NO SMOOTH TRANSITION FOR THE POOR AND UNINSURED

Staff levels at LSU’s Earl K. Long Medical Center and its clinics have declined so much that LSU officials have had to reduce both inpatient and outpatient clinic services to the poor and working uninsured in the Baton Rouge area.

The number of employees leaving picked up in late January when LSU officials moved the Earl K. Long facility’s closure date up to April 15 from its original November target and decided to turn over operation of its four free-standing clinics to Our Lady of the Lake Regional Medical Center, locally called the Lake, instead of keeping them under LSU.

The Lake becomes home to LSU’s inpatient hospital care and medical education programs on April 15. The state employees lose their state jobs with the privatization move. Who would ever have expected...?  Me, for one.  Poor planning and hasty implementation of the transition to privatizing public hospitals and clinics resulted in poor outcomes.  But we're talking about the poor and working uninsured, and do they really count here in Louisiana?  Are they deserving of any kind of decent health care?

The impact is being felt more dramatically on the outpatient side, where current patients are having difficulty scheduling appointments and new patients are on waiting lists, he said. Surgical clinic activity has also been negatively affected.

So.  When sick people do not have access to primary care, they get sicker, and some end up in the emergency room to be treated at far greater expense.

Keep in mind that Bobby Jindal refuses to participate in Obamacare's Medicaid expansion plan, which could cover as many as 400,000 of the uninsured, even though adopting the plan would be a winner for Louisiana.

Reed said the reduction in patients also will affect physicians in training and medical student experiences needed for graduate medical education and degree programs during the transition.

With Louisiana's sterling history of falling at or near the bottom in educational surveys at every pre-university level, and budget cuts to the bone for public universities, including the flagship university Louisiana State University, why worry that medical education will be affected?  Fewer doctors and other medical staff in Louisiana will hit the most vulnerable among us the hardest, but it seems they don't really count.

How can I assign Governor Jindal any grade but F, graduate of an ivy league university and Rhodes Scholar though he may be?  How much more of the shenanigans of the governor and the obliging legislators can the state take before the entire house of cards erected by our leaders collapses?