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Hospital Closures Stress Health System

[preamble]Mismanagement, unions, poor leadership, too much money given to them without accountability, simple not needed. Those are a few of the reasons hospitals need to close – we are in no shape to pump in $15 million a month to save a non needed institution. NO one asks WHY its losing $15 million a month – because they are afraid of the answer – union pensions, bad management and NO BUSINESS> Of course nurses at other hospitals will complain – they now have to work! You can hear the union mantra – “safety” blah blah – their famous emotional response. Nurses and doctors at other hospitals can easily take up the slack – stop winning when you actually have to work and not be able to take extended breaks.
I will sit in Methodist hospital emergency room and “watch” for a few days – lets “see” what happens. Actually i know what happens because I have actually done this to several hospitals – ya know what nothing happens – the staff is on auto pilot – slow and ponderous – aka unionized.

close every hospital that is costing us money, fire every executive that has run the hospital into the ground – make unions accountable for losses. Run them like a business and watch them succeed. Doctors should NOT have a large say in the running of any business/institution – being around them for over 20 years, i can say for a fact – they have no idea of business (majority of them) they love the status quo – they cant see past their lab coats – they are doctors – make them employees NOT in charge of the institution.

Now that we closed LICH, can we have our $15 million back?[backtopost]
July 29, 2013

A nurse at New York Methodist Hospital has been slammed at every shift she’s worked since Long Island College Hospital, two miles away, stopped accepting ambulances.

Instead of caring for between four and six patients, some nurses had more than 20, including those who needed intensive care, one nurse told ABC News on condition of anonymity. Emergency room patients endured waits up to seven hours just to see a doctor. Those who needed beds had to wait up to 24 hours at one point.

“You just have to ignore whoever can be ignored. It’s really bad,” she said. “I had a 75-year-old lady with pneumonia who was like, ‘Forget it. I’m just going to leave.’ We have lots and lots of walkouts.”

The controversial LICH closure, which health workers, unions and politicians have fought for months with protests and lawsuits, appears to finally be coming to fruition.

Read about the Walter Reed Army Medical Center closure.

Earlier this month, ambulances were ordered not to go to the hospital, so many went to Brooklyn Hospital a mile and a half away. But extreme temperatures, too many patients and an air conditioner problem caused Brooklyn Hospital to start diverting patients, too, overwhelming Methodist Hospital.

“We were short-staffed before this happened,” said the Methodist Hospital nurse. “They haven’t hired anyone new.”

And if LICH stays closed–which looks likely now that hundreds of staffers have been handed pink slips and told not to come back–other hospitals may be routinely overwhelmed for some time.

Developers were “salivating” at the prospect of turning the estimated $1 billion property into luxury housing, according to a May New York Daily News article. But the hospital issued a formal request for proposals earlier this month from only bidders who can provide community health services “up to and including a full service hospital,” said LICH spokesman Robert Bellafiore.

Still, union members fear it will be sold to developers for non-health care purposes anyway.

“What nurses are saying is that the situation in Brooklyn is dire,” said New York State Nurses Association Executive Director Jill Furillo.

Methodist Hospital’s spokeswoman Lynn Hill said the situation has been “a little exaggerated” by the nurses at her hospital. She said that the average wait time from “door to doctor” is still under an hour.

Twelve hospitals have already closed around the country since January, and that number could jump to 16 soon, according to Becker’s Hospital Review reporter Bob Herman, who has tracked the closures since January. The four hospitals set to close include LICH, nearby Interfaith Medical Center and two hospitals in Texas.

The hospitals’ reasons for closing vary, according to published reports. LICH’s closure has been blamed on mismanagement and bad billing practices, according to Furillo and other union members. LICH’s owner, SUNY Downstate, has said it is losing $15 million a month. Interfaith has been in bankruptcy court since December. The two Texas hospitals may close in part because their owner allegedly engaged in billing fraud.

In Brooklyn, dozens of nurses and doctors had been showing up to work to tend to fewer and fewer patients, until Wednesday when they were given administrative leave notices on pink sheets of paper and escorted out by security guards, union representatives said.

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Minimum wage is ridiculous – pay everyone prevaling wage!

David bacon act
Prevailing Wage
Unions
All designed to increase the cost of ownership. I cant wait to pay $20 for a McDonalds hamburger.

Lets get this understanding – a job in McDonalds, Burger King, Pizza Hut or any other minimum wage job is NOT A CAREER! Its not designed to live on! Its not permanent!

Its meant as a transitory job.
Anyone who thinks they should live off it is either lazy or has reached their intellectual level. If that’s the case, than they do not deserve more than minimum wage – but i digress in today’s society we all deserve prevailing wage.

Look it up prevailing wage, David Bacon act – you will be surprised and disgusted.

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Big data use could save $450 billion in healthcare costs

[preamble]Here we go again – developing new ways to piss our money away. Big Data means nothing. Banks, insurance companies etc.. all work with big data – so why are we spending our money “studying” it? Read the article –
“Patients will not benefit from research on exercise, for example, if they persist in their sedentary lifestyles. And physicians may not improve patient outcomes if they refuse to follow treatment protocols based on big data, and instead rely solely on their own judgment.”

We don’t need “big data” to tell me that i am fat and need to exercise and stop eating or to take my meds. I am human its the best it can be unless you legislate it and all this means it WILL be legislated and controlled so i am forced to be healthy – healthy in terms of what the government deems healthy.

For example, they estimate that, when combined with big data, efforts to combat a chronic condition like coronary heart disease such as taking aspirin, undergoing early cholesterol screening and smoking cessation, could bring care costs down by $30 billion.

end to privacy – once the government controls the data we are i big trouble – when this folly ends.[backtopost]

April 5, 2013 | By

Big data could help U.S. citizens save as much as $450 billion in healthcare costs, but fundamental change is necessary to meeting such goals, according to a new analysis published this month by consulting firm McKinsey & Company.

Among some of the changes needed, according to the analysis, is a continuation of the move away from fee-for-service care, as well as recognition on the part of both providers and patients that data can be an effective tool.

“[A]ll stakeholders must recognize the value of big data and be willing to act on its insights, a fundamental mind-set shift for many and one that may prove difficult to achieve,” the analysis says. “Patients will not benefit from research on exercise, for example, if they persist in their sedentary lifestyles. And physicians may not improve patient outcomes if they refuse to follow treatment

The authors point out that seemingly simple interventions performed on a large scale could lead to huge savings. For example, they estimate that, when combined with big data, efforts to combat a chronic condition like coronary heart disease such as taking aspirin, undergoing early cholesterol screening and smoking cessation, could bring care costs down by $30 billion.

“Our estimate of $300 billion to $450 billion in reduced healthcare spending could be conservative, as many insights and innovations are still ahead,” the authors say.

In a recent Hospital Impact blog post, Kent Bottles, M.D, a senior fellow at the Thomas Jefferson University School of Population Health, says that leveraging big data represents a paradigm shift in healthcare.

“I am convinced big data and algorithms will disrupt healthcare in ways that are only now becoming appreciated,” Bottles says. He adds, however, that there are “definite risks and unintended consequences” to using big data, particularly with regard to ensuring privacy, something the McKinsey analysis authors point out, as well.

“Privacy issues will continue to be a major concern,” they say. “Although new computer programs can readily remove names and other personal information from records being transported into large databases, stakeholders across the industry must be vigilant and watch for potential problems as more information becomes public.”

NIH commits $96 million to make sense of big data

By Ashley Gold Comment | Forward | Twitter | Facebook | LinkedIn

 

The National Institutes of Health has committed $96 million to fund big data research centers, aimed at improving the ability of the research community to use and make sense of large and complex datasets.Over a four-year span, $24 million annually will be set aside to establish six to eight Big Data Knowledge Centers of Excellence. The money will be used for the “development and distribution of innovative approaches, methods, software, and tools for data sharing, integration, analysis and management,” according to NIH.The ability to manage big data is a problem for many healthcare providers, researchers and patients alike. Much of that, NIH says, is due to a lack of tools, accessibility and training. The Big Data to Knowledge Initiative plans on announcing even more funding opportunities in upcoming months.

“This funding opportunity represents a concerted effort to leverage the power of NIH in developing cutting-edge systems to address data science challenges,” NIH Director Francis S. Collins said in a statement. “The goal is to help researchers translate data into knowledge that will advance discoveries and improve health, while reducing costs and redundancy.”

Products from the research will be shared and distributed to the research community, and the centers are supposed to interact as a “consortium” that builds on individual research efforts.

It’s been predicted that big data could save $450 billion in healthcare costs, but big change could be necessary for meeting such goals first. Providers and patients must both recognize that data can be an effective tool, according to Kent Bottles, M.D, a senior fellow at the Thomas Jefferson University School of Population Health.

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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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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?
Note to governor – STOP THE CRAP – GOVERN! GET RID OF SILVER, GET RID OF THE UNIONS – GROW SOME TESTICLES![BACKTOPOST]

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.

Sincerely,
The Office of the Governor

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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…………..

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IRS Scandal: Tip Of The Iceberg

[preamble]Excellent article – government for the government by the government and of the government – see something missing? “the people”……. [backtopost]

This story appears in the June 24, 2013 issue of Forbes.

David Malpass David Malpass, Contributor

The U.S. is shuddering at the disclosures of the Internal Revenue Service’s bias against proponents of limited government and of positions on Israel that differ from the Administration’s. This is the tip of the iceberg. Many parts of government have little accountability and operate from motives that go beyond their legal framework and the public purpose.

Unless there is a continuous new process of restraint the government will expand to undertake all programs it considers useful–with no regard for cost or compliance with the principle of limited federal government. Once established, these programs have strong defenders among those who have prospered from them, making downsizing hard. The battle is almost never about the taxpayer.

This has brought us to a constitutional crisis. The 16th Amendment gave the federal government unlimited new power to borrow against future incomes, even for current spending. To make government work for the people requires a vigilant enforcement of the constitutional limits on federal activities, including the Tenth Amendment’s explicit restraint. This isn’t being enforced. The invention of “mandatory appropriations” and entitlements allows government to grow on autopilot without political accountability or votes. And the Federal Reserve, operating outside the three branches of government, has asserted unlimited power to borrow, purchase assets, hire and make expenditures through its new consumer protection agency.

One of the practical difficulties in restraining government is its instinct for self-preservation, the tendency to accentuate the problems that arise from any limits. The people’s goal is to restrain government in the most efficient way, whereas the government’s tendency is often the opposite, as the sequester showed–cutting critical services, such as fuel for aircraft carriers or the number of air traffic controllers on routes frequented by politicians and their fundraisers.

Government spending restraint is just one of the challenges in our constitutional requirement to achieve limited federal government. My May 6 column described some of the inherent corruption in unfocused government, including the European extremes of government officials with Swiss bank accounts and the conflicts of interest among the U.S. government and the entities that it regulates and subsidizes. An April New York Times article documented 28 former staffers of the Senate Finance Committee chairman who are now employed by companies seeking legislative favors related to prospective tax legislation. The result is a circular process in which the legislature conveys tax benefits to companies that pay the appropriate conduits, who in turn contribute to helpful legislators.

International financial institutions–which occupy the choicest office space in Washington, London, Paris and Geneva–use the U.S. credit umbrella to borrow billions per year, in turn lending the money at low rates to favored governments and pro-government organizations. A portion of the funds finds its way through the network of law firms, lobbyists, nonprofits and consultants to the politicians who fund the loans.

The list is endless: hundreds of independent federal agencies with potential conflicts of interest; the revolving door from senior government positions to highly remunerated posts with for-profits or nonprofits; overly generous consulting contracts for departing government employees; horrifyingly mismanaged federal housing projects; repeated fiascoes in the government’s alternative energy loans, from the Carter Administration to the present.

Many believe that a financial crisis will force spending limits. But those probably won’t come until it’s too late to correct the system. The solution is to rebuild the legal restraints on federal activities using the Tenth Amendment and a rewritten debt limit that forces politicians to make spending choices across both discretionary and entitlement accounts.

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2012 Diabetes report card

http://www.cdc.gov/diabetes/pubs/pdf/DiabetesReportCard.pdf

“Average medical expenses are more than twice as high
for a person with diabetes as they are for a person without
diabetes. In 2007, the estimated cost of diabetes in the
United States was $174 billion. That amount included $116
billion in direct medical care costs and $58 billion in indirect
costs (from disability, productivity loss, and premature
death).”

Hmmm – all this seems to ONLY effect an employer. Those numbers mean what? Did the employer of the sick individual lose money? If so, than how did this effect everyone else and cause a crisis?

Oh no – here we go again. Another failed program that only costs money and leads to problems: “Medicare’s Everyone with Diabetes Counts Program:”

remember no child left behind or everyone deserves a home?

I still do not get this – i am paying insurance for these services. Who is costing me money? the OLD? they have been paying to medicare for years when they worked. or is it the uninsured poor people? ah yes – i bet we can really look at this group and realize its those without money, the poor that are the causes of so much health care costs?

Something is wrong with this -it does not make sense at all from any perspective. Doctors will always side on these sides because they only believe in helping people without any understanding of business or actual costs.