Showing posts with label Greater New York Hospital Association. Show all posts
Showing posts with label Greater New York Hospital Association. Show all posts

Sunday, August 23, 2020

Cuomo's Lethal Ill-Logistics



Impunity City

Where does one begin to discuss the current global pandemic induced phenomenon and cult of personality that is the governor of New York, Andrew Cuomo? Since he locked down the state back in mid-March as coronavirus cases grew by thousands and thousands and thousands, Mario’s son had become the chosen one; elder statesman of all things COVID-19 and the default rebuttal warrior against Donald Trump’s consistent, insistently brazen and meta-comical errors of the novel disease and how to fight it. (Bleach and sun anyone?)

Like the spiky red-pockmarked handball looking pathogen, Andrew has become quite the pop culture icon himself with his daily afternoon government issue polo shirt press briefings on the outbreak. It’s become as much national institution as the Price is Right used to be at 12 p.m. every day as snippets of his videos and images have gone viral; thoroughly giving his constituents and viewers across the country and the globe essential information about the contagion’s spread and the status of his state.

His briefings have managed to even produce a spin off show via Fredo’s Chris Cuomo’s prime time “news” hour program on CNN. It’s quite a big ratings grabber despite the huge ass conflict this comes with as his kid brother “interviews” him about his brah governing the response and recovery while gushing about him in dreams and blatantly egging him to run for President.

 About that. Because of all this attention, social media had dubbed and trended Andrew as #PresidentCuomo and corporate news grabbed onto to that to fill their webpages and hyperlinks with blanket speculation and suggestions about the COVID19 superstar to run for the white house too. Not to mention dozens of articles proclaiming how the suddenly hunky Cuomo is the boyfriend of America, but that’s just icky and gross so I’ll end it there.

Since this is supposed to be a devastatingly serious column,(note the header photo) but all that shit had to be prefaced to illustrate and elaborate how the goddamn Governor Cuomo does not deserve all these adulation and accolades or should still have a job right now regarding the consequences of his inaction and very suspect actions to stem the spread of the novel virus in his state besides lamely ostracizing people to wear masks.

As the days counted down to the cruelest April of our lifetime and humankind, Cuomo continued his daily briefings as a salve to his constituents and a reassurance to the nation following them as an alternative to Trump’s alternative facts.

Immediately at the start of the month the plague really came in. Yet here was the resilient and virile leader on the dais every afternoon in front of the camera, an exhibition of transparency reading out the morbid death tolls while quite oddly talking about flattening the curves as casualties started to mount. Yet the veneration levied to him by social and news media continued to shower on him…

…until he weaponized that veneration and adulation to shield himself

Friday, May 29, 2020

The prototype for the nursing homes immunity law was made in New York and it's being disseminated to other states



TMI

In recent years, lawmakers have been caught stealthily copying and pasting identical corporate-friendly provisions into law in states across the country. It appears that is now happening again as politically connected hospital and nursing home executives seek to shield themselves from civil litigation and government prosecution during the COVID pandemic.

A review of New York, Massachusetts and North Carolina’s controversial new liability shield provisions shows that nearly identical immunity language benefiting nursing home and hospital executives was inserted into law by elected officials whose political apparatuses received significant campaign contributions from the nursing home and hospital industries.

The spread of the corporate immunity provisions — which appear to have originated in New York Gov. Andrew Cuomo’s administration — comes amid a spate of coronavirus deaths that critics say was preventable and made worse by the liability shields. Senate Republican leader Mitch McConnell is currently pushing a broader, national version of immunity for corporate executives.

"Our legislation was the ‎product of negotiations between the chamber and the legislature and while we always engage with stakeholders no one else wrote the final product -- which, again, was to help ensure we had the expanded health care apparatus needed to fight this pandemic,” said Cuomo’s spokesperson, Rich Azzopardi. “I have no information about how other states may have adopted this publicly available language."  


To date, 19 states have enacted some form of immunity for the hospital and nursing home industries during the pandemic. In general, these new policies shield nurses, doctors and other frontline health care workers from liability when they are treating COVID patients. 

However, New York, Massachusetts and North Carolina go further: unlike other states, the identical language added to their laws explicitly define health care providers as including “a health care facility administrator, executive, supervisor, board member, trustee” or other corporate managers. 
That exact word-for-word clause appears in emergency legislation in all three states. In practice, it extends immunity to corporate officials who are not on the medical frontlines, but who are making life-and-death decisions across their companies.

“The new measures granting immunity to health care providers and professionals go well beyond protecting front-line workers from lawsuits -- many also provide immunity to administrators who make unreasonable and dangerous, even lethal, decisions,” said Syracuse University law professor Nina Kohn. “New York, Massachusetts, and North Carolina take protection for corporate owners and executives to a whole new level by explicitly granting immunity to board members, trustees, and directors.” 

“This is extraordinary protection which is in no way in the public interest,” Kohn said. “These states are explicitly and unabashedly giving for-profit corporations and corporate executives the green light to make unreasonable decisions that put vulnerable people in imminent danger, and letting them know that they don’t have to worry about being held legally accountable for the avoidable human damage that results.”

Wednesday, May 27, 2020

Fire through dry grass; Governor Cuomo's directive sent 4,500 coronavirus patients to nursing homes and gave immunity to them stemming from the industriy's donations to his last re-election campaign

 AP

 More than 4,500 recovering coronavirus patients were sent to New York’s already vulnerable nursing homes under a controversial state directive that was ultimately scrapped amid criticisms it was accelerating the nation’s deadliest outbreaks, according to a count by The Associated Press.

AP compiled its own tally to find out how many COVID-19 patients were discharged from hospitals to nursing homes under the March 25 directive after New York’s Health Department declined to release its internal survey conducted two weeks ago. It says it is still verifying data that was incomplete.

Whatever the full number, nursing home administrators, residents’ advocates and relatives say it has added up to a big and indefensible problem for facilities that even Gov. Andrew Cuomo — the main proponent of the policy — called “the optimum feeding ground for this virus.” 

“It was the single dumbest decision anyone could make if they wanted to kill people,” Daniel Arbeeny said of the directive, which prompted him to pull his 88-year-old father out of a Brooklyn nursing home where more than 50 people have died. His father later died of COVID-19 at home.

“This isn’t rocket science,” Arbeeny said. “We knew the most vulnerable -- the elderly and compromised -- are in nursing homes and rehab centers.”

Told of the AP’s tally, the Health Department said late Thursday it “can’t comment on data we haven’t had a chance to review, particularly while we’re still validating our own comprehensive survey of nursing homes admission and re-admission data in the middle of responding to this global pandemic.”

Cuomo, a Democrat, on May 10 reversed the directive, which had been intended to help free up hospital beds for the sickest patients as cases surged. But he continued to defend it this week, saying he didn’t believe it contributed to the more than 5,800 nursing and adult care facility deaths in New York — more than in any other state — and that homes should have spoken up if it was a problem.

“Any nursing home could just say, ‘I can’t handle a COVID person in my facility,’” he said, although the March 25 order didn’t specify how homes could refuse, saying that ”no resident shall be denied re-admission or admission to the (nursing home) solely based” on confirmed or suspected COVID-19.

Over a month later, on April 29, the Health Department clarified that homes should not take any new residents if they were unable to meet their needs, including a checklist of standards for coronavirus care and prevention. 

Remember, Andrew Cuomo named this directive after his mother.

A directive influenced by a profit-driven health and hospice care industrial consortium that gave Cuomo millions to his last re-election campaign:

TMI

As Governor Andrew Cuomo faced a spirited challenge in his bid to win New York’s 2018 Democratic primary, his political apparatus got a last-minute boost: a powerful health care industry group suddenly poured more than $1 million into a Democratic committee backing his campaign. 

Less than two years after that flood of cash from the Greater New York Hospital Association (GNYHA), Cuomo signed legislation last month quietly shielding hospital and nursing-home executives from the threat of lawsuits stemming from the coronavirus outbreak. The provision, inserted into an annual budget bill by Cuomo’s aides, created one of the nation’s most explicit immunity protections for health care industry officials, according to legal experts. 

Critics say Cuomo removed a key deterrent against nursing home and hospital corporations cutting corners in ways that jeopardize lives. As those critics now try to repeal the provision during this final week of Albany’s legislative session, they assert that data prove such immunity is correlating to higher nursing-home death rates during the pandemic — both in New York and in other states enacting similar immunity policies.

New York has become one of the globe’s major pandemic hot spots — and the epicenter of the state’s outbreak has been nursing homes, where more than five thousand New Yorkers have died, according to Associated Press data. 

Those deaths have occurred as Cuomo’s critics say he has taken a hands-off approach to regulating the health care industry interests that helped bankroll his election campaign. In March, Cuomo’s administration issued an order that allowed nursing homes to readmit sick patients without testing them for COVID-19. Amid allegations of undercounted casualties, the governor also pushed back against pressure to have state regulators more stringently record and report death rates in nursing homes. 

And then came Cuomo’s annual budget — which included a little-noticed passage shielding corporate officials who run New York hospitals, nursing homes, and other health care facilities from liability for COVID-related deaths and injuries. 

GNYHA — a lobbying group for hospital systems, including some that own nursing homes — said it “drafted and aggressively advocated for” the immunity provision. The new law declares that top officials at hospital and nursing-home companies “shall have immunity from any liability, civil or criminal, for any harm or damages alleged to have been sustained as a result of an act or omission in the course of arranging for or providing health care services” to address the COVID outbreak. 

Prior to the budget language, Cuomo had already temporarily granted limited legal immunity to doctors and nurses serving on the medical front lines. But the carefully sculpted passage buried in the state’s annual spending bill expanded that by offering extensive immunity to any “health care facility administrator, executive, supervisor, board member, trustee or other person responsible for directing, supervising or managing a health care facility and its personnel or other individual in a comparable role.”

New York is now one of just two states to shield those corporate officials from both civil lawsuits and some forms of criminal prosecution by the government, according to an analysis by Syracuse University law professor Nina Kohn and the University of Houston’s Jessica L. Roberts. 

“New York is an outlier and has the most explicit and sweeping immunity language,” Kohn said.