Legislators struggle to deal with fai...

Legislators struggle to deal with failing state hospitals - Haw...

There are 34 comments on the Honolulu Star-Bulletin story from Apr 27, 2009, titled Legislators struggle to deal with failing state hospitals - Haw.... In it, Honolulu Star-Bulletin reports that:

Lawmakers in the House want to abolish the Hawaii Health Systems Corp. and temporarily move the 13 public hospitals back to the state Health Department -- a move Health Director Chiyome Fukino says would be "catastrophic." AT RISK Hawaii Health System Corp.

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CTZ

Anchorage, AK

#1 Apr 27, 2009
Gvt run health care. Isn't it great!
Joseph

Mölndal, Sweden

#2 Apr 27, 2009
Perhaps Sen. Baker will address the issues of the state's fiscal crisis, the annual HHSC requests for emergency appropriations, and the questions raised by the state auditor in a financial review of the corporation. In this economy, we need to trim extra layers of beaurocracy, and organizations that don't fulfill their mission.
wendell

Milpitas, CA

#3 Apr 27, 2009
Anecdotal evidence of government run health care. Imagine it on a national scale.
Hmmmm

Aiea, HI

#4 Apr 27, 2009
Hospitals that have to deal with debts generated by people unable/unwilling to pay for emergency services or other health care probably have something to do with their financial crunch.

It's easier to thow money at it until no money is left and you procrastinate, deny,and then assign the blame to somebody else. There are some hard decisions to be made by leaders who seem habitually too good at passing or ducking their responsibilities.

Like the homeless crises, you got to stop playing with yourselves and figure out if you really want to solve it or just make like you are doing something. I've got way more respect for the people that do something about it than throw money at it and hopes it becomes somebody elses problem.

Come one leaders, stop hiding behind each other and take the hard steps to handle it. If this is too much for you, just quit and stop wasting everybody's time.

Since: Nov 07

Location hidden

#5 Apr 27, 2009
Jerry Okamura

Hilo, HI

#6 Apr 27, 2009
Like moving chairs on the Titanic, as it is sinking.
Lork

Honolulu, HI

#7 Apr 27, 2009
wendell wrote:
Anecdotal evidence of government run health care. Imagine it on a national scale.
I concur...but we don't need to imagine it since we already have a socialized medicine model in the VA.
s dogood

Kapaa, HI

#8 Apr 27, 2009
Look at the CAUSE of the failure: the State Hospitals take care of a lot of NON-PAYING indigent patients. If you ran a business that many of your customers couldn't pay, you wouldn't stay open long. Somehow the Legislators can't get their brains around this simple fact.

It doesn't matter who "runs" the system, it's doomed to fail if no one pays. It's the State that's going to have to bite the bullet and pay for care, if they want the State Hospital system to continue.
FedUp

Kapaa, HI

#9 Apr 27, 2009
Incredible! First, it is incredible that Fukino has so little faith in her own management skills that she would consider it a disaster if the hosptials were transfered to her oversight.

Second, incredible that the legislature wouls want to transfer the hosptials to her oversight. Did they ever see what happened to Hawaii State Hosptial?

On second thought, maybe Fukino is showing incredible insight!
Anonymous

Waianae, HI

#10 Apr 27, 2009
s dogood wrote:
Look at the CAUSE of the failure: the State Hospitals take care of a lot of NON-PAYING indigent patients. If you ran a business that many of your customers couldn't pay, you wouldn't stay open long. Somehow the Legislators can't get their brains around this simple fact.
It doesn't matter who "runs" the system, it's doomed to fail if no one pays. It's the State that's going to have to bite the bullet and pay for care, if they want the State Hospital system to continue.
Medical care is a RIGHT not a privilege. The person sitting on the other side of the desk should realize that. Attitudes must change in that regard.

Welcome to 21st century Sociology 101.
dickiebird1

AOL

#11 Apr 27, 2009
hawaii annoted ones will save the the day. they will give them self a pay raise to pay for private care and provide lip service to cover the debate of government nows best.
Demander

AOL

#12 Apr 27, 2009
Open HHSC to the highest bidder and allow the State to back the new operator with State funded bonds for the next 10 years.
pili

Honolulu, HI

#13 Apr 27, 2009
excellent point, no one goes into a business expecting to lose money. Revenue must come in for any business to survive.
s dogood wrote:
Look at the CAUSE of the failure: the State Hospitals take care of a lot of NON-PAYING indigent patients. If you ran a business that many of your customers couldn't pay, you wouldn't stay open long. Somehow the Legislators can't get their brains around this simple fact.
It doesn't matter who "runs" the system, it's doomed to fail if no one pays. It's the State that's going to have to bite the bullet and pay for care, if they want the State Hospital system to continue.
Richard

Cleveland, OH

#14 Apr 27, 2009
This is a classic case of Hawaii state bureaucracy.

From what I understand, there's two transitions: one from HHSC to DOH and another from DOH to an unknown entity.

These steps are just a waste of money.
aning

Ewa Beach, HI

#15 Apr 27, 2009
What else are they thinking about? Oh yes, where will I go if I need hospitalization and can't pay?
Lawmakers must promise help pay from their pocket to help me. Who will volunteer? Thanks!
concerned hawaii resident

Honolulu, HI

#16 Apr 27, 2009
heard the hhsc was very top heavy in directors & managers. recently they had to lay off workers to get a handle on their budget...they laid off the housekeeper staff and others...wouldn't one manager's salary have covered the cost of several housekeeper salaries? lots of problems in hhsc and one big one is trying to run it as a corporation...can't be done with most patients on medicare and medicaid.
ccpp54

Honolulu, HI

#17 Apr 27, 2009
concerned hawaii resident wrote:
heard the hhsc was very top heavy in directors & managers. recently they had to lay off workers to get a handle on their budget...
----------
http://thenotebook.honadvblogs.com/
"Thomas Driskill, Jr., the chief executive officer of the Hawaii Health Systems Corp., earns $308,550 a year and has a $45,000 a year housing allowance."
----------

You are right. HHSC CEO makes $354,000/yr, and add up all of the upper management salaries/benefits and you have one messed up top heavy, poorly managed State run operation. Exactly like the DOE, HTA, the new City Rail Authority, etc. but that is for another thread.

I think the underlying goal of the legislature is to get rid of the upper management and reform it after "temporarily" folding it into the DOH. Instead of going through this charades just privatize the HHSC and put out for bid hospital care to current Hawaii hospital systems such as Queens, Kaiser, Straub, etc. Send the patients to these hospitals for care and in return the State will reimburse the hospital for their health care services. That would eliminate the massive waste and inefficiency of running HHSC and strengthen our private hospital system.

Tough decisions need to be made and legislatures need to be make them on HHSC, DOE, HTA, etc. instead of just passing the buck on these wasteful, ineffective organizations by just raising taxes on residents and our visitors to Hawaii
puna guy

Waipahu, HI

#18 Apr 27, 2009
More insanity from our wacko legislators. If they do it, the feds will stop all health care payments by laws already in place for 1 year.
And these same dolts are trying to govern YOUR heath care!
Those that elected the dolts get what they deserve.
John Kamaka

Honolulu, HI

#19 Apr 27, 2009
Citing critical issues such as nontransferable certificates, licenses and permits, Fukino told House members their proposal could result in "very real potential collapse of the entire hospital system."

You just don't go backwards," said Sen. Rosalyn Baker (D, Honokohau-Makena). "What's the point of moving them to DOH? How does that improve anything? One reason we took them out of the DOH initially, they were dying on the vine."

Has anyone ever asked the question why the former director "resigned" although he got high marks from those working under him and the constant interference from political cronies?

The quality of service actually increased with customer satisfaction unheard of before.

Forgot his name, but most of Hawaii's problems are related to political interference and they should shoulder the blame for incompetence and outright corruption to the core!

Yet, the only result coming from these monkeys are bigger government, higher taxes and lousy service.
Mike

Hot Springs, MT

#20 Apr 27, 2009
Actually this is a terrific opportunity to show that a government supervised health care system could work just fine. Take the for profit health insurance out of the equation and Hawaii could clean this mess up in 6 months and be a model for the nation. All the average Canadians I've talked to like the Canadian health care system just fine. And Canada devotes far less of it's GDP to health care than we do. Just because an effective model for government supervised health care in this country has not been acheived does not mean that it cannot be done. Many modern industrialized countries have already succeeded in that endeavor.

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