I have now read several rather long articles about the crisis at Los Angeles' Martin Luther King Jr. - Harbor Hospital, and, to quote that famous philosopher Mr. Lewis Black, "I am confeeewzed."
We are regaled with the apparent ineptitude and even outright malpractice of the hospital staff, but no media report I have read even hints at a cause- not one. And yet the articles state that the hospital primarily serves the minority areas of Watts & Willowbrook, and we're supposed to just draw the implied conclusion, the one the media doesn't dare discuss, that this hospital is almost certainly so chaotic, such a snakepit that attracting good staff must be a near impossibility.
And since the causes can't be mentioned, it becomes impossible to discuss solutions, so all we read is that the L.A. County Board of Supervisors is considering closing the hospital. And this will help.....what?
At least if the reasons for this meltdown in health care delivery were discussed frankly, it might be possible to do something about it. In the long run, I don't know what the answer is, but in the short run, I suspect that if hefty premiums were paid to get better people working there (as long as such competence could be assessed ) and those who couldn't demonstrate competence had their pay cut until they could meet standards, with the clear understanding that they were on probation, and would soon be on the street if they didn't shape up.
It's not a cure, but it's a start, and when people are dying on the ER floor, a start is clearly what's needed.
Thursday, June 14, 2007
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