Maimonides is on the verge of bankruptcy, why no other hospi

amother

Ginger

Thu, Sep 08 2022, 9:10 am

amother Broom wrote:

Which good hospitals in ny don't accept medicaid? The er at Columbia, Mt sinai, nyu and the other nyc hospitals are all jam-packed with medicaid patients. In fact, all their erase are like a zoo.

The difference is that the better hospitals manage to treat all these medicaid patients properly and still stay in business

They have some arrangements so that ambulances of patients without insurance are diverted. They obviously legally do not and can not send away anyone that walks in.

amother

Jasmine

Thu, Sep 08 2022, 9:35 am

amother Tomato wrote:

The people in the surrounding community who made millions off Amazon and real estate would do a lot better of a job managing the hospital than you and your snot nose college graduates.

And at the end of the day those millionaires still have to come on to my snot nose college degree to get a little antibiotic for the itch in their behind. It’s also a little funny how all those millionaires have Medicaid (over 90%) to come to our office in the first place But that’s for a different thread. BTW How do you know you won the argument with a Brooklynite when they answer you “it’s because you’re jealous”.

amother

Tomato

Thu, Sep 08 2022, 9:54 am

amother Jasmine wrote:

You better appreciate that they have Medicaid because I can't picture anyone with good insurance wanting to use a practitioner with such an obnoxious and arrogant attitude

amother

Papayawhip

Thu, Sep 08 2022, 10:02 am

amother Camellia wrote:

Have you seen the Emergency Room?? !!! It is packed. There are too many people to be treated at once. It was never that way. So people with good insurance, don't want to have to deal with that. All you are left with is with Medicad clientle, where Good Hospitals, don't accept that insurance. and non-paying illegals. The hospital cannot handle the load, of free-loaders.

I've had too much experience with the ER unfortunately. Even the best NY hospitals take medicaid patients. Every single ER in the city is jam packed and yes, going to the ER is almost always a multiple hours long ordeal regardless of hospital. Unlike Maimonides, other hospitals have managed to set up a system where patient safety is a high priority.

I was taken to Maimonides by ambulance this summer with a suspected brain hemorrhage. I was allowed to lie there, almost unconscious from pain for hours until a doctor even looked at me. If it had been the worst case scenario they suspected, I could've been dead by that time.

A few weeks later I was taken to the ER again for a related complication. This time, I asked to be transported to Columbia Presbyterian (a teaching hospital with lots of medicaid patients from nearby inner city communities). The experience was not comparable. I was evaluated by a nurse within minutes and by a resident and then a specialist within the first hour. It was a loooong night with lots of waiting for tests to be taken and to hear results, but though very frustrating, I didn't experience the medical neglect I had experienced in Maimonides and did not feel like I was in danger.

Just One

Thu, Sep 08 2022, 10:05 am

amother Lightpink wrote:

I don't live in ny but when we had an emergency this past summer in ny on a friday we were in and out in under 2 hours. So I am watching this story with interest. I was wondering the shtick I opened Bina magazine on shabbos and there was a 2 page ad save Maimondies that whole campaign 2 pages later 1 page add from Maimondies saying how they great they are with real patients saying there stories so trying to figure it out

Were you there with a child? The real hell is happening in the adult ER.

amother

Poppy

Thu, Sep 08 2022, 10:13 am

I am not in Brooklyn but my understanding is that Maimonides is a safety net hospital and an extremely high percentage of its patients are on Medicaid which has very low reimbursement rates.

All hospitals are required to take Medicaid but in general "good" hospitals have a smaller percentage of Medicaid patients.

Most doctors don't accept Medicaid in the *real* world - I am continually amazed that there are so many doctors in frum neighborhoods that do accept Medicaid but I guess that is because they wouldn't have any practice if they didn't since so many frum people seem to be on Medicaid in certain areas.

Anyone with insurance who is getting elective surgery would not deliberately go to Maimonides.

Also a "good" hospital does not have to treat uninsured patients except for a true emergency and after they are stabilized they ship them off to one of the safety net hospitals which are required to take them.

If one is having cancer surgery with insurance one is going to go to a first class cancer surgeon and then to a highly recommended cancer specialist for any treatments. If one has Medicaid one is not going to have that kind of doctor or be treated at the first class hospital. When my friend had breast cancer she had good insurance - her doctor was among the best - she had her surgery at a world class hospital AND she received her follow up treatment at a facility affiliated with that hospital that was well endowed by the kind of fantastically wealthy people who have their names on the building and plaques on the wall because of the level of giving.

My cleaning lady who is on Medicaid is having a mastectomy today at a County Hospital. She was diagnosed about two months ago but due to lack of resources it has taken this long for her treatment. If she had private insurance instead of Medicaid she would have been in the hospital having the procedure in a few days.

The buildings at Cedars Sinai are Max Factor Family Tower, Steven Spielberg Building; David Geffen School of Medicine. People donate $50 million and have a heart institute named after them. When I had a stress test at Cedars, there was a wall of big donors including Barbra Streisand - she gives a lot to them because her father died young of heart disease. I doubt whether Maimonides has any kind of charitable donations commensurate with the level received by Cedars.

imorethanamother

Thu, Sep 08 2022, 11:42 am

amother Jasmine wrote:

You want a frum hospital eh ? The last 30 plus years of college “bad” flipping real estate and going into Amazon business “good” There is probably less than a minyan of frum medical graduates and likely close to zero ppl that look like the MMC community that have the credentials to run a hospital. So you reap what you sow. You can’t run a hospital with a BTL and a 6 month online course degree. Which ethnic community has so few professional level Representation as the orthodox community that surrounds MMC.

Ooooh shots fired.

I completely agree with you. The truth is that most doctors salaries are capped at 200,000 and with at least twice that in student loans. You need capital these days to get a medical degree, and not everyone has that kind of money in the bank.

Residency reform never really happened, and people are scared off. Plus they realize that even in an average case scenario, where they don’t become super successful, they won’t be able to afford tuition even after all that investment. Yeshivas that cater to the crowd that goes to medical school have seen their tuition rates go up to at least $28,000 per kid per year.

amother

Clear

Thu, Sep 08 2022, 12:17 pm

amother Jasmine wrote:

Wow I hope you're not really a medical professional. Nasty

amother

Garnet

Thu, Sep 08 2022, 12:22 pm

Those of you that are saying that 'Good Hospitals' don't have Medicaid patients, what about all those patients that pay their OB out of pocket for perinatal care and then deliver in NYC hospitals like Cornell, Mt. Sinai etc with Medicaid.

I understand frum patients doing this are probably the minority, but this must exist our of our community as well.

But is Maternity care still the minority in hospitals?

I imagine with cardiology let's say, such an arrangement doesn't exist.

amother

Pansy

Thu, Sep 08 2022, 12:24 pm

imorethanamother wrote:

She’s not wrong. How is the entire Brooklyn on Medicaid?!

I highly doubt that everyone is on medicaid in NY but if you have lets say 8 kids and make $60,000 a year then you can qualify for medicaid even if you own a house-- https://www.benefits.gov/benefit/1637

And most people in Brooklyn have big families and dont make lots of money even if there are the outliers who make millions. Not sure why the entire community is judged based on the few outliers who make millions as they are the exception not the rule.

octopus

Thu, Sep 08 2022, 12:26 pm

imorethanamother wrote:

She’s not wrong. How is the entire Brooklyn on Medicaid?!

I don't know. Off topic. But remember when a snotty nose billing secretary started a thread about insurances and coverage and she raved about medicaid and how much it paid and I happen to have excellent insurance and she was busy putting it down. And I was thinking ,what planet did she drop off from??? All the fancy Drs in Manhattan take my insurance and they don't take Medicaid.

amother

Garnet

Thu, Sep 08 2022, 12:29 pm

imorethanamother wrote:

She’s not wrong. How is the entire Brooklyn on Medicaid?!

Large families with minimal incomes, teachers, kollel etc.

Or for 'middle income' families like mine, Covid. Dh was supposed to fall off now, and not have coverage as of 9/1. 9/2 I got a letter in the mail that his Medicaid was auto extended. Thank Hashem that I was waiting for 9/14 to buy insurance (and lapse for September). NYS is great lol.

amother

Lightyellow

Thu, Sep 08 2022, 1:01 pm

amother Camellia wrote:

Yes it has always been that way! I remember over 2 decades ago in the ER lying there with no bed available for who knows how many days.
Yeah illegals do use it as their personal Dr office

amother

Lightyellow

Thu, Sep 08 2022, 1:03 pm

librarygirl wrote:

I agree with you that the united states should take care of itself first, and we should not have open borders, but I can still have pity for people who have very hard lives and are trying to improve them. I don't think someone who is poor and sick and goes to the ER for care is a "rasha".

They’re breaking the law
They shouldn’t be treated before legal citizens but how do you expect anyone in the hospital to accomplish that? They can’t thanks to this govt