Dialysis for immigrants drives hospital into debt

Associated Press
Aug. 17, 2009, 6:30AM

LAS VEGAS β€” A Las Vegas hospital providing emergency dialysis services to 80 illegal immigrants says that accounts for much of its operating deficit.

The University Medical Center says the treatment will cost it about $24 million this fiscal year, aggravating a budget deficit that is expected to approach $70 million.

UMC's chief operating officer, Brian Brannman, said the hospital is required by federal law to treat anyone who shows up in an emergency but receives no reimbursement from federal, state or local governments for doing it.

"Our people are really torn," Brannman told the Las Vegas Review-Journal. "We want to take care of people who are ill. We're proud that we can save lives. But our employees are also worried about the survival of UMC. They know that the appetite of taxpayers for helping undocumented immigrants is limited."

The cost of providing dialysis to illegal immigrants doubled last year, with twice as many seeking the treatment two or three times a week, officials said.

One patient said she had nowhere else to turn.

"I am so thankful to this hospital for doing this for someone who is not a citizen," Marta Berrera told the newspaper through an interpreter. "Without this help, I would die and my four children would be without a mother."

UMC professionals say taxpayer-supported hospitals are strained to the breaking point and need to be part of the discussion on how to reform the nation's health care system. If this problem isn't solved, they say, others can expect to wait longer or pay more for their own emergency services.

"There's no question that these illegals who come for dialysis treatment at emergency rooms back everything up," said Dr. Dale Carrison, UMC's head of emergency services. "And there's also no question that they need help. But this isn't how emergency rooms were meant to be used."

http://www.chron.com/disp/story.mpl/spe ... 75281.html