I recently highlighted Yetta Kurland's City Council run and the issues (in Manhattan) related to the closing of hospitals without clear understanding of the real dynamics of healthcare in the US. Well my friend Jo Anne Simon, a Democratic Party District Leader in Brooklyn, is addressing similar issues in Brooklyn.

Here is what I said about the Manhattan situation:

...let's remember that closing of St. Vincent's coupled with the closing of NYU's Tisch Hospital, Bellevue Hospital and the VA hospital meant that emergency room coverage was critically low in Manhattan for some time after Sandy. In fact the NYU Medical Center's emergency room remains down today, though I believe their Urgent Care center is now open.

Sadly few people have been championing keeping hospitals open. The dynamic is a complex one. Hospitals almost all run at a loss. This is not because of mismanagement usually but because the cost of care in emergency rooms and ICUs is so hugely expensive that it tends to lose money at a huge rate...in order to save lives. The more people who don't have health insurance, the more people who have to depend on emergency rooms for basic care...and the more money it costs the hospitals. Reduce the number of uninsured people and spread emergency visits over more hospitals and the burden on each hospital is reduced. But leave lots of uninsured and close hospitals and each remaining hospital gets an even higher burden on their emergency rooms...driving them deeper into a financial hole.

Closing St. Vincent's just increased the burden on every other hospital. Of course Healthcare reform is a key way to improve the financial strength of our hospitals, but closing hospitals really isn't. Yetta Kurland gets that.

Well similar ill conceived crap is going on in Brooklyn as well and Jo Anne Simon is on top of it. From a recent email she sent:

Last week, NYS Comptroller Thomas DiNapoli issued a report showing that SUNY Downstate Medical Center and Long Island College Hospital were teetering on the brink and that closing LICH has been discussed by its board.

Tomorrow, January 25th at 11 AM, join federal, state and local elected officials in the little park across the street from LICH (339 Hicks Street) for a rally to call attention to this situation and call upon the state and the hospital to find a way to retain medical services at LICH, an all important teaching hospital in an area with an increasing number of families needing its services!

Again, let me emphasize that the closing of these hospitals is largely due specifically to the costs they bear taking care of uninsured Americans, and each hospital that closes increases the burden on EVERY OTHER HOSPITAL in the area because all those uninsured Americans will have to now either die or go to the next nearest hospital. Thanks to Yetta Kurland and Jo Anne Simon for realizing the importance of this issue. People who try to just apply some imagined "business model" seem to ignore the larger dynamics. Single payer could solve a LOT of this. But until then, we have to protect our hospitals from closing because when hospitals close, people die AND other hospitals have to take on the expensive burden of caring for the uninsured. WE ARE NOT DEALING WITH THIS, and these closings really will mean the difference between life and death for New Yorkers who have to be rushed to the hospital. This is a key reason to support both Yetta Kurland and Jo Anne Simon. It is an issue we all can ignore until we are in an ambulance and the closest hospital is further than we can survive. THAT is becoming the situation. We can fight it or accept it and pray (not my strong point) that we never end up in that ambulance.

And by the way, Bloomberg's closing of firehouses creates the same problem if you have a fire in your building or a neighboring building. Right now you are less likely to have your home survive a fire thanks to the closing of firehouses. When we cut back on teachers, nurses, firehouses and hospitals, EVERYONE gets fucked. Sadly, not too many people are talking about this. Jo Anne Simon IS talking about it and Yetta Kurland is making it the focus of her run for City Council. More power to both of them.

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