Rural southwest Nebraska clinic closes, blaming expected Medicaid cuts

[Sooner or Later]

It is a shame it is closing. The hospital decided to invest in the home hospital and to close the small towns clinic. All of the small towns around me are struggling mightily.

The city of Frederick lost it's hospital a number of years ago. It is just now getting a new one. This can't help.

https://www.texomashomepage.com/news/frederick-breaks-ground-for-returning-tillman-memorial-hospital/

Pauls Valley is losing theirs.

‘Epitome of the rural health crisis’: Pauls Valley hospital closes nearly four years after reopening

The hospital's owner and CEO, Madhukar Sharma, says monthly shortfalls well into the six-figure range fueled his decision to close the facility.

www.kgou.org

Info on the Nebraska clinic.

Curtis Medical Center | Community Hospital - McCook, Nebraska

Clinic HoursRegular office hours are 8:30 AM to 12:30 PM and 1:00 PM to 4:30 PM, Mondays, Tuesdays, Thursdays, and Fridays. The office is closed from 12:30 PM to 1 PM each day, all day Wednesdays, and on major holidays and weekends.ServicesA service of Community Hospital, Curtis Medical Center...

chmccook.org

The clinic was only open 8:30 to 4:30 4 days a week. Monday, Tuesday, Thursday, and Friday. Closed for lunch.

Services
A service of Community Hospital, Curtis Medical Center is a rural health clinic providing routine healthcare services for the entire family, including preventative healthcare and education.

Other services include:

Allergy shots
Limited laboratory and X-ray services
Minor procedures
Student health services for the Nebraska College of Technical Agriculture

 

[L88]

Its was passed by the Senate, sent back to the house of Representatives, where they passed it. Now, all that's left is for Donald to give it his official okee dokee.
Are you saying donalds not going to give his own bill his official okee dokee?

Again, what a tenuous grasp of detail you have.

Actually you have no grasp of the situation and details in this event. There is no ER in Cutis or the clinic. So your miss direction may kill little Billy.

 

[SavannahMann]

The Clinic doesn't not have an ER. It could be a disaster of a mistake to waste time taking little Billy to a clinic.

You just don't understand the logistics or geography people in Nebraska deal with.

A Doctor, any Doctor, can stop the bleeding of little Billy's injury. He may not be able to reattach a finger, hand, or limb, but he can insure that the Patient is stable for transport to a proper facility. It is after all, what they do in all of Alaska.

There isn't a Trauma Facility in Alaska. The entire state has exactly zero. Anyone who needs that level of care is stabilized for transport, and then shipped off to Washington State which does have such a facility.

Now, you say that we don't understand the logistics or geography of Nebraska. Well let me tell you about where I live. I live in Rural Georgia. I'm about 40 minutes from Savannah unless it is Rush Hour, and then it's a longer drive. Local Emergency Services takes at least twenty minutes. That is Twenty minutes for an Ambulance, Paramedics, Cops, or Fire Department. The Closest Hospital does not have a Trauma Care facility. It is one of those little Regional places that you don't mind having closed.

Accident Victims are regularly taken there however, because the Doctor's there can save the life, and prep the victim for Transport to a better equipped facility in Savannah. Usually by Air. It's a simple premise. Anything is better than nothing. Even if they are not trained and equipped as a Trauma Facility, our Local Hospital can stabilize the patient for transport.

Now, let's say your Wife is injured and bleeding. Your choice is a local facility that can do something for her, or a long car or ambulance ride to a place that can give her the best possible care. Will she die on the trip? Maybe.

Like most things, medical stuff is simple to understand. You do the best you can with what you have. Having more is better than having less. I have pressure dressings, splints, and even a couple tourniquets for emergencies. That is better than a ratty old t-shirt and a piece of string. If I'm breaking that stuff out I'm on the phone to Emergency Services to get an Ambulance rolling. I can probably keep them alive until the Ambulance arrives. They can probably keep him alive until they get to the Local Hospital. They have a very good chance at keeping him alive until he gets to the Trauma unit. If the trip to the Hospital was longer, the odds go down don't they?

 

[Crakhobarbie]

Actually you have no grasp of the situation and details in this event. There is no ER in Cutis or the clinic.

Firstly, kudos on such beautiful sentence structure.
Second, where do you think funding for many hospitals and clinics come from?

Simply put (in hopes you'll be able to understand) my maga friend, in actuality it is you who has "no grasp of the situation and details in this event."

5 Key Facts About Medicaid and Hospitals | KFF

We explain the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid, the share of births covered by the program, and how Medicaid expansion has impacted hospital finances.

www.google.com

 

[L88]

Firstly, kudos on such beautiful sentence structure.
Second, where do you think funding for many hospitals and clinics come from?
So my maga friend, in actuality it is you who has "no grasp of the situation and details in this event."

5 Key Facts About Medicaid and Hospitals | KFF

We explain the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid, the share of births covered by the program, and how Medicaid expansion has impacted hospital finances.

www.google.com

You're the one that ignorantly said about taking an injured way to an ER that doesn't exist.

I can only imagine how embarrassed you are acting like an expert when you just don't even take the time to understand the facts.

But hey let's review.
Medicaid hasn't been cut yet. The document isn't even signed.
At the hospital which is really a clinic in some people jumping on a Newsweek article seemed to think that an unsigned bill that doesn't go into an existence for 18 months cause the closure.
The CEO even set as much.
Then some progressive supposedly know it all comes along claiming that an ER is being closed. Which it's not an ER.

Now after the bill gets signed in an 18 months if hospitals are closing because of it then hey post again.

Additionally in your binary think ignorance, claim that I am MAGA. If you gave slightest amount of effort towards the truth you could go back through my post and find where I don't find the cutting of Medicaid to be a good thing. But you've proven to be a very low effort thinker my claiming to know the clinic has a ER when all it would take is a click on Google to find out.

In addition your current post is entirely non sequester. None of what you posted in the link is in dispute. You've attempted to throw out a red herring as large as a whale to save face.

 

[Sooner or Later]

They are only open 30 hours per week. How do they get medical attention the other 138 hours?

It is a damn shame that while spending $15,000 per capita a year on healthcare we can't offer a more complete system for all.

 

[Crakhobarbie]

You're the one that ignorantly said about taking an injured way to an ER that doesn't exist.

Perhaps you should take a deep breath before typing.
Your sentence structure is ambiguous and convoluted.
Try it again, this time with more clarity.

I can only imagine

Agreed.

 

[BirdinHand]

It’s amazing how these rural areas survive, it really is.

Living in my part of NJ, you can literally choose which hospital to go to within a 30 minute distance for which speciality. In an emergency, you can be stabilized at one and transferred to another rather easily…and/or doctors of different specialties work in both as needed.

And that’s not even factoring in the dozens of Urgent Care places - they are literally everywhere.

Urban areas will survive the worst impacts of the BBB, especially in blue states with more state funding.

These red states and rural areas are going to really take the hits.

 

[L88]

You're the one that ignorantly said about taking an injured way to an ER that doesn't exist.

I can only imagine how embarrassed you are acting like an expert when you just don't even take the time to understand the facts.

Perhaps you should take a deep breath before typing.
Your sentence structure is ambiguous and convoluted.
Try it again, this time with more clarity.

Agreed.

English is my second language, and I'm still slowly improving even at age 65.
Regardless, your lack of knowledge continues to be consistent through your posts.

 

[Crakhobarbie]

English is my second language, and I'm still slowly improving even at age 65.
Regardless, your lack of knowledge continues to be consistent through your posts.

Said the guy who wasnt aware that Medicaid funds hospitals.
Youre 65.
Now you'll get firsthand experience with the Medicaid you helped defund.
Good luck.

 

[L88]

Said the guy who wasnt aware that Medicaid funds hospitals.
Youre 65.
Now you'll get firsthand experience with the Medicaid you helped defund.
Good luck.

I never said I wasn't aware that Medicaid funds hospitals. You just don't really like to use the truth do you?
Explain to me how I helped you defund anything?
Says that person who thinks they know everything.

 

[Crakhobarbie]

I never said I wasn't aware that Medicaid funds hospitals.

Ok.
Taking into account that English isnt your first language, you might not be aware of the implications of your statements. Unfortunately, that just means you simply aren't aware of the ramifications of the bbb.
Thats on you, not me.

 

[L88]

Ok.
taking into account that English isnt your first language, you might not be aware of the implications of your statements. Unfortunately, that just means you simply aren't aware of the ramifications of the bbb.
Thats on you, not me.

You're was allergic to the truth as any MAGA person.

 

[Crakhobarbie]

You're was allergic to the truth as any MAGA person.

Oh?
Tell me, what is the truth?
Does the bbb cut 900 billion dollars from Medicaid over 10 years or not?
Will that loss in funding close many clinics and hospitals or not?

Just answer these two questions with your "truth".

 

[Chomsky]

Man. Could you imagine?

“Hi. I’m an East Coast liberal that lives in a 4 million dollar apartment in Manhattan. I would like to personally thank you for closing your hospital so I could get a tax break.

I got my eye on some William Morris wall paper for the foyer.”

LMAO!

 

[L88]

Oh?
Tell me, what is the truth?
Does the bbb cut 900 billion dollars from Medicaid over 10 years or not?
Will that loss in funding close many clinics and hospitals or not?

Just answer these two questions with your "truth".

No it does not. Because if you could read the bill it cuts the money from HHS. But as most American born citizens you reliant on others for your decision making process.

It's up to the administrators to determine who gets what.

Just like MAGAs follow the leader as well.

 

[Crakhobarbie]

No it does not. Because if you could read the bill it cuts the money from HHS. But as most American born citizens you reliant on others for your decision making process.

It's up to the administrators to determine who gets what.

Just like MAGAs follow the leader as well.

You are failing to connect the dots.
But of course, you must be right, and multiple experts are wrong.
How silly of me to cast aspersions on your vast knowledge of our healthcare system

kudos too you.

Rural hospitals in danger of closure if budget bill passes

Nearly 400 independent rural hospitals could be pushed to the brink of closure if the Senate passes the budget reconciliation bill.

www.google.com

759 hospitals at risk of closure, state by state - Becker's Hospital Review | Healthcare News & Analysis

Seven-hundred and fifty-nine rural U.S. hospitals are at risk of closure due to financial problems, with about 40% of those hospitals at immediate risk of closure. The counts are drawn from the Center for Healthcare Quality and Payment Reform’s most recent analysis, based on hospitals’ latest...

www.google.com

Hospitals warn of closures with Senate tax bill

Hospitals say Medicaid cuts would leave millions of Americans without coverage and add financial pressures to hospitals. They say some hospitals would end up shutting down.

www.google.com

Medicaid cuts will devastate NY’s rural hospitals (Your Letters)

These already fragile hospitals serve a captive population and are often the largest employers in their communities, writes retired healthcare consultant.

www.google.com

https://www.google.com/url?sa=t&source=web&cd=&ved=2ahUKEwi3-b-E-KOOAxWDIEQIHeQiF3Y4ChAWegQIMRAB&url=https%3A%2F%2Fchqpr.org%2Fdownloads%2FRural_Hospitals_at_Risk_of_Closing.pdf&usg=AOvVaw1ymqbA9Dp3b3ZNyqGrMM9C&opi=89978449

 

[Geoist]

[/QUOTE]

It’s amazing how these rural areas survive, it really is.

We need a 21st Century Reconstruction Program. This time it needs to stick.

 

[Phys251]

It’s amazing how these rural areas survive, it really is.

Living in my part of NJ, you can literally choose which hospital to go to within a 30 minute distance for which speciality. In an emergency, you can be stabilized at one and transferred to another rather easily…and/or doctors of different specialties work in both as needed.

And that’s not even factoring in the dozens of Urgent Care places - they are literally everywhere.

Urban areas will survive the worst impacts of the BBB, especially in blue states with more state funding.

These red states and rural areas are going to really take the hits.

Those leopards just keep getting more faces to eat.

 

[Lycanthrope]

And ya, if the clinic was already struggling because of Medicare/Medicaid reimbursement rates and a new budget was signed cutting Medicaid even more? I can believe that executives would have already had a financial assessment done, and made a decision either way: (A) if the cuts don't happen - stay open, (B) if the cuts DO happen - whelp, there is no possibility to even braking even, start the shut down process.

Way too nuanced an assessment.

"Hospital musta sucked anyway, good riddance"

Now that's fluent MAGA!

 

[Scatty Kitty]

Rural southwest Nebraska clinic closes, blaming expected Medicaid cuts​

LINCOLN, Neb. (KLKN) — A clinic in southwest Nebraska announced Wednesday that it is closing due to financial challenges, including anticipated Medicaid cuts.

McCook-based Community Hospital said it is shutting down its clinic in Curtis, a town of about 900 people.

The Curtis Medical Center has been in operation for more than 30 years.

“Unfortunately, the current financial environment, driven by anticipated federal budget cuts to Medicaid, has made it impossible for us to continue operating all of our services, many of which have faced significant financial challenges for years,” Community Hospital CEO Troy Bruntz said in a statement.

KLKN

**********************************

View attachment 67577954

Here's an important reminder. You have to train people to think nobody will help them. You have to enforce learned helplessness through government policy. One of the ways to do that is by shutting down health clinics in places that need it the most. How can a person who is sick get better if there isn't someone there who knows how to help? The answer is simple, either you live with the knowledge nobody will help you, or you die. Such cruelty can only be found in those who make it their goal to inflict pain and suffering on those that need help.

And people wonder why Trump is a fascist.

 

[L88]

You are failing to connect the dots.
But of course, you must be right, and multiple experts are wrong.
How silly of me to cast aspersions on your vast knowledge of our healthcare system

kudos too you.

Rural hospitals in danger of closure if budget bill passes

Nearly 400 independent rural hospitals could be pushed to the brink of closure if the Senate passes the budget reconciliation bill.

www.google.com

759 hospitals at risk of closure, state by state - Becker's Hospital Review | Healthcare News & Analysis

Seven-hundred and fifty-nine rural U.S. hospitals are at risk of closure due to financial problems, with about 40% of those hospitals at immediate risk of closure. The counts are drawn from the Center for Healthcare Quality and Payment Reform’s most recent analysis, based on hospitals’ latest...

www.google.com

Hospitals warn of closures with Senate tax bill

Hospitals say Medicaid cuts would leave millions of Americans without coverage and add financial pressures to hospitals. They say some hospitals would end up shutting down.

www.google.com

Medicaid cuts will devastate NY’s rural hospitals (Your Letters)

These already fragile hospitals serve a captive population and are often the largest employers in their communities, writes retired healthcare consultant.

www.google.com

https://www.google.com/url?sa=t&source=web&cd=&ved=2ahUKEwi3-b-E-KOOAxWDIEQIHeQiF3Y4ChAWegQIMRAB&url=https%3A%2F%2Fchqpr.org%2Fdownloads%2FRural_Hospitals_at_Risk_of_Closing.pdf&usg=AOvVaw1ymqbA9Dp3b3ZNyqGrMM9C&opi=89978449

These are my guesses,
I do believe RFK jr is going to cut Medicaid or change to some crazy deductible, such as one dollar for every pound over weight.
Then also knowing RFKjr. He's going to cut Research as well.
For Medicare, who knows, it's such a tangled web he could torture it from infinite angles.
Let's not forget the states can step up their part of the funding for Medicaid, but states like Illinois and CA would be impossible.
Whatever gets hacked and how much isn't going to be pretty.

 

[reflechissez]

I didn't say it wouldn't go into effect. Try to be honest. Maybe Trump will Grandstand and say he want more spending for CMS. But CMS hasn't announced any changes from the Department of HHS. They can cut other things and not Medicaid.

Like what? Show your work.

 

[Deuce]

Really?

They have THAT many illegal aliens there?

You really hate rural people that much, do you?

 

[Deuce]

Dude. Did a brown person do something really bad to you at some point during your life?

Because most of them work their asses off. Doing jobs that Americans won't do.

Don't let him frame the conversation this way. This isn't about illegal immigrants.

This is about rural, Trump voting Americans losing a hospital because DONALD TRUMP IS TAKING THEIR HEALTHCARE AWAY