Cedillo’s SB 275, Hospital Dumping, goes to the Senate Floor

After getting blocked by two Senators who think money from the California Hospital Association (CHA) is more important that basic human dignity, SB 275 has made it to the Senate Floor. (Btw, the two senators in question have lost their Appropriation Cmte. seats as a result). 

Well, now that the ModSquad has faded to black (hopefully to stay permanently in the Seventies), the bill will likely pass the Senate shortly.  Whether Correa and Calderon have decided whether human decency or corporate lobbying cash is more important is still an open question.

HOSPITAL HOMELESS DUMPING BILL (SB 275) HEADS TO SENATE FLOOR WITH STRONG SUPPORT

After delaying a vote on the hospital homeless discharge bill (SB 275) in order to engage the California Hospital Association (CHA) in another round of negotiations, Sen. Gilbert Cedillo’s (D-Los Angeles) bill heads to the Senate floor for a final vote in that house. SB 275 passed out of the Appropriations Committee today on a strong vote, 11 to 4, with Republican Sen. Roy Ashburn included in the bi-partisan support for the bill.

The bill makes it a specific crime to discharge hospital patients to any facility other than a residence without patient consent.  Sponsored by Los Angeles City Attorney Rocky Delgadillo, SB 275 seeks to address a deficiency in the law when prosecuting cases specific to patient dumping.

The CHA, a lobbying association representing the state’s hospitals, has contented they have policies in place to address the safe transfer of homeless patients to shelters upon discharge.  However on May 14th as Cedillo presented the bill to committee, a new dumping incident was reported in Los Angeles. The incident occurred at the Union Rescue Mission, a shelter located in downtown Skid Row, which has dealt with prior episodes of patient abandonment.

Detractors feel that SB 275 sets too high of a standard for the medical facilities.  “What does it say about our ethics and humanity? These people are more vulnerable than when they went in to the hospital. Currently there is no law that punishes the transportation of patients without their consent,” said Cedillo.

Cedillo has introduced a series of bills on issues surrounding homelessness – SB 2, Fair Share Zoning, which would require cities and counties to plan for emergency shelters, special needs facilities and transitional housing, SB 119, Medical Drug Treatment for Minors, and SB 275, hospital homeless discharge bill. “I acknowledge there are larger issues at hand involving lack of adequate care offered to homeless populations. This is why we have proposed a package of bills to proactively address the interrelated issues that cause homelessness before they become acute,” remarked Cedillo.

Health Care Tuesdays: Pawns on a F’d up Chess Board

I bet you were wondering where Health Care Tuesdays went…but never fear.  So, I know I talked about doing the whole myth of moral hazard, but then I saw this article about one of my favorite state senators, Gil Cedillo (D-LA).

State Sen. Gil Cedillo was at his wit’s end. Hospital officials were threatening to move his septuagenarian mother to another hospital because of an insurance snafu, and her family was not sure her heart was strong enough. Having lost his wife, Ruby, to cancer in 2002 after a long battle, Cedillo knows more than he cares to about the frustrations of navigating the health care system and dealing with insurance companies. Cedillo was able to resolve his mother’s problem — with the help of a highly placed former colleague… But health care advocates and providers say their stories illustrate that no one is exempt from the vagaries of the system. (SacBee 5/29/07) 

Flip it…

See, the insurance companies know they have you by…ummm…[pick a body part here], and they have no real need to provide real quality service.  I mean, why bother, right? It’s not like you can go anywhere when you actually need to make a claim. No other provider will take you if there’s a looming claim, so why not treat you like some sort of football. They’ll just play you off against whatever they can. Just check out CarlsbadDem’s diary.

So, in Sen. Cedillo’s case, it was playing games with the hospital.  And that seems to happen quite frequently. In fact, frequently enough to be the subject of pending legislation, SB 389 authored by Sen. Yee (D-SF/SM). The thing is, that patients are nothing more than source of losses for insurance companies. I mean, after all, once you are sick, the likelihood that you get sick again goes up. So, if they lose you, oh well, one less loser sucking up resources that could go to their shareholders.

Can we continue to have this massive source of waste in our health care system? Is this at all sustainable? well, the answers point to no. No other major industrialized nation relies on insurance companies so heavily.  Look, here is the best possible scenario for an insurance company: they pool everybody’s risk and then dole out money for care.  See, the critical thing is the word everybody. If they don’t have everybody, some healthy people will opt out and that will cut into the bottom line.  What is the obvious answer to that? Well, if you are Mitt Romney, that is individual mandate.  What a frickin’ joke. 

And if you adjust that thinking cap, you’ll soon realize that this is a truly public good. Like good public education, we all have a vested interest in insuring that our society stays as healthy as possible. Even if we force everybody to get insurance, we then have to deal with the various InsCos jockeying for the healthiest patients and trying to dump the costly ones. So, we truly need one company. Are we going to bestow those massive profits onto Blue Cross? or perhaps some other Fortune 500 company? Or, we could just bypass all that and just use an entity that requires no profit. Yes, it’s the government! And the answer is called Medicare for all.

Surely, it’s not perfect, but we are in an unsustainable position that will eventually take down the health care system as we know it.  That’s just the way it is folks.

Clinton Putting Resources Into California

(cross-posted from Working Californians)

Hillary Clinton is staffing up here in California and laying down the groundwork for an absentee voter program. Last week a Clinton strategic memo dominated a spin cycle, because it advocated ignoring Iowa in favor of spending more time and resources in more populous states holding their primaries right after. Part of the reasoning was based on the ability to run early voting campaigns in those states, something I addressed last week.

“Iowans will not be the first to vote,” Mr. Henry wrote in his memorandum. “Hundreds of thousands of voters will be voting in California, Florida and Texas. We must fund an expensive paid communications and a vote by mail/early vote program in these mega-states.

Indeed it looks like she is doing just that. While tomorrow’s big announcement is the endorsement of Mayor Villaraigosa, it is rivaled in significance with the staffing announcement she released a few days ago. She now has a State Director, Political Director, Communications Director, Field Director and Deputy Field Director all in California. They have extensive history working in California, especially down in LA.

Here is my prediction on how she will run her California campaign. It will be a very top down coordinated campaign that relies heavily on voter files to drive in early votes. She has locked up the two highest profile Latinos in the state and will use them as surrogates on her behalf. It is unlikely that she will garner many endorsements from grassroots organizations or labor. This will require her to lean more heavily on the elected officials who have endorsed her. Targeted voters will receive glossy mailers and phone calls. She will likely go up on both radio and do some limited (relatively speaking) television. The grassroots organizing will be limited but still present. They will in short, implement proven methods of turning out the vote in California, with a heavy emphasis on vote rich LA.

This strategy will mean she has hundreds of thousands of votes in the bank before Iowa even votes. Something experts don’t seem to quite get yet.