Comment 19397

By pauline (registered) | Posted February 28, 2008 at 22:58:29

I agree with Ted Mitchell. Also, I do not know how the private/public partnership is panning out and what the hidden financial considerations are at the HHSC. For example, all psychiatric services have been removed from the hospital - outpatient and inpatient. I would like to know what the FINANCIAL considerations are - I suspect that there is a less than ethical financial issue here - hospitals are not paid equally for inpatient beds and if you have an emergency department that takes all patients, it seems to me HHSC is descriminating against the old and the medically ill ( who might take up chronic beds and cost more in terms of labour costs) in favour of quick admissions - usually the case for children and women in ob/gyne. It is NOT true that access to good care is important even if it means driving across the city - any emergency department can conduct a cardiac arrest or treat shock - there are few major life-threatening emergencies and time to the ER is CRUCIAL and any modern ER knows what to do for these people. Finally, the ER's are already crowded - I fail to see how closing one will help the new catch phrase - 'wait times'. I feel that it is inconsciencable for a large public funded hospital that is going to treat adults to close its emergency doors. This has NOTHING to do with patient care. Pauline Pytka M.D.

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