The Hospital Hot Potato Hyattsville
The Hospital Hot Potato
Have you noticed a certain disturbing but ever-increasing phenomenon in "healthcare" over the years? I have and unfortunately do know it well from both personal experience and observation of others' accounts. It's The Incredible Shrinking Hospital Stay... and it's frequently marked by the lack of once standard-issue treatments and more and more by the early release of people who appear to be, and may still be in critical condition.
A particular institution (who will for the time being remain nameless) shocked me with its inordinately casual handling of my mother's multiple and life-threating concerns, which included her simultaneous suffering from congestive heart failure, renal failure and reduced lung capacity from a longstanding case of pneumonia. She was hospitalized several times last year, with two of the four sessions as stays in the said placement. She was kept under "observation" for six days; and not officially admitted to a ward despite her wildly fluctuating afribillation and pathologically high blood pressure (with three digits on both sides of the readings). It was said that such things were "typical" of her issues and that she would need to learn to manage them. (Not much later she died as a result of the strain imposed.)
A great number of patients and their familes have complained of the most alarming neglect when they were in the throws of the most excruciating illnesses and injuries. So many have been dismissed by their caretakers well before what would have been the appointed time to leave. Although these examples must be technically counted as hearsay due to being unconfirmed, they are used for the purpose of making clearer illustration:
Another episode of a seemingly blase' attitude displayed to a heart patient in crisis:
A claim of a severe seizure disorder not diagnosed or examined by a staff neurologist:
A report of a small, anxious child's three hour wait to be seen:
An example of a frustrated patient who sites an extraordinary incident of "Insurance Wrangling":
An account of a patient who lost blood and her pregnancy after hours of going untreated:
An account of an inadequate response to a patient with serious and overlooked injuries which were later confirmed by another hospital:
A patient reports fifteen years of hospital neglect that ended in a botched / inappropriate surgery on a relative:
A patient (in a situation similar to my own) details being ignored and then gaslighted when she sought to bring her greviences to hospital administration :
Much of what occurs (or doesn't happen) at a facility has the attitude of its administration to blame. Systems that are strictly corporate in nature will see the patient population as just another operational hazard. The larger the operation, the more things (and people) get lost within it. For-profits often think only of the profit margin - not the human toll. It has been my experience, however, that hospitals founded by religious sects (whatever the faith) will afford the individuals cared for enough "Christian Charity".
What will make for a very unkind and completely uncharitable treatment of us all in the long run is the recent change in payment for hospitalization. Instead of the length-of-stay model, adhered to for decades until now, we have a flat-rate scheme that will only pay a pre-determined amount per head. In many cases it caps the amount of compensation received by the facilities to that which is below what was / is needed for the requesite amount of service, and therefore de-incentivizes issuing complete care. Insurance companies will probably be allowed to continually reduce the amounts paid until we all plunge into the hellhole if this isn't stopped immediately.
I've not worked actively as an Insurance Producer for most of the period, but a license in Life and Health has been maintained since 2009. Enough knowledge (from the inside) is had as to how the industry necessarily works. Unfortunately it seems that Obamacare on the whole (or at least in part) is the culprit. The insurance industry had to develop a workaround to paying out on the extra-large, one-size-fits-all policies that were forced on the providers and the public through The Marketplace. (And believe me, I hate that companies are fudging with our coverage, but it's under compolsion.)
It used to be that coverage was stepped, and meeted out according to what was willingly paid for in a lesser or more comprehensive plan. The consumer chose what fit him or her best, regarding his or her individual budget and health status. There were blackout periods presenting a temporary hardship to those that needed care for certain illnesses - but eventually the involved policies would cover their needs.
I am definitely not pro-corporation and anti-little people - but it has to be realized and remembered that Insurance is the only business charged with giving its customers their money back on transactions (and on each major transaction) as a matter of routine. It in fact has to put more out than what was put in as a normal requirement. If a company wants to have enough in assets to tap tommorow it must conserve what it has today. Even Medicare coverage that is of government-only origin seems to be holding back much more though it was very liberal and even generous.
I hope that the functional portions of the Pre-Obama System can be restored and that arbitrary insurance flat-rates will be abolished. The sooner the better to save our souls.