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Wednesday, November 13, 2024
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Joy Jacobson is a CHMP senior fellow. Follow her on Twitter: @joyjaco

After much controversy, the U.S. Senate finally approved a $50 billion Hurricane Sandy relief package on Monday, which President Obama signed on Tuesday night. It took nearly three months for Congress to endorse the aid—a delay that many residents of New York, New Jersey, and Connecticut, especially those most severely affected, found inexcusable.

At Coney Island Hospital in mid-December, imaging equipment damaged by the storm surge. Photo: Jocelyn Augustino, FEMA

At Coney Island Hospital in mid-December, imaging equipment damaged by the storm surge. Photo: Jocelyn Augustino, FEMA

My report on how four New York City hospitals damaged in the hurricane have fared in the weeks after—and how the city’s nurses have responded—appears in the February issue of the American Journal of Nursing. Bellevue Hospital, the Veterans Affairs Medical Center, NYU’s Langone Medical Center, and Coney Island Hospital all had to evacuate patients and remained closed or only partially reopened for many weeks.

The slow recovery has affected the lives of many patients and clinicians. Some say the recovery is taking too long. Mary Fitzgerald, a nurse at Montefiore Medical Center in the Bronx and a member of the New York State Nurses Association, participated in December in a protest at the home of Mayor Michael Bloomberg to demand a stronger response from the city. Fitzgerald told me:

In our great city, unfortunately, there was an inadequate disaster plan, and the entire hospital infrastructure was stressed. If people don’t evacuate, then what? If a storm can knock out all of this, what do we do? The city has got to be more transparent. We’re looking for stronger alliances.

WNYC’s Fred Mogul reported on Wednesday that Bellevue hospital still plans to offer full services this month. But the needed repairs to the 22-story facility have included, according to Mogul, damage to the vast electrical and heating systems, water pumps, and even elevators, at a cost in the hundreds of millions of dollars. 

Back in the late 1970s I worked in an abortion clinic that was fire-bombed by an anti-choice zealot. I wasn’t scheduled to  work that day. I arrived at the scene immediately after a co-worker telephoned me with the news.

Clinic staff stood together on the sidewalk watching the firefighters put out the blaze numb but determined we’d fight back.  No one was killed. Staff acted swiftly to get everyone out of the building. Most of the injuries suffered were invisible.

We quickly moved clinic operations to a location about 30 miles away. This was inconvenient and disruptive to the staff and people we served. There was limited complaining and a lot of collective action to make this work. Women counted on us.

Since then there has been an organized campaign by anti-choice extremists resulting in physicians and clinic workers being murdered; more abortion clinics bombed, burned down, invaded, and blockaded; and patients persistently being harassed and intimidated.

Ever wonder how the people who work in abortion clinics in our country are dealing with the violence and threat of violence in their lives on a day-to-day basis?

oil-field-workersWhere is corporate responsibility these days? I know it’s in the toilet, but I’m stunned by yet another example that is drastically affecting one state–North Dakota, where the prospects of hydrofracking and other oil exploration and production have dramatically increased the number of uninsured workers in the state.

Today’s New York Times includes an article about the impact of this oil boom in North Dakota on its health care system. Transient oil workers do dangerous work that too often results in an emergency room visit. Indeed, journalist John Eligon reports that ER visits increased by 400% last year alone at McKenzie County Hospital.

Emergency rooms cannot turn people away, so hospitals have to absorb the cost of uninsured care with the hope that it will be relieved by public funds designated for uncompensated care. Eligon cites McKenzie County Hospital’s debt load as an example of the impact of uninsured care on the state’s health care system. That hospital’s debt has increased 2000% over the past four years.