Go to the NYS Sparcs data and see how many EMTALA discharges there are in total, particularly outside of L&D. A couple dozen maybe? EMTALA requres stabilization not treatment. If you are on Medicaid and/or uninsured (or of a demographic where you are more likely to me on Medicaid/or uninsured) NYU just has to determine you are stable enough to be wheeled down to the next set of double ED doors and they bring you right into Bellevue and say "this nurse will help you."

So what you are saying is...some hospitals are for poor people and some hospitals are for people with money and good insurance.

And Bellevue isn't a mental health hospital. Its an acute care general hospital with psych beds, same as any other hospital in the city.

Literally NOT in my provider directory. So NOT covered by my insurance. And not even remotely affiliated with the health system I use. ZocDoc is just ads. Its not an actual provider directory.
Specialist wait times have been skyrocketing in urban areas in the last two to three years. Dermatology is up to over a month on average. OB is as well. Cardiology is just about a month. Wait times in some specialties are higher than in Canada now. Its a real problem.

LOLOLOLOLOL does everyone get lolipops and a puppy at discharge too?

17% of NYU Langone's patients are on Medicaid. 81% of Bellevue's patients are on Medicaid. They are literally right next door to each other. They are very much the same thing.

not in my provider directory, not part of Sinai doctors, and not anywhere near me.

but yeah sure

An Empire Blue Cross HRA. And I use the Mt Sinai health system, I have almost no out of pocket costs there.

Where can I get a two week appointment with a PCP!?!? I routinely wait a month or more. I'm on 4 months trying to get an endocrinologist who takes my insurance in the health system I use.

This would be a huge improvement

That's how you end up with certain hospitals being for black and brown Medicaid patients and certain hospitals being for mostly white finance bros. Which is pretty much what we have in NYC and much of the rest of the country.

The most acute patient who needs the room should get the room. Title/ personal income/type of insurance should have nothing to do with clinical decisions.

Please don't delete George Santos stories since he represents parts of Queens.

Also...this dude just manufactured an entire personality out of thin air. Crazy.

I feel like messing with lawyers is a terrible idea. They will be in there measuring the height of the door handles and filing ADA suits till the nutty Dolans beg for mercy.

well then that is less than 150% of poverty level and "extra low income" as per Section 8 requirements. if you are on food stamps, Medicaid and section 8 - maybe that shouldn't be the standard for "perfectly comfortable."

They would be happy to get same salary and health benefits as they are now with inflation and if the hospital staffed to the plan they submitted to the state Dept of Health.

No one wants a pay cut. What a stupid question.

$40k in 1980 is $144k in 2022 dollars.

Yes California has the model...they recently raised it to 30k. The regulators there are very hands on (unlike in New York which pretty much leaves the hospital association to regulate itself.)
Another thing NY could do is to amend the tort law to consider lack of staffing not in compliance with state staffing plans as a direct cause for malpractice. Then the state doesn't even have to enfore the law a bunch of ambulence chasing lawyers will do it for them. Most of these hospitals are self insured, let them pay for all the injuries they cause patients who fall on the way to the bathroom because a nurse had 3 tele patients AND 3 med surg patients that day.

Nurses start at about $100k in these hospitals. They can go get a job reviewing bills for an insurance company and make 30%-50% more while working from home and not blowing rotator cuffs and discs moving patients around. Which is what a lot of them are doing. Which is why nurses in hospitals have 4 ICU patients instead of 2 and patients were and are still dying due to short staffing.

You can't work in a hospital without being vaccinated for TB, Influenza, Covid and some other things. These are private sector hospitals, the employer makes the rules while bargaining with the Union

In NY it's because of the Taylor Law. Striking is illegal in the public sector. The union gets fined 2 days of dues for every day on strike so it is essentially bankrupted. Striking leaders and members are jailed. Like TWU Local 100 took a long time to recover from their strike in the mid aughts.

That being said nurses at Westchester Medical Center which is public and under the Taylor law won an 8% wage increase back in like September. So its possible.

This issue goes back to Bloomberg. Its based on an agreement the MLC made YEARS ago.

Yeah Medicare Advantage plans NEVER end up being cheaper. Like they say they are gonna save $600 million over X amount of years. I will be all I have that once the math is done in a decade it will have cost the city $50 million more for lesser coverage.

And Marty Schienman will have a new extension on his mansion after mysteriously showing up at the Aetna annual shareholder meeting.

The worst part is NYP is essentially a Hedge Fund with a patient care arm. They have like $6 billion in assets in an endowment. Half of it is in the Bahamas or someplace. They have more money than God and they sending their patients to collection and cheating their employees.

Totally agree. the hospitals agreed to staffing levels with all their employees...not just the nurses and not just the Union ones. They sent those stating plans to the state Dept of Health and now are totally ignoring them.

The state should make it so the hospitals have to pay that payroll no matter what. Either they hire more nurses or they pay it to the current ones. If they are gonna make nurses do the work of 1.5 or 2 of them...they should also get twice the pay.

The residents are unionized at many hospitals in NYC. They don't fight as hard and they aren't as organized tbh. They are SEIU members and SEIU is more about making nice with the boss. For example they settled their contract at Westchester Medical Center for like 3% and 4% a year while the nurses got 8% and 6%. And that is in a facility where it's illegal for anyone to strike because it's public sector.

All the unions that play nice expecting payback from the boss are having a hard time right now. All the hard core unions like the nurses are having a better year bargaining.

You aren't doing bedside care. You are just another "consultant" making health care more expensive for the rest of us.

ICU nurses upstate are regularly tripled or more as well. Hudson Valley all the way up Albany Med are particularly bad. And they are mostly in the same Union. They don't make NYC wages but they make high wages. They are highly educated professionals who do the work that keeps inpatient care running. They should have good pay and decent working conditions.