Weeds have punctured through the vacant parking lot of Martin General Hospital’s emergency room. A makeshift blue tarp covering the hospital’s sign is worn down from flapping in the wind. The hospital doors are locked, many in this county of 22,000 fear permanently.
Some residents worry the hospital’s sudden closure last August could cost them their life.
“I know we all have to die, but it seems like since the hospital closed, there’s a lot more people dying,” Linda Gibson, a lifelong resident of Williamston, North Carolina, said on a recent afternoon while preparing snacks for children in a nearby elementary school kitchen.
More than 100 hospitals have downsized services or closed altogether over the past decade in rural communities like Williamston, where people openly wonder if they’d survive the 25-minute ambulance ride to the nearest hospital if they were in a serious car crash.
A lot of people are going to connect this to trump, but it’s really just a byproduct of the capitalization of medicine as a whole. This is more of an issue in conservative states who rejected the Medicaid expansion, but it’s also happening in states that vote heavily blue.
Emergent care is a huge money sink, and the roll of money making departments like orthopedics or cardiovascular care’s main job is to make enough profits to keep the lights on in the ER. When physician owned or private “hospitals” that don’t feature a ER open, they are taking revenue out of the emergent care network.
Do you have any research from reputable organizations to corroborate your assertions?
I’m unfamiliar with the term “Emergent Care.”
Thank you!
He means emergency care
I don’t really have any study off the top of my head, most of my information is coming from departmental meetings we had during the COVID shut down. Though I’m sure it’s not too hard to find, it’s a well known problem, to the point where most states have legislation limiting the construction of new hospitals.
I work in orthopedics and rehabilitation in my state’s only trauma 1 ward, and during COVID our department was shut down for a couple weeks, as a lot of my clinics treatment is elective based.
Because elective services tend to be the profitable aspect of healthcare, we ended up in a situation of diminishing resources and an increase in demand for emergent care for COVID treatment.
Emergent care is basically any condition we can’t legally/ethically turn away from the emergency room, no matter if the patient has insurance or not. During COVID lots of people without insurance spent a lot of time in emergency services, and because our profitable clinics were prevented from operating, our hospital went into a lot of debt.
Thank you!
No problem, if I happen to come across any of the pertinent studies I’m recalling from I’ll try to remember to send them your way. Cheers.
I can’t give you a peer reviewed source or anything but most of my family works in medicine including a couple of travel nurses who have worked in basically every department at one point or another at a variety of hospitals around the country.
Emergent care just means things like emergency rooms, urgent care, and clinic visits. It is a term used to describe the hospital departments that cover visits for new “emergent” conditions. Unless you’ve worked in a hospital you probably wouldn’t have heard that term but it does get used often behind the scenes.
Those departments tend to be money sinks for hospitals for several reasons. Firstly, because they need to remain staffed all the time, rather than being able to schedule staffing around scheduled appointments. Secondly, the cases seen there are usually less profitable for the hospital; treating little Timmys strep throat makes them far less money than Franks orthopedic surgery. Finally, people are just far less likely to pay when visiting those departments. If you don’t have insurance then your only real option for medical treatment is to go to the ER and just ignore the bill because the hospital legally has to treat you regardless of whether you can pay or not and collecting on medical debt is far more tricky than it is with other debts.