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Re: Medicare Health Care Reform - Accountable Care Organizations
posted at May 9, 2013 12:56 PM EDT
First: June 6, 2012
Last: May 9, 2013
ACOs reward doctors and medical workers for providing less care to patients. "They reward bad doctors and punish good doctors. If someone dies, it’s more cost effective and cheaper. If someone is readmitted for, say, a wound not healing, the hospital doesn’t get paid by Medicaid or Medicare, it gets fined. Wheeling and dealing is bad care for patients
Public Health Risks
Because illegal immigrants, unlike those who are legally admitted for permanent residence, undergo no medical screening to assure that they are not bearing contagious diseases, the rapidly swelling population of illegal aliens in our country has also set off a resurgence of contagious diseases that had been totally or nearly eradicated by our public health system.
the illegal alien population as the logical source of this disproportionate rate of TB incidence. It should also be kept in mind that among U.S. citizens who contract TB their exposure to the disease may well have come from exposure to a non-U.S. citizen.
"The pork tapeworm, which thrives in Latin America and Mexico, is showing up along the U.S. border, threatening to ravage victims with symptoms ranging from seizures to death. ... The same [Mexican] underclass has migrated north to find jobs on the border, bringing the parasite and the sickness—cysticercosis—its eggs can cause[.] Cysts that form around the larvae usually lodge in the brain and destroy tissue, causing hallucinations, speech and vision problems, severe headaches, strokes, epileptic seizures, and in rare cases death."3
The problem, however, is not confined to the border region, as illegal immigrants have rapidly spread across the country into many new economic sectors such as food processing, construction, and hospitality services.
Typhoid struck Silver Spring, Maryland, an immigrant from the Third World (who had been working in food service in the United States for almost two years) transmitted the bacteria through food at the McDonald’s where she worked. River blindness, malaria, and guinea worm, have all been brought to Northern Virginia by immigration.4
Contrary to common belief, tuberculosis (TB) has not been wiped out in the United States, mostly due to illegal migration. In 1995, there was an outbreak of TB in an Alexandria high school, when 36 high-school students caught the disease from a foreign student.5 The four greatest immigrant magnet states have over half the TB cases in the U.S.