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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?

 

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