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Rural hospitals in critical condition
USA Today | Jayne O'Donnell and Laura Ungar

Posted on 11/14/2014 6:53:56 AM PST by Second Amendment First

http://www.usatoday.com/longform/news/nation/2014/11/12/rural-hospital-closings-federal-reimbursement-medicaid-aca/18532471/


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: obamacaredoctors; obamacarehospitals; obamacareshortages; ruralhospitals
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To: Gaffer

Heck that is all I get now, and I’m in level 8-9 pain 24/7/365, and as one of the issues is a digestive disorder I can’t take those addictive narcotics the PCP hands out like candy. 2 of my health issues are drug induced. I did my home work on the OP drugs they want to put me on. NOT this side of the Rapture.

FDA WARNINGS OP DRUGS

These side effects are for ALL OP drugs. Some like Reclast can never be flushed from your system.

Reclast has the highest warning.

Reclast UPS kidney failure, A FIB risk A typical femur fracture, jaw degeneration. Not to be given to Asthma patients.
http://www.webmd.com/osteoporosis/news/20110901/fda-osteoporsis-drug_ups-kidney-failure-risk

Safety update for osteoporosis drugs, bisphosphonates, and atypical fractures
http://www.fda.gov/drugs/drugsafety/drugsafetypodcasts/ucm229800.htm

Black box warning Foreto (what they don’t tell you about Foreto is that after the 18-24 month course it REVERSES itself if you survive the side effects.
http://www.medicinenet.com/script/main/art.asp?articlekey=21853

Like most useful medications, Forteo may have its possible downside. In animals, it promotes the development of osteosarcoma, a type of bone cancer. In humans, osteosarcoma has not been reported but it remains a concern with Forteo. (The daily injections are also a downside.)


21 posted on 11/14/2014 7:39:22 AM PST by GailA (IF you fail to keep your promises to the Military, you won't keep them to Citizens!)
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To: Second Amendment First

The link below tells about the closing of a small hospital, Palm Drive in Sebastapol, Ca..

Sebastapol is a fairly well off community. However, the hospital serves a large rural area that is populated with old welfare hippies/druggies and their spawn. This group had been a constant financial drain on this once good hospital. It appears that ObozoCare stuck a knife in the financial back of this hospital.

http://www.pressdemocrat.com/news/1860441-181/palm-drive-hospital-votes-to-close-

Big hospitals throughout California are closing or merging with other hospitals in efforts to stay open.


22 posted on 11/14/2014 7:42:34 AM PST by Grampa Dave (The Democrats, who run America are too old, too rich, and too very/very white elitist losers!.)
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To: Second Amendment First

i live in a rural area, the hospital is still her, but there are less doctors there from 2010. More nurse practitioners and physicians assistants are working. The medical doctors are booked for 45 days of appointments.

there is a mess going on in regional medical facilities. For example Marquette Regional Trauma Level 1 Hospital - Marquette, MI a part of Duke University is a disaster, many doctors, and surgeons have left, and the usual services like patient appointments are now centralized in yet another state. there were massive layoffs at marquette. There is no reason for this.


23 posted on 11/14/2014 7:46:51 AM PST by hondact200 (Candor dat viribos alas (sincerity gives wings to strength) and Nil desperandum (never despair))
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To: GailA

I commiserate with your particular problem - I really do. What I was talking about is that final pill they will eventually be doling out. The one that will end it all.


24 posted on 11/14/2014 7:46:52 AM PST by Gaffer
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To: SandRat

Dual? As in, two hospitals? No, they’ll close the old hospital when the new one is built. They’ll move all patients in about 24 hours late next Spring, when the new hospital opens.

Or did you mean something else by Dual?


25 posted on 11/14/2014 7:55:55 AM PST by HiJinx (Time to read "EFAD" once again...)
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To: Second Amendment First

This is why GOP Governors have been caving on expanding Medicaid.

Lots of low-income meth addicts in rural areas. These hospitals would rather be able to bill Medicaid that eat charity cases.


26 posted on 11/14/2014 8:37:25 AM PST by Buckeye McFrog
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To: HiJinx

I meant RURAL


27 posted on 11/14/2014 9:34:52 AM PST by SandRat (<Duty - Hon/sarcor - Country! What else needs sGoog evening Lauren... aid?)
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To: SandRat

I read something in the Herald yesterday that indicated we’re an urban hospital, since our community has more than 5,000 residents. That may have been related to something entirely different, though.

I think from the point of view of this article, we’d be considered rural.


28 posted on 11/14/2014 9:46:38 AM PST by HiJinx (Time to read "EFAD" once again...)
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To: Second Amendment First

I had lunch with a couple of hospital administrators from small community hospitals a a training program I conducted in west Texas a year or two ago. Both sported long faces, and could talk about little other than their struggles to stay afloat under ObamaCare. One claimed that the consensus in the industry was that while while most large city medical centers, the ones who contemptuous look down at their country “bandaid station” cousins, would survive under ACA, four or five hundred or more of the small fry would shut their doors within a few years.

Live in Guyman, Oklahoma or Miles City, Montana? Look forward now to having to be transported to Amarillo, Texas or Billings, Montana for specialized acute care or to visit a hospitalized family member.

If yo survive the 90 mile ambulance ride.


29 posted on 11/14/2014 10:35:32 AM PST by Spartan79 (I view great cities as pestilential to the morals, the health, and the liberties of man. Jefferson)
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To: Eric Pode of Croydon

What is killing them it is the federal gov. imposed draconian medicare/medicaid/obamacare payment for services rendered that is killing them. The insurance companies of course want to pay similar prices.

The little twerp who is the alleged ebola tsar works for a company of head hunters raping these rural hospitals. Here is how it works. Medicare/Medicaid pay these companies to walk into a hospital and “investigate” whether or not the hospital has been overcharging Medicare/Medicaid for services rendered. Say they pull 100 patient charts and decide arbitrarily they over charged 30% in these case whether by a legitimate accident, or a charge they just don’t like. The auditing company then take a ridiculous percentage of what they say is an overcharge and multiply that charge by a huge amount. So initially the hospital may according to this company over charged $100,000 over a three or four year period.

This company will recommend a find of say $1 million dollars which will put most of these rural hospitals out of business. So they appeal the findings and in most cases the head hunter company finding is thrown out or greatly reduced. If the hospital is lucky all the overpayment findings are thrown out.

You would think the hospitals would owe nothing right if all the alleged overcharges were tossed out on appeal, wrong. Regardless of the outcome the head hunter company gets 25% of whatever fine they recommend whether it is collected or thrown out and the hospital must pay the 25% amount. So a $1 million overpayment thrown out still costs the hospital a huge chunk of change. So this audit will find irregularities whether they exist of not and the hospitals pay up or else. Nice little scam the feds and their head hunter auditing companies have going there.


30 posted on 11/14/2014 11:02:47 AM PST by sarge83
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To: sarge83

Thanks for that (horrible) info. You can’t be cynical enough when it comes to Democraps.


31 posted on 11/14/2014 11:06:48 AM PST by St_Thomas_Aquinas ( Isaiah 22:22, Matthew 16:19, Revelation 3:7)
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To: GailA
Heck that is all I get now, and I’m in level 8-9 pain 24/7/365

Very sorry to hear that. I hope the situation somehow improves for you.

32 posted on 11/14/2014 11:13:47 AM PST by steve86 (Prophecies of Maelmhaedhoc OÂ’Morgair (Latin form: Malachy))
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To: St_Thomas_Aquinas

My wife worked as a controller/cfo for 15 yrs. at a rural hospital and some of the crap the federal government did would make her head explode. They made-—made this particular hospital charge more for a patient staying over night in a regular hospital room. Raise the amount of medicare/medicaid will not pay for our patients in your hospital.

Turned around and said you are charging way too much for basic xrays and reading the xray, we are cutting this amount we pay you. When the hospital tried to show the cost and overhead, made no difference. Utter stupidity flowed from Washington DC like water.

This was a county owned hospital and they would routinely eat a quarter of a million dollars in services rendered annually to dead beats who just would not pay anything but received health care when they showed up in the ER, to quote her you can’t turn them away by law and you can’t get blood from a turnip. She has no sympathy for anyone saying they could not get treatment in a hospital.


33 posted on 11/14/2014 12:18:24 PM PST by sarge83
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To: sarge83
I know a lot about that program. What you neglected to mention is that it originated in a law passed by the GOP Congress in 2003 and signed by President Bush.

http://en.wikipedia.org/wiki/Recovery_Audit_Contractor

What it goes to show is that the economics of Medicare are no longer sustainable, and that its days are very much numbered regardless of whether the GOP or the Dems are in control.

The post-Medicare era will be upon us by no later than 2030. Way past time to start planning for it.

34 posted on 11/14/2014 2:00:35 PM PST by Eric Pode of Croydon
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To: Second Amendment First

Flyover country don’t need no hospitals.


35 posted on 11/14/2014 3:23:03 PM PST by Rodamala
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To: Gaffer

I doubt they will be so nice as to use a pill, when the guillotine can handle so many more at less cost. They will want the shock value of it.

We Christians who refuse their chip, and indoctrination will be the first to go.

Meet you in the Rapture.


36 posted on 11/15/2014 7:59:16 AM PST by GailA (IF you fail to keep your promises to the Military, you won't keep them to Citizens!)
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