This is egregious! As a nurse of 29 years, I have seen more hospitals go under than I care to remember. Patients are suffering and that goes up exponentially in underserved communities. Physicians and nurses have been at the forefront of this insanity and are more than cognizant about the need for transformative policies needed to overhaul the healthcare industry. I lost my job as a utilization review nurse at a state ran home health care agency which was sold to a national for profit organization. My colleagues and I didn't find out until we walked into work and it was in the morning paper. I support this message and all those impacted by this newest closure.
I just started my OBGYN residency 3 days ago. i cant imagine getting it ripped away from me right now. to go through 4 years of medical school and slaving over my board scores, paying for interviews and audition rotations, just for the hope of getting residency spot. the cost of moving, purchasing a home, bringing my wife and my kids. it makes me sick to my stomach to think about the residents and other staff that work there.
If they do close down, it's not just the residents that need a home. It's food service and Environmental service and maint that will need a new home. It's not easy to get hired of those spots in a hospital. I liking working in EVS but it needs to be trained better to help retain the best. Hope the WHOLE hospital staff finds a new home.
Honestly, hearing about entire hospital closing is just surreal to me. In Canada our hospitals are government entities, they are not for profit and they exist to serve people. The USA is such a strange place.
From this side, it seems like healthcare reform is going exactly as planned...an intentional push to close hospitals and force America into a single payer system, just like yours.. Which Americans wont vote for, so they are MAKING IT HAPPEN....
I am a nurse in the Philly area. While many parts of the country are crying for nurses this area is saturated. Now 800 nurses will be searching for jobs in a saturated area. I pray they all fine happy new work homes but I know it will be difficult.
This is a sad situation. It's heartbreaking and frightening to hear of hospital closings. As a hospital Case Manager, I've seen and live the hoops hospitals have to go through to get reimbursed. It's crazy and has me shaking my head. The reality is, in the current situation, the bottom line is the bottom line. Qualified staff need to get paid and hospital doors have to stay open for the community they serve. I recently moved from a for profit hospital to a county run system. The list of uninsured and under insured is crazy. How can hospitals survive like this? Staff may think that management is focusing on the wrong things, but management's decisions are directed by CMS. With the changes brought about by the Affordable Care Act, and the closed door deals made with insurance companies and those we elected in Washington DC, management has had to implement processes that are necessary to improve reimbursement so hospitals can stay open.
A sad day. This is my alma mater. Exactly as described: a venerable Institution with almost 200 years of history in a city known for its medical schools and training. Thank you for an unparalleled medical education and instilling the noble foundations of being a real healer. Thank you Hahnemann. JMG class of 94.
This is such terrible news. My dad did some work there as a physician in the late 1930s, and I was born there in 1962, because the OB/GYN he trusted the most was teaching there. All my love and support to the good folks there.
Hahnamenn has been my job for a while and is a home for many in the community. My heart breaks as our family suffers because of carelessness. Please keep our community and nurses in prayer
As a faculty member and Program Director at Penn State Health, I have been getting daily updates on how we can help the displaced residents into our training programs. Our institution has been very generous in trying very hard to make accommodations for the trainees.
A couple of my co-workers also worked in the lab at that hospital when it closed. So many people lost their jobs and now this huge building just sits empty.
Also I pay almost $1000 a month for family plan healthcare at the clinic I work at just to have $$ in medical bills for which the hospital actually docked my pay via a judgement. What do we do when we can't even afford to use our healthcare. The system needs the overhaul you stated so desperately. #ZDOGG4PRESIDENT
I've seen cuts in pay, benefits with increases in workload to housekeeping staff, pharmacy, radiology, logistics, nurses, physicians, all ancillary staff. But I've never seen cuts in administrators or executive staff. If all the administrators and executive staff disappeared off the face of the earth, the hospital would still function. But try running a hospital without housekeeping, radiology, pharmacy, logistics, ancillary staff, nurses or physicians.
I have several different medical conditions. I drove 6-7 hours to Cleveland Clinic for several years. So we decided to make the change and start seeing doctors closer to home. Sadly no doctor here wanted to talk to my CC docs. My CC docs wanted to be involved and coordinate my health care. Then comes tests like MRI’s and other studies I need to have every year or two. At CC we paid 1/2 of what we are charged here in Eastern KY. I had experimental brain surgery at CC and the whole thing was 50,000. I had an uneventful C-Section here and the charges just for me not the baby were 40,000. Everything here is two to three times more expensive than seeing some of the best doctors in the US. I feel like all we do is line the pockets of insurance henchmen. I think doctors here are frustrated. The whole system needs a makeover. Love your videos!!
youve spent over 100k on medical costs?...........i probably would have just sold some body parts or killed myself i their office witha note that said "take my body not my wallet"
Phillysub I work in EMS and 1-2 miles is no big deal when it comes to hospital destinations. What does matter greatly is patient perception. With the big players if the Jefferson Health System and the University of Pennsylvania in the same neighborhood Hannamum had an up hill battle public perception wise.
Wow..How history repeats itself. So I graduated from what was then MCP-Hahnemann in 1995. I was there when we went thru I think 3 name changes because the frickin' yahoos that ran AHERF (Allegeny health and research foundation) bought up all these hospitals because they were in trouble THEN (because someone then ALSO misappropriated/embezzled money, couldn't pick a name, but finally settled into Drexel. Well, I match to my FIRST CHOICE residency at Sharp Grossmont Hospital in San Diego. Guess what happens 2 months into residency???? Sharp Healthcare decides to close it. EXACTLY what you are describing. I lucked out and found a second year position at my second choice in Long Beach. Now, 17 years later as a very busy, and well-respected family doc in San Diego, I'm having to change my practice model because I have chosen quality over quantity (seeing maybe 18-20 patients a day) and have netted ~ 3K over the first 5 months of the year!!!! But hey...our system isn't broken :) Still love our profession, but until we hold the bean counters and these !$%!#$ insurance companies accountable....we are doomed. Peace out. I feel for my alma mater :(
I wrote this in June 2014 ( neurologist with MHA): The main concern for the future of US healthcare is neither socialized medicine (VA, England), single payer (Canada, France) or government mandated insurance (ACA); other countries have applied variants of these models with various degrees of success. The big problem facing the healthcare of the United States is that both political parties are forcibly applying flawed tools and methodology towards 21st century medicine: … OBAMACARE is more than an insurance program, its regulations accelerate the COMPUTERIZATION and INDUSTRIALIZATION of all medicine. It is a fundamental change in the patient-doctor relationship, instead of being your advocate, your health care provider (nurse, doctor, physician assistant, allied health professional), becomes a servant of government and corporate regulators. Non-compliance by your HCP (health care provider) with federal mandates can mean large financial penalties and loss of their licensure. … A computer is a tool, like all tools, the computer has a proper application and usage. Although excellent for banking, travel, real estate and social networking, computer usage mandated by the ACA (affordable care act) does not strengthen the doctor-patient relationship. Since their introduction computers have neither improved the quality, nor reduced the cost of medicine.1 Computerized or electronic medical records reduce your information security and privacy. Computerized records are much easier to steal in bulk than a room full of paper charts. James Van Dyke, president of Javelin Strategy & Research stated (my); “prediction is that as medical providers increase their use of electronic medical records, the incidents of fraud will increase.2” Computerization of medicine also means that your HCP spends large amounts of time with administrative duties such as completing paper work or electronic medical records. In 2012, twenty-two percent of a physician’s time was spent on non-clinical duties, resulting in a loss of over 6 million hours of potential patient care.3 In multiple surveys, more than 70% of doctors reported that too much regulation/paper work was a major reason for dissatisfaction with medicine as a profession. 3 Industrialization of medicine means that doctors no longer work in independently owned private practices. Increasingly HCPs will work for a large company that dictates their method and style of patient care. As a member of a corporation or federal bureaucracy, your HCP is often placed in an undesirable situation, choosing between your health care needs and the economic demands of employers, regulators and/or insurers. 3, 4 Regulation and industrialization mandated by the ACA has caused both loss of independence and payment for private practice physicians. Medicare payments for procedures (ECHO, MRI, etc.) are often two to three times greater if performed in a corporate or hospital setting rather than your independent physician’s office. Continued implementation of the ACA produces less private practice and less lucrative employment for allied healthcare professionals. Similar to the consolidation of the airlines and cable television, what follows for consumers is less choice, less access, reduced quality6 and higher costs. … “And the VA is about as socialized as it gets: The federal government owns the hospitals, employs the doctors who work in those hospitals, and finances the coverage that veterans use to get care.7 ” Private physician offices represented a very large part of the Texas economy. Although an economic impact study for Texas is not available, Florida did a detailed study in 2009 that revealed each private physician’s office on average employed 19 people and generated $913,000 in personal income.5 In Florida, a state 25% smaller in population than Texas, their private physician offices generated $55.7 billion in economic activity in 2009, which is more than all their hotels, motels, casinos and amusement parks (including Disney) combined! .. Although you may empathize with your HCP- doctors and nurses are intelligent, motivated and capable people; they will adapt. Fear for your family, less private practice physicians means less care for the elderly, disabled and severely ill. Even with declining payments, common methods by which burned out (40 - 60%) doctors and nurses are coping with the unrealistic demands of the ACA are retiring early, quitting private practice, taking less call and refusing to see new Medicaid and Medicare patients. 3, 4 … “Physicians are working fewer hours on average and seeing fewer patients than 4 years ago. If these patterns continue, over 44,250 full-time-equivalent physicians could be lost from the workforce in next four years.3” … 1 Lucas Mearian, Computer World Dec 2009 2 Information Week, March 26, 2010 3 The Physicians Foundation by Merritt Hawkins, survey of 13,575 practicing physicians, Sep. 2012. 4 Practical Neurology, survey of TX MDs, Sep 2013 5 Florida Med Assoc., Economic Impact Study, 2009 6 finance.yahoo.com/news/ebola-electronic-health- record-gap-224022057.html 7 www. nationaljournal.com/health-care/no-the-va-is- not-an-obamacare-preview-20140527
My husband matched into a residency in primary care in an underserved area. We paid 5,000$ to move across the country. We moved all of our belongings in, we got settled. My husband works so hard and is so passionate about primary care. Once we got there, he was let go from the residency program by someone in HR because he violated a benign rule. Everyone at the hospital is fighting for him including the director, but HR won't budge. It has been the most stressful months of our lives trying to figure out what to do next, how to stretch our money after paying for Medical School. I don't think people realize sometimes, what this does to families. I found a job and now I don't know if we are staying or leaving. People assume doctors are wealthy, but we have been living on loans and my teacher's salary for years, and now have to figure out what to do. Even if my husband gets back into residency, we will spend years trying to recover.
Medstudent in a country with universal healthcate..... Av. Wait time in an ER? 4-6 hours. Av. Wait time for a schedule (but necessary) surgery? 3-4 months. And the system is understaffed, super low wages. DO NOT BITE INTO UNIVERSAL HEALTHCARE PLEASE BUT KILL INSURANCES! A CT scan does not cost 3000 usd, it costs about 20-40 bucks at most (and when making a profit) Only because of insurances and gov't shit is that a CT scan costs 2000. An Aspirin DOES NOT COST 10 bucks! At most 5-10 cents But, of course, if an ER VISIT SHOULD NOT COST 1500 USD! We have very few private hospitals, and guess what? An ER visit, complete with meds runs you about 20 bucks. Or the equivalent of 3-4 hours of minimum wage work
I worked at a community hospital, that was part of a local hospital system, that closed. For about a month, I wasn't sure if was going to have a job. Fortunately, we were told, after a month of not knowing, that the main hospital in the network, took all the employees that wanted to stay in the system. Now that system is "partnering" with a larger system. Throw in staffing layoffs over the years, using equipment well past it's prime, plus years with no raises for clinical staff (not sure how the "suits" got around that), you're right healthcare is broken at every level.
Hell no to private/public partnership. I will never ever agree with that. Ask the children in interment camps in Texas how the public/private partnership of that operation is working out.
I almost took a fellowship spot there last year. This particular system has had issues for a number of years and I will say that this did weigh on my decision.
Truth is I think for-profits are worst at running a hospital. I saw that with a for-profit run hospital in my town. I volunteer at a non-profit hospital a few towns over and people always tell me that we are better than the for-profit.
I usually agree with you but disagree that Medicare For All is not a priority. None of the things you say that need fixing in the medical field will get fixed with the current system of private insurance with their high rate of overhead, profit and greed.
The cost of replicating the good which Hahnemann did, what they represented to other institutions in the region is incalculable. Letting go of this hospital is an egregious oversight.
99 times out of 100, the announcement of closer is a business maneuver to sell the hospital or restructure debit, which is often necessary given the population served.
Hospital administrators are a huge part of the problem. Each one at my hospital, and we have SEVERAL, is making close to if not more than a million a year. How is this possible?
I can’t believe the politicians have no clue about what your recommendations are! Like you say, no system of care is perfect, but why do we have to be so awful!!!!
Having a two-tiered system for services that fundamentally should be made universal is not the solution. Alot of the long wait times/ cost here in Canada are systems issues relating to a lack of oversight and the ineffective usage of technology, but overall it is a better system than in America. I wouldn't even contemplate something like draining my own abscess. I am not afraid of having to go to the ER and coming out with a massive life-altering bill. Sure we can incentivize and educate people to use better healthcare practices, but someone who has great health practices does not necessarily equal someone who is healthy and vice versa. In a fair and equitable society healthcare is a right based on individuals healthcare NEEDS, in no way should it be informed by the motives of private entities because 9.9/10 times they will act in their own interest which when money is involved is directly against the interests of patients.
Our healthcare system is fine. Government meddling in it is what's out of control. You want to see improvement? Make health insurance competitive across state lines. Allow patients to negotiate costs with their providers. When a 3rd party is paying the bill the patient doesn't care what it costs.
As a primary care physician serving in an inner-city, low-income community, I fundamentally agree with the premise that healthcare needs to be turned on its head as the system is inefficient and operating on a largely "for-profit" business model rather than one where health is treated as a human right and people have access to essential services (health and social). However, I disagree that we should dismiss politicians who are calling for universal coverage. While that does mean placing more people into a broken model of care for now, there is not a readily available alternative that is likely to be adapted in the next few years. None of us should be so self-righteous as to preach ideals of health system reform and calling for a hard stop on incremental shifts - such as universal coverage and hopefully getting rid of for-profit insurance companies- while people without insurance get deprived of basic services to help them manage chronic conditions (e.g. diabetes, hypertension, cancer, etc.) that are leading to early death and severe disability. These costs ultimately fall on the backs of tax payers who end up shouldering the the enormous hospital costs associated with the treatment of terminal illness, which disproportionately inflicts the poor among us. I would certainly not mind moving to a system more like Canada's or the NHS in the UK, which have demonstrated better outcomes and much less per capita spending (including much lower prescription drug prices) on healthcare while also working on ways to achieve the vision of Health 3.0
This is ridiculous! Yet another example of administrators who know nothing about patient care making decisions about healthcare. How about cutting the salaries of the administrators to cover the gap! I did my medical training as a PA at Drexel and it was a wonderful experience. Sad they are taking it away, there is such a need there for this facility.
I did clinical's at Hahnemann hospital in 2014. I thought Drexel owned it as the hospital was part of the campus. While I learned a lot, the hospital was in rough shape. I don't know the specifics of the closure but I would have never started my nursing career there. I wasn't alone. I can't think of one classmate that did. With that said, Drexel is a top notch school, very proud to be a graduate from there.
You as American Nation should also try to get rid of the legalistic legal system making money from suing doctors whether they deserve being sued or not. This (legal aspect) as I hear adds to unnecessary cost of health care. Also solutions like "harm done and amended without looking for the guilty one" should be implemented. Mistakes are a human thing and it is inhumane to expect that health care professionals no matter how good, will never make them.
My life and my son's life was saved at Hanneman after a dangerous labor. Unforeseen after a great pregnancy, healthy the whole time, then bam! Crazy blood pressure. I survived. Baby survived. I was an outlier we need to have well trained doctors close to home. I am sure it costs a lot but how can we put a price on life?
I was a psych extern at Hahnemann a long time ago. Hospitals Tenet buys tend to get decayed because they are for profit. They turned Graduate Hospital , Philadelphia with a world class plastic surgery center, Eating disorder inpatient center, to a filthy MRSA pit with closed floors and few services. What a shame.
I disagree with fixing before paying for all. You’re gonna have to fix it WHILE paying for it for a while. The pts need to have incentive to GET HELP. Even me, a trained nurse, have put off doctor visits d/t co-pays. I already pay $900/month to MY hospital for insurance.
I really like your stuff and I don't disagree with many of your points (even in this video - and I double appreciate your advocacy for the human beings involved in the healthcare system) but this idea of American Exceptionalism being the answer instead of 'socialized medicine' or 'medicare for all' falls flat to me. In case you hadn't heard, Bernie intends to expand Medicare and Social Security benefits to cover any necessary points - including preventivecare , and phase out the for profit insurance companies. By no means is he saying to take the system exactly as it is, and give it to everyone in this dysfunctional, callous state. I work as a clinical engagement coordinator in a clinic and am working to help move the culture from fee for service to team based, whole person care - as healthcare is already on the move towards. Why shouldn't Medicare For All be the next logical step? Capitalism or privatization isn't always the answer, and some things are more important than share or stake holders or being 'uniquely American'. The American people deserve the best care possible and they don't deserve to have their lives turned upside down and ruined, or lost because they can't afford or are denied access to the care they need.
Sorry to hear that but what role does a shrinking city population play? There are numerous teaching hospitals in philly. I trained in SF and there is one, for a city and country of millions. Reality is, Bay Area is growing E. Coast cities are not. Also European docs can get paid less because med school was free. Our new docs take out half a mill in loans. Finally lots of ppl lose their jobs and have to move. Sad but true. Should have happened before July 1, the optics on this are really bad. Last thought, 100k from CMS is chicken scratch. Residents prob make $80 k now?? Then the supplies used in training and extra time in surgery and on rounds etc etc costs millions nationwide. So that is a whole other issue. Sorry I am not overly sympathetic. I would not have been shocked if something like this happened way back when I trained. These hospitals ride on the razor’s edge and are never profitable. So sorry to the nurses and docs and all and especially the patients however!! Just trying to give a little balance because these things are going to happen again and again If we have Medicare for all it will be a hospital bloodbath because the tax dollars won’t stretch far enough for all the unprofitable hospitals and it will be cheaper to consolidate. So careful what you wish for folks.
Amen! People refuse to recognize that putting more people into a healthcare system FOR FREE MUST result in rationed care. "Free" healthcare doesn't create more doctors, nurses, drugs, hospital beds or OR time. It's delusional to support this pap.
IPO Hospitals comprised of shareholders who also are patients and employees as well as all district residents is the clear remedy. #DemocraticCapitalism
I agree the system needs a makeover. However, why can't we have two tier system of universal healthcare, not universal insurance.. but healthcare, yes like Canada and have a private system where those that can afford private care, can have it. All healthcare costs would go down because the real thieves (insurance companies) will be no more. The lawyers and insurance companies are the real situation. Take care of those two, the other stuff will work itself out.
Closing a hospital is not like closing a shopping mall but it seems the same logic is being used! As a front line caregiver at another FQHC hospital in an urban city this is terrifying. Who is running medicine?
"This had to happen." You nailed it there. Your notion of a top-down, autocratic medical bureaucracy is imo misguided however. BTW, life is supposed to be tough and full of challenges. If you're in this country and own a shiny new medical sheepskin you are in the top one percent of the top one percent of the top one percent when it comes to great good fortune. The personal disruption you describe is less than nothing when place in reasonable context.
I’m a communist nurse and I have been on a couple of leftist podcasts. If you want to have a anti capitalist perspective I would be more than happy to come on and talk about healthcare from a Marxist perspective!
Dude. They're going to all be rehired. Nurses and physicians will find jobs with ease at other hospitals in Philly, and residency programs are allowed to go over their caps if they're taking in residents leaving a shutting-down program. This isn't going to be a big deal. First World Problems, bro.
For people who just moved and are PGY-1's it is a huge deal. The costs for Step 3, moving, down payments for houses/rent, new clothing, etc add up fast. It kills people who are already in a tough financial state plus the added stress of having to scramble. Or what about families whose significant others found jobs in the area and are now uprooted. So yeah not first world problems. TL;DR You're wrong.
“People who can pay should pay”. So what you are saying is that sick people should have a higher financial burden and have a lower quality of life. Got it.
Tv 5150 I’m saying in most of the developed world having a health problem wont put you in the poor house or take away the nest egg youve worked so hard all your life to save. “Ability to pay” means losing what youve worked so hard for simply because you got sick or your child got sick. This system will still end up causing people to make poor health choices because they have to weigh their children’s or spouses financial security or prospects over costly preventative or precautionary treatments. Basically it is just a fancier way of saying what we already have except more poor will be covered. Im saying medical care should be universal. No one should go without care because they are poor and no one should become poor because they get sick.
Tv 5150 By the way, I said “sick people....[would] have a lower quality of life”. I didn’t say people who could pay would have a lower quality of life. Couple A: works hard, is reliable at work and does well, spends responsibly, saves, has 2.5 kids, doesn’t buy things they cant afford, and is able to save money. Eventually buys nice home, sends kids to college and retires. Couple B: works hard, is reliable at work and does well, spends responsibly saves, has 2.5 kids, doesn’t buy things they cant afford, and is able to save money. Child gets cancer. Spends every free dollar they have on trying to get the best care. Sells house for more money and lives in small apartment. Wife quits job to care for child. Kids cant go to college or go way into debt trying to pay for it. In most of the developed world that just doesn’t happen. There is no reason we should hold a system that allows for that as the ideal.
Mike Darren Are you serious? Like lots and lots of people. People I know. What do you want names?? How do you not know this. It’s been like all over the news for decades.
@@mistylee717 I'm very serious and you're an idiot. Have these "people you know" never been to an ER? If they're indigent they can apply for Medicaid. So, yes, I'm very serious.
I just visited the web page for Hahnemann and see that they offer "Transgender Surgery." Now who do you think paid the cost of that? And is it possible that "services" like that contributed to their insolvency?
Actually, that was a huge source of income (out of pocket for those patients bc insurance doesn’t pay, duh) to help pay for the care of all the homeless in our ER.
@@tuesdayschildd well, you sure pulled that one out of your ass...I don't pretend to know which insurance companies pay for "gender reassignment." And I bet YOU don't know either.
This is egregious! As a nurse of 29 years, I have seen more hospitals go under than I care to remember. Patients are suffering and that goes up exponentially in underserved communities. Physicians and nurses have been at the forefront of this insanity and are more than cognizant about the need for transformative policies needed to overhaul the healthcare industry. I lost my job as a utilization review nurse at a state ran home health care agency which was sold to a national for profit organization. My colleagues and I didn't find out until we walked into work and it was in the morning paper. I support this message and all those impacted by this newest closure.
I just started my OBGYN residency 3 days ago. i cant imagine getting it ripped away from me right now. to go through 4 years of medical school and slaving over my board scores, paying for interviews and audition rotations, just for the hope of getting residency spot. the cost of moving, purchasing a home, bringing my wife and my kids. it makes me sick to my stomach to think about the residents and other staff that work there.
If they do close down, it's not just the residents that need a home. It's food service and Environmental service and maint that will need a new home. It's not easy to get hired of those spots in a hospital. I liking working in EVS but it needs to be trained better to help retain the best. Hope the WHOLE hospital staff finds a new home.
Honestly, hearing about entire hospital closing is just surreal to me. In Canada our hospitals are government entities, they are not for profit and they exist to serve people. The USA is such a strange place.
From this side, it seems like healthcare reform is going exactly as planned...an intentional push to close hospitals and force America into a single payer system, just like yours.. Which Americans wont vote for, so they are MAKING IT HAPPEN....
So many of my nurse friends work there and now find themselves out of a job!! This is an OUTRAGE!!!
I am a nurse in the Philly area. While many parts of the country are crying for nurses this area is saturated. Now 800 nurses will be searching for jobs in a saturated area. I pray they all fine happy new work homes but I know it will be difficult.
This is a sad situation. It's heartbreaking and frightening to hear of hospital closings. As a hospital Case Manager, I've seen and live the hoops hospitals have to go through to get reimbursed. It's crazy and has me shaking my head. The reality is, in the current situation, the bottom line is the bottom line. Qualified staff need to get paid and hospital doors have to stay open for the community they serve. I recently moved from a for profit hospital to a county run system. The list of uninsured and under insured is crazy. How can hospitals survive like this? Staff may think that management is focusing on the wrong things, but management's decisions are directed by CMS. With the changes brought about by the Affordable Care Act, and the closed door deals made with insurance companies and those we elected in Washington DC, management has had to implement processes that are necessary to improve reimbursement so hospitals can stay open.
A sad day. This is my alma mater. Exactly as described: a venerable Institution with almost 200 years of history in a city known for its medical schools and training. Thank you for an unparalleled medical education and instilling the noble foundations of being a real healer.
Thank you Hahnemann.
JMG class of 94.
This is such terrible news. My dad did some work there as a physician in the late 1930s, and I was born there in 1962, because the OB/GYN he trusted the most was teaching there. All my love and support to the good folks there.
Hahnamenn has been my job for a while and is a home for many in the community. My heart breaks as our family suffers because of carelessness. Please keep our community and nurses in prayer
As a faculty member and Program Director at Penn State Health, I have been getting daily updates on how we can help the displaced residents into our training programs. Our institution has been very generous in trying very hard to make accommodations for the trainees.
A couple of my co-workers also worked in the lab at that hospital when it closed. So many people lost their jobs and now this huge building just sits empty.
Cat: "Fix veterinary medicine too!"
Sorry, but cows and dogs have a better health Care system, or at least they would if they could take themselves to the doctor...
Also I pay almost $1000 a month for family plan healthcare at the clinic I work at just to have $$ in medical bills for which the hospital actually docked my pay via a judgement. What do we do when we can't even afford to use our healthcare. The system needs the overhaul you stated so desperately. #ZDOGG4PRESIDENT
I'm glad you're talking about this.
I've seen cuts in pay, benefits with increases in workload to housekeeping staff, pharmacy, radiology, logistics, nurses, physicians, all ancillary staff.
But I've never seen cuts in administrators or executive staff.
If all the administrators and executive staff disappeared off the face of the earth, the hospital would still function.
But try running a hospital without housekeeping, radiology, pharmacy, logistics, ancillary staff, nurses or physicians.
I have several different medical conditions. I drove 6-7 hours to Cleveland Clinic for several years. So we decided to make the change and start seeing doctors closer to home. Sadly no doctor here wanted to talk to my CC docs. My CC docs wanted to be involved and coordinate my health care. Then comes tests like MRI’s and other studies I need to have every year or two. At CC we paid 1/2 of what we are charged here in Eastern KY. I had experimental brain surgery at CC and the whole thing was 50,000. I had an uneventful C-Section here and the charges just for me not the baby were 40,000. Everything here is two to three times more expensive than seeing some of the best doctors in the US. I feel like all we do is line the pockets of insurance henchmen. I think doctors here are frustrated. The whole system needs a makeover. Love your videos!!
youve spent over 100k on medical costs?...........i probably would have just sold some body parts or killed myself i their office witha note that said "take my body not my wallet"
The area that Hannamum is in is overly saturated with Hospitals. They are just blocks from University is Pennsylvania, Jefferson, Temple and Einstein.
Blocks? Some are miles apart!
Phillysub I work in EMS and 1-2 miles is no big deal when it comes to hospital destinations. What does matter greatly is patient perception. With the big players if the Jefferson Health System and the University of Pennsylvania in the same neighborhood Hannamum had an up hill battle public perception wise.
Imagine Jeff or Penn caring for Hahnemann’s huge homeless population... good luck with that.
Wow..How history repeats itself. So I graduated from what was then MCP-Hahnemann in 1995. I was there when we went thru I think 3 name changes because the frickin' yahoos that ran AHERF (Allegeny health and research foundation) bought up all these hospitals because they were in trouble THEN (because someone then ALSO misappropriated/embezzled money, couldn't pick a name, but finally settled into Drexel. Well, I match to my FIRST CHOICE residency at Sharp Grossmont Hospital in San Diego. Guess what happens 2 months into residency???? Sharp Healthcare decides to close it. EXACTLY what you are describing. I lucked out and found a second year position at my second choice in Long Beach. Now, 17 years later as a very busy, and well-respected family doc in San Diego, I'm having to change my practice model because I have chosen quality over quantity (seeing maybe 18-20 patients a day) and have netted ~ 3K over the first 5 months of the year!!!! But hey...our system isn't broken :) Still love our profession, but until we hold the bean counters and these !$%!#$ insurance companies accountable....we are doomed. Peace out. I feel for my alma mater :(
I wrote this in June 2014 ( neurologist with MHA):
The main concern for the future of US healthcare is neither socialized medicine (VA, England), single payer (Canada, France) or government mandated insurance (ACA); other countries have applied variants of these models with various degrees of success. The big problem facing the healthcare of the United States is that both political parties are forcibly applying flawed tools and methodology towards 21st century medicine:
…
OBAMACARE is more than an insurance program, its regulations accelerate the COMPUTERIZATION and INDUSTRIALIZATION of all medicine. It is a fundamental change in the patient-doctor relationship, instead of being your advocate, your health care provider (nurse, doctor, physician assistant, allied health professional), becomes a servant of government and corporate regulators. Non-compliance by your HCP (health care provider) with federal mandates can mean large financial penalties and loss of their licensure.
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A computer is a tool, like all tools, the computer has a proper application and usage. Although excellent for banking, travel, real estate and social networking, computer usage mandated by the ACA (affordable care act) does not strengthen the doctor-patient relationship. Since their introduction computers have neither improved the quality, nor reduced the cost of medicine.1
Computerized or electronic medical records reduce your information security and privacy. Computerized records are much easier to steal in bulk than a room full of paper charts. James Van Dyke, president of Javelin Strategy & Research stated (my); “prediction is that as medical providers increase their use of electronic medical records, the incidents of fraud will increase.2”
Computerization of medicine also means that your HCP spends large amounts of time with administrative duties such as completing paper work or electronic medical records. In 2012, twenty-two percent of a physician’s time was spent on non-clinical duties, resulting in a loss of over 6 million hours of potential patient care.3 In multiple surveys, more than 70% of doctors reported that too much regulation/paper work was a major reason for dissatisfaction with medicine as a profession. 3
Industrialization of medicine means that doctors no longer work in independently owned private practices. Increasingly HCPs will work for a large company that dictates their method and style of patient care. As a member of a corporation or federal bureaucracy, your HCP is often placed in an undesirable situation, choosing between your health care needs and the economic demands of employers, regulators and/or insurers. 3, 4
Regulation and industrialization mandated by the ACA has caused both loss of independence and payment for private practice physicians. Medicare payments for procedures (ECHO, MRI, etc.) are often two to three times greater if performed in a corporate or hospital setting rather than your independent physician’s office. Continued implementation of the ACA produces less private practice and less lucrative employment for allied healthcare professionals. Similar to the consolidation of the airlines and cable television, what follows for consumers is less choice, less access, reduced quality6 and higher costs.
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“And the VA is about as socialized as it gets: The federal government owns the hospitals, employs the doctors who work in those hospitals, and finances the coverage that veterans use to get care.7 ”
Private physician offices represented a very large part of the Texas economy. Although an economic impact study for Texas is not available, Florida did a detailed study in 2009 that revealed each private physician’s office on average employed 19 people and generated $913,000 in personal income.5 In Florida, a state 25% smaller in population than Texas, their private physician offices generated $55.7 billion in economic activity in 2009, which is more than all their hotels, motels, casinos and amusement parks (including Disney) combined!
..
Although you may empathize with your HCP- doctors and nurses are intelligent, motivated and capable people; they will adapt. Fear for your family, less private practice physicians means less care for the elderly, disabled and severely ill. Even with declining payments, common methods by which burned out (40 - 60%) doctors and nurses are coping with the unrealistic demands of the ACA are retiring early, quitting private practice, taking less call and refusing to see new Medicaid and Medicare patients. 3, 4
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“Physicians are working fewer hours on average and seeing fewer patients than 4 years ago. If these patterns continue, over 44,250 full-time-equivalent physicians could be lost from the workforce in next four years.3”
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1 Lucas Mearian, Computer World Dec 2009
2 Information Week, March 26, 2010
3 The Physicians Foundation by Merritt Hawkins,
survey of 13,575 practicing physicians, Sep. 2012.
4 Practical Neurology, survey of TX MDs, Sep 2013
5 Florida Med Assoc., Economic Impact Study, 2009
6 finance.yahoo.com/news/ebola-electronic-health-
record-gap-224022057.html
7 www. nationaljournal.com/health-care/no-the-va-is- not-an-obamacare-preview-20140527
My husband matched into a residency in primary care in an underserved area. We paid 5,000$ to move across the country. We moved all of our belongings in, we got settled. My husband works so hard and is so passionate about primary care. Once we got there, he was let go from the residency program by someone in HR because he violated a benign rule. Everyone at the hospital is fighting for him including the director, but HR won't budge. It has been the most stressful months of our lives trying to figure out what to do next, how to stretch our money after paying for Medical School. I don't think people realize sometimes, what this does to families. I found a job and now I don't know if we are staying or leaving. People assume doctors are wealthy, but we have been living on loans and my teacher's salary for years, and now have to figure out what to do. Even if my husband gets back into residency, we will spend years trying to recover.
Medstudent in a country with universal healthcate.....
Av. Wait time in an ER? 4-6 hours.
Av. Wait time for a schedule (but necessary) surgery? 3-4 months.
And the system is understaffed, super low wages.
DO NOT BITE INTO UNIVERSAL HEALTHCARE PLEASE BUT KILL INSURANCES!
A CT scan does not cost 3000 usd, it costs about 20-40 bucks at most (and when making a profit)
Only because of insurances and gov't shit is that a CT scan costs 2000.
An Aspirin DOES NOT COST 10 bucks!
At most 5-10 cents
But, of course, if an ER VISIT SHOULD NOT COST 1500 USD!
We have very few private hospitals, and guess what? An ER visit, complete with meds runs you about 20 bucks. Or the equivalent of 3-4 hours of minimum wage work
I worked at a community hospital, that was part of a local hospital system, that closed. For about a month, I wasn't sure if was going to have a job. Fortunately, we were told, after a month of not knowing, that the main hospital in the network, took all the employees that wanted to stay in the system. Now that system is "partnering" with a larger system. Throw in staffing layoffs over the years, using equipment well past it's prime, plus years with no raises for clinical staff (not sure how the "suits" got around that), you're right healthcare is broken at every level.
Hell no to private/public partnership. I will never ever agree with that. Ask the children in interment camps in Texas how the public/private partnership of that operation is working out.
Here's a novel idea: don't enter this country ILLEGALLY!
Hell no to socialized medicine!
Mike Darren You do know most of the people in those centers didn’t try to enter illegally, right??? Wow.
I almost took a fellowship spot there last year. This particular system has had issues for a number of years and I will say that this did weigh on my decision.
Truth is I think for-profits are worst at running a hospital. I saw that with a for-profit run hospital in my town. I volunteer at a non-profit hospital a few towns over and people always tell me that we are better than the for-profit.
I usually agree with you but disagree that Medicare For All is not a priority. None of the things you say that need fixing in the medical field will get fixed with the current system of private insurance with their high rate of overhead, profit and greed.
The cost of replicating the good which Hahnemann did, what they represented to other institutions in the region is incalculable. Letting go of this hospital is an egregious oversight.
99 times out of 100, the announcement of closer is a business maneuver to sell the hospital or restructure debit, which is often necessary given the population served.
Hospital administrators are a huge part of the problem. Each one at my hospital, and we have SEVERAL, is making close to if not more than a million a year. How is this possible?
I can’t believe the politicians have no clue about what your recommendations are! Like you say, no system of care is perfect, but why do we have to be so awful!!!!
Having a two-tiered system for services that fundamentally should be made universal is not the solution. Alot of the long wait times/ cost here in Canada are systems issues relating to a lack of oversight and the ineffective usage of technology, but overall it is a better system than in America. I wouldn't even contemplate something like draining my own abscess. I am not afraid of having to go to the ER and coming out with a massive life-altering bill. Sure we can incentivize and educate people to use better healthcare practices, but someone who has great health practices does not necessarily equal someone who is healthy and vice versa. In a fair and equitable society healthcare is a right based on individuals healthcare NEEDS, in no way should it be informed by the motives of private entities because 9.9/10 times they will act in their own interest which when money is involved is directly against the interests of patients.
So outrageous! Prayers to all! Our healthcare system is out of control.
Our healthcare system is fine. Government meddling in it is what's out of control. You want to see improvement? Make health insurance competitive across state lines. Allow patients to negotiate costs with their providers. When a 3rd party is paying the bill the patient doesn't care what it costs.
As a primary care physician serving in an inner-city, low-income community, I fundamentally agree with the premise that healthcare needs to be turned on its head as the system is inefficient and operating on a largely "for-profit" business model rather than one where health is treated as a human right and people have access to essential services (health and social). However, I disagree that we should dismiss politicians who are calling for universal coverage. While that does mean placing more people into a broken model of care for now, there is not a readily available alternative that is likely to be adapted in the next few years. None of us should be so self-righteous as to preach ideals of health system reform and calling for a hard stop on incremental shifts - such as universal coverage and hopefully getting rid of for-profit insurance companies- while people without insurance get deprived of basic services to help them manage chronic conditions (e.g. diabetes, hypertension, cancer, etc.) that are leading to early death and severe disability. These costs ultimately fall on the backs of tax payers who end up shouldering the the enormous hospital costs associated with the treatment of terminal illness, which disproportionately inflicts the poor among us. I would certainly not mind moving to a system more like Canada's or the NHS in the UK, which have demonstrated better outcomes and much less per capita spending (including much lower prescription drug prices) on healthcare while also working on ways to achieve the vision of Health 3.0
This is ridiculous! Yet another example of administrators who know nothing about patient care making decisions about healthcare. How about cutting the salaries of the administrators to cover the gap! I did my medical training as a PA at Drexel and it was a wonderful experience. Sad they are taking it away, there is such a need there for this facility.
ZzDogg MD for President
I did clinical's at Hahnemann hospital in 2014. I thought Drexel owned it as the hospital was part of the campus. While I learned a lot, the hospital was in rough shape. I don't know the specifics of the closure but I would have never started my nursing career there. I wasn't alone. I can't think of one classmate that did. With that said, Drexel is a top notch school, very proud to be a graduate from there.
You as American Nation should also try to get rid of the legalistic legal system making money from suing doctors whether they deserve being sued or not. This (legal aspect) as I hear adds to unnecessary cost of health care. Also solutions like "harm done and amended without looking for the guilty one" should be implemented. Mistakes are a human thing and it is inhumane to expect that health care professionals no matter how good, will never make them.
Was it Tenet? I took classes and clinicals there from 2004 to 2006 and worked part time there as a rad tech for a few years?
Sad! Prayers to all.
My life and my son's life was saved at Hanneman after a dangerous labor. Unforeseen after a great pregnancy, healthy the whole time, then bam! Crazy blood pressure. I survived. Baby survived. I was an outlier we need to have well trained doctors close to home. I am sure it costs a lot but how can we put a price on life?
Holy fucking shit. For a hospital like that to close is insane.....it's a rather prestigious place. What's next, Jefferson Med?
I was a psych extern at Hahnemann a long time ago. Hospitals Tenet buys tend to get decayed because they are for profit. They turned Graduate Hospital , Philadelphia with a world class plastic surgery center, Eating disorder inpatient center, to a filthy MRSA pit with closed floors and few services. What a shame.
9:12-10:15 summarizes Z’s platform succinctly.
Your tone is upsetting the cat lol
Tenet sold a bunch of its hospitals and a lot of different companies are closing them down
I disagree with fixing before paying for all. You’re gonna have to fix it WHILE paying for it for a while. The pts need to have incentive to GET HELP. Even me, a trained nurse, have put off doctor visits d/t co-pays. I already pay $900/month to MY hospital for insurance.
I really like your stuff and I don't disagree with many of your points (even in this video - and I double appreciate your advocacy for the human beings involved in the healthcare system) but this idea of American Exceptionalism being the answer instead of 'socialized medicine' or 'medicare for all' falls flat to me.
In case you hadn't heard, Bernie intends to expand Medicare and Social Security benefits to cover any necessary points - including preventivecare , and phase out the for profit insurance companies. By no means is he saying to take the system exactly as it is, and give it to everyone in this dysfunctional, callous state.
I work as a clinical engagement coordinator in a clinic and am working to help move the culture from fee for service to team based, whole person care - as healthcare is already on the move towards. Why shouldn't Medicare For All be the next logical step?
Capitalism or privatization isn't always the answer, and some things are more important than share or stake holders or being 'uniquely American'.
The American people deserve the best care possible and they don't deserve to have their lives turned upside down and ruined, or lost because they can't afford or are denied access to the care they need.
Cat: Uh, dont you understand I’M on a rant too!!!
Sorry to hear that but what role does a shrinking city population play? There are numerous teaching hospitals in philly. I trained in SF and there is one, for a city and country of millions. Reality is, Bay Area is growing E. Coast cities are not.
Also European docs can get paid less because med school was free. Our new docs take out half a mill in loans.
Finally lots of ppl lose their jobs and have to move. Sad but true. Should have happened before July 1, the optics on this are really bad.
Last thought, 100k from CMS is chicken scratch. Residents prob make $80 k now?? Then the supplies used in training and extra time in surgery and on rounds etc etc costs millions nationwide. So that is a whole other issue.
Sorry I am not overly sympathetic. I would not have been shocked if something like this happened way back when I trained. These hospitals ride on the razor’s edge and are never profitable. So sorry to the nurses and docs and all and especially the patients however!! Just trying to give a little balance because these things are going to happen again and again
If we have Medicare for all it will be a hospital bloodbath because the tax dollars won’t stretch far enough for all the unprofitable hospitals and it will be cheaper to consolidate. So careful what you wish for folks.
Amen! People refuse to recognize that putting more people into a healthcare system FOR FREE MUST result in rationed care. "Free" healthcare doesn't create more doctors, nurses, drugs, hospital beds or OR time. It's delusional to support this pap.
Right on!
4:43 phyzle security?... snoop dawg?
Put money into keeping people OUT of the damn hospitals!!!!
As health care is going the US will see an implosion of health care.
The cat is responding to his vibe. They do that. S/he is horrified about Hahneman too....in her feline way.
IPO Hospitals comprised of shareholders who also are patients and employees as well as all district residents is the clear remedy. #DemocraticCapitalism
please explain the stars
innovate, my mentor!
I agree the system needs a makeover. However, why can't we have two tier system of universal healthcare, not universal insurance.. but healthcare, yes like Canada and have a private system where those that can afford private care, can have it. All healthcare costs would go down because the real thieves (insurance companies) will be no more. The lawyers and insurance companies are the real situation. Take care of those two, the other stuff will work itself out.
Hold my beer. 👍🇺🇸
Did they take off with their pensions too? Probably invested in bit coin!
Closing a hospital is not like closing a shopping mall but it seems the same logic is being used! As a front line caregiver at another FQHC hospital in an urban city this is terrifying. Who is running medicine?
😍
17:24 best part
Yay capitalism
Communism would rock so much harder.
Waiting for the bootlickers with no training or experience to stick up for the billionaires
I disagree. You cant fix the quality of care as long as the financial barriers are so huge. the financial aspect is the roadblock to change.
"This had to happen." You nailed it there. Your notion of a top-down, autocratic medical bureaucracy is imo misguided however. BTW, life is supposed to be tough and full of challenges. If you're in this country and own a shiny new medical sheepskin you are in the top one percent of the top one percent of the top one percent when it comes to great good fortune. The personal disruption you describe is less than nothing when place in reasonable context.
Your eyes look so unhealthy. Maybe you need a break buddy, if you don't take care of yourself you can't help anyone.
I’m a communist nurse and I have been on a couple of leftist podcasts. If you want to have a anti capitalist perspective I would be more than happy to come on and talk about healthcare from a Marxist perspective!
Dude. They're going to all be rehired. Nurses and physicians will find jobs with ease at other hospitals in Philly, and residency programs are allowed to go over their caps if they're taking in residents leaving a shutting-down program. This isn't going to be a big deal. First World Problems, bro.
For people who just moved and are PGY-1's it is a huge deal. The costs for Step 3, moving, down payments for houses/rent, new clothing, etc add up fast. It kills people who are already in a tough financial state plus the added stress of having to scramble. Or what about families whose significant others found jobs in the area and are now uprooted. So yeah not first world problems. TL;DR You're wrong.
And the patients will move to Beverly hills...
This doc must've slept through his sociology prereqs
“People who can pay should pay”. So what you are saying is that sick people should have a higher financial burden and have a lower quality of life. Got it.
Tv 5150 I’m saying in most of the developed world having a health problem wont put you in the poor house or take away the nest egg youve worked so hard all your life to save. “Ability to pay” means losing what youve worked so hard for simply because you got sick or your child got sick. This system will still end up causing people to make poor health choices because they have to weigh their children’s or spouses financial security or prospects over costly preventative or precautionary treatments. Basically it is just a fancier way of saying what we already have except more poor will be covered. Im saying medical care should be universal. No one should go without care because they are poor and no one should become poor because they get sick.
Tv 5150 By the way, I said “sick people....[would] have a lower quality of life”. I didn’t say people who could pay would have a lower quality of life. Couple A: works hard, is reliable at work and does well, spends responsibly, saves, has 2.5 kids, doesn’t buy things they cant afford, and is able to save money. Eventually buys nice home, sends kids to college and retires. Couple B: works hard, is reliable at work and does well, spends responsibly saves, has 2.5 kids, doesn’t buy things they cant afford, and is able to save money. Child gets cancer. Spends every free dollar they have on trying to get the best care. Sells house for more money and lives in small apartment. Wife quits job to care for child. Kids cant go to college or go way into debt trying to pay for it. In most of the developed world that just doesn’t happen. There is no reason we should hold a system that allows for that as the ideal.
@@mistylee717 tell us who exactly "goes without care" in this country.
Mike Darren Are you serious? Like lots and lots of people. People I know. What do you want names?? How do you not know this. It’s been like all over the news for decades.
@@mistylee717 I'm very serious and you're an idiot. Have these "people you know" never been to an ER? If they're indigent they can apply for Medicaid. So, yes, I'm very serious.
I just visited the web page for Hahnemann and see that they offer "Transgender Surgery." Now who do you think paid the cost of that? And is it possible that "services" like that contributed to their insolvency?
Actually, that was a huge source of income (out of pocket for those patients bc insurance doesn’t pay, duh) to help pay for the care of all the homeless in our ER.
@@tuesdayschildd well, you sure pulled that one out of your ass...I don't pretend to know which insurance companies pay for "gender reassignment." And I bet YOU don't know either.