Showing posts with label healthcare cuts. Show all posts
Showing posts with label healthcare cuts. Show all posts

Monday, September 1, 2014

1199's Kevin Finnegan to NYC community hospital patients : Kiss Off !

Saturday, March 29, 2014

MRT Hospital Closings, Healthcare Cuts' Impact on Mental Health, Safety Net Care

From the Demand A Hospital listserv :

Dear All :

Some recent and past article links on the impact of hospital closings and other healthcare cuts to New York City's mental health, homeless, and safety net care :

  • The death of a mentally ill veteran in an overheated cell at Rikers Island exposed fundamental flaws in New York’s homeless and healthcare systems, members of the City Council said on Thursday. (http://www.nytimes.com/2014/03/28/nyregion/new-york-council-sees-flawed-mental-health-system.html)
  • The president of The Doe Fund is outraged that a homeless man was arrested, and later died in Rikers Island, instead of being taken to a shelter. (http://www.nytimes.com/2014/03/27/opinion/arresting-the-homeless.html)
  • Last year, the New York State Office of Mental Health unveiled a sweeping plan to consolidate and reduce the number of state-run psychiatric hospitals from 24 to 15. (http://www.timesunion.com/local/article/Nine-state-psychiatric-centers-to-close-in-plan-4657459.php)
  • Holliswood Hospital, a 127-bed private psychiatric hospital in Queens, closed in 2013. (http://www.wnyc.org/story/312359-holliswood-hospital-queens-closing-its-doors/)
  • Many of the poor people who rely on safety-net hospitals will have to look for healthcare elsewhere after a government subsidy critical to hospitals’ survival is being sharply reduced under the new health law. (http://www.nytimes.com/2013/11/09/health/cuts-in-hospital-subsidies-threaten-safety-net-care.html)

After the closing of St. Vincent's, it looks like we lost more than just critical hospital facilities. Have New York City elected officials also lost their charitable concern for those with the least ?

Thanks for all that you do.

-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --

Tell Gov. Andrew Cuomo to stop closing our hospitals : 1 (518) 474-8390

You can also tweet your concerns to Gov. Cuomo at : @NYGovCuomo

Saturday, January 4, 2014

Healthcare As Bargaining Chips in New York City Politics // The Pelican Brief (Updated)

Getting Your Piece Of The Pie After It Gets Taken Away From Somebody Else

Charles-King-Stephen-Berger-Thomas-Farley photo Charles-King-Stephen-Berger-Thomas-Farley_zpsd00a6f5e.jpg

Housing Works CEO Charles King, left, agreed to going along with making $17 billion in healthcare cuts. Stephen Berger is a budget hatchet man, who leads a special subcommittee of neoliberal Gov. Andrew Cuomo's controversial Medicaid Redesign Team trying to close hospitals in Brooklyn. Thomas Farley, right, is the do-nothing city health commissioner responsible for continuing years of municipal policy that failed to keep community hospitals open or to finally develop a comprehensive, city-wide AIDS agenda.

Word on the Street : Whereas Mayor Bill de Blasio doesn't have enough money to make good on unions' demands for retroactive backpay and raises, he's in a quandary about how to bring down the unions' demands, but still make them feel like he "appreciates" them.

Whereas Mayor de Blasio keeps being all talk about his "progressive reform agenda," he's rightly raising expectations amongst reform activists that he's actually going to deliver changes on major social, legal, and economic issues that went neglected for the last 20 years of Republican City Hall rule.

Now, therefore, the intersection of these two circumstances is creating a troubling development : There's talk amongst some political insiders that Mayor de Blasio may offer one union largely responsible for his electoral win with a lower contract in exchange for being given backroom access to selecting one of the city commissioners that would have some oversight of that union.

Isn't this how Wall Street games the system ? We already have Scott Stringer, a slimy career weasel, in charge of the Comptroller's Office. Knowing Stringer's situational ethics, he's no doubt ready to sell access and influence in exchange for campaign donations to make another campaign run for higher office the next time the situation presents itself. We say that this is wrong when it is done by the political right, or by the 1%. But what happens when it's done by the left ?

A sordid theory about how corruption spreads : dividing the community for expedient political gain, leaving everybody triangulated from criticising the corruption.

1199, formerly headed by Obama administration political operative Patrick Gaspard, is a close advisor to Mayor de Blasio. Judging by how Mr. Gaspard sold out on his union's dedication to healthcare advocacy by agreeing to the wave of Berger Commission hospital closings ordered by former Republican Gov. George Pataki and by Gov. Pataki's own political operative, Wall Street investment banker Stephen Berger, Mr. de Blasio is hoping to resurrect the evil playbook of corruption in the contract negotiations between City Hall and 1199.

Here's how.

Trading A Lower Labor Compensation Contract In Exchange For Naming The Next Health Commish

Corruption doesn't have to always be about breaking the law, it could be about corrupting the democratic process that should be at the start be advocating transparency and a fully public participation in all decisions in matters of the public's own governance, especially major decisions, like picking the next city health commissioner. This role is vital, and the fact that we've had Thomas Farley for the last four years, only shows the kind of damage that having an impotent health commission can cause : Mr. Farley has not done one thing to stop the lingering Berger Commission hospital closings, nor the next wave of hospital closings called for by neoliberal Democratic Gov. Andrew Cuomo under his own Berger-like apparatus, the Medicaid Redesign Team.

How bad would it really be if 1199 gets given the right to pick the next health commissioner in exchange for accepting a lower labor compensation contract from Mayor de Blasio ?

For one thing, how do we know that the political direction of 1199 will act independently in the best interests of the patients it cares for ? Or how about making sure that the political leadership of 1199 will make decisions independently in the best interests of its membership ? Under Mr. Gaspard, the union never challenged the Berger Commission hospital closings, and it even took a seat at the table for the Medicaid Redesign Team. George Gresham, the President of 1199 SEIU United Healthcare Workers East, sits on the MRT panel.

As much as I am pro-labor and pro-letting labor get an inside track to making major political decisions, what troubles me is that 1199 is not independent. It was a major political supporter of the mayor, back when he was a no-hope candidate, so far distant from the front-runners that nobody took him seriously. In getting the chance to pick or vet the next health commissioner, can 1199, based on its track record, really and truly be counted on doing the right thing for the emergency room-full service hospital needing public ? Or is it going to make a deal that will catapult its current top crop of political directors into their next jobs, like, say, the next presidential campaign political consultant, White House political director, or ambassador to South Africa ?

Why is nobody asking why is Mayor de Blasio linking labor compensation contract negotiations with picking the next healthcare commissioner ? It's because Mayor de Blasio plans on being disingenuous in his union contract talks, and it matters naught to the mayor that he's going to divide the community by confusing discussions that should only be about backpay and raises with picking the next health commissioner. If the mayor cared about public input, he would automatically -- and without needing to subvert important agency picks as bargaining chips -- involve all stakeholders in his decision-making for the next health commissioner. That is to say, the public AND 1199 AND critical healthcare community groups should have a say in the next healthcare commissioner at the same time when the mayor should be having rigorous union contract talks with 1199. One has nothing to do with the other. But this kind of mentality, of offering two birds in the bush for one in the hand is what dishonest negotiations are all about. Rather than have 1199 say, "Yes, and …," you had the mayor saying, "No, but…."

Other Examples of How Critical Healthcare and Social Services Decisions Get Made Half-Assed By "Community Leaders," With No Full Public Involvement or Accountability // The Hunger Games

This kind of offering one group a piece of pie only after having first withdrawn that same piece from somebody else is what happened when some large New York City community and non-profit organizations went along with the Medicaid Redesign Team's cuts to healthcare for the poor in exchange for a few coins for homeless housing programs. Again, you had community groups agree to Gov. Cuomo's draconian austerity plans of closing more hospitals in New York City and making other healthcare cuts valued at upwards of $17 billion, over time, and for giving the sleazy neoliberal governor political cover to make these cuts, groups like Housing Works and GMHC were made promises that Gov. Cuomo would make a few million dollars available to homeless housing programs. Groups like Housing Works and GMHC have the provision of healthcare for the poor and the disenfranchised as part of their mission, but look at how they agreed to actions that were in contravention to other healthcare groups, with similar missions. Indeed, one need not look any further than how St. Vincent's Hospital, a former comprehensive AIDS center, Level I Trauma Center, and full-service hospital with a large HIV/AIDS patient load, was shut down under the calls for hospital closings. Don't these groups see that we are shooting ourselves in the foot ? Why does having to close hospitals be linked with making money available for homeless care programs ? What does one have to do with another ? We should be fighting for a healthcare system that covers everybody at the same time when we are fighting for the full resources to provide shelter to people, who are homeless. But only politicians, who are interested in expedient political gains would try to subvert one important community issue to another, and community group leaders should not be going along with this kind of corruption.

Another example comes to mind when the head of one homeless LGBT youth program turned on the head of another, all because politicians divide us, make us fight, for the crumbs that they throw at us.

But there is hope. Some groups, like the Legal Aid Society, and bloggers can reframe the conversation about budget cuts, failed government responses to the major social, legal, and economic issues of our time. The Legal Aid Society recently sued the city over its abdication of responsibility for providing shelter to homeless youth. Rather than being a victim to the rigged budget negotiations, the Legal Aid Society decided to make a demand for the FULL resources to address the problem at the same time when all we get is lip service that we can count on a truly progressive reform agenda from the de Blasio administration. If the public were truly able to see that backroom political machinations of insiders, operatives, and lobbyists don't fully answer the social, legal, and economic problems of our time, then the public would know that one of the first reforms we need is to demand a fully transparent and accessible process on every major de Blasio administration pick, especially with regard to the selection of the next health commissioner.

What's going to happen when the full membership of 1199 learns that their leadership may already be agreeing to undercut their labor contract negotiations ?

And what other healthcare advocacy groups, let alone the public itself, should have a seat at the table of talks if the mayor is convening such an apparatus for picking the next health commissioner ? ACT UP comes readily to mind. Who else ?

Making Matters Worse Than Patrick Gaspard Is Stanley Brezenoff

James Capalino, left, with Stanley Brezenoff photo Jim-Capalino-and-Stanley-Brezenoff_zps2c414c71.jpg

James Capalino, the real estate lobbyist, left, with Continuum CEO Stanley Brezenoff. Capalino was a paid lobbyist for the Rudin Family in their controversial $1 billion luxury conversion of St. Vincent's Hospital into an exclusive condo complex. Brezenoff raided the trust fund of Long Island College Hospital in an effort to suck it dry of resources.

Mr. Brezenoff, the head of Beth Israel Medical Center, may be on the outs with Continuum, Beth Israel's parent holding company, following the takeover by Mt. Sinai Medical Center of Continuum's hospitals. Likely trying to make a transition back to head the New York City Health and Hospitals Corporation, a position he once head in the early 1980's, or possibly as the next health commissioner, Mr. Brezenoff has already wormed his way into an unpaid advisory capacity to the de Blasio administration's new First Deputy Mayor, Anthony Shorris. When he was head of HHC during the early years of the AIDS crisis in New York City, Mr. Brezenoff failed to get in front of the outbreak, treatment, and prevention of AIDS. He has a record of failure in respect of public health. Why would Mayor de Blasio pick him ? Let's examine the kind of political machinations that would go into a decision like this….

Maybe Mr. Brezenoff's new administration position is meant as a stick to 1199 that any role that the union may be offered to have in picking the next health commissioner may be the union's effort to block Mr. Brezenoff from a higher healthcare capacity with the de Blasio administration ? Mr. Brezenoff's controversial role in trying to raid LICH, for example, of its assets would scare -- and distract -- any reasonable union to want to block his return to any supervisory role in formulation government healthcare policy.

What a wicked web we weave …. Let's hope the union membership are smart enough to demand transparency from their political operatives, the same way the public and community groups should demand transparency from the de Blasio administration, the same way that the Legal Aid Society didn't accept a bullshit government response to the homeless youth issue of today. There is a way to get to the root of the social, legal, and economic problems we face : we just have to have the courage to not let our demands for a full solution be subverted by either slimy politicians in exchange for "insider access," like the current 1199-health commish trade off that is being discussed around town, or by failed community group leaders in exchange for political protection, like the "What's in it for me" Patrick Gaspard model that other non-profit organization leaders are adopting with greater frequency.

If everybody would just focus on the fact that we are all in this together -- that we are all involved in one struggle to make the city/world a better place -- we wouldn't let slimy politicians and their political enablers subvert our needs. The "Yes, and" model is one of faith : there are enough resources for everybody. If we accept the "No, but" model from politicians, we'll never find the answers we seek, and, worse, we'll sabotage other activists and groups trying to seek the answers for their own issues. We have to be in this together, for one another, if we want to make a difference.

Wednesday, July 24, 2013

Comparing Christine Quinn with Dr. Jack Kevorkian : Assisting with Early Hospital Deaths

Is Christine Quinn the "Doctor Death" of New York City hospital closings ?

Dr-Jack-Kevorkian-Christine-Quinn-Ten-Assisted-Hospital-Closings photo Dr-Jack-Kevorkian-Christine-Quinn-Ten-Assisted-Hospital-Closings_zpsbe4e40d2.jpg

Will Long Island College Hospital and Interfaith Medical Center be added to this list of hospitals that New York City Council Speaker Christine Quinn has allowed Real Estate Developers to close ?

Christine Quinn had 10 chances to save 10 NYC hospitals from closing or downsizing.

She saved none.

In the time that Christine Quinn has been Speaker of the New York City Council, ten hospitals have been closed or down-sized :

  • Westchester Square Medical Center in the Bronx became bankrupt and was sold in 2013 ; it is expected to be down-sized into an urgent care center
  • Peninsula Hospital Center in Far Rockaway, Queens, filed for bankruptcy and was closed in 2012
  • North General Hospital in Harlem declared bankruptcy in 2010
  • St. Vincent's Hospital in the West Village was shut down in 2010, so that the Rudin family could build luxury condos
  • St. John's Queens Hospital in Elmhurst went bankrupt in 2009
  • Mary Immaculate Hospital in Jamaica went bankrupt in 2009
  • Parkway Hospital in Forest Hills closed in 2008
  • Cabrini Medical Center in Manhattan closed in 2008
  • Victory Memorial Hospital in Bay Ridge closed in 2008
  • St. Vincent's Midtown in Manhattan closed in 2007

If your life depends on comprehensive emergency care, how safe will you be with Christine Quinn as mayor ?

@stopchrisquinn

Saturday, May 18, 2013

1199 Union Endorses de Blasio Over Quinn

"1199 SEIU, the powerful health care workers' union, has decided to endorse Public Advocate Bill de Blasio in the Democratic primary for mayor, sources say. ... The endorsement will be a boost for De Blasio's campaign, which has been counting on his strong ties to labor to distinguish him from the other Democrats trailing Council Speaker Christine Quinn in the polls." (Capital New York)

Healthcare activists have noted that ten full service hospitals have closed in New York City during the time in which Christine Quinn has been Speaker of the City Council. Prior to being Speaker, Christine Quinn served four years as chair of the City Council Health Committee, where she obviously learned nothing about the collapsing free-market model that funds healthcare. It's no surprise that the healthcare union would choose another candidate to endorse.

Saturday, January 5, 2013

Protest Andrew Cuomo : Bring A Report Card To Show He Is Failing Expectations

From the Demand A Hospital listserv of St. Vincent's Hospital activists :

- - - - - - - - - - - - - - - - -

All :

Action Alert

Governor Andrew Cuomo will be celebrating his birthday with a fundraiser at one of New York City's finest hotels. Join us outside the event.

Bring a cardboard or poster board sign and write across it : "To : Gov. Cuomo -- For Protecting Our Healthcare" and then give him a giant letter grade : F-

Date : Monday, January 7, 2012

Time : 6:00 pm

Place : Waldorf-Astoria Hotel, 301 Park Avenue, Manhattan

Keep In Mind That Full-Service Hospitals Are Not Yet Fully Functioning.

The VA Hospital is not yet open, and other hospitals are only partially open. During this healthcare crisis comes the State Department of Health, trying to close down Westchester Square Medical Center in the Bronx. Westchester Square is scheduled to close on March 10. Its assets will be up for auction, but it is expected that Montefiore Medical Center will purchase the hospital. If Westchester Square is absorbed by a larger hospital group, the take over may leave many community members and hospital employees rightly worried about local healthcare and jobs. Read more : http://bronx.ny1.com/content/top_stories/174922/bronx-nurses--locals-dread-closing-of-westchester-square-medical-center

Remember how many hospitals in Queens were closed within a short time of having been merged into other hospital groups. The Department of Health uses mergers as a way to shuffle hospital debts between medical centers, which lead to financial losses and eventually to hospital closings.

All of the hospitals, which were damaged by Hurricane Sandy, are not yet fully functional. Emergency rooms have been experiencing record levels of overcrowding, especially at Beth Israel, and some full-service hospitals are now reduced to offering only "urgent care," like at Coney Island Hospital.

How can Gov. Cuomo, in his right mind, think that now is the right time to keep closing hospitals ?

Hurricane Sandy is still causing a healthcare crisis all these many months later, and Gov. Cuomo is not taking this healthcare crisis seriously. Not only are our hospitals not yet restored to being fully functional, but long term illnesses are beginning to emerge. Mold is an urgent healthcare concern for Hurricane Sandy survivors. "Homes are uninhabitable with black mold taking hold, heat and sanitation are still absent in many places. Yet the government response has been glaringly absent," was how the Occupy Sandy volunteer group described the situation last month.

Compounding this healthcare crisis is that the government is using the "healthcare crisis" as an excuse to burn hurricane debris, aggravating the lungs of hurricane survivors, who must also deal with mold. Read more : http://nyc.sierraclub.org/2012/11/dont-burn-sandy-debris/

In the face of all this, there's only one grade a person can reasonably give Gov. Cuomo : F-

Join us at the Waldorf-Astoria Hotel on Monday night.

Date : Monday, January 7, 2012

Time : 6:00 pm

Place : Waldorf-Astoria Hotel, 301 Park Avenue, Manhattan

We hope to see you at this demonstration. Read more : https://www.nycga.net/events/governor-cuomos-birthday-give-him-a-birthday-report-card/

Update : Letter To The Editor

Another person has published a letter in The New York Daily News about St. Vincent's Hospital :

Manhattan : To Voicer Joseph Human, who thinks New Yorkers can’t afford to let Mayor Bloomberg go: The mayor, who self-promoted himself on his fiscal and management skills, is leaving New York with an outstanding debt of more than $100 billion. Our surplus taxpayer dollars were used to award high-end commercial and real estate developers with grants and subsidies while St. Vincent’s Hospital and firehouses closed, massive cuts were made to essential services and our streets were intentionally jammed for bicycles and pedestrian plazas. Nikki Love

Read more : http://www.nydailynews.com/opinion/jan-3-congress-betrayal-new-york-quality-members-congress-article-1.1231737?pgno=1

See you Monday night. Thank you for all that you keep doing.

Thursday, October 25, 2012

Yankee Stadium Bailout But Not For St. Vincent's Hospital

Early this morning, Tom McDonald was hosting Sports on 1 on NY1, when a gentleman called into the sports TV show. The caller complained about how governments gave the owners of the new Yankee stadium complex hundreds of millions of dollars in tax breaks and subsidies, but yet found no money to bail out St. Vincent's Hospital.

Mr. McDonald brushed off the criticism, saying that the new Yankee Stadium was good for tourism and that funding healthcare or keeping hospitals solvent were not important uses of taxpayer money.

Wednesday, September 19, 2012

$10 billion bonanza, but none of it to save New York safety net hospitals ?

During the course of many years, New York politicians have gone along with a radical plan to close safety net hospitals in a scorched campaign against spiraling healthcare costs. Hospitals with charity missions, like St. Vincent's Hospital in Greenwich Village flat-lined as a way to cut off hospitals that served the uninsured, underinsured, and Medicaid-insured.

Related : St. Vincent's Hospital closing was a 'significant disaster,' says Bellevue chief (NYDailyNews

Now comes New York Andrew Cuomo, with news that his austerity program to slash Medicaid will yield a $10 billion bonanza from the federal government, but none of that money, nor any effort to reform any other parts of the state budget, were made to save the many hospitals that have been closed by NYS Department of Health officials : nine hospital have closed in New York City alone during the time that Christine Quinn has been speaker of the City Council.

Media outlets, that promote Gov. Cuomo's neo-liberal agenda, praise the governor's budget cuts and hospital closings, even though Gov. Cuomo delegating all the draconian work to Stephen Berger, who, together with the governor, are shredding the safety net and gutting the very programs that help people with the least.