Statistically, this country contributes a higher percentage of Gross Domestic Product monies toward healthcare than any nation in the world, yet our ability to provide care to citizens is rated low, just ahead of Cuba
The infamous Willie Sutton was asked why he robbed banks, and his response “because that’s where the money is” was classic recognition of the obvious (see c). In the latter part of the 20th century, shrewd business people realized healthcare, especially hospitals, was another perfect source other than Wall Street banking, to attain high salaries, outrageous bonuses, and golden retirement parachutes.
As powerful hospital lobbyists had greater influence on our Democratic and Republican representatives, and physician medical associations were kept busy with myriad legal hoops doctors had to jump through, a Willie Sutton-game plan was launched to takeover healthcare. This is what has trickled down to our community hospital and, as you have read in The West Ranch Beacon (WRB, 6/9/2011, 2/20/2011), created the ongoing conflict between physicians and the Administration.
An online article written in 2004, revealed the hospital industry game-plan “to decimate the independence of medical staff and take away physicians’ rights to place unfettered power and economic control over doctors in the hands of hospital administrators” (see d). This strategy has been launched over the past 4 years against Henry Mayo doctors.
How does this effect patient care? Most hospital admissions are paid by Medicare and allows them to make more money when stays are shorter. This is great incentive except when discharge decision-making has been wrenched away from physicians and placed in the hands of those where profit, not quality, is the primary motivator.
Hospital greed has overpowered experienced clinical judgement by your doctor and using faulty “criteria”, is forcing our elder seniors out of the acute care facilities before they are ready for discharge. Unfortunately, and statistically, many of these patients face greater pain, discomfort, institutionalization in nursing homes, and even re-admission.
Legally, hospitals have tried to transfer all responsibilities onto the backs of doctors. Too many times we have heard from Administration “ultimately, the physician is responsible for discharge.” Wisely, the hospital leaves no trails as they put notes and letters on the chart coercing discharge, yet later destroys those communications as “not part of the medical record.”
The hospital has recently become openly aggressive in pressing early patient discharge, not only with multiple phone calls daily to physicians, but giving letters to patients and family members stating they might be financially responsible for the hospital bill (even if they are on Medicare). Think about it: Your grandfather is in the hospital with a heart attack, and he and your grandmother are given a letter stating they might be responsible for the bill. Next: Your grandmother is in the hospital with a heart attack!
So, when members of the physician Medical Executive Committee fight back, the hospital and their legal team create “disruptive physician”, “corrective action”, and trumped up charges to convince the hospital Board of Directors these doctors are not worthy to remain on the Medical Staff (WRB 4/8/2011). The flagrant and gross conflict of interest within the hospital Board of Directors (WRB, 8/23/2011) buys their vote to complete the coup d’etat against your physician.
Bottom line (facetiously): They remove outspoken doctors, control discharges at the expense of our elder seniors, give poor quality care by shorting nursing staff and ancillary care, and run with the profits giving themselves higher salaries (remember, our CEO makes about $700,000), outrageous bonuses, and their golden parachute endorsed by the conflicted Board of Directors. This is why, we as a nation, spend more money on healthcare, but get little in return.
Many of us in Santa Clarita want our children and grandchildren to have the same, if not more opportunity than we had, but not stated this presidential election year is how healthcare is directly related to our ability as a nation to compete in the world marketplace.
Almost every competitive country in the world provides healthcare to their people, and since we don’t, many of our citizens face the residual foreclosure, bankruptcy, bill collectors, and homelessness. There is no solution yet, but part of the overall contributing problem is the Wall Street-mentality takeover of hospitals.
Realize, even as a bank robber, Willie Sutton never had bullets in his gun, nor did he ever harm or kill anyone during his crime spree. Unfortunately now, hospital greed is the gun filled with real bullets wielded by CEOs with a clearly defined game-plan that has doctors and patients in their crosshairs.
Gene Dorio, M.D.- Guest Commentary
Gene Dorio, M.D., is a local physician. His commentary represents his own opinions and not necessarily the views of any organization he may be affiliated with including the Medical Executive Committee and Medical Staff of Henry Mayo Hospital
From Val
ReplyDeleteI appreciate Dr. Dorio’s article on problems with our local level of hospital care. We have problems with all levels of health care in this country — and at Henry Mayo, we see it up close and personal.
On all levels, most of us are protecting what we have, at the same time decrying its efficacy. We are afraid to let go and try anything different, but our present system is not working.
Dan Rather has been doing an interesting series of shows on educational successes around the world. These countries are succeeding because they looked at what they had and did not like the results. So they determined where they wanted to end up and mapped out ways to get there. If one phase did not work as they hoped, they retrenched and tried a different approach. They kept fine-tuning until they knew they were on the right path.
We need to do this with health care.
Dr. Dorio deals primarily with seniors. When my uncle, a Canadian citizen had joint replacement surgery, he went from the hospital to a rehab center where he got professional care and intensive physical therapy for two weeks. When my turn came for similar surgery, I was released directly to my home with only occational therapy.
At the other end of the life cycle, the infant mortality rate is rising. Women are sent home within 24 hours of delivery. They haven’t recovered from labor and may still be bleeding heavily. Often, they are barely able to care for themselves let alone a newborn.
What do we want? How do we get there? What models can we emulate? I understand there are some communities where health care standards are high and costs are held down. Let’s do for health care, at least in our own community, what some nations are doing for education: determine what we want and plan ways to get there.
All I hear is a bunch of whining about something that you could fix if you werent too busy looking for attention.Administrative Medical Assistant classes Southern California thanks foe sharing this amazing blog.
ReplyDeleteI agree with the Doctor. He has first hand knowledge about the hospital. Is there a way we could as a community meet with the hospital board members? Who are the board members and how do they get placed on the board? We all want a better hospital!!!
DeleteNice job usmced you're a paid troll or a Board Member poser...which is it?
Deleteha ha Usmced you are a paid troll... or a Board Member , either way you're amusing to all the people who are sick, dying or in pain unnecessarily thanks to the greed factor. I'd like to put you in the hospital so they could discharge you early!! Ha HA ha ! I wonder if they'll remove my foot from your azz or just say that's an unnecessary procedure.
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