As a RN who worked at an HCA hospital for five years, I would NEVER recommend my loved ones go to an HCA hospital. The corporation is all about their profits and improving their performances and appearance. It’s all about them, them, them. Not about patients. Patients are simply dollar signs. Truly!
I would like to know how often patients are murdered in hospice with morphine overdoses when the cost of keeping them alive exceed the hospice aggregate cap. And how to look into exactly how much profit a certain patient gave them when the medical records are inaccurate.
@kelvintrollol Very rarely because most of them are on Medicare and it's highly profitable to keep them alive in a vegetative state where very little care is required. Some very low paid CNA cleans them (or they don't), and formula is sent to the stomach through a tube. They collect the exact same check for patients requiring real care, so nursing homes are all about keeping those people alive.
That is so troubling. You go to the hospital for care, to save your life and these despicable folks are doing the opposite. We need more doctors like the one that stood up. God bless him. This needs to change.
I just visited a friend in Canada who went thru the same experience earlier this year at a Canadian hospital. She was continually asked to give up. Her sister fought to continue care. She is home now and I am so grateful.
It's ALL about money for hospital management. It stopped being humane when capitalism took control of health care. A doctor turned off my mother's pacemaker because insurance waited until the due date to make payment after a banking holiday. I was sent home with a supposed infection and antibiotics, only to find out that I had a stroke. My mother in law had stage 4 breast cancer, and a hospital called her an addict to pain medication and sent her home to die. I WILL NEVER TRUST HOSPITALS AGAIN! I'd rather do first aid at home than give them another paycheck. Besides, most doctors I've encountered in the past 5-10 years just sit at their desk and look up symptoms online. How did they graduate college like this?
I took my boyfriend to the hospital for a kidney problem and 7 times they encouraged me to put him in hospice. The lazy nurses said they didn't want to be bothered with keeping him alive. I lost it. I was so angry. My boyfriend was transferred and is still alive and well.
I worked at a HCA hospital in the 90s and I believe all they worried about was being in the black( making money)! I can’t believe any nurse would push patients towards hospice. Our job is to help patients get healthy whenever possible!!
Not true. The hospital is controlled by administrative staffs and chaplains. The doctors are part time job hired by the hospital. The nurse is also arranged by the administration. The patient may be wrongly discharged or put into death if the treatment costs and the hospital can't get enough profit
It is not just HCA hospitals it is the whole medical care facilities. My family have experienced this several times with different family members. It is even worse when the patient is elderly.
The whole Ochsner system is like this in Louisiana. They want to "save" Medicare money which in turn actually makes them more because they get a risk bonus. The elderly are disposable. I'm constantly fighting to get my dad proper care.
The bravery of the doctor that spoke out is amazing. Sadly, his outcry will most likely do nothing to change HCA's policies. And for the irate nurse that seemed to take it personally that the mother wouldn't move her daughter to hospice...shame, shame, shame. The daughter's recovery shows that she was a VIABLE patient that in no way should have been moved to hospice. What a disgusting situation. Thank goodness the patient's mother didn't give in to the pressure❤.
Hospice nurse here. Admission to hospice requires a terminal diagnosis in which a physician states that the terminal condition will likely lead to end of life in six months or less. I'd recommend: 1.) Ask questions about the terminal diagnosis that is the basis of the hospice referral; 2.) Ask for clinical supporting evidence such as labs, diagnostics and other indicators that support the terminal diagnosis; 3.) Ask about treatment options for your loved one. Sometimes there are treatments available elsewhere that are not available at the hospital where your loved one has been admitted; 4.) You can always ask for a second opinion; 5.) I tell patients and their families that no one has "heaven's appointment book". Nobody knows for sure when end of life will be. Sometimes the drive to live overcomes what seems to be impossible odds. Unfortunately, there are bad actors out there who give hospice a bad name. Well-meaning, competent physicians do get things wrong sometimes. Medicine is both a science and an art. I am really, really glad this patient made it and her family stood by her. Nobody should be pressured into hospice care against their will.
I just find out this video and your comment. I know a guy he wanted to live but his foster sister wanted him die and tried to put him into hospice but the hospice facility refused. Could I ask in what condition the hospice facility refuses?
@@annan7728 A doctor must determine that the patient has 6 months or less to live under normal circumstances. Just having chronic medical conditions doesn’t automatically make someone hospice eligible.
As an STNA I’ve seen resident being put on hospice when they shouldn’t be. A resident got sick was taken to the hospital, came back worse. The nurse I was working with said the resident needs to be on hospice but the family disagreed. She got better and she’s here back on her feet. She been living for more than 6 months now! She would have been dead if the family agreed to have her on hospice ! INCREDIBLE
It didn't use to be like this. It started to change in 1984 under President Ronald Regan. MONEY MONEY MONEY My husband of 50 years was put into Hospice and passed away in March. My life is devasted. Hospitals and medical care is almost none existent. Insurance refused him all care at every turn. The hospital he was in worked along with the Insurance company. His social worker told me to get him out of that hospital and on Medicare or he will die. She was right. The system is set up in a way where you can not switch insurance until the first of the year. We were married 50 years. I am devasted.
I have long covid, and I see a very ugly side of medical providers now. It is as if my suffering did not matter because I did not end up on a vent. Well, you can be dying at home and not get on a vent. I get it...the providers were the front line but we need to stop putting abusive providers on the same level as the good providers.
Long covid has been linked to gut issues. My brother has it bad...he started taking prebiotics and within days his health is improving. Hope you recover from this weapon of war.😔
“Publicly traded hospitals”??!!! That is horrifying!! That really tells you all you need to know about medical care in America!!! All hospitals care about making money, it’s what motivates their every decision about patient care!!!
A hospital ceo should get a flat salary, not incentivized based on metrics like this. And that salary shouldn't be 30+ million! No way!! The man has no clue how any of the people under him do things. He needs to spend 3 months in every job that isn't direct patient care...cleaning floors, toilets, doing laundry, doing admissions, trying to collect bills, resolve billing issues with insurers, etc. The guy has no clue.
We can only be better in healthcare if we can get all the MBA’s and MHA’s out of the hospital and let a doctor run the business!! All these business administrators care about is money and profit only at the cost of patient’s life. A doctor if he is running the hospital would never do such thing. And if you encounter a doctor doing this it means that he is under pressure from the administrators and not by personal choice. We would be so much better in healthcare if we take the insurance and the pharmaceutical bureaucracy out of the hospital and patient care. Just my 2 cents as a healthcare worker!
My grandmother was at a Bon Secours hospital at the end of her life. We had chosen to take her off of life support. The doctor said that after her breathing tube was removed, it could take anywhere from a couple hours to a couple days for her to pass. Within 4 hours, the hospital was coming to us in her hospital room talking about hospice care and getting her into a facility. My family was enraged that they were trying to push us out. We had the whole family there sitting with her in her last moments and they weren't willing to give her any time at all. She passed two hours after they came in wanting us to send her to hospice. It wasn't the doctors or nurses. It was the hospital administration. So my experience wasn't with HCA, but Bon Secours is just like that.
Ochsner in Louisiana is like this too. My mom was sent home on "palliative" care, which actually turned out to be hospice, and we had to do just about everything. It was horrible! Ochsner sends people home to die on hospice to reduce their risk adjusted mortality index.
As a paramedic serving the Houston area, I interact with many different hospital systems in possibly the largest medical center in the nation. HCA is the worst hospital corporation I've ever seen.
This happens to me in Bryan Medical in Nebraska. The nurses kept saying they needed my bed over and over. This was like 2 days after I was diagnosed with lung clots severe sepsis and pneumonia. I was in ICU for 4 days.
HCA knew my mothers chances of survival were slim to none. They were at fault In my mind. They’ll never admit that. Regardless they got her well enough to be alive. Barely. Despite me showing them her documents stating she didn’t want to be kept alive in that manor. They argued it and said it didn’t specify that treatment etc. made me feel like I had no choice. They would fight it. As if they knew her wishes. After many many surgeries. Moved around numerous times in the hospital/rehab floor etc. In and out of the hospital. Nursing home and back. They finally said she was well enough to go home. They continued to lie and led us to believe she was fine nutrients and labs done a week before her last visit to the hospital. Told her she was almost well enough for yet another surgery. The dr that did her labs and surgery works for hca so no doubt a way to make another buck. I’m sure they were quick with letting her go home after they asked what we wanted to do on her final hospital stay. Free a bed up and they get more money. No wonder they were fine with it. I expected more push back like I’ve heard of others having in situations like this. But a couple hours later she was at home to die. They knew she would die 6 months prior they just kept her long enough to make as much money as possible before her death. Sad part is had she never went into that hospital she would be alive today. This doesn’t surprise me at all. I hope they pay for the trauma they’ve inflicted upon my family and countless others.
I got the opposite problem. I might be forced to suffer longer than I want. Several years ago (just before COVID), I was discussing future end of life care choices with my heart failure specialist. Another doctor overheard me asking about VSED, and reported it to the social worker. I was told to get mental health therapy for suicide. I now have a DNR and Advance Care Directive, which I hope is followed when I choose to begin VSED.
Oh my gosh. This happened to us when my Dad was in the hospital. A social worker and nurse kept coming in and trying to scare my Daddy into going to hospice. As a nurse, I was his voice and kept advocating for him. The day before he passed, we were told he wouldn't survive leaving the hospital, and they were planning to take him off his bi-pap. Like a vulture, the hospice nurse that I had already told at least 3 times he did not want to go on hospice came in as soon as he went unconscious and asked if we wanted to switch him. He was actively dying. I asked her exactly how that would b beneficial as he was only receiving morphine pretty much at this point. I believe people may still hear what's being said when they are unconscious. I know he could because a couple of times I told him I loved him and he was able to respond. When I asked she said, "Well, if he makes it past midnight, which I don't think he will, he can be switched to hospice medicare so you won't have to worry about being billed. " She said it was also to support the nurses as some are uncomfortable dealing with dying patients. I KID YOU NOT. My only response to her was to get out. I definitely knew why they were pushing then, and it sure wasn't for our benefit. That was 2 years ago, and it still makes me so very angry.
Sam Hazen should be in jail. This practice no doubtedly has resulted in multiple deaths, and he's able to get away with it because the crime can be written off as due to a corporate and "incentives." Disgusting human being.
The President Dr. Frist had a net worth of 22 BILLION in 2021 and he is just one of many executives of this corporation. There are 1000 millions in 1 Billion. That is obscene. Corporate Greed and Executives being multi billionaires is the real problem in health care. They can call themselves Not For Profit to avoid taxes by showing no profit. How do they achieve that? By making their executives multi billionaires.
People can be given, and are being given- medication to slow their digestion down, and then sedated, and Kept Sedated..then nutrition withdrawn...basically its euthanasia...
My insurance is making me use HCA. The HCA hospital is 15-20 minutes away when the other medical hospital is much closer to my rural home. I cannot go to Carilion unless it is life and death. The money comes up first with HCA prior to any type of care or procedure. They wanted me to prepay for a procedure that could have easily been canceled by HCA. They even offer a discount if you pay for your emergency room visit upfront prior to treatment.
Ochsner is non-profit and they push hospice also to reduce their risk adjusted mortality index. Just because they're "non-profit" doesn't mean their c-suite doesn't get paid a lot.
I felt bad for the “case managers” at HCA whose job it was from the moment of admission. “Get’m out”. Discharge / sub acute rehab / nursing home / hospice. “I’m sorry your family member is really sick but you gotta go we’ve done everything we can do here”. Sad part is it’s your insurance that decides where you get to go (most of the time) so God forbid your insurance sucks. (retired HCA). Plz allow me to clarify. It isn’t just HCA. It’s pretty much all of them.
They have complex case managers at Ochsner (which owns practically everything in my area) and they do nothing to actually help the patient, just work to manipulate the metrics. Dealing with them makes me so infuriated!
Hospice does not hasten death, it helps patients and family member have the best quality of life possible when life is limited. Patients do not go on hospice care without the consent and signature of the patient or a family member. It also requires the attending or primary care physician to consult with a hospice medical director and family members before making this important decision. In my five years working in hospice, the nurses, chaplains and doctors, held the concerns and needs of patients and family members as their highest priority. Please don't think of hospice as a bad thing. It supports patients and family members during one on life's most difficult and emotional moments.
From what I've seen when Ochsner sent my mom home to die on hospice it was awful, along with others I saw it happen to. It's mostly done at home by family and we were NOT told what was going to happen. I will never let anyone talk me into home hospice again, ever!
My grandpa was in hospice and sadly did die in hospice but he did belong there. We did see some patients who didn’t belong and even patients transferred in by ambulance that didn’t belong. They only had limited beds available. My grandpa had roommates that only truly need over the counter medicine as not that bad.
The criteria for Hospice needs to be revisited. Are these facilities inspected by any State Agency. There are too many patients who are referred to a Hospice but,meet the criteria for discharge home. The inappropriate utilization of placing end-of-life patients is another big issue. The Hospice nurse visits once in 24hrs.
I work as a palliative care chaplain. There is a difference in the care one receives in hospice based on severity of need. Hospice is about comfort and pain control. It does not provide 24 hour staffing. Having said that, some hospices are better than others, depending on management.
Hospices are never held accountable for the horrible care. It's all about profits. Home hospice is a huge money making scam and I'll never agree to it again after my mom was sent home to die by Ochsner on home hospice.
Thank you for this. I am dealing with this in nursing home. I felt pressure to put my mom into palliative care.. Everyone dies is what I was told today...
They did this to my cousin as well. They treated hus wife HORRIBLY for wanting to try and keep him alive even though he was completely healthy before covid. He died.
IF PERSON HAS NO FAMILY OR IS AN IMMIGRANT, THEYRE IN HOSPICE FOR A LONG TIME.. "MIS TROKAS MI CASA".. MY DAD WAS MOVED TO ONE WITHOUT FAMILY KNOWING.. WE CARRIED HIM OUTTA THERE WHERE WE MET PEOPLE WITH NO ONE VISITING
Ochsner in Louisiana pushes hospice too, and it reduces their risk-adjusted morality index. They always brag on how they save Medicare money, but they actually get a risk bonus and make more by "saving" Medicare money. Ochsner is basically incentivized not to provide care to the elderly with complex health conditions.
Sorry to say that I've seen hospice firsthand with my mom and others, and it was awful. Most hospice now is at home and family does everything. Home hospice is a very profitable healthcare sector and there are some investigations that have started bringing it to light thankfully.
This doesn't take a lot to figure out. Have the government guidelines include transfers to Hospice Facilities! Then you have the death measurement, as well as the "dump-a-rone-io" movement to alternate facilities for the purpose on manipulating their other metrics. Awe saw this kind of thing in IT, until we completed the "Dashboard" that was inclusive of all the tricks people would use to circumvent standards. Go get these guys! If they are not doing anything wrong, then the number of hospice referrals will remain static!
HCA is for profit. All you need to know. Not that non-profit hospital chains are much better. Quality metrics impact hospital and physician reimbursement. So staff will meet them, or else…
I wish they explained what hospice means. This video paints hospice in such a bad light and its meant to allow patients to pass comfortably. Not here to advocate HCA hospitals as they have been notorious for squeezing profit out of patients and into executive pockets.
Absolutely agree with first comment. Most of the time this confused Palliative care with hospice. They are different animals. Not everyone in palliative care has a terminal illness. Also, MOST hospice pts are discharged home or to a nursing facility. Medicare definitely doesn’t like to pay for GIP. (I am a hospital based palliative care chaplain.)
Agree. Dr.'s dont want to treat. Hospitals won't treat. I have stories of personal experience and yes they send patients to hospice without your consent.
Patients who are determined to be in need of Hospice care should not be sent to skilled care facilities. Some may be seen by an RN scheduled visits. The nursing home staff takes up the slack for the remaining. In another Skilled Care Facility the staff will not touch that patient stating she is receiving Hospice care. As an RN I do not agree with having Hospice patients in a Nursin😢Home. The British provides an environment that is appropriate. There is no music patio the rooms are not warmly decorated hardly any volunteers visits. In the USA a. Hospice is not operated as an end of life facility. More enforcement is needed
That’s a deal with the devil, greed, they sold their souls😢😡🤯. Prayers for the ones that fall victim to Sam Hayes 🙏🏼and ones like him. Profits over life.😢
"Publicly traded" and "Healthcare" or "Hospital" are words that should be NOWHERE near each other. Why isn't this the type of thing people demand their politicians answer for when running for office???
And here, once you get hospice care in a nursing home, etc. If anything happens to patient, you have to call hospice not the hospital employees. The hospital employees will not touch a hospice patient.
Statistics prevailing over ethics, compassion and humanity.... that's Statistics-Based Medicine (SBM), the new oracle of management staff and many physicians alike 😮😮😮😮😮
The medical feild is a money-my insurance was about to run out they preshured me to leave and did not give me any medical treatment for my bone marrow condition Mega b l a s t i c anemia they just gave me treatment for the low weight and got my blood levels almost to normal and then pressured me to leave and then give me the appeal number so I could get my insurance to pay for a longer cuz they know at the hospital that if you complain to Medicare then the hospital can get in big trouble and then the hospital might have to pay the whole bill if they get in trouble for not treating the patient correctly I have it now though so if I end up in the hospital again which is a big possibility because I'm deteriorating from the bone marrow condition since I didn't get the hydro Barrack oxygen tank therapy he just said take some vitamins and I told him my GI doctor told me not to take vitamins because it makes irritable bowel syndrome and diverticulitis and I even tried the patch vitamins and they didn't work and I said if vitamins was going to fix my bone marrow condition then the IV fluid would have fixed it already and it has and protocol shows that you're supposed to try a new medical treatment I asked him transferred me to another hospital and he said no and I said well I want some oxygen tank therapy cuz we don't have that treatment and I found out after I got discharged it they had oxygen tank therapy right across the street from the hospital so he flat out loud and that building it was in is a part of the same hospital Franciscan Medical Center
I guess that this is gives us a glimpse into the negative consequences of legalizing euthanasia in the not-so-distant future. Euthanasia is what makes health professionals if not certain ones put themselves under the Hypocritical Oath rather than the Hippocratic Oath.
All of it, probably less than 1%, from your house, to schooling, to its beauty, and to have thought, that how it is being fair, your far from understanding how inhumane its proportions has always been.
I worked for HCA and other hospitals, I do not know why this is news. It is recommended that dying patients be sent to hospice in all hospitals. As the reporter says, "When insurance runs out, hospitals have to pick up the tab." Hospitals have to make a profit and if they do not make a profit they lay off staff and put pressure on doctors to write discharge/hospice orders. I finally found another job because I never knew when I was going to be laid off when the profits were down. People would be laid off and three weeks later they would have new people when the profits were up. I loved the nurses I worked with and all the staff, I hated leaving. As long as medical care is for profits these issues will continue. It is the insurance companies that cut off the payments and could care less if you die or live. Plus, I can guarantee that anyone reading this has no idea what their medical insurance covers.
![Lp. Сердце Вселенной #60 РОЖДЕНИЕ ЛОЛОЛОШКИ [Финал] • Майнкрафт](http://i.ytimg.com/vi/YoR0pAV9FVQ/mqdefault.jpg)
As a RN who worked at an HCA hospital for five years, I would NEVER recommend my loved ones go to an HCA hospital. The corporation is all about their profits and improving their performances and appearance. It’s all about them, them, them. Not about patients. Patients are simply dollar signs. Truly!
Isn't that just all American hospitals though?
Agreed. I took a screenshot of where HCA operates so that if I move to that state or travel there, then I know which hospitals to avoid.
I would like to know how often patients are murdered in hospice with morphine overdoses when the cost of keeping them alive exceed the hospice aggregate cap. And how to look into exactly how much profit a certain patient gave them when the medical records are inaccurate.
@@donnathedead7554 absolutely. The state of Healthcare in the US is deplorable at varying degrees
@kelvintrollol Very rarely because most of them are on Medicare and it's highly profitable to keep them alive in a vegetative state where very little care is required. Some very low paid CNA cleans them (or they don't), and formula is sent to the stomach through a tube. They collect the exact same check for patients requiring real care, so nursing homes are all about keeping those people alive.
If she had not had her mother to watch over her, she would not be sitting there. They would have killed her.
I believe so also.
You have to have family care for your sick family member. I know I did because I didn't trust the medical staff.
@@janiceflores2468 If you are lucky enough to have family. Some don't.
True
I believe every word the mom said, I've been a nurse for 20 years
Yes..an RN since 1967!😢
That is so troubling. You go to the hospital for care, to save your life and these despicable folks are doing the opposite. We need more doctors like the one that stood up. God bless him. This needs to change.
RN for 11yrs. This is the TRUTH.
Me too 38 years. HCA in Florida is terrible!
I just visited a friend in Canada who went thru the same experience earlier this year at a Canadian hospital. She was continually asked to give up. Her sister fought to continue care. She is home now and I am so grateful.
It's ALL about money for hospital management. It stopped being humane when capitalism took control of health care. A doctor turned off my mother's pacemaker because insurance waited until the due date to make payment after a banking holiday. I was sent home with a supposed infection and antibiotics, only to find out that I had a stroke. My mother in law had stage 4 breast cancer, and a hospital called her an addict to pain medication and sent her home to die. I WILL NEVER TRUST HOSPITALS AGAIN! I'd rather do first aid at home than give them another paycheck. Besides, most doctors I've encountered in the past 5-10 years just sit at their desk and look up symptoms online. How did they graduate college like this?
I took my boyfriend to the hospital for a kidney problem and 7 times they encouraged me to put him in hospice.
The lazy nurses said they didn't want to be bothered with keeping him alive.
I lost it. I was so angry.
My boyfriend was transferred and is still alive and well.
Well if your nurse is deciding the care he gets than for sure you're at the wrong hospital and you need a new doctor.
I'm glad that he is doing ok now! I would have transferred him too!
Same with my dad last year
He is still with us
I worked at a HCA hospital in the 90s and I believe all they worried about was being in the black( making money)! I can’t believe any nurse would push patients towards hospice. Our job is to help patients get healthy whenever possible!!
Nurses push because everybody gets the quarterly bonus for doing well and keeping the numbers low
For many it’s very very necessary. This place is clearly too aggressive with it but don’t put down what hospice provides to patients who need it
@@areebajunaid161nurses don't get bonuses for that
Not true. The hospital is controlled by administrative staffs and chaplains. The doctors are part time job hired by the hospital. The nurse is also arranged by the administration. The patient may be wrongly discharged or put into death if the treatment costs and the hospital can't get enough profit
It is not just HCA hospitals it is the whole medical care facilities.
My family have experienced this several times with different family members.
It is even worse when the patient is elderly.
Yes true
The whole Ochsner system is like this in Louisiana. They want to "save" Medicare money which in turn actually makes them more because they get a risk bonus. The elderly are disposable. I'm constantly fighting to get my dad proper care.
This an excellent example of a hospital putting profit over the patients.
It must be so hard dealing with rude staff when you are at your lowest moment in life .😢
The bravery of the doctor that spoke out is amazing. Sadly, his outcry will most likely do nothing to change HCA's policies. And for the irate nurse that seemed to take it personally that the mother wouldn't move her daughter to hospice...shame, shame, shame. The daughter's recovery shows that she was a VIABLE patient that in no way should have been moved to hospice. What a disgusting situation. Thank goodness the patient's mother didn't give in to the pressure❤.
Hospice nurse here. Admission to hospice requires a terminal diagnosis in which a physician states that the terminal condition will likely lead to end of life in six months or less. I'd recommend: 1.) Ask questions about the terminal diagnosis that is the basis of the hospice referral; 2.) Ask for clinical supporting evidence such as labs, diagnostics and other indicators that support the terminal diagnosis; 3.) Ask about treatment options for your loved one. Sometimes there are treatments available elsewhere that are not available at the hospital where your loved one has been admitted; 4.) You can always ask for a second opinion; 5.) I tell patients and their families that no one has "heaven's appointment book". Nobody knows for sure when end of life will be. Sometimes the drive to live overcomes what seems to be impossible odds. Unfortunately, there are bad actors out there who give hospice a bad name. Well-meaning, competent physicians do get things wrong sometimes. Medicine is both a science and an art. I am really, really glad this patient made it and her family stood by her. Nobody should be pressured into hospice care against their will.
I just find out this video and your comment. I know a guy he wanted to live but his foster sister wanted him die and tried to put him into hospice but the hospice facility refused. Could I ask in what condition the hospice facility refuses?
@@annan7728 A doctor must determine that the patient has 6 months or less to live under normal circumstances. Just having chronic medical conditions doesn’t automatically make someone hospice eligible.
As an STNA I’ve seen resident being put on hospice when they shouldn’t be. A resident got sick was taken to the hospital, came back worse. The nurse I was working with said the resident needs to be on hospice but the family disagreed. She got better and she’s here back on her feet. She been living for more than 6 months now! She would have been dead if the family agreed to have her on hospice ! INCREDIBLE
Hospitals should not be private owned and run as a business. It should be runned by states/federal.
It didn't use to be like this. It started to change in 1984 under President Ronald Regan. MONEY MONEY MONEY My husband of 50 years was put into Hospice and passed away in March. My life is devasted. Hospitals and medical care is almost none existent. Insurance refused him all care at every turn. The hospital he was in worked along with the Insurance company. His social worker told me to get him out of that hospital and on Medicare or he will die. She was right. The system is set up in a way where you can not switch insurance until the first of the year. We were married 50 years. I am devasted.
Name one thing government does good.
@francismarion4886 medi-care is nice. Covers our seniors. We pay a lot for military but not for universal Healthcare.
@@francismarion6400spend money. why not spend it on good doctors and healthcare for all
@@francismarion6400what is private practice doing that is good?!
I have long covid, and I see a very ugly side of medical providers now. It is as if my suffering did not matter because I did not end up on a vent. Well, you can be dying at home and not get on a vent. I get it...the providers were the front line but we need to stop putting abusive providers on the same level as the good providers.
Who are the good providers?
Long covid has been linked to gut issues.
My brother has it bad...he started taking prebiotics and within days his health is improving. Hope you recover from this weapon of war.😔
“Publicly traded hospitals”??!!! That is horrifying!! That really tells you all you need to know about medical care in America!!! All hospitals care about making money, it’s what motivates their every decision about patient care!!!
Hello 👋
Ochsner is "non-profit" and they push hospice on patients too. I'm sure the money goes to the c-suite.
"late stage capitalism"
A hospital ceo should get a flat salary, not incentivized based on metrics like this. And that salary shouldn't be 30+ million! No way!! The man has no clue how any of the people under him do things. He needs to spend 3 months in every job that isn't direct patient care...cleaning floors, toilets, doing laundry, doing admissions, trying to collect bills, resolve billing issues with insurers, etc. The guy has no clue.
Gotta love their gaslighting in the response to the interview request.
We can only be better in healthcare if we can get all the MBA’s and MHA’s out of the hospital and let a doctor run the business!! All these business administrators care about is money and profit only at the cost of patient’s life. A doctor if he is running the hospital would never do such thing. And if you encounter a doctor doing this it means that he is under pressure from the administrators and not by personal choice. We would be so much better in healthcare if we take the insurance and the pharmaceutical bureaucracy out of the hospital and patient care. Just my 2 cents as a healthcare worker!
My grandmother was at a Bon Secours hospital at the end of her life. We had chosen to take her off of life support. The doctor said that after her breathing tube was removed, it could take anywhere from a couple hours to a couple days for her to pass. Within 4 hours, the hospital was coming to us in her hospital room talking about hospice care and getting her into a facility. My family was enraged that they were trying to push us out. We had the whole family there sitting with her in her last moments and they weren't willing to give her any time at all. She passed two hours after they came in wanting us to send her to hospice. It wasn't the doctors or nurses. It was the hospital administration. So my experience wasn't with HCA, but Bon Secours is just like that.
Ochsner in Louisiana is like this too. My mom was sent home on "palliative" care, which actually turned out to be hospice, and we had to do just about everything. It was horrible! Ochsner sends people home to die on hospice to reduce their risk adjusted mortality index.
Profits over people lives. When do the greed stop?
It's getting worse
Good reporting. Keep exposing the sleazy practices in these hospitals.
As a paramedic serving the Houston area, I interact with many different hospital systems in possibly the largest medical center in the nation. HCA is the worst hospital corporation I've ever seen.
This happens to me in Bryan Medical in Nebraska. The nurses kept saying they needed my bed over and over. This was like 2 days after I was diagnosed with lung clots severe sepsis and pneumonia. I was in ICU for 4 days.
Unbelievable 😢, this is a CRIME
HCA knew my mothers chances of survival were slim to none. They were at fault In my mind. They’ll never admit that. Regardless they got her well enough to be alive. Barely. Despite me showing them her documents stating she didn’t want to be kept alive in that manor. They argued it and said it didn’t specify that treatment etc. made me feel like I had no choice. They would fight it. As if they knew her wishes. After many many surgeries. Moved around numerous times in the hospital/rehab floor etc. In and out of the hospital. Nursing home and back. They finally said she was well enough to go home. They continued to lie and led us to believe she was fine nutrients and labs done a week before her last visit to the hospital. Told her she was almost well enough for yet another surgery. The dr that did her labs and surgery works for hca so no doubt a way to make another buck. I’m sure they were quick with letting her go home after they asked what we wanted to do on her final hospital stay. Free a bed up and they get more money. No wonder they were fine with it. I expected more push back like I’ve heard of others having in situations like this. But a couple hours later she was at home to die. They knew she would die 6 months prior they just kept her long enough to make as much money as possible before her death. Sad part is had she never went into that hospital she would be alive today. This doesn’t surprise me at all. I hope they pay for the trauma they’ve inflicted upon my family and countless others.
I got the opposite problem. I might be forced to suffer longer than I want. Several years ago (just before COVID), I was discussing future end of life care choices with my heart failure specialist. Another doctor overheard me asking about VSED, and reported it to the social worker. I was told to get mental health therapy for suicide.
I now have a DNR and Advance Care Directive, which I hope is followed when I choose to begin VSED.
Unbelievably cra cra. The madness surrounding those who who even fathom such acts... monstrous.
Smh...how many people have unnecessarily died because of these practices. "Do no harm" my foot! I swear money is the root of all evil.
They removed the Hippocrates oath last year from most medical schools graduation 😮
The medical board can’t remove the Great Physician! He is the Only One that knows the day and time of our birth + the death.
Oh my gosh. This happened to us when my Dad was in the hospital. A social worker and nurse kept coming in and trying to scare my Daddy into going to hospice. As a nurse, I was his voice and kept advocating for him. The day before he passed, we were told he wouldn't survive leaving the hospital, and they were planning to take him off his bi-pap. Like a vulture, the hospice nurse that I had already told at least 3 times he did not want to go on hospice came in as soon as he went unconscious and asked if we wanted to switch him. He was actively dying. I asked her exactly how that would b beneficial as he was only receiving morphine pretty much at this point. I believe people may still hear what's being said when they are unconscious. I know he could because a couple of times I told him I loved him and he was able to respond. When I asked she said, "Well, if he makes it past midnight, which I don't think he will, he can be switched to hospice medicare so you won't have to worry about being billed. " She said it was also to support the nurses as some are uncomfortable dealing with dying patients. I KID YOU NOT. My only response to her was to get out. I definitely knew why they were pushing then, and it sure wasn't for our benefit. That was 2 years ago, and it still makes me so very angry.
The medical industry is just that. An industry. They care about huge profits, not patients.
Trafficking. $$$ is all they care about.
Thanks for having the guts to do this story!!!
U W medical in Washington state pushing my hubs toward hospice. He needs a heart transplant.
Sam Hazen should be in jail. This practice no doubtedly has resulted in multiple deaths, and he's able to get away with it because the crime can be written off as due to a corporate and "incentives." Disgusting human being.
You must advocate for loved ones. I have seen similar things in other health care systems.:(
The President Dr. Frist had a net worth of 22 BILLION in 2021 and he is just one of many executives of this corporation. There are 1000 millions in 1 Billion. That is obscene. Corporate Greed and Executives being multi billionaires is the real problem in health care. They can call themselves Not For Profit to avoid taxes by showing no profit. How do they achieve that? By making their executives multi billionaires.
I took multiple contracts at medical city dallas, an HCA hospital. The amount of negligence that occured made me shocked that its not shut down
People can be given, and are being given- medication to slow their digestion down, and then sedated, and Kept Sedated..then nutrition withdrawn...basically its euthanasia...
Hello Lisescheiman
My insurance is making me use HCA. The HCA hospital is 15-20 minutes away when the other medical hospital is much closer to my rural home. I cannot go to Carilion unless it is life and death. The money comes up first with HCA prior to any type of care or procedure. They wanted me to prepay for a procedure that could have easily been canceled by HCA. They even offer a discount if you pay for your emergency room visit upfront prior to treatment.
The answer is HCA hospitals are for profit. For profit medical centers have to reward stockholders.
Canada and England have deathcare and are underfunded.
They're all for profit.
Hello Vicki
Ochsner is non-profit and they push hospice also to reduce their risk adjusted mortality index. Just because they're "non-profit" doesn't mean their c-suite doesn't get paid a lot.
@@SneakyDogs and that's what I meant. They are all for profit. Even purported non profits
I would never, ever, ever recommend HCA after working there in south Florida. The most incompetent leadership who could care less.
It kinda sick when the hospital cares more about numbers than saving the life's of people.
They need turnover to make a profit.
It's like livestock but human.
I felt bad for the “case managers” at HCA whose job it was from the moment of admission. “Get’m out”. Discharge / sub acute rehab / nursing home / hospice. “I’m sorry your family member is really sick but you gotta go we’ve done everything we can do here”. Sad part is it’s your insurance that decides where you get to go (most of the time) so God forbid your insurance sucks. (retired HCA). Plz allow me to clarify. It isn’t just HCA. It’s pretty much all of them.
Hello penny
:) (much happier)
@@pennyhagel815 fine
@@pennyhagel815 How are you doing today?
They have complex case managers at Ochsner (which owns practically everything in my area) and they do nothing to actually help the patient, just work to manipulate the metrics. Dealing with them makes me so infuriated!
Good story. Thank you NBC and all journalists!
Hospice does not hasten death, it helps patients and family member have the best quality of life possible when life is limited. Patients do not go on hospice care without the consent and signature of the patient or a family member. It also requires the attending or primary care physician to consult with a hospice medical director and family members before making this important decision. In my five years working in hospice, the nurses, chaplains and doctors, held the concerns and needs of patients and family members as their highest priority. Please don't think of hospice as a bad thing. It supports patients and family members during one on life's most difficult and emotional moments.
From what I've seen when Ochsner sent my mom home to die on hospice it was awful, along with others I saw it happen to. It's mostly done at home by family and we were NOT told what was going to happen. I will never let anyone talk me into home hospice again, ever!
HCAJFK ALMOST KILLED ME IN ATLANTIS, FL TWICE 2022
Hello Shirley
I been out the hospital for a week and they wanted to send me to a nursing home. I convinced them to send me home. God in heaven is awesome.
My grandpa was in hospice and sadly did die in hospice but he did belong there. We did see some patients who didn’t belong and even patients transferred in by ambulance that didn’t belong. They only had limited beds available. My grandpa had roommates that only truly need over the counter medicine as not that bad.
This is 1000% true
Hello Ruth
The criteria for Hospice needs to be revisited. Are these facilities inspected by any State Agency. There are too many patients who are referred to a Hospice but,meet the criteria for discharge home. The inappropriate utilization of placing end-of-life patients is another big issue. The Hospice nurse visits once in 24hrs.
I work as a palliative care chaplain. There is a difference in the care one receives in hospice based on severity of need. Hospice is about comfort and pain control. It does not provide 24 hour staffing. Having said that, some hospices are better than others, depending on management.
Also, there is home hospice care. That is what Medicare prefers as it is cheaper. Many people just don’t understand hospice.
Hospices are never held accountable for the horrible care. It's all about profits. Home hospice is a huge money making scam and I'll never agree to it again after my mom was sent home to die by Ochsner on home hospice.
Did I hear 35 million bonus based on mortality rate? 35 million? Really? Really? O M G and we wonder why healthcare is so expensive.
When you make hospitals as a profitable business, of course the executives would only care about making money not about saving lives...
Thank you for this. I am dealing with this in nursing home. I felt pressure to put my mom into palliative care.. Everyone dies is what I was told today...
There are plenty of TV shows that make episodes out of this frequent occurrence-I believe her 100%
They did this to my cousin as well. They treated hus wife HORRIBLY for wanting to try and keep him alive even though he was completely healthy before covid. He died.
Thanks NBC
Excellence In Broadcasting + Silence No More
IF PERSON HAS NO FAMILY OR IS AN IMMIGRANT, THEYRE IN HOSPICE FOR A LONG TIME.. "MIS TROKAS MI CASA".. MY DAD WAS MOVED TO ONE WITHOUT FAMILY KNOWING.. WE CARRIED HIM OUTTA THERE WHERE WE MET PEOPLE WITH NO ONE VISITING
Ochsner in Louisiana pushes hospice too, and it reduces their risk-adjusted morality index. They always brag on how they save Medicare money, but they actually get a risk bonus and make more by "saving" Medicare money. Ochsner is basically incentivized not to provide care to the elderly with complex health conditions.
I believe it. HCA hospital system is all about the money.
Hope that people don't vilify hospice care because of this story. Hospice provides care and dying with dignity..
Sorry to say that I've seen hospice firsthand with my mom and others, and it was awful. Most hospice now is at home and family does everything. Home hospice is a very profitable healthcare sector and there are some investigations that have started bringing it to light thankfully.
STAY AWAY from Nathan Adeleson Hospice. They too kick out even the dying!
This doesn't take a lot to figure out. Have the government guidelines include transfers to Hospice Facilities! Then you have the death measurement, as well as the "dump-a-rone-io" movement to alternate facilities for the purpose on manipulating their other metrics. Awe saw this kind of thing in IT, until we completed the "Dashboard" that was inclusive of all the tricks people would use to circumvent standards. Go get these guys! If they are not doing anything wrong, then the number of hospice referrals will remain static!
HCA is for profit. All you need to know.
Not that non-profit hospital chains are much better. Quality metrics impact hospital and physician reimbursement. So staff will meet them, or else…
Hello 👋
Horribly 😔 sad and true
Hello 👋
This is the most unethical System in the world!!, They are always doing unethical things like this.
and the dystopic future ov corperation and capitalization headline being played today is!
Hello 👋
I wish they explained what hospice means. This video paints hospice in such a bad light and its meant to allow patients to pass comfortably. Not here to advocate HCA hospitals as they have been notorious for squeezing profit out of patients and into executive pockets.
Absolutely agree with first comment. Most of the time this confused Palliative care with hospice. They are different animals. Not everyone in palliative care has a terminal illness. Also, MOST hospice pts are discharged home or to a nursing facility. Medicare definitely doesn’t like to pay for GIP. (I am a hospital based palliative care chaplain.)
Most hospice is at home and having gone through it it's a horrible experience.
Palliative care should be the first step before hospice
But palliative does not always lead to hospice. It is for ANYONE being treated for a serious life limiting illness.
That's Murica healthcare for ya.
Sick
Welcome to American healthcare
Hello Amanda
Agree. Dr.'s dont want to treat. Hospitals won't treat. I have stories of personal experience and yes they send patients to hospice without your consent.
What is HCA hospital ??
Patients who are determined to be in need of Hospice care should not be sent to skilled care facilities. Some may be seen by an RN scheduled visits. The nursing home staff takes up the slack for the remaining. In another Skilled Care Facility the staff will not touch that patient stating she is receiving Hospice care. As an RN I do not agree with having Hospice patients in a Nursin😢Home. The British provides an environment that is appropriate. There is no music patio the rooms are not warmly decorated hardly any volunteers visits. In the USA a. Hospice is not operated as an end of life facility. More enforcement is needed
Do no harm no longer the standard?
DOCTORS AND HOSPITALS ARE MONEY, MONEY, MONEY! MONEY!
Hello 👋
That’s a deal with the devil, greed, they sold their souls😢😡🤯. Prayers for the ones that fall victim to Sam Hayes 🙏🏼and ones like him. Profits over life.😢
This is soo wrong!
It's sad because it happens very often in healthcare behind the scenes all due to profits
"Publicly traded" and "Healthcare" or "Hospital" are words that should be NOWHERE near each other. Why isn't this the type of thing people demand their politicians answer for when running for office???
Who in the world is worth that much money for twoyrs
They are a disgrace of a hospital. I hope they go under.
Despicable
Hello 👋
And here, once you get hospice care in a nursing home, etc. If anything happens to patient, you have to call hospice not the hospital employees. The hospital employees will not touch a hospice patient.
Now, their image is known. Murderers.
Statistics prevailing over ethics, compassion and humanity.... that's Statistics-Based Medicine (SBM), the new oracle of management staff and many physicians alike 😮😮😮😮😮
The medical feild is a money-my insurance was about to run out they preshured me to leave and did not give me any medical treatment for my bone marrow condition Mega b l a s t i c anemia they just gave me treatment for the low weight and got my blood levels almost to normal and then pressured me to leave and then give me the appeal number so I could get my insurance to pay for a longer cuz they know at the hospital that if you complain to Medicare then the hospital can get in big trouble and then the hospital might have to pay the whole bill if they get in trouble for not treating the patient correctly I have it now though so if I end up in the hospital again which is a big possibility because I'm deteriorating from the bone marrow condition since I didn't get the hydro Barrack oxygen tank therapy he just said take some vitamins and I told him my GI doctor told me not to take vitamins because it makes irritable bowel syndrome and diverticulitis and I even tried the patch vitamins and they didn't work and I said if vitamins was going to fix my bone marrow condition then the IV fluid would have fixed it already and it has and protocol shows that you're supposed to try a new medical treatment I asked him transferred me to another hospital and he said no and I said well I want some oxygen tank therapy cuz we don't have that treatment and I found out after I got discharged it they had oxygen tank therapy right across the street from the hospital so he flat out loud and that building it was in is a part of the same hospital Franciscan Medical Center
You can NOT build a for-profit business model in every industry. Somethings are just better left to the nonprofit industry.
Healthcare and education should not be for profit
How disgusting!
I KEEP TELLING PEOPLE IT'S A BUSINESS!!
“RUN”
I guess that this is gives us a glimpse into the negative consequences of legalizing euthanasia in the not-so-distant future. Euthanasia is what makes health professionals if not certain ones put themselves under the Hypocritical Oath rather than the Hippocratic Oath.
Euthanasia started with the unborn babies and Planned Parenthood. It all begins in the womb!
All of it, probably less than 1%, from your house, to schooling, to its beauty, and to have thought, that how it is being fair, your far from understanding how inhumane its proportions has always been.
I worked for HCA and other hospitals, I do not know why this is news. It is recommended that dying patients be sent to hospice in all hospitals. As the reporter says, "When insurance runs out, hospitals have to pick up the tab." Hospitals have to make a profit and if they do not make a profit they lay off staff and put pressure on doctors to write discharge/hospice orders. I finally found another job because I never knew when I was going to be laid off when the profits were down. People would be laid off and three weeks later they would have new people when the profits were up. I loved the nurses I worked with and all the staff, I hated leaving. As long as medical care is for profits these issues will continue.
It is the insurance companies that cut off the payments and could care less if you die or live. Plus, I can guarantee that anyone reading this has no idea what their medical insurance covers.
Perfect example for using a hidden camera shine the light on the dark
This is why I will never go to HCA hospital ever. IHC or Mountainstar is the only hospitals I will only go to.
I wonder who the other big hospital systems are.
And they tell us to fear socialized medicine for the same reasons….