH THIS SHORT VIDEO. EVERYONE NEEDS TO HEAR THIS. IT AFFECTS EVERY ONE OF US!!! This is why you can’t afford good health care. This should offend every US tax paying citizen. This is not only happening in Florida, but every state in the U.S.
Before I make any comments, you’ll need to watch the video.
So you’re probably outraged that this could happen, especially if you’re one of the many tens of millions of Americans who do not have health care or who are in mountains of debt because of health care bills that you can not pay. Imagine returning to your country of origin and leaving all of those bills behind — and not even having to pay for your return flight! I’m sure you’re thinking that that would be a nice option to have.
But as matters such as these go, especially things that seem so incredibly outrageous, there are always other factors to consider.
Let me discuss just one. There are over four million U.S. citizens living permanently in other countries. This doesn’t include students studying abroad, nor are Americans serving at U.S. military bases on foreign part of the mix. It does include people working for multinational companies, however. So if we assume that half of this group (two million people) are simply living on their own in foreign countries and not for some company that probably provides them with health care, we probably should also assume that a large number of the remaining number of people are uninsured. Anecdotal observation on my part while spending years living abroad would lead me to conclude that there are a lot of people who just wanted to blow out of the U.S. and live somewhere else because they didn’t appreciate their lives here — like many of the nearly 700,000 Americans currently living in Canada.
Here’s the hitch. A significantly large segment of these uninsured, free-wheeling expats are living in countries where they have access to government health care (e.g., Canada, UK, Mexico, among probably a hundred other places). What do you think happens when one of them who is living on the Cliffs of Moher on the west coast of Ireland is suddenly stricken with pneumonia? Do you think that the locals just let them die? Absolutely not. He or she goes to the hospital and the Irish doctors and nurses take care of the problem. And when it’s time to pay? Sometimes the hospital is reimbursed and other times the staff simply says “You’re welcome” as our fellow countryman or woman walks back into their Irish life.
Back in the 1980s I spent three days in a hospital in Mexico City having my appendix removed. It was a crazy story — and I mean A CRAZY STORY — and one that I never seem to get around to telling. It was in a hospital in a particularly gritty part of town and the doctors said that an appendectomy was a simple procedure for them compared to the gun shot and knife wounds they typically dealt with. My total bill? A pint of blood. They asked me to donate a pint of blood…adding to the end of the request, “if you wouldn’t mind.” That’s it. Here’s this gringo hanging out in Mexico who eats too many jalapenos and drinks too much tequila and ends up needing an emergency appendectomy — and the people of Mexico have to pay for it. I’m sure some investigative journalist could have done a provocative expose about the hospital beds that were being occupied by “rich Americans” while poor Mexicans were being turned away.
I’m not saying that all things are equal and that U.S. citizens should be happy and willing to pay for the health care of people who are living as undocumented laborers in this country. What I am saying is that I’d like to see someone add up the total health care costs of Americans who are living abroad that are paid by foreign tax payers. If I had to guess, I’d surmise that the total cost for foreigners who lack insurance and are living legally or illegally here in this country would be more, but only because our health care costs are inflated. Many of the million dollar charges discussed in the video are largely unreasonable, even if they are true on paper. For example, my wife had shoulder surgery last summer and her insurance company was billed twenty bucks for a small bag of ice that they got out of an ice cooler. So I imagine that if the Guatemalan man receives a few packs of ice every day for a year, that amounts to $22,000 — and I’m sure the hospital is keeping track of every single charge hoping that they’ll one day be reimbursed by somebody…anybody.
I’m also not saying that this is something about which we ought not be concerned. And it’s unreasonable to think that any hospital should absorb all of the charges for the care of someone who is not even a resident of the state in which that hospital or clinic is located. However, let’s keep these matters in their proper context because when we point a finger at someone else there are always three directed back at us.



