HCA Profits Soar as Patient Care Suffers - page 3

Just read this article about the HCA corporation. I've never worked at an HCA hospital but have heard plenty of negative comments about them on AN. I'm also from the area in South FL discussed... Read More

  1. by   Cold Stethoscope
    Quote from lossforimagination
    Consider the source...NY Times. Uber liberal paper which will always demonize big business. That said, I've worked in several hospitals, and they were ALL understaffed.
    Why don't you try considering the content? Do you think the people quoted in the article were misquoted? Has your own research shown that their facts and figures were wrong?

    The bottom line, as was obvious when HCA bought the hospital in which my father worked, was that profit was the front-and-center concern. That makes sense, since as a public company, their fiduciary responsibility was to their shareholders, and not to patients, the community, or any other entity. Now that HCA is owned by a private equity firm, it's business as usual, but more so.

    I'm still trying to find a privately-owned, world-class hospital. One that's of the caliber of the Mayo Clinic, Mass General, B&W, Sloan Kettering, MD Anderson, Stanford, UCLA, Cedars Sinai, etc. Where are the shining examples of how the tangled ball of perverse incentives can be made to work?

    Do a handful of random nurse's anecdotal experiences negate all that?
  2. by   Cold Stethoscope
    Quote from emdrn74
    WOW! A for profit using free labor. The sad part about that is those new grads can't even use that to work off scholarships (HRSA/NSP) and loans . What nerve. I'm so glad a got out of there.
    Unless the worker is getting either pay or academic credit (or both, which would be quite rare), how is that legal? How is it not a violation of labor laws?
  3. by   Not_A_Hat_Person
    I wonder how much of that profit came from unnecessary cardiac procedures?
  4. by   DoGoodThenGo
    Quote from tamadrummer
    Don't believe everything you read in the paper. I did my mental health clinical in an HCA facility that is of the highest quality available and half my class did critical care and leadership in another HCA hospital. Both hospitals are fantastic places for patients and nurses. Just because a company makes money doesn't make them horrible, and because they make money doesn't mean another place has to suffer. I did not notice anything lacking and never heard staff whining and complaining that the evil shareholders and 401k retirement plan holders that are invested in healthcare are stealing supply money for themselves. The newspaper is going to slam anyone making a profit as evil. I don't work for them only because they are almost 2 hours from me, I hated driving there for clinical but the experience was fantastic!
    For the record the NYT has been rather ecumenical in it's *attacks* on hospitals/healthcare systems.

    Wyckoff Medical Center, NYU-Langone, NYP, and other systems in both New York and beyond have been called out for one thing or another by the paper. You can find links to some of the stories posted by Moi elsewhere in the "News" forum.

    IMHO had the NYT left out the bit about Mr. Romney the piece would have seemed a bit more impartial, or if they mentioned it as a matter of disclosure rather than within the first few paragraphs.

    It is no secret to those of us in NYC and one assumes elsewhere that the "Old Grey Lady" has taken a rather liberal, some might even say extreme liberal tack over the past decade of so. While the NYT editorial staff and others have often taken pot shots at Mr. Rupert Murdoch and his Wall Street Journal (amoung other holdings) as not being able to be impartial, the NYT often speaks out of both sides of it's mouth on that matter.

    People probably wouldn't really mind if the NYT stopped playing the noble and better than thou act, but time and time again they are caught with their trousers down and have to publish a correction or apology. For the record IIRC the WSJ is doing well if not alright financially, however the NYT is not.
  5. by   bristolrover
    Richard M Bracken HCA,CEO,recently retired as of January 1st was named by Forbes magazine for year 2012 as the second wealthiest executive in the USA pulling in a cool 38.5 million dollars for that one year 2012.I guess for profit healthcare works FOR SOME.
  6. by   generalRN2008
    Quote from kcmylorn
    I can' get past the violation of EMTALA and sending patient's out of the ED just because they can't pay! If a hospital is capable of treating the patient's illness- that hospital is supposed to treat the patient!

    As for the major boo boos in triaging- I hope that old doctor in the wheelchair lives long enough to be a patient in that hospital. His rich sacrum is just as prone to decubs as any poor man's.

    As for that current CEO - there ought to be a rule or a law, a CEO MUST seek medical care in the hospital they run unless that hospital is not medically equipped to treat- if the goat needs a stent, and the hospital is capable of performing PTCA then he receives his care there- not quietly go to another hospital.
    Paddywaggon to jail, Please!! I'll make sure it's wheelchair accessable.
    EMTALA is only life vs death or limb loss or active labor not just anyone seeking ER care