Showing posts with label healthcare budget cuts. Show all posts
Showing posts with label healthcare budget cuts. Show all posts

Monday, April 14, 2014

North Shore-LIJ : Making Money Through State Grants From Hospital Closings

PUBLISHED : MON, 14 APR 2014, 08:59 PM
UPDATED : TUES, 15 APR 2014, 11:15 AM

Before and after some New York hospital closings, North Shore-LIJ successfully lobbied for state grants to fund its expansion plans.

Here's some intrigue, which the corrupt Moreland Commission should have investigated, about the granting of state money and an anti-trust loophole to a politically-connected ally of Gov. Andrew Cuomo's.

After three hospitals closed in New York City, North Shore-LIJ scored almost $20 million in state grants to help it make further inroads into the Manhattan and Queens hospital markets. The grants were backdoor funding that the state Department of Health provided existing healthcare facilities to temporarily expand their capacity in order for the state to facilitate wholesale hospital closures sought first by the Berger Commission and later by the Medicaid Redesign Team.

North Shore-LIJ received another $10 million grant after Hurricane Sandy, further demonstrating how politically astute the Long Island hospital chain has become in raking in grant money from hospital closings and natural disasters.

Whether it wants to either receive grant money to help fuel its expansion plans, lobby for blanket antitrust immunity to provide cover for its expansion plans, or to get a cut from grant money related to Hurricane Sandy as new funding streams, North Shore-LIJ gets exactly what it wants.

Helping North Shore-LIJ navigate through the sleazy swamp of corrupt Albany grant-making politics is North Shore-LIJ CEO Michael Dowling, who served as a co-chair on Gov. Andrew Cuomo's Medicaid Redesign Team effort to close hospitals and make scorched earth austerity cuts to healthcare. In 2010, North Shore-LIJ CEO Dowling was paid an astronomical $2.9 million in compensation, even though the hospital system is set up as a non-profit, yeah right.

In the above YouTube video recorded in 2011, Mr. Dowling described to community activist Jim Fouratt how the bankruptcy estate of St. Vincent's Hospital donated for free valuable property that North Shore-LIJ plans to use for an urgent care center on Seventh Avenue South. No word yet on how many millions in state grants were received by North Shore-LIJ in respect of this new iteration of an urgent care center, which is set to open this year.

Monday, April 7, 2014

Putting New Yorkers in jail because of healthcare cuts, lack of housing, and racist policing, but blaming mental illness

The Editorial Board of The New York Times thinks that enrolling all jail inmates into Medicaid will solve the "mental health" crisis of jail inmates. What a joke !

How many people with mental health needs end up in jail, because of each of a lack of a specialized municipal healthcare system that should first provide people with the full-service mental healthcare treatments that they may need and the NYPD's continued use of its "broken windows" theory of policing that deliberately targets people with the least and people with hardships for incarceration ?

The Editorial Board worries about discharged inmates receiving post-detention care, but what about providing healthcare and support so that people don't become jail inmates in the first place ? Why doesn't The New York Times oppose policing tactics that lead to the arrest of people solely because they may be homeless, may be poor, or may have unmet healthcare needs ? The systematic closing of so many of New York City's full-service hospitals, including specialize mental health hospitals like Holliswood Hospital of Queens, added to a broken municipal shelter system and the lack of affordable housing, leave people with special needs with fewer and fewer places to go. Mix in Police Commissioner William Bratton's crackdown on the poor, and you have a perfect storm that puts people into jail for all the wrong reasons. How do we even know that jail inmates are truly even "mentally ill" ? Maybe some inmates are just plain discouraged as a direct result of either their dire economic circumstances or being targeted for arrest by police for being poor or being of color ?

Furthermore, the Editorial Board's Medicaid advocacy falls short of the realities of the broken healthcare system. So many experienced healthcare providers don't accept, and many specialized medications aren't covered by, Medicaid. By railroading inmates into a Medicaid healthcare plan that doesn't allow access to a full-range of healthcare treatment, I don't know what good the Editorial Board really expects will happen. Have members of The New York Times' Editorial Board ever tried getting an appointment with a good doctor, or filling a prescription, on Medicaid ? How do we know whether people on Medicaid with mental healthcare needs aren't being driven into incarceration by their failed healthcare coverage, the hospital closing crisis, and Commissioner Bratton's crackdown on poor people of color ? Where's the safety net ?

Thursday, February 13, 2014

Three Brooklyn Hospitals Face Down-sizing, Despite Billions in State and City Resources

No Political Commitment to Save Hospitals

Brookdale Hospital, Interfaith Medical Center, and Wyckoff Heights Medical Center will now have to down-size in order to survive, aides to Gov. Andrew Cuomo said today. No mention was made if Long Island College Hospital, a fourth Brooklyn hospital that has been targeted for closure by Gov. Cuomo, would survive the chopping block.

As part of a controversial Medicaid waiver, New York state must reduce inpatient hospital beds across the board in accordance with the wishes of Stephen Berger, a New York investment banker and member of a working group of Gov. Cuomo's Medicaid Redesign Team. Since 2006, Mr. Berger has overseen the closure or down-sizing of 11 hospitals in New York City alone.

Gov. Cuomo wants to use some of the money from the Medicaid waiver to down-size hospitals into urgent care centers, emergency units, and specialized treatment facilities. “We will be able to fund the structural and rebuilding needed to transform hospitals so they can be profitable and thrive and remain open,” one aide to Gov. Cuomo said.

Because the Medicaid waiver was negotiated in secret, it is not known if any of the down-sized facilities in Brooklyn will "transform" into spin-offs as for-profit healthcare corporations.

No response, yet, from New York City Mayor Bill de Blasio, who campaigned outside the former St. Vincent's Hospital with a promise to stop hospital closings.

Billion in Surplus State and City Budgets

Gov. Cuomo says that New York state has no money to save our hospitals, yet he is spending "surplus" state tax money that was "made" by closing entire hospitals. From this "pot of gold," the governor is offering tax breaks to the wealthy and to corporations, so much so that the Moral Monday movement is now coming to Albany, to fight the irresponsible way in which Gov. Cuomo has politicized state tax dollars. Many observers note that Gov. Cuomo is diverting "surplus" money from healthcare cuts to cozy up to corporate supporters in order to increase his margin of victory in his re-election bid later this year as a way to launch a campaign for the 2016 presidential race.

Mayor de Blasio has also attracted some scrutiny in how he's using tax money. The new mayor enjoys a $3 billion budget surplus, and the city stands to make an additional $1 billion from the sale of new air rights around Grand Central Terminal as part of the mayor's plan to rezone the east side of Midtown Manhattan. But so far, Mayor de Blasio has not proposed to use any of these resources to save two hospitals on the verge of closure, Long Island College Hospital or Interfaith Medical Center, both in Brooklyn.

As each of Gov. Cuomo and Mayor de Blasio plan their next budgets, now is the time to hold them to account to save our community hospitals.

Sunday, January 26, 2014

Bronx Man Dies After Waiting Hours For E.R. To Treat His Rash

Berger Commission and Medicaid Redesign Team hospital closings created failures that have led to long E.R. wait times in New York

A Bronx man who went to Saint Barnabas Hospital to get his rash checked out was found dead in the emergency room waiting room after an eight hour wait. John Verrier, 30, went to St. Barnabas at 10 p.m. last Sunday night; he was found dead by a security guard around 6:40 a.m. the next day. "He was found stiff, blue and cold," a hospital employee told ABC News. "He died because [there's] not enough staff to take care of the number of patients we see each day. We need more staff at Saint Barnabas."

Verrier had his vitals taken when he first got to the hospital, then told to wait for a doctor to see him. Hospital spokesman Steve Clark told the Post that Verrier's name was called "two or three times" between his arrival and 2 a.m. A security guard passed through the waiting room around 2 a.m. to wake up the many homeless people who sleep there, and Verrier was "moving, he was alive." Then when the security guard passed again around 6 a.m., he was dead.

Clark added that an in-house review found “all guidelines were met.” But the hospital worker who spoke to ABC said nobody was really checking on him: "There's no policy in place to check the waiting room to see if people waiting to be seen are still there or still alive." That worker says Verrier's name was called over the PA three times, but "based on number of people in the waiting room it is impossible to check on each person physically."

New York State is ranked 46th in the country in overall emergency room waiting time. St. Barnabas is the worst in the city when it comes to the average time patients spent in the emergency room before being sent home: it's 306 minutes there, compared to a 155 minute wait statewide and the average 137 minute wait nationally.

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Tell Gov. Andrew Cuomo to stop closing our hospitals : 1 (518) 474-8390

You can also tweet your concerns to Gov. Cuomo at : @NYGovCuomo

Tuesday, January 8, 2013

Protest Last Night Against Cuomo's Plan To Frack In New York State

From New York Newsday :

NEW YORK, NY - JANUARY 07: Anti-Fracking protesters demonstrate in front of the Waldorf-Astoria as New York Gov. Andrew Cuomo visits the hotel for a function on January 7, 2013 in New York City. Fracking, a process that injects millions of gallons of chemical mixed water into a well in order to release gas, has become a contentious issue in New York as critics of the process believe it contaminates drinking water among other hazards. New York City gets much of its drinking water from upstate reservoirs. If the regulations are approved by Governor Cuomo, drilling in the upstate New York Marcellus Shale could later this year.

Sunday, January 6, 2013

Bloomberg-Quinn Healthcare Cuts Cost Lives

The Bloomberg-Quinn administration have made huge budget cuts to the New York City Health and Hospitals Corporation. Why are our elected politicians cutting the life-saving healthcare services of our safety-net community hospitals ?

Look at some past issues related to budget cuts to HHC :

* NYSNA responds to Bloomberg's FY 2009-2010 budget

* City Budget Cuts Will Privatize Dialysis Services at NYC Health and Hospitals Corporation (HHC)

* Mayor trims health spending

Join us for an omnibus protest against Gov. Andrew Cuomo, where the community demands, among other things, a healthcare system that fully-funds the healthcare needs of all patients.