http://www.northjersey.com/page.php?...VFeXk3MTQ5OTA3
North Jersey hospitals struggle with medial tourists
Sunday, June 10, 2007
By MARY JO LAYTON
STAFF WRITER
North Jersey hospitals are treating increasing numbers of foreigners who travel to the U.S. for medical care -- and leave without paying their bill.
Mindful that U.S. emergency rooms must take all comers, these medical tourists head from the airport straight to the hospital -- sometimes armed with CT scans and doctor's notes. As soon as they're well, they're back on the plane home.
They're leaving hospitals -- and taxpayers -- on the hook for millions at a time when 40 percent of the state's hospitals are operating in the red.
Hospital executives report numerous cases, including:
# Holy Name Hospital provided $1.9 million in care to a 67-year-old woman from the Dominican Republic, an accident victim whose desperate son maxed out his credit cards to fly his mother here for treatment. The Teaneck hospital also lost hundreds of thousands caring for patients from Trinidad, Korea and the Philippines.
# A woman from Peru showed up at Hackensack University Medical Center after her doctors at home found a growth on her liver. A patient from India flew in for open-heart surgery, and a man from Ecuador arrived in the emergency room in need of an operation for an aortic aneurysm. The cost for caring for the three patients: $515,000.
# Several area hospitals have seen a growing number of foreign patients in their maternity wards -- including a doctor from Egypt -- who clearly have the means to pay. They get more than free care: Their newborns are granted citizenship.
"We're beginning to hear more and more from hospitals about illegal aliens basically taking a flight in, being treated and taking off back home and leaving hospitals with the bill," said Ron Czajkowski, a vice president of the New Jersey Hospital Association.
"There are apparently cases of individuals who figured out how to take advantage of the system," Czajkowski said.
Many are encouraged to come by family members living in the area -- relatives who know the quality of cardiac or cancer care offered by the region's best hospitals.
Some of the sick wage an epic effort to get here because their own country's health care system can't help them. They scrape together airfare, and they travel in dire health looking for treatment in the land of hope. In other cases, savvy patients select the hospital that specializes in treating their ailment, book a flight, then take a taxi straight to the emergency room -- keenly aware that federal law requires U.S. hospitals to provide emergency treatment regardless of a patient's legal status or ability to pay.
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