It is easier to be homeless in
the summer. So if you are homeless should you wander to a place that feels like
summer year round? Hawaii has the highest number of homeless people than any
other state. It is the first state to declare the problem an official State of
Emergency. In desperation to solve the problem the state is trying a radical
new approach. Lawmakers there this past March debated considered homelessness a
medical illness. So, you will be able to get a prescription from your doctor
for an apartment? Hmnnn! Maybe Trump will like this idea and build Trump Towers
there for the homeless and bill the government for that too.
Now it can be doctor’s orders to
get off the street. In Honolulu, Hawaii the homeless epidemic is very real. Our
beautiful paradise is littered everywhere with people living out of their
shopping carts. Gary Grinker is a homeless guy who is the highest uses of
Medicaid in Hawaii. He walked out of the emergency room hospitals there 241
times last year. He cost the tax payers over $1.2 million dollars. The
hospitals know him on a first name basis. He is just one of 1,900 people in the
state who are sick chronically homeless people. They live on the streets for
extended times and have on going medical conditions. Hawaii Senator Josh Green
who is also a practicing Emergency Room doctor wants to redefine homelessness
as a medical disease and allow doctors to
prescribe housing using Medicaid
funds.
He says that the average life
span of homeless people are age 50. He also believes that each housing
prescription will cost an average of $20,000 dollars per year. Currently Hawaii
spends about $95,000 on the average Medicaid user. So a prescription for a home
is a real bargain and will keep the homeless out of the costly emergency rooms?
Neither the American Medical Association
or the American Psychological Association considers homelessness a medical
disease. Medicaid doesn’t let the state
spend money on rent. Hawaii is a great place to be homeless because the weather
is great, mobility is easy, food is everywhere and there is a sense of freedom
there. Everyone goes to Hawaii to have fun.
So, is homelessness a social
condition or a medical condition? Hawaii gets $2 billion dollars a year to be
used for Medicaid. The homeless population uses up 60% of that money in the
emergency rooms. The ambulance costs $1,000 and the emergency room costs for
basic vital sign tests cost another 2-3 thousand dollars. They get checked out,
get a few pills and are out on the street again. The homeless are repeat
visitors to the emergency room at times for basic care. The doctors who treat
these people know what is best for humans and not the bloated rich people in
Washington, the Federal government lawmakers. Should Medicare pay for a home?
No But these people would benefit greatly from being off the streets and would
lead healthier lives. Even just clinics for the homeless would be a better
funded idea to treat the homeless than have them clog up the costly places
geared for real emergency treatments. The whole system needs to be revamped.
The Federal Government is always
trying to cut costs and it is highly doubtful that they would vote to start a
new entitlement program for the homeless even if it would be proven that it
would be less costly than emergency
room visits. Do politicians want a reputation for spending money for anything?
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