Herald-Tribune

DeSantis blamed immigrants for hospital costs. He’s hiding the truth.

- Frank Cerabino

There’s a familiar pattern with Florida Gov. Ron DeSantis.

He makes some sweeping announceme­nt of some bold plan that gets him airtime on friendly media outlets and stokes his now-moribund attempts for higher office.

And then a year later, you find out there’s more sizzle than steak.

‘Don’t Say Gay,’ ‘Stop Woke’ went nowhere

For example, the “Don’t Say Gay” classroom bill has become an “It’s OK for Teachers To Talk about Sexual Orientatio­n and Gender Identifica­tion in the Classroom After All” law.

In other news, DeSantis’ ballyhooed “Stop Woke” initiative that aimed to ban diversity training in private businesses was derailed after a federal appeals court found it unconstitu­tional last month.

And remember that bully pulpit DeSantis mounted last summer trying to make the southern border crisis a Florida issue he could take to the campaign trail?

Yeah, that turned into a nothing-burger, too.

‘Biden Border Crisis’ rhetoric falls flat

“The Biden Border Crisis has wreaked havoc across the United States and has put Americans in danger,” DeSantis said in a prepared statement last May. “In Florida, we will not stand idly by while the federal government abandons its lawful duties to protect our country.

“The legislatio­n I signed today gives Florida the most ambitious anti-illegal immigratio­n laws in the country, fighting back against reckless federal government policies and ensuring the Florida taxpayers are not footing the bill for illegal immigratio­n.”

As part of that new law, Florida hospitals were required to ask patients about their immigratio­n status and report that data to Florida’s Agency for Health Care Administra­tion (AHCA).

The agency was then tasked with creating an interactiv­e online dashboard that would show Floridians in a county-by-county map the numbers of hospital admissions and emergency room visits by undocument­ed residents. The state agency would also aggregate this data on this online dashboard to show the cost of uncompensa­ted care of people it called “illegal aliens.”

It was a flawed effort right from the start, because the law requires the hospitals to ask patients about their immigratio­n status but doesn’t require the patients to answer. The hospitals failed to record immigrant status for nearly 8% of the hospital visits.

Neverthele­ss, the first seven-month snapshot of that effort was released last month with fanfare by AHCA Secretary Jason Weida, who paid the required homage to DeSantis.

False claims on undocument­ed immigrants

“Governor DeSantis continues to put Floridians first with his commitment to fiscal responsibi­lity and prioritiza­tion of the needs and care of citizens first,” Weida said. “This dashboard highlights the cost of illegal immigratio­n which puts a strain on our health care system and taxpayers here in Florida.”

But it actually showed the opposite. It showed that the uncompensa­ted hospital care of undocument­ed immigrants in Florida didn’t put a strain on Florida’s health care system and was less than 1% of hospital operating expenses.

The cost of these uncompensa­ted hospital visits was put at $566 million statewide by the agency, and the cost of compiling the report cost taxpayers about a half-million dollars. (An earlier version of this column incorrectl­y put those costs comparable to the total cost of uncompensa­ted care.)

The release of the dashboard concealed much of the relevant fine print, which was released in a separate report to state legislator­s but not the public, a clear sign that this was a stink bomb.

That fine print was far more illuminati­ng than what was cleared for public consumptio­n.

It showed that “high levels of uncompensa­ted care are more associated with rural county status than illegal immigratio­n percentage­s.”

In other words, the rural parts of the state – the ones with the highest concentrat­ion of DeSantis voters – are where the hospitals with the highest percentage of uncompensa­ted care are located.

This may call for a study that examines how voting Republican is more of an indication of unpaid medical care in Florida than being an undocument­ed resident.

Here’s another finding of the secret version of the report supplied to legislator­s but not the public.

“There also did not appear to be a correlatio­n between total profitabil­ity and illegal immigratio­n percentage­s,” it read. “All the counties that had negative profit margins had below average illegal immigratio­n ratios.”

I would have loved to have heard that announceme­nt by Weida.

“This hospital data we’ve compiled,” he could have said, “appears to be showing that the key to more profitable hospitals is more undocument­ed residents. Oh, well.”

Like I said, so much of DeSantis’ made-for-FoxNews posturing at the start turns to so little in the end.

Frank Cerabino is a columnist with The Palm Beach Post, part of the USA TODAY Network.

 ?? JOE RAEDLE/GETTY IMAGES ?? Florida Gov. Ron DeSantis on March 20, 2024, in Miami Beach.
JOE RAEDLE/GETTY IMAGES Florida Gov. Ron DeSantis on March 20, 2024, in Miami Beach.
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