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Brooklyn hospital transfers its last patients – FINALLY!

[preamble]A whopping 18 patients have ot be moved – finally a dead hospital closes – the unions lose some steam and we save money. Now lets go after the other wasteful ones – Brooklyn and others that choose to wait our money……[backtopost]
Brooklyn hospital transfers its last patients

Long Island College Hospital’s closure move triggered a fresh round of protests Thursday as politicians, hospital staff and unions lambasted state officials.
By Barbara Benson
July 18, 2013 3:59 p.m.

SUNY Downstate officials submitted a closure plan yesterday for Long Island College Hospital, triggering a fresh round of protests Thursday from Brooklyn politicians and the unions whose members work at the Cobble Hill, Brooklyn, institution. The state Department of Health has the power to approve or deny the closure.

With few patients to support its overhead, losses at LICH are now $15 million a month, according to a SUNY spokesman, nearly quadruple previous estimates provided by SUNY. Mounting losses at LICH prompted SUNY to file a closure plan with the state in February. Its plan was derailed by legal action by 1199 SEIU Healthcare Workers East and the New York State Nurses Association.

The 18 patients remaining at LICH on Thursday are scheduled to be transferred to other hospitals. The SUNY spokesman said that patients have been slowly moved over the past few weeks to other hospitals, while SUNY directed its doctors to perform procedures at other facilities where they had admitting privileges.

LICH has been kept open by legal action. The courts prevented SUNY and DOH from implementing a formal closure, putting in place a temporary restraining order. The legal battle over the order, which has been playing out since February, may be resolved within three weeks or so by an appellate court. SUNY lawyers filed an appeal July 8 that argued state agencies are exempt from a temporary restraining order. A hearing had been scheduled this week on a contempt motion that argued SUNY officials ignored the order, but the hearing was pushed back to August.

SUNY’s position is that the new closure plan is not in violation of the temporary restraining order, which it argues “has been stayed by virtue of the appeal in the appellate division,” said the SUNY spokesman. “No TRO is in effect at the moment, which allowed us to file the closure plan.”

Local elected officials along with medical staff of the hospital protested the move.

Earlier this month, LICH’s daily patient census hovered between 20 and 35. Lora Lefebvre, associate vice chancellor for health affairs at SUNY, said LICH lost about 100 residents who would have started their training on July 1.

“Our concern is patient safety,” she said in a July 9 interview.

While the hospital’s supporters say that SUNY’s actions amount to a de facto closure, LICH remains open, said the SUNY spokesman. “It is not closing this weekend unless DOH approves. The hospital remains open until the health department says no.”

That is not how the unions assess the escalating situation.

“SUNY is attempting to move all patients out of LICH by tomorrow,” said Jill Furillo, executive director of the New York State Nurses Association, in a statement.

Public Advocate and mayoral candidate Bill de Blasio, who was arrested at a recent rally in support of LICH, issued a statement today that blasted state officials.

“At the same time SUNY and the governor promised everything possible was being done to save LICH, they were preparing to sell it off to the highest bidder,” Mr. de Blasio said. “The same luxury condos being put up over St. Vincent’s will soon rise over LICH if we don’t stop this in its tracks.”

Weighing in through a joint statement issued Council Speaker Christine Quinn, who is also running for mayor, and Councilman Stephen Levin, the politicians said, “Once again, SUNY Downstate demonstrates blatant disregard for the court’s ruling that the hospital remain open for service.”

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NY Mayor removing elevators from buildings for our own health!

Just kidding about removing elevators but i bet he will limit elevator usage in the effort to make us all healthy!

Boy scouts say fat kids cant play with them

Our president is changing the constitution because it does not make sense to him

Gas prices increasing despite us using less gas – who is making money on this?

Blacks still mad about legal verdict

Sheldon Silver still in power – great job Cuomo remember what you said “i will throw them in jail..anyone that breaks the law” jada jada jada

911 – bad for unions -lets spend several billion more to break it again

Donuts declared illegal! Twinkies are on the rise – devil dogs angry with the resurgence of Twinkies and have started a class action suit against the ingredients manufacturers.

Downed Korean flight lawyers suing plane manufacturers of toilet seat – seems it was unable to contain the explosive feces of a large Korean person that ruptured the tank causing the crash – someone has to pay – someone is to blame – someone is at fault.

Politician pissed when she called 911 – t too 30 minutes to respond – feels they disgraced her – now had vendetta against system and mayor – its the new “crisis” people will die!

Commissioner Kelley going for homeland security adviser – red light green light 1 -2 – 3
he will never make it there president wants pansies and followers not leaders that can easily usurp is dribble.

Obama care to save millions of dollars in health costs at a cost of trillions of dollars of tax payer money – only in Washington would they consider this a victory.

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HIEs struggle with sustainability

[preamble]I have been stating this for some time – there is no sustainable model for this – it has to be federal. Meaning the federal government will be in control of your health information – perhaps this was always the intent. To create a inevitable failure scenario than to create a “crisis” so the federal government can control your health information. Someone prove it wrong[backtopost]

HIEs struggle with sustainability

Policy makers are actively promoting the electronic exchange of health information to improve the quality and efficiency of health care. We conducted a national survey of organizations facilitating health information exchange, to assess national progress. We found that 30 percent of hospitals and 10 percent of ambulatory practices now participate in one of the 119 operational health information exchange efforts across the United States, substantial growth from prior surveys. However, we also found that 74 percent of health information exchange efforts report struggling to develop a sustainable business model. Our findings suggest that despite progress, there is a substantial risk that many current efforts to promote health information exchange will fail when public funds supporting these initiatives are depleted

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Zimmermen not guilty, Weiner/Spitzer the corrupt duo, opposition to photo id for voters

Zimmermain is found not guilty – however, it seems our courts of law and their legal constitutional decisions by a jury of their peers can be challenged if a group yells long and loud enough. Hence, if the federal government intervenes, is not that a suspension of the constitution where even if we are found not guilty we can still be guilty and tried again and again.

Once again teh black have lost an opportunity to fix teh problems. The situation is/was tragic. How society set this scenario up to happen. Idea: Blacks stop denying the problems – start teaching your kids to do well in school, family life, that looking and acting like a thug is unacceptable. Work hard etc… Than and only than can you change the perception of society towards the ones that keep you at the level you are – we have a black president – you can be anything you want to be – choose wisely and stop hiding behind your blackism.

Weiner and spitzer as mayor and comptroller – if we elect them, we deserve everything we get – what else is there to day. We seem to accept the lies and corruption and actually like it – since we keep voting them in.

Photo ID required to vote – yes we want to verify you are a citizen of this US – however it seems our officials feel this is “too much” for us to handle – hmm i have a photo id for a drivers license and require it at the airport – does this limit anyone from traveling – nope. Oh thats right, it will stop the illegial aliens form voting – god forbid we say what they are – illegal – law breakers.

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Law of Unintended Consequences – needs of the few should not outway the needs of the many

[preamble]We see this insanity all the time – if an accident occurs, some grieving person yells loud enough we get streetlights and stop signs all over the place causing traffic delays and chaos. Just because something bad happens does not mean anyone is at fault and that we need a law or we need to do something. Knee jerk reactions from politicians to look good and get votes causes chaos. Health care crisis, sealtbelts, obesity, too much sugar, our kids are fat – all knee jerk reactions to LIFE… Long term consequences are never discussed. Sorry but not every persons crusade is my crusade nor society’s crusade – grieving parents need to grieve not advocate anything.[backtopost]

In 1984, Libby Zion died following an emergency admission to a New York hospital. Concluding that her death was the result of a medical error by exhausted housestaff, her well-connected father launched a crusade which ultimately led to resident work hour restrictions prescribed by the ACGME.

Now, we learn that restricting work hours for PGY 1 housestaff to 16 hours leads to a significant decline in surgical experience.

… Compared with the four academic years before the change, the year immediately following the restriction saw significant declines in total operative cases (by 25.8%), major cases (by 31.8%), and first-assistant cases (by 46.3%) performed by the interns (P˜0.008 for all), according to Christian de Virgilio, MD, of Harbor-University of California Los Angeles Medical Center, and colleagues.
The drops were seen across most types of surgery, the researchers reported online in JAMA Surgery.
“If the 16-hour shift were to be extended to all postgraduate year levels, one can anticipate that additional years of training will be needed to maintain the same operative volume,” they wrote, noting that the reduced experience of interns entering postgraduate year two “may have a domino effect on subsequent competence.”
While errors caused by sleep deprivation must be kept at an irreducible minimum, we must acknowledge the threat of unacceptable errors caused by inexperienced doctors. Perhaps, before instituting guidelines, august bodies should base their decisions on evidence, not eminence.
Of course that’s just my opinion. I could be wrong.


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Our Governor finds more fees and fines for us to pay

[preamble]The economy is stalled. Taxes, fines and fees are out of control, there are no jobs, businesses are closing, unemployment is high and corruption is rampant in government can we say sheldon silver?  – and the only thing our governor can come up with is more fines, more oversight and of course more ways to take our money – all in the name of “safety” – aka national security – i cant wait till this becomes a crisis! Now, if he has been attacking this for 3 years, has it done any good? or just another line item of money for the city to collect?

Dear Fellow New Yorker,
In today’s technology-centric world, distracted driving – meaning texting or using a cell phone while driving – has become a dangerous problem on our roads. That is why Governor Cuomo has made tackling this issue a priority.

In 2011, the Governor signed a law that made distracted driving a primary traffic offense, allowing law enforcement to pull someone over solely for texting-while-driving. Within a year, there was a 234% increase in the number of tickets handed out for texting-while-driving in our state.

However, texting-while-driving is still a problem that plagues our roads. Statistics show that from 2005 to 2011, there has been an estimated 143% increase in cell-phone related crashes in New York, and 43% of teenagers admit they regularly text while driving. To combat this risky behavior, Governor Cuomo has taken further steps to strengthen our laws.

Most recently, he signed a new law that creates tough, new penalties for inexperienced drivers with probationary and junior licenses found texting while driving. He also increased the number of points added to a driver’s license to five points for all drivers found using a handheld device while driving. Click here to read more.

Experience has taught us that tough laws combined with effective enforcement can help stop distracted driving, which is why the Governor has directed a major effort by the New York State Police to crack down on distracted driving and catch irresponsible drivers throughout the summer. The State Police will focus on using undercover vehicles designed to catch drivers who text and drive.  Click here to read about the operation.

Yesterday Governor Cuomo was featured on Good Morning America discussing these efforts:

Click here to view the video of the Governor’s ride-along with a State Trooper to stop distracted drivers.

By raising awareness about the dangers of texting-while-driving, we can make our roads safer for all New Yorkers.

The Office of the Governor

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[preamble]Its not possible to quantify exactly what something such as birth of a child to an actual cost – its not like buying a box of cereal. It depends on what happens, complications, medications that may be needed etc… hence you can give a “rough” range of costs but in the end, the bill will be for time and material – just like the real world. Oh yes the worlds where you get your car fixed at $120 per hour + parts. Hence Health care – $600 a day for the stay + $3000 for the doctor + medications – time and material – real numbers reflecting the actual cost of the service not what insurance companies deem is the cost and not what patients will want to pay.
Insurance has insulated patients from the actual costs of ownership of the services they demand – i suggest they learn to pay for what they receive. THAN and only THAN will they control their health and NOT go to the doctor as much and take better care of themselves. When you make them accountable aka PAY they will comply.I did an experiment in my office – i used to give my employees shirts at no charge (they cost me $45 per shirt with the logo). I found over the years that they would not wash or iron them, not replace buttons and generally abuse them – hence, i began charging $60 per shirt. Guess what? All the shirts they have are neat, clean and pressed – accountability – it works![backtopost]
Family 196 Comments

What Does Birth Cost? Hard to Tell

e’re continually told that when it comes to health care, we need to be savvy and shop around for the best prices. To that end, policy experts and politicians promote health care savings accounts, saying they make “health care consumers” (a k a patients) more conscious of prices, bringing down the cost of medical care.

Here is what happened to my daughter, Therese Allison, when she tried to be just the sort of shrewd and informed patient that politicians should love.

Therese is more than seven months pregnant and uninsured — in fact, she is uninsurable. Pregnancy is a pre-existing condition, so she can’t get health insurance at any price. And now that the birth of her baby is imminent, she wants to find out what a delivery will cost, maybe even negotiate a price for this expensive procedure.

In a way, she’s lucky. She and her husband, who are self-employed, live in New Jersey, so she qualifies under a little-known and unadvertised law that caps hospital expenses for uninsured people with incomes less than five times the poverty level.

Under the law, a hospital can charge 115 percent of what it accepts from Medicare for the same services. Although most Medicare beneficiaries are 65 or older, the federal program also includes younger people who are disabled. As a result, Medicare covers pregnancies. California, New York and, as of last year, Colorado, have similar laws, but none are as generous as New Jersey’s.

Her Alice in Wonderland tale began in June, when Therese’s midwife offered to call the two hospitals she uses and get their prices. Therese is planning and fervently hoping to have a normal vaginal delivery, without an epidural anesthetic, and to leave the hospital the next day.

Elmer Hospital, in Elmer, N.J, said it would charge $4,300 for a normal delivery without an epidural and with no complications. Newborn care would be $1,400 more. Kennedy University Hospital, in Washington Township, refused to say, but told the midwife that Therese could apply for Medicaid or New Jersey Family Care (she does not qualify for either) and could apply for charity care if she was turned down.

If accepted, she would have to pay only a fraction of what the hospital charged. But what would the hospital charge? The hospital was mum, saying it could not give a price because if Therese needed additional services, its quote would be wrong.

Therese called the hospitals herself. But all she heard — after calling Kennedy University Hospital three times and asking for a price — was two voice mail messages. In one, she was told to apply for New Jersey Family Care. In the other she was told to apply for Medicaid.

Isn’t there a law, Therese asked me, requiring hospitals to reveal their prices? I asked Uwe Reinhardt, a Princeton health care economist who is a frequent contributor to The New York Times.

No, he said. Hospitals do not have to tell you their prices, and often they keep them secret until they send the bill.

“When I was chair of the New Jersey commission on hospitals two years ago, my wife, at my behest, tried to get a price for a normal delivery from the Princeton Medical Center,” Dr. Reinhardt said. “She pretended to be an uninsured entrepreneur earning $80,000 a year. She got nowhere. I then called to try out a colonoscopy. I got nowhere too.”

The commission then recommended that all hospitals be required to list their prices for their top 25 procedures. That never happened, but instead the New Jersey Legislature passed the law limiting hospital charges for the uninsured with low incomes.

The problem, though, is that even if you know what a hospital charges, you may not be able to find out what Medicare pays. Medicare publishes a giant spreadsheet with its payments for the 100 most popular hospital procedures and treatments in 3,000 hospitals across the country. Pregnancy is not on the list.

Even people with insurance can have a hard time finding out what they will have to pay. After my inquiry, Dr. Reinhardt did a little sleuthing. Private insurers, he said, claim they let patients know what their out-of-pocket costs are likely to be. So he checked UnitedHealthcare’s Web site. First he put in “normal delivery.” Nothing came up. He tried “vaginal delivery.” Nothing. Then he tried another common procedure, an appendectomy. Nothing.

“I called the UnitedHealth hot line and asked the lady there to help me find the ‘cost estimates’ (as they are called) for normal delivery and appendectomy,” Dr. Reinhardt wrote in an e-mail. “She couldn’t find the items either.”

“It is all so pathetic,” he said.

Last month, Senator Charles E. Grassley, Republican of Iowa, and Senator Ron Wyden, Democrat of Oregon, introduced a measure to make Medicare reveal what it pays providers for every service. Mr. Wyden said the uninsured could use the data to negotiate, as could people with health care savings accounts. A searchable list of Medicare payments should be a fundamental service, Mr. Wyden said.

“Every single person in government tells people, ‘Oh, you’ve got to make good choices,’ ” he said in an interview. “But patients have their hands tied. They can’t get costs and they can’t find out about quality.”

If that bill were law, Therese’s problem would be solved. But for now, she needed some extra help to find out what those two hospitals were allowed to charge. So I e-mailed Donald McLeod, a Medicare spokesman, and asked for assistance. He got the answers.

Medicare would pay Elmer Hospital $3,550 for a normal delivery without an epidural and $1,028.30 for newborn care. Kennedy is a teaching hospital, so it gets bigger payments: $4,327.60 for a normal delivery and $1,253.55 for newborn care.

I finally called Kennedy Health System, identifying myself as a reporter, and not surprisingly was given a price. The system’s president and chief executive, Martin A. Bieber, called to tell me. A normal delivery is approximately $4,900, and newborn care costs about $1,400. And, he added, Kennedy charges all uninsured patients those prices, which are 115 percent of the Medicare rates, no matter what their income.

In a way, even with the overcharges by Elmer, its prices — and Kennedy’s — look like a bargain. Dartmouth, one of the few places that posts its prices, says it charges the uninsured about $11,000 for a normal delivery and newborn care.

Meanwhile, Therese found the bill for her previous pregnancy. She had a normal delivery with no epidural in December 2010 and refused all extras, even Tylenol. She was insured, and her baby was born at the University of Pennsylvania.

Her insurer’s negotiated price? $16,672.

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Zimmerman case – justice or vengeance?

If found not guilty, black will riot – that’s the threat
Is that justice?
Is that fair?
Is that American?
We are guilty only because people say we are?
Read the The Ox-Bow Incident is a 1940 western novel by Walter Van Tilburg Clark,
When a 100 people say a dumb thing – its still a dumb thing.

I think we need to see a picture of this “boy” killed as he was today – not as he was 10 years ago – they all seem to be honor students did you notice?

The blacks in 150 years have done nothing for themselves – they are the most likely to fail in business, they are the most likely to commit a crime etc.. as the mayor of ny states – the statistics dont lie. The Chinese in less than 1 generation, have made more strides in business, schooling and family life and communities than the 150 years of blacks have – why?

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LICH hospital closes – finally

Now we can save millions of dollars a year – the other day LICH hospital saw only 23-25 patients in an entire day! yea we need to spend millions on this. NOW the social experiment begins – and of course who is crying the loudest? – unions! The single most destructive entity of our system.

There is no “crisis” its all made up.

Now lets get Interfaith, Brookdale and Brooklyn hospitals shut down!
That’s over a BILLION dollars a year saved! Maybe than they can ease some taxes, fines and levies the city and state have placed on US the people that fund these failing institutions.

Just because it was – does not mean it has to be.

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Important notice to employers – Additional payroll tax!

You read it right – the federal government extended unemployment benefits for almost 2.5 years, the state governments ran out of money to pay for these extended benefits – hence we the employees have to pay the interest the state has to pay to the federal government for borrowing the money to pay for the unemployment that the federal government mandated.

The snake eating the tail – our government mandates spending – states cant afford – so they go to the ATM machines – US!!!

BUt as our president says  – “just a little more” to the tune of $12.75 per employee – do the math – i have 15 employees – $191.25 per period of $600 a year (approx). Multiply that by millions –

Well – there is no “just a Little more” i cannot raise prices or impose fees on my customers  – sop what do we do? Layoff employees – which feeds the unemployment system – which feeds the federal system – which feeds the state system – which US – the feeders and givers again pay.

We cant even break even anymore – i guess we are the rich our president touts about.
Great incentive to expand our businesses no?

When this folly ends…………..