Patient I saw recently
60 y/o woman found down in the parking lot
Witnessess began CPR. EMS found VT on arrival, shock delivered
Neurologic outcome thought to be moribund, but 10 days in to an ICU stay, pt awakes!
She gets a cardiac cath (non obstructive CAD)
ICD placed for secondary prevention
She has no insurance
Worked as a nurse at a local hospital until switching jobs 2 months ago
Per pt. – had to work 60 days b4 signing up for health insurance at new job
Now has pre-existing condition, will sign up for health insurance
Should there be penalty to get coverage outside enrollment windows?