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HOSPITALS: Panel Said to Call for Closing 9 New York Hospitals

Somehow I think this will be rather difficult! Panel Said to Call for Closing 9 New York Hospitals

Welcome to the governorship, Mr Spitzer!

UPDATE: Anonymous Coward writes in to say: "The Commission’s proposals actually serve as political cover for the all but certain cuts to Medicaid, and this is actually a good thing for Spitzer.  The closing recommendations have to be approved as a whole (or rejected as a whole, unlikely) before he’s even in office.  Also, dealing with cuts through a more rational, analytical framework, actually enables the new governor to stay completely out of the business of closing hospitals, and to scale back on what otherwise would have been more devastating cuts to Medicaid for all hospitals.  The public relations around this are tricky, but the process is already being closely watched (and followed) in other states."

UPDATE 2: You can read the actual report here. (pdf) Check the New York State Commission for Health Care Facilities in the 21st Century web site for additional materials.

ED’s NOTE: Link fixed to NYT piece.

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PeterBarry Carolanony Recent comment authors
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anony
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anony

Several newspapers recently published articles related to lawmakers’ efforts in Iowa, Pennsylvania, New Jersey and New York state to expand health care services. Summaries appear below. * Iowa: Iowa Democrats are considering expanding several health programs next year and establishing a health commission to recommend broader changes in 2008, the Des Moines Register reports. According to state Sen. Jack Hatch (D), Democrats could expand income eligibility requirements for the Healthy and Well Kids in Iowa program to allow an additional 20,000 children to enroll. Lawmakers also are considering extending coverage under the program for the first time to 9,000 parents.… Read more »

Barry Carol
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Barry Carol

Peter – The issues raised in the report are present in all of our major cities, and the fact that Medicare and Medcaid pay more generously for high tech interventions like heart surgery than for primary care and trauma also applies nationwide. Yet New York’s Medicaid program spends more than twice as much per capita as any other state. One of the hospitals in Manhattan slated for closing (Cabrini Medical Center) is less than 0.1 mile from both Beth Israel Medical Center and the Hospital for Special Surgery. It is within easy walking distance of both Bellvue Hospital and NYU… Read more »

Peter
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Peter

Barry, I’m not going to read all 62 pages of the report but the Opening Statement reads like a – here’s whats wrong with the entire U.S. health delivery system. “We see our work as the first chapter in a longer term planning effort to more systematically assess the accessibility, effectiveness and efficiency of the health care delivery system for all New Yorkers. We also see our work as creating a more efficient system in the future to meet the needs of populations that may, in fact, entail rebuilding.” “In looking at New York City, one is immediately faced with… Read more »

Barry Carol
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Barry Carol

When even local union president Dennis Rivera is preparing his membership for coming job cuts, the restructuring is probably for real. New York now spends $45 billion per year on its Medicaid program which is far more than any other state, and its citizens are no healthier and do not live longer. The system is clearly out of control, and a serious effort to rein it in is finally at hand. It’s about time!

anony
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anony

The Commission’s proposals actually serve as politcal cover for the all but certain cuts to Medicaid, and this is actually a good thing for Spitzer. The closing recommendations have to be approved as a whole (or rejected as a whole, unlikely) before he’s even in office. Also, dealing with cuts through a more rational, analytical framework, actually enables the new governor to stay completely out of the business of closing hospitals, and to scale back on what otherwise would have been more devastating cuts to Medicaid for all hospitals. The public relations around this are tricky, but the process is… Read more »