Thousands of New Orleanians are devoted to -- and dependent upon -- this city's Charity Hospital. To most people, the state's public medical complex is known simply as "Charity" or "Big Charity," even though it's now partnered with University Hospital in an entity formally known as the Medical Center of Louisiana at New Orleans (MCLNO).
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Charity Hospital delivers half the babies born in New Orleans each year. It sees 500 patients a day, many of them uninsured. Two-thirds of the doctors who train in the state's Charity Hospital system ultimately practice in Louisiana. Earlier this month, the U.S. Census Bureau released data showing that nearly 15 percent of Americans are now uninsured, largely due to high unemployment rates and skyrocketing health costs. In Louisiana, more than 20 percent are insured -- one of the highest rates in the nation. Thus, Charity's importance cannot be overstated.
For uninsured patients, the options are few. Federal law requires hospitals to treat anyone who needs immediate care, regardless of ability to pay. But hospitals alone determine what constitutes an emergency. In calls to several local hospitals, Gambit Weekly found that most hospitals require an up-front deposit of up to $500 for non-emergencies. A typical staffer advised that uninsured patients walking in the door should be prepared to pay $300, and that it might be smarter to look elsewhere. "Charity is the free clinic of the city," she said.
http://www.bestofneworleans.com/dispatch/2003-10-14/commentary.html