Kaiser Health News

Kutsekedwa kwachipatala komwe kwayandikira kumagwedeza malo azachipatala ku Atlanta komanso mitundu yandale

Monga madera ambiri m’mizinda kudera lonselo, Atlanta’s Old Forth Ward ikusintha.

Nyumba zamakono zokhala ndi nyumba zazing’ono kwambiri zimagwirizana ndi nyumba zotsika mtengo za mzindawu. Anthu ambiri okhala m’chigawo chodziwika bwino chomwe Martin Luther King, Jr. adabadwira, adalipidwa mitengo yawo kwanthawi yayitali ndikukankhidwira kumadera ena amzindawu.

Atlanta Medical Center, malo owopsa a 460-bed Level 1, ndiye chinthu chachikulu chotsatira chomwe chidzasinthe.

Ngakhale zikwangwani zolengeza kudzipereka kwa chipatala kuderali – “zaka 120 zakusamalira Atlanta,” monga wina amawerengera – mwiniwake wopanda phindu, Wellstar Health System, posachedwapa adalengeza mapulani otseka zitseko zachipatalachi pa Novembara 1.

Georgia yawona kutsekedwa kwa zipatala zambiri zakumidzi mzaka khumi zapitazi, koma chaka chino Atlanta idalumikizana ndi malo ena akumatauni potseka malo, kuphatikiza malo omwe adatsitsidwa kale pafupi ndi East Point.

Kulengeza kwa Wellstar kudayambitsa mkangano pazandale pakukulitsa Medicaid chisankho chapakati pa Novembara 8 chisanachitike. Monga maiko ena 11, dziko la Georgia silinawonjezere malamulo ake oyenerera ku Medicaid pansi pa Affordable Care Act, ndipo akuluakulu azachipatala m’boma lonse ati kusachitapo kanthu kwawapweteka kwambiri chifukwa akuchiritsa odwala ambiri omwe alibe inshuwaransi, omwe ambiri aiwo sangathe kulipira. za izo. chithandizo kapena chithandizo.

Chilengezo cha Wellstar chidadabwitsa akuluakulu a mzindawo, kuphatikizapo meya, Andre Dickens, komanso anthu ena ammudzi.

Sabata yaposachedwa m’mawa, Teresa Smith, wazaka 60, yemwe amakhala moyandikana nawo, adati nthawi zambiri amasamaliridwa komweko chifukwa cha vuto la m’mimba. “Dera lonse liphonya chipatalachi,” adatero.

Liliana Bakhtiari, khonsolo ya mzinda wa Atlanta m’boma lake lomwe limaphatikizapo chipatala, anali waluso pakuwunika kwake. “Padzakhala kutayika kwa moyo komanso kuvulala koopsa komwe sikungathetsedwe, ndipo ndikukhulupirira kuti izi zikhala zofunika kwambiri kwa Wellstar,” adatero.

Wellstar anakana pempho la KHN lofunsa mafunso okhudza kuyimitsidwa.

Nancy Kane, pulofesa wothandizira pa TH Chan School of Public Health ku Harvard University, akuwona kulumikizana pakati pa zomwe zikuchitika ku Atlanta ndi kutsekedwa kwa zipatala m’mizinda ina yayikulu.

Makampani angapo akuluakulu azachipatala apezedwa ngati gawo lazochita, makamaka akutumikira ochepa omwe amapeza ndalama zochepa.

“Mukapeza chipatala, muyenera kudzipereka kuti mukonze,” adatero Kane. “Wellstar ali ndi ndalama zogulira kuchipatalachi. Ndi kusankha.”

Anthu ena ammudzi akukayikira ngati kutseka chipatalachi kudzetsa chitukuko chokwera mtengo kwambiri panyumba pafupifupi maekala 20 omwe Wellstar ali nawo pafupi.

“Itha kukhala chinsalu chopanda kanthu, chothandizira kukonzanso kapena chitukuko chatsopano,” atero a Randy Bemsler, injiniya yemwe kampani yake idapanga mapulojekiti m’derali.

Andale sanachedwe kutembenuza matherowo kukhala nkhani yachisankho. Pakatikati pa mkangano ndi ndondomeko yazaumoyo ya Bwanamkubwa Brian Kemp.

Mneneri wa Kemp Andrew Eisenhauer adati gulu la Kemp likukonzekera mapulani anthawi yayitali opititsa patsogolo chisamaliro chaumoyo mderali atatseka. Ndipo Kemp, waku Republican yemwe akuthamangiranso kachiwiri mu Novembala, sangayesetse kuti malowa akhale otseguka.

Koma akuluakulu a bungwe lopanda phindu la Grady Health System adanena sabata ino kuti adakumana ndi ofesi ya Kemp ndi Dickens ndi akuluakulu a m’maboma a Fulton ndi DeKalb ponena za kuwonongeka kwachuma kwa ndalama za boma zomwe zithandizira zosowa zazikulu ku Grady Memorial Hospital, Level I trauma center. . Pafupifupi kilomita imodzi kuchokera ku Atlanta Medical Center.

A Grady akuyembekeza maulendo enanso opitilira 2,500 pazipinda zadzidzidzi mwezi umodzi Atlanta Medical Center itatseka zitseko zake.

Titha kuyamwa zododometsa zonse, “atero a John Hubert, CEO wa Grady Health System. Zadzidzidzi zowonjezera zidzakhala zovuta odwala ambiri akafika, atero a Ryan Locke, wamkulu wa zaumoyo ku Grady.

Ndalama zaboma zitha kufulumizitsa mapulani aposachedwa a Grady osintha maofesi kukhala malo osamalira odwala, zomwe ziwonjezera mabedi achikulire opitilira 180 patangotha ​​​​chaka chimodzi kuchokera pano. Chipatalachi chikuwonjezeranso mabedi 40 mpaka 45 m’milungu isanu ndi umodzi ikubwerayi, ndipo akukonzekera kukhazikitsa chipatala chamipanda 24 kuti chithandizire kukwera kwa odwala kuchokera kuchipatala chotsekedwa.

Haubert adati mapeto akuyika kukula kwa Medicaid “kutsogolo ndi pakati” pazokambirana zandale. Kemp adapereka lingaliro laling’ono lomwe lingapereke mwayi wopeza inshuwaransi ya boma kwa anthu omwe atha kukwaniritsa zofunikira pa ntchito kapena udindo womwewo.

Mdani wake, Democrat Stacy Abrams, wakhala akupanga kukula kwa Medicaid kukhala vuto lalikulu mu kampeni yake.

“Izi sizodabwitsanso,” adatero Abrams. Zikuyembekezeka kuti izi zichitika chifukwa oyang’anira Kemp akukana kuchitapo kanthu. “

Senator waku US Raphael Warnock (D), m’busa wa Ebenezer Baptist Church, osakwana kilomita imodzi kuchokera kuchipatala, adatsutsanso kutsekedwa ndipo adawona zovuta zachipatala chifukwa cha kukana kwa Georgia kukulitsa Medicaid. Akuluakulu a Wellstar anena kuti kukula kwa Medicaid kokha sikungatsegule malo a Atlanta.

Kumayambiriro kwa chaka chino, a Wellstar adasiya kupereka zipinda zadzidzidzi komanso zothandizira odwala kuchipatala cha East Point, kumwera chakumadzulo kwa Atlanta. Panthawiyo, adati, odwalawo amatha kuwonedwa ku Atlanta Medical Center, pafupifupi mamailosi 8. Haupert akuti kukweza chipatala cha Atlanta chomwe chatsala pang’ono kutsekedwa kungawononge madola mamiliyoni ambiri, zomwe zidapangitsa kupulumutsako kukhala kovuta.

Andra Gillespie, pulofesa wothandizira wa sayansi ya ndale ku Emory University, adati kuyimitsidwa kwa miyezi ingapo yotalikirana kungathandize kuti mfundo za Abrams zokulitsa Medicaid zigwirizane ndi ovota. “Nkhani yomwe mwina idagwirizana kwambiri ndi kumidzi yaku Georgia tsopano idakhala vuto la ku Atlanta,” adatero.

Gillespie anachenjeza kuti zinthu zina, monga kukwera kwa mitengo, umbanda ndi kuchotsa mimba, ndizotheka kukhala zolimbikitsa kwambiri kwa ovota a Georgia.

Wellstar, yemwe amakhala m’dera la Marietta, adapeza AMC ndi East Point Hospital kuchokera ku Tenet Healthcare panthawi yogula zinthu mu 2016, gawo la mgwirizano wa $ 575 miliyoni womwe unaphatikizapo zipatala zina zitatu za metro.

Todd Green, yemwe kale anali membala wa AMC’s Wellstar Community Board of Directors, adati dongosololi limayika zinthu zambiri m’matawuni ake.

“Njira yolunjika ya dipatimenti ya Wellstar ku zipatala zakumidzi yachititsa kuti anthu ambiri akuda ndi abulauni ku Atlanta asakhale ndi mwayi wopeza chithandizo chamankhwala chofunikira,” adatero m’mawu ake.

Polengeza za kuyimitsidwa, Wellstar adati idayika ndalama zoposa $ 350 miliyoni pakukweza ndalama pamalopo kuyambira 2016 ndipo idataya $ 107 miliyoni m’miyezi 12 yapitayi yokha, mkati mwa ndalama zotsika komanso kukwera mtengo kwa ogwira ntchito ndi katundu chifukwa chakukwera kwamitengo. .”

Dr. Suleiman Wazir Al-Din, dokotala wadzidzidzi wa chipatalacho, adanena kuti chisankho chotseka chipatala sichinali chodabwitsa kwa antchito ena, ndipo adanena kuti madokotala “amadziwa kuwonongeka kwa ndalama.”

Koma adati kulengeza kwadzidzidzi kudabweretsa chisoni chachikulu pakati pa madotolo, anamwino ndi ena ogwira ntchito zachipatala.

M’masiku ochepa atalengezedwa, Grady adapereka ntchito kwa antchito angapo aku Atlanta Medical Center, kuyambira madotolo ndi anamwino mpaka oyang’anira nyumba ndi ogwira ntchito zachitetezo.

David Patton wakhala ku Old Forth Ward, Atlanta kwa zaka 30 ndipo adati Atlanta Medical Center yakhala gawo lalikulu la moyo wake.

Agogo ake aamuna anamwalira m’nyumba yosungirako anthu okalamba pamsasa, adalandira chithandizo m’chipinda chodzidzimutsa, mwana wake adaphunzira kusambira kumalo ochitira masewera olimbitsa thupi kuchipatala, ponseponse akuwona oyandikana nawo akusintha kuchoka ku “gawo loiwalika” la mzindawo kupita ku lina lomwe linakhala chotchinga. chitukuko chatsopano.

“Zimandidabwitsa kuti bungwe ngati ili likhoza kutsekedwa usiku wonse,” adatero.




Nkhaniyi yasindikizidwanso kuchokera ku khn.org ndi chilolezo kuchokera ku Henry J. Kaiser Family Foundation. Kaiser Health News, msonkhano wodziyimira pawokha wodziyimira pawokha, ndi pulogalamu ya Kaiser Family Foundation, bungwe lofufuza zaumoyo lomwe siligwirizana ndi Kaiser Permanente.

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