A friend of mine recently accompanied a neighbor who does not have any savings or any health insurance to the emergency room. Before they went, MaGreen and I researched and talked to friends about what there options were. I have recorded what I learned in the post below. Some might use these tactics to help friends, family, co-workers, or your own paid help (maid, nanny, etc.). You might need this information for yourself, but I have written it as if a person were helping a friend in the City of Houston. The same basic rules apply across the United States for everybody including Spanish speakers and those without immigration papers. (If you live in Sweden, Canada, or the UK, just smile smugly for having guaranteed healthcare and move on to the next post.) Please note that I am not advising and advocating anything, I'm just describing what I learned.
Non-Urgent CareIf your friend’s illness is not extreme, visit a walk-in clinic. These clinics go by many names and are run by many organizations throughout the area. All residents of Harris County can call Ask-A-Nurse at 713 633 2255. They have bilingual registered nurses who can help you and your friend figure out the best option for care. Also for those who live in Harris County, there is a free healthcare program known as the Gold Card. Your friend does not need papers to qualify, but proof of living in Harris County is required. Visit
this link for more information. With this card, your friend can visit doctors at the public hospitals and clinics for free or a very low fee.
Urgent CareIf your friend has an urgent need for care – a broken leg, extreme stomach pain, an open wound – you should go to a hospital Emergency Room. The ER must accept her as a patient by law. Period. She should be prepared to wait 24 hours in the waiting room. (If you go, cancel all your appointments.) Only the most extreme cases are seen immediately. Here are the steps you should follow.
1) Choosing a hospital
Ben Taub Hospital is the public hospital. The nurses and doctors are accustomed to uninsured patients, but the wait is long because of overcrowding. Private hospitals such as St. Luke’s hospital have shorter waits, but if your friend does not speak English well she ought to take someone who does with her.
2) Giving a Different Name, Phone Number, and Address
Before she goes to the hospital, the friend might think of a different name, phone number, and address that are easy to remember. Jane Thompson instead of Jane Williams. She might change the last digit of the phone number. The friend would agree on the plan. When she enters the ER, she would explain her need at the big desk at the front. They will ask for her name. She would give them the one decided on earlier. Then she will have to wait. If there is a big crash on the highway after she arrives, the wait might suddenly double. At some point, they will call her up and ask for her information. She would give the made up name, number, and address. When they ask for ID, she would just say she does not have any. They might ask two or three times for different forms of ID, but they will quickly give up.
3) Ask for Translation
If your friend does not speak English well, she should still have the benefit of understanding what the doctor says. Ask for a translator if you are with her. Diagnosis is a subtle art. And your friend must understand the doctor’s instructions. Hospitals usually have a list of people who can help with various languages, even ones you might not expect like Hmong.
4) Discharge
The ER might be your friend’s one chance to receive expensive tests like blood analysis and CAT scans. Ask for a copy of the medical record so your friend can show it to the next doctor she visits. If your friend needs a prescription drug and you feel that you can trust your doctor, the doctor might be asked to write it out using your friend’s real name. When you leave, the hospital might ask for contact information again or try to set up a payment plan. Your friend would keep giving the new name she chose. If you are with her and they ask for your name, being prepared to make up a new name for yourself too might be necessary. Your friend may leave the hospital without being bothered at all.
5) Follow-up
The most challenging step will probably be following up on the care your friend received in the ER. Again, the Gold Card might be the best option. Or maybe you have doctor friends who can help out.
Good luck!
Labels: activism, community, health