Tag: Hospitals

 A friend once told me that the wealthy elite didn’t want to just “roll back” the New Deal, they wanted to roll back the entire 20th Century. His point was that all the social gains of the 20th Century were granted to us in order to combat global communism, and that with the collapse of communism the wealthy elite is going it take it all back.

  I didn’t fully appreciate his sentiments until recently.

  The recent upsurge in global piracy seems strange and exotic in today’s world, but in fact it is rather appropriate in the full context of national events.

  Below is a list of trends which show the 21st Century is going to look a lot more like the 19th Century than the 20th Century.

Big Labor

 Can we finally stop saying “Big Labor”? Last year labor union membership had shrunk to 11.8% of the total workforce and only 6.6% of the private sector.

  You have to go all the way back to 1900 to find such a small union footprint in the private sector.

The New Asylums

 50 years ago people were horrified that the mentally ill were being “warehoused” in mental institutions. So the government turned the mentally ill out to live in the street. Now we have come full circle and the mentally ill are being warehoused again, but this time in dangerous prisons.

 The most vulnerable in our society have been completely abandoned by our society.

It appears that the lessons in humanity that people learned 150 years ago have been forgotten.

The country’s three biggest jail systems-Cook County, in Illinois; Los Angeles County; and New York City-are on the front lines. With more than 11,000 prisoners under treatment on any given day, they represent by far the largest mental-health treatment facilities in the country. By comparison, the three largest state-run mental hospitals have a combined 4,000 beds.

  “In every city and state I have visited, the jails have become the de facto mental institutions,” says Esteban Gonzalez, president of the American Jail Association, an organization for jail employees…

  Two centuries ago, reformers were disturbed to find large numbers of the mentally ill in jails, paving the way for the development of state-run institutions.

  Those days have returned.

Alternate title:  Best Practices in the Care and Nurturing of LGBT People.

Every once in a while, someone or some body does something that has to be applauded.  When they do or it does, it should be acknowledged for the positive that may come out of it…if only to encourage more of similar behavior in others.

The Joint Commission, formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which is the accrediting agency for hospitals nationwide, has released a new field guide (pdf): Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community.

Financial assistance in preparing this guide was obtained from The California Endowmnent.

The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

All patients, regardless of social or personal characteristics, should be treated with dignity and respect and should feel comfortable providing any information relevant to their care, including information about sexual orientation and gender identity.  Every hospital and health care organization is unique and no single approach works best, but The Joint Commission encourages hospitals to adopt a combination of the strategies and practices discussed and to use these examples as a foundation for creating processes, policies and programs that are sensitive and inclusive of LGBT patients and families.

—Jerod M. Loeb, Ph.D., executive vice president, Division of Healthcare Quality Evaluation, The Joint Commission

This is one of those horrible stories which seem to illustrate vividly the problem with the whole “profit in healthcare” system that is now in place in the United States.

http://www.mcclatchydc.com/256…

On Saturday, 10 days after Scott Hawkins was beaten to death inside his dormitory at California State University, Sacramento, his parents got a letter in the mail.

It contained a bill from the UC Davis Medical Center for $29,186.50 along with a form letter addressed “Dear Patient” that implied they were indigent and stated that the hospital no longer could provide them services.

“UC Davis can no longer provide follow-up care or any other non-emergency care to you,” it read. “Please go to a County clinic for all non-emergency care or to get a referral to another doctor.”

For Gerald and Elizabeth Hawkins, it was just too much to bear.

“It was just devastating and insulting,” Gerald Hawkins said Monday. “It’s just hard to grasp for words. My wife and I were near collapse.”

The couple said the mailing tore at the wounds opened by the loss of their 23-year-old son.

“We were just very upset on Saturday, it just all spiraled downward,” Elizabeth Hawkins said. “We called a crisis counselor and he came over and spent several hours over here.”

As a means of coping, the family made a copy of the letter, took it into the backyard of their Santa Clara home and burned it.

Monday morning, they picked up the phone to straighten things out.

Gerald Hawkins said he first called the UC Davis billing department, but was so distraught he lost his voice and handed the phone to his wife.

“It was just one more unpleasant process,” she said. “I was crying through the whole thing.”

The parents also sent a note to the billing department noting that their son was not indigent and that he carried full medical coverage through a Kaiser Permanente plan.

Contacted by The Bee on Monday, Carole Gan, a hospital spokeswoman, called the mailing “a mistake.”

A “mistake”.   Yeah, I’ll say.   Having a for-profit healthcare system is, indeed, a “mistake”.

Sorry!   We made a mistake!    You’ll just have to get over it!    Now have a nice day!

In early December, I diaried a proposed Medicaid Rules change, which, if it goes into effect in May as scheduled, will result in draconian cuts to public and teaching hospitals.  This is a non-partisan issue: the US v. the Bush Administration.  Representatives Eliot Engel (D-NY) and Sue Myrick (R-NC)  have introduced HR 3533, the Preserve Our Public and Teaching Hospitals Act into the house to block the odious rules change.  Senators Jeff Bingaman (D-NM) and Elizabeth Dole (R-NC)have attemtped to introduce a moratorium on the rule in the senate.

Unfortunately, the good guys have not been able to muster the votes to extend an existing moratorium on the rules change, which would spare our frayed public health care infrastructure a possibly mortal blow for at least another year.