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"The problems with controlling Ebola cases in the United States is not that we can?t care for people well, or with good infection control. We absolutely can. But the Dallas case abundantly illustrates some of the problems in caring for anyone with a communicable illness, whether a antibiotic resistant organism (aka ?superbug) like carbapenem resistant enterobacter (CRE), measles or Ebola.
Some of us suspect the Dallas patient was not admitted in part because he was uninsured. He was inexplicably and irrationally sent home with antibiotics for a presumed viral infection, even though he should have been considered an obvious risk. Saul Hymes nailed the absurdity of discharging someone with a viral infection on antibiotics with typical ID physician humor: ?He asked for ZMapp and they heard Z-pack.?
Re: Article in Scientific American: Ebola in the US
This is an opinion piece, and should be identified as such.
The only person in the ER who knows (or cares) about insurance status is typically the billing department, and often it takes days to sort these things out. Texas Presbyterian is a charity hospital and as such must show "community benefit" in order to keep their tax-free status or the state Attorney General will be on them like white on rice. Part of that community benefit is delivering charity care. Texas Health Gave $783 million in Charity Care & Community Benefits in 2012
