Medicaid in New York state: The quandary of finding specialists. “In August, a pediatrician finds the heart murmur in the 10-year-old girl on Medicaid, but cannot tell if the problem is minor or life-threatening. Ms. Ayuso calls Jacobi Medical Center, where a clerk tells her that the wait to see a cardiologist will be four months.

Later, Ms. Ayuso calls Bronx-Lebanon Hospital Center for a middle-aged woman with a lump in her breast. She accepts a mammogram appointment three months away.

A month later, things are worse. On Jacobi’s appointment line, a recording tells Ms. Ayuso she will wait 100 minutes on hold.”

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  • Anonymous

    ANd I called one of those 800 numbers where they ask “have you been hurt in an accident,” and I had a salivating attorney on the line in 5 minutes.

  • Anonymous

    This is one reason that I no longer accept Medicaid. The other reason is the completely unreasonable and time consuming procedures for precertification of medical tests and prescription drugs. I would be willing to accept the poor reimbursement schedule as doing my part to care for my share of indigent patients. However, I cannot accept the liability of having to treat problems beyond my expertise because I cannot find a specialist to see the patient. For the same reason I refuse to work in free clinics and in screening programs that have no provisions for referrals when a serious problem is found other than to send the patient to the local ER.

  • kateykakes

    Anonymous 8:10,

    In response to your post, what solutions, if any, are there? What help can the old and poor get that they really need – I’m not talking about the ones who abuse the system, but the ones that are in desperate need of the right kind of medical care.

    Thanks in advance.


  • Anonymous

    1. don’t get sick. don’t drink too much. don’t smoke
    2. lobby for tort reform, or better yet, a “no-fault” liability system
    3. understand that health care is not a fundamental right.
    4. have foresight when you are young and healthy to start a HSA saving and a high-deductible insurance plan.
    5. find a doctor who will prescribe tried and true generic medications and not the latest newfangled medicaton the drug company is pushing.
    6. lobby congress for medicare reimbursement fix. ?better reimbursement for primary care at the expense of procedural reimbursement.

  • kateykakes

    Anonymous 11:30,

    Thank you for your excellent response; it’s very much appreciated.

    There were a few things I wanted to get add, but I’ll have to do that after work when time permits.

    Again, thank you.

  • kateykakes

    One of these days I’ll proof the entire post before hitting send. Please ignore any spelling or grammatical errors…

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