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The almost $900 million in a charity care pool would start paying hospitals to provide care for people without health insurance, instead of the current unaccountable distribution of dollars.
Lisa Greiner, a spokeswoman for the hospital, which collected $10.7 million from the charity care pool in 2010, said she could not comment on the case under privacy laws.
Yet that year the hospital, NewYork-Presbyterian/Weill Cornell, had already collected $50.2 million from the state's so-called Indigent Care Pool to help care for people like Ms. Rubel who have no insurance and cannot pay their bills.
Yet even hospitals that reported they had spent nothing on financial aid, or had filed hundreds of liens against patients' homes, were allowed to collect without questions from the charity care pool, which distributes more than $1 billion a year.
They include requiring every citizen who can afford health insurance to buy it or face income tax penalties, converting the money in the state's free health care pool into subsidies to help low-income people buy insurance and creating a way for more businesses and individuals to save on insurance by using pretax dollars.
It had shown signs of illness late Wednesday afternoon and was moved to an intensive care pool but failed to respond to treatment, spokeswoman Jackie Hill said.
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The lack of public information about the health care pools has led to rampant speculation.
Given that one of four New Yorkers is uninsured, these "free care" pools and the hospitals that access them are overdue for reform.
Moreover, New York law specifies that the existence of these "free care" pools may not be used by an uninsured patient as a defense when the hospital sues him for his bills.
Each year, more money has flowed into the health care pools than has flowed out, because some programs have been slow to start up or have cost less than anticipated, Pataki administration officials said.
To that end, the governor has proposed diverting one of the biggest streams of money feeding the health care pools -- about $420 million a year the state receives from a court settlement with tobacco companies.
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