Comments on: Buying A Job

By: Bryan

Bryan — Mon, 26 Jul 2010 19:22:49 +0000

In reply to Badtux.

My Mother has told her doctors that she would rather die in her living room than be taken to the local HCA hospital.

The hospital has minimum staffing, 12-hour shifts, and a turn-over rate better than 50% [according to doctors on staff].

Mental patients ordered to psychiatric care by the court are allowed to just walk away. HCA won the bid for the contract to hold the patients, but has provided inadequate security to deal with them. One of those patients died in a shoot out with police after walking away from the hospital, the very situation that his family hoped to avoid by committing him. The patient killed a sheriff’s deputy, the first death of an on-duty officer in the County’s history, and the patient was the first suspect to die during an arrest in 12 years. [2008].

By: Badtux

Badtux — Mon, 26 Jul 2010 15:35:53 +0000

A bit more on HCA — a relative was a nursing supervisor at one of their hospitals. She noted a disturbing pattern of uninsured patients being transferred from their ER to the nearest public hospital (35 miles away) dying in transit. A check of medical records found that they should have never been transferred because they were not medically stable. Note that it is illegal to discharge patients from your ER for transport to another hospital if they are not medically stable. But also note that “medically stable” is a medical term, if you can get a doctor to sign off that a patient is “medically stable”, then it’s hard to prove any general misdeed. The hospital was sued by the families of patients who died in transit for medical malpractice, and generally settled out of court for a five-figure sum of money in exchange for sealing the record, but it was hard to prove that the hospital itself was involved.

Well, until one day she went in to talk to the ER head, and he wasn’t there… but a pile of papers was on his desk. She idly looked at them and realized she was looking at a smoking gun — a memo from HCA headquarters demanding that they transfer more uninsured ER patients to the public hospital, which noted that the lawsuit settlements for the percentage that died in transit were cheaper than admitting and treating the patients would have been. I.e., patient dumping wasn’t an accident. It was being actively demanded by corporate headquarters.

She took this to regulators, of course — nurses aren’t in the business of killing patients in order to increase profits, after all. She was illegally fired after regulators leaked her name to HCA, of course — the regulators went to the same schools as HCA administrators, of *course* they were more concerned about HCA’s profits than about, well, whether HCA complied with the law that outlaws patient dumping. The relative shrugged, and went to work for the public hospital where HCA was dumping their patients. At least there she wasn’t actively involved in killing patients.

HCA: Just say no to murderers.

– Badtux the Healthcare Penguin

By: Bryan

Bryan — Sun, 25 Jul 2010 21:36:41 +0000

In reply to cookie jill. They understand about privilege, but not about the accompanying obligation.

By: cookie jill

cookie jill — Sun, 25 Jul 2010 19:19:42 +0000

Here in Santa Barbara we have long had “noblese oblige” keeping our city interesting…The Fleischmann’s (of yeast fame) were particularly generous.
Now the uberwealthy just want to keep to themselves and not have to deal with the hoi polloi. Ty Warner (of beanie babie fame) threw money at the SB Natural History Museum to get his name on the Sea Center…but won’t give a cent more. And, of course, he doesn’t want to even come into town to deal with real folks. Oprah used the Montecito YMCA parking lot for her guests at one her parties because she didn’t want people messing up here landscaping….of course she never ASKED the Y if she could…

I’ll agree with you on the nouveau riche. TACKY and I’ll throw in “classless”, too.

By: Bryan

Bryan — Sun, 25 Jul 2010 03:29:10 +0000

In reply to cookie jill. Mike Bloomberg really started the latest cycle, but the Rockefellers did it for years. I have to say that the Rockefellers did it from a sense of noblesse oblige, like the Roosevelts , while the modern group thinks that they deserve power. It occurs to me that the modern group also tends to be the nouveau riche who are almost always tacky people. ;)

By: cookie jill

cookie jill — Sun, 25 Jul 2010 03:19:43 +0000

Buying a job. That’s what Meg Whitman is trying to do out here in Kahliforneehyah.