Most ER providers in the U.S. work for staffing companies that have contracts with hospitals. Those staffing companies are losing revenue as hospitals postpone elective procedures and non-coronavirus patients avoid emergency rooms. Health insurers are processing claims more slowly as they adapt to a remote workforce.
[A memo from Alteon Health, a major hospital staffing company] announced that the company would be reducing hours for clinicians, cutting pay for administrative employees by 20%, and suspending 401(k) matches, bonuses and paid time off. Holtzclaw indicated that the measures were temporary but didn’t know how long they would last.
From The Boston Globe:
Emergency room doctors at Beth Israel Deaconess Medical Center have been told some of their accrued pay is being held back. More than 1,100 Atrius Health physicians and staffers are facing reduced paychecks or unpaid furloughs, while pay raises for medical staff at South Shore Health, set for April, are being delayed.
From Twitter, which is what lead me down this wormhole in the first place:
Good thing we paid billions in bailouts to airlines and other corporations. Granted, the coronavirus stimulus bill did provide $100 billion for hospitals and healthcare providers, but it seems that none of that is trickling down to the people on the front lines keeping us alive. Read the rest
One of the most frustratingly incredible things about Corporate PR Con Artistry is that even when the chaos magicians behind it reveal their tricks, there are still people who will continue to insist that somehow, this makes the lie even more real. We've seen it before with climate change, and the bullshit connection between vaccines and autism.
And now, in a new op-ed from The New York Times, we can see this phenomenon happening in real-time with healthcare. Most rational-thinking people understand that the private healthcare system in America offers no more "choice" than the socialized, single-payer, or other government-subsidized systems in other developed nations. Yet that idea of "choice" — and the fantastical fear-mongering about wait times in Canada — has become a popular talking point with those opposed to healthcare reform. Which is precisely what it was designed to do, by people like Wendell Potter, a former vice president for corporate communications at Cigna. As he writes in the Times:
Read the rest
To my everlasting regret, I played a hand in devising this deceptive talking point about choice when I worked in various communications roles for a leading health insurer between 1993 and 2008, ultimately serving as vice president for corporate communications.
Those of us who held senior positions for the big insurers knew that one of the huge vulnerabilities of the system is its lack of choice. In the current system, Americans cannot, in fact, pick their own doctors, specialists or hospitals — at least, not without incurring huge “out of network” bills.
In late 2017, we learned that patent trolls (especially pharma patent gougers) were paying US Native Indian tribes to act as fronts for them in order to block review and cancellation of bogus patents -- the tribes have a treaty right to "sovereign immunity," which protects them from some forms of litigation.
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If Trump gets his way, your elderly relatives will be evicted from nursing homes after their Alzheimer's care eats up their lifetime Medicaid benefits; as Yves Smith writes, "are family members supposed to let them wander out into traffic and have nature take its course?"
Read the rest