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NYC public hospitals do not span the 5 Boros as the article claims.
While S.I. no longer has a full service general municipal hospital, Seaview has been partially reopened and HHC runs a long term brain injury/rehab facility there, HHC police even patrol the place.
NYC public hospitals do not span the 5 Boros as the article claims.
Huh. I suspect the fact that the borough with the highest median income, and probably the fewest minority or poor patients doesn't actually have a public hospital goes against their other conclusions and thus is conveniently ignored. I haven't read the full study (and probably won't), but even this article lists some significant limitations to the methodology. Offhand, it would appear that the issues are far more complex than the simplistic conclusions offered as a headline.
Huh. I suspect the fact that the borough with the highest median income, and probably the fewest minority or poor patients doesn't actually have a public hospital goes against their other conclusions and thus is conveniently ignored. I haven't read the full study (and probably won't), but even this article lists some significant limitations to the methodology. Offhand, it would appear that the issues are far more complex than the simplistic conclusions offered as a headline.
Cannot speak to the balance of your post but off the bat income, ethnic demographics and whatever other factors you mentioned have nothing to do with why there isn't a municipal hospital on the Rock.
Links tell the basic stories of how each hospital closed, merged, or whatever.
Saint Vincent's and later Bayley Seton (after the nuns bought it), served mostly the North Shore population *and* keeping to the mission of the order of nuns, provided charity care. As the North Shore began to "decline" including much of West Brighton, Port Richmond, Mariners Harbor, etc.... that role grew as you had more and more poor and or under or uninsured. When Saint Vincent's of Richmond was in deep financial woes and going to close, no other NYC hospital would touch the place. Bayonne Hospital (itself in deep fiscal woes) bought the place, otherwise it would have closed.
When SI hospital moved from the North to South Shore it left only USPS and Saint Vincent's. The latter as with the other Catholic hospitals in NYC was a "safety net/charity hospital". Which is all well and good but doesn't often pay the bills.
You want to talk about segregation in hospitals? There is not a small population on the Rock that would rather die than set foot in Richmond University Medical Center. This from people who live on the North or East Shore where by default RUMC is the closest facility in an emergency. The SIE is the usual dividing line between if you'll be sent to RUMC or one of the SIUH facilities on the south shore.
Long story short SI doe not need a municipal or any other hospital. It does perhaps need to move or create some beds or whatever on the west shore or near. Back in the day when traffic was much less than today you could get across Richmond Terrance, Forest Avenue, Castleton Avenue or Victory Blvd from far west as Mariner's Harbor or Arlington, now that often isn't the case. Yet there is no other choice since all hospitals are located either in West Brighton or on the South Shore.
For the record NYC's HHC is swimming in red ink, and things do not look to be getting better anytime soon. So if anything look to the City sooner or later to close places down, not open new hospitals.
Not surprising. Take away everything else and see the locations of some of the city hospitals.
And when my MIL didn't have insurance, off to the city hospital she went.
Don't know how true this is, but am hearing if you are on Medicare or Medicaid and call for an ambulance in Manhattan there is a good chance you'll end up at Bellevue or Metropolitan.
With Beth Israel closing and Saint Vincent's long gone people are being moved around Manhattan like chess pieces. The ER you go to may not be the hospital you are admitted to, not at all. All night and almost every night see ambulances with sirens blaring making their way uptown along Madison, Park, or Third Avenues. Asked a friend who is a nurse at Lenox Hill and she said it was "patient transfers". Moving people from ERs down town to beds in hospitals elsewhere so they can be admitted.
Do know HHC is straining fiscally because of all the care provided to illegal and other immigrants who do not have insurance and aren't eligible for Medicaid or Medicare.
Apparently I've given you too much rep BugsyPal, but thanks for the great post. I don't know a lot about that end of it, although I do have a kid employed on the floor at SIUH so I hear about it from that angle.
Huh. I suspect the fact that the borough with the highest median income, and probably the fewest minority or poor patients doesn't actually have a public hospital goes against their other conclusions and thus is conveniently ignored. I haven't read the full study (and probably won't), but even this article lists some significant limitations to the methodology. Offhand, it would appear that the issues are far more complex than the simplistic conclusions offered as a headline.
If you want to see the truth of that assertion, just walk up Second Avenue past the entrance to Metropolitan Hospital between 97th and 98th to judge the clientele.
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