The New York City Health and Hospitals Corporation announced it would eliminate 400 jobs as a way to save $105 million for the next fiscal year's budget. NY1 reports that HHC, which serves 1.3 million New Yorkers, is also closing "four school-based health programs, three community clinics, and two mental health day treatment programs." HHC President Alan D. Aviles said the cuts were in part due to labor and the rising number of uninsured patients the hospitals see (450,000/year) and said more cuts could be on the way, saying this was just "one-third" of the problem. State Health Commissioner Richard Daines tells the NY Times that the governor is trying to negotiate using federal stimulus money to help aid HHC, but, noting "unprecedented fiscal crisis" made some difficult choices necessary, said he hoped public hospitals would delay capital construction project instead cutting service. Some other HHC annual stats: It has 7,510 beds, 4,942,9377 clinic visits, 1,069,031 ER visits and 23,384 births.





As a practicing physician who completed a portion of my training in a city hospital (Metropolitan) some years ago, let me say that any further cutbacks in services and personnel offered at HHS facilities will lead to an increase in citywide mortality among low-income individuals. The outstanding care delivered at the city's public hospitals, and the community outreach services they provide, are a lifeline to a significant portion of the city's population. Hard-working (usually overworked) doctors, nurses and other health care professionals treat diabetes, asthma, HIV, hypertension and heart disease, as well as snotty noses and ear infections to a significant number of city residents who WOULD BE WITHOUT HEALTH CARE WERE IT NOT FOR THE CITY'S PUBLIC HOSPITALS. I am sorry about the all caps, but this proposed cutback would be a disaster. City officials have to get on Amtrak and get off in DC to convince legislators that the economic stimulus money needs to include support of America's public health care system. Every dollar spent now will save hundreds of dollars in twenty years: prevent hypertension and diabetes now (or treat these conditions properly) and you avoid heart attacks, strokes, amputations and further disability in the future. It's a no-brainer.
The health care system should not be in charge by people who are not health care professionals.
Alan D. Aviles is lawyer. Why should he be able decide where the cuts should be?
The insurance and trial lawyer lobbies aren't going anywhere.
Nothing will get fixed, ever.
I left Metropolitan during the last budget crisis so I know what they're going through.