Posted by pineridger (anonymous) on February 23, 2008 at 5 a.m. (Suggest removal)

Does Wesselman answer to anyone ? Bill Mitchell did not
seem to have money problems like these.

Posted by sportsgirl81 (anonymous) on February 23, 2008 at 5:38 a.m. (Suggest removal)

I thought that the cardiologist Dr. Dulam works through both hospitals. If that's the case then why would you let the only cardiology nurse go?

Posted by shedevil (anonymous) on February 23, 2008 at 5:43 a.m. (Suggest removal)

if this hospital closes guess who is left holding the bag....the adams county taxpayers.we will have to pay off all of their loans.

Posted by ntzmom (anonymous) on February 23, 2008 at 5:45 a.m. (Suggest removal)

7.5 million in unpaid medical bills, that is astounding.
I wonder how Canada is able to give free health care to everyone?

Posted by Teach4Peace (anonymous) on February 23, 2008 at 6:41 a.m. (Suggest removal)

Come on Natchez, isn't this considered one of your major hospitals? Now it looks like it may not survive? Come on, and what's up with these statements:

"The hospital, aside from costly individual lawsuits, has no way to recover the money Bland said, and it will be a total write off."

"To worsen matters, Bland said an expected Medicaid reimbursement of nearly $1.5 million the hospital was expecting was recently cancelled."

"approximately $7.5 million in unpaid billing"

Correct me if I am wrong, but all of the above speak to mis-management. I understand medical bills can be way over the top, but who is responsible for making sure the hospital is paid? From medicaid or the patient? Also, why isn't there a charity hospital in Natchez anymore? WIth the median income in Natchez, some may not be able to pay medical bills, and charity hospitals ensure there funding so they are able to treat those who can't pay. Also, why is the hospital allowing Medicaid to leave them holding a 1.5 million dollar bag? Someone with management skills need to get at the helm of this sinking ship!

Posted by gemccull (Gary McCullars) on February 23, 2008 at 7:17 a.m. (Suggest removal)

http://www.natchezregional.com/nr.nsf/Vi...

"We have been successful because we have never lost sight of why we are here and why, each day, we do what we do. We are here because we believe in our mission, we have faith in each other and we have earned your trust."

Hmm!

Posted by natchezbum1 (anonymous) on February 23, 2008 at 7:30 a.m. (Suggest removal)

ntzmom, canada has very high income tax to pay for the medical they have. google canada medical and read some of the articals about how bad shape it is in.

teach4peace, go see what calls the ambulance for a free ride and treatment at natchez (charity) hospital. You have alot of people thinking its owed to them.

Posted by kpage (anonymous) on February 23, 2008 at 7:44 a.m. (Suggest removal)

If this is a sinking ship, what good will the bill Dearing is supporting to add a new mental health wing do now? No one is going to give them grants for it if they are admitting to financial trouble. So much for that idea!

Of course people can't afford their medical care. If you stay in one of their "luxurious suites", they'll charge you $5 for a coke (that's one of the cheaper items). They might even give you the wrong medicine and when you have a near-fatal reaction to it, they'll make sure to leave that medicine off the itemized bill for your convenience! Mine eyes have seen the gory!

Posted by amyrenene (anonymous) on February 23, 2008 at 7:52 a.m. (Suggest removal)

The thing about it is, though, that the hospital cannot deny treatment to a patient based on the fact that they do not have insurance. And they rarely see payment from those cases. I hate to see all of the cutbacks with the employees. They're all worked to the bone already. This brings to me concern of quality of care and if they are able to safely staff their nurses/aides. Besides, the other hospital is not really big enough to support ALL of the patient care needs of Natchez. Where would the patients go if NRMC was not around?

Posted by kpage (anonymous) on February 23, 2008 at 8:01 a.m. (Suggest removal)

That would be a sad story, indeed amyrenene!!!

They employ so many people. I thought there was a shortage of medical staff in this area? And an increase in sick people. This just doesn't make sense. Can it be that all the uninsured being treated and not paying are causing this problem? You'd think charging $25 for a pill you could get for 25 cents at the pharmacy would help pay for the one's who can't! Hmmmm...just me rattling my brain.

Posted by natchezbum1 (anonymous) on February 23, 2008 at 8:02 a.m. (Suggest removal)

work to the bone amyrenene? have you been to the emergency room lately. The services are not only slow, but the help is not very caring. I was there only a few months ago. Took the doc 2 1/2 hrs to see us. I saw no other patients in the hospital. when I contiued to ask where the doc was, I was told i could be arrested. This was 12 at night!

Posted by speakeasy (anonymous) on February 23, 2008 at 8:03 a.m. (Suggest removal)

All hospitals take a hit on care without reimbursement. So, what's new? $1.5 million in Medicaid reimbursement cancelled? Does that have anything to do with the long-held ideology and practices of the state, and for that matter, the federal govt.? We voted them in and this is the trickle-down effect of the business vs. humanity mind-set which has defined the Barbour/Bush legacy. We've put our money in Iraq, bombing the hell out of the innocents, hauling our brave warriors back on gurneys with injuries we now can't afford to heal. Barbour's cut funding for schools, social work, health care; he's more interested in protecting big tobacco than reducing the cost of groceries.

Posted by amyrenene (anonymous) on February 23, 2008 at 8:18 a.m. (Suggest removal)

I'm just speaking from experience of a floor worker. Having 2 nurses care for a floor full of people is not easy at all. I'm not real sure how the ER is run, but I hate to hear that you had that experience bum. The stress of being overworked often does lead to a less-caring attitude - and I'm not defending these people in any way. It's still wrong.

kpage - I agree, that's not their only problem...but it sure is part of it, I bet. I'm not sure what the answer is, but I hope they find it quick.

Posted by gemccull (Gary McCullars) on February 23, 2008 at 8:18 a.m. (Suggest removal)

Why are the board of supervisors just now getting involved with financial problems at the hospital? I would have thought a much lower dollar amount would have triggered action instead of the $7.5 million. Say a million dollar number or no more than two million and absolutely no more than three million.

The board of supervisors appoints the hospital board, right?? When was the last time the BOS met with the hospital board? One would think there would be some over sight.

Not that the $1.5 million from Medicaid would solve the financial problem but it would help, why was the claim denied/cancelled?

Posted by kpage (anonymous) on February 23, 2008 at 8:19 a.m. (Suggest removal)

Everyone has a gripe about our local hospitals. I also have horror stories. But the biggest gripe I have is the new after hours clinic in Vidalia on the riverfront. My 5-year old was standing there with his arm obviously broken and grossly hanging down when the lady said they didn't take LA medicaid, but would take MS. I said Hello!!!! You're IN LA, yet don't take it's insurance! So we had to wait 5 hours in Natchez...and he and one little boy were the only ones there in the ER!!!!
Like I said, we all have our gripes and it would be folly to expect them to treat every patient correctly. Did I say that? Oh goodness. What a shame!

Posted by gemccull (Gary McCullars) on February 23, 2008 at 8:29 a.m. (Suggest removal)

Is this meeting of the Boards open to the public? If not why not?

Posted by kpage (anonymous) on February 23, 2008 at 8:32 a.m. (Suggest removal)

Who makes up the board? I know one supervisor's mom sits on it.

Posted by gemccull (Gary McCullars) on February 23, 2008 at 8:48 a.m. (Suggest removal)

This may be the members of the Board of Trustees for Natchez Regional???

Mr. Bill Ernst, Mr. Dan Bland, Chairman, Mrs. Renza Grennell, Mr. Bernie Pyron, Dr. William Godfrey, and Rev. LeRoy White

Posted by gemccull (Gary McCullars) on February 23, 2008 at 8:52 a.m. (Suggest removal)

Website for my post above.

http://www.natchezregional.com/NR.nsf/Vi...

Posted by kpage (anonymous) on February 23, 2008 at 9:09 a.m. (Suggest removal)

Ok, we have a pharmacist, (is Bland a real estate man?), the supervisor's mom, a furniture store man, a doctor and a Reverend. Why is Py-rone on the board? Or the super's mom?

Posted by Krogers (anonymous) on February 23, 2008 at 9:12 a.m. (Suggest removal)

the article states quite clearly what the problem is

UNPAID BILLS

people do not feel obligated to keep their word and pay what they owe for the care they receive

it's really very simple

perhaps the hospital administration should more aggressively pursue collection and litigation

it's not mismanagement but patients abusing the system

Posted by Krogers (anonymous) on February 23, 2008 at 9:23 a.m. (Suggest removal)

so many people just don't understand the facts of taking responsibility for their own health and maintaining a healthy lifestyle

they allow themselves to get so fat and sick and then expect a miracle from the doctors who I believe do their best, but how can you help someone that will not take action on their own with proper daily health care at home in the manner of -- NO SMOKING, BALANCED DIET, MODERATE ALCOHOL, EXCERCISE,

there are no MAGIC PILLS!!

you combine this ignorance of health with an entitlement philosophy and you have what we have now, A MESS of sickness and debt.

Posted by Krogers (anonymous) on February 23, 2008 at 9:29 a.m. (Suggest removal)

die hard liberals will never face the fact that there is no such thing as FREE anything.

someone has to pay, and it has to be the patient, it's not fair and it just doesn't work to attempt to MANDATE by universal health care or any other gov't program that one particular segment of society - TAXPAYERS - pay the bills of those that refuse to pull their own weight and take care of their own problems with work and acceptance of responsibility - MORALITY- duty to the community.

Posted by Bozo (anonymous) on February 23, 2008 at 9:55 a.m. (Suggest removal)

To many people use the hospital and don't pay their bills. They'll pay a little bit for a while, then quit altogether. YOU KNOW WHO YOU ARE!!!! The same people rather spend a small fortune on cellphones and bling-bling than buy health insurance. The ones that do pay, end up being gouged to cover the deadbeats. Health care is NOT a right, it has to be paid for. When everybody pays something, it becomes more affordable for all.

Posted by Krogers (anonymous) on February 23, 2008 at 10:07 a.m. (Suggest removal)

well said Bozo--

I had a hernia surgery a few years back at Regional, on an outpatient basis, it cost around $7,000

My daughter had her tonsils removed at Community, that cost $10,000 - I was shocked. I remember many years ago I had mine taken out in the doctor's office for way less with no hospital needed.

I raised hell with Community over that absurd bill and negotiated it down.

in my humble opinion, I recommend everyone start an Health Savings Account (thank you President Bush!) now, before the Democrats have a chance to take that opportunity away, start a high deductible insurance plan, and do some study and work on learning how to get healthy -- WORK OUT HARD AND ENJOY having a fully functional body, mind, and spirit.

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 10:07 a.m. (Suggest removal)

sum ting wong, sun ting wong...businesses have priced themselves out of business...big business want big bank account...while minimum wage earner struggle to survive...housing forclosure cause banks and mortgage companies to close...car repossessions cause banks and lending companies to close...sum ting wong...bad management...without consumer...no one make profit...without arm...no hand...without leg...no foot...ya see...numa one son needed...without people...no big business...sum 1 4got b grateful say thankU 4 doN bidNess...first ting go when time get bad...medical treatment...no one can afford b sick...go ER...say will pay but can't...it will get worse...gas over 3 dola gallon...sum ting wong...but mission accomplished!

Posted by Krogers (anonymous) on February 23, 2008 at 10:27 a.m. (Suggest removal)

I think it's about time the real estate bubble burst

gas over 3 dollar? Well then let's open up California coast and Alaska and allow more exploration and drilling, and go ahead and use some Iraq oil, they owe us for fighting for them.

Inflation? well quit giving away so much money, then money will have more value,

minimum wage earner -- invest in yourself with training and education and become more valuable so you can earn more

The Democrats continue to put barriers up to solutions - giving away money devalues the money, preventing oil exploration and drilling drives price up, more taxes drives prices up, higher minimum wage increases unemployment

Let's get back to basic supply and demand with less government intervention

Government is best when it interfers least, and ask not what your country can do for you, yet ask what you can do for your country - Democrats ain't what they used to be people - become a Republican TODAY!!

Posted by MsKitty39120 (anonymous) on February 23, 2008 at 10:29 a.m. (Suggest removal)

i have never understood why you have to sit 4 hrs in the ER and then when you do get back its a nother 2 hrs. and when you go look to see whats going on they are sitting there talking and i see no Dr. around. thats no fun nor easy when you have a sick child. . well here we go..... the other hosp. just just fine but it has its waiting time too.why some doc. dont use it ??? The Tillmans dont own Nat R????? I was told that they did. i guess that was just a rumer. . all the $$ they put into adding on why dont they pay for what they got first.

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 11:11 a.m. (Suggest removal)

clinic, after hours promise Vidalia would b low price...good for poor area...$40 visit...b4 year up...$70 visit...b4 year up $120 visit...price increase good for owner, not area.

Natchez Regional used 2b own by county wid charity fund 4 poor

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 11:13 a.m. (Suggest removal)

JunkyardDawg help many doctor pay 4 mercedes.

Posted by destiny (anonymous) on February 23, 2008 at 11:26 a.m. (Suggest removal)

I've heard this story over and over for the past thirty years but they keep building on and building on. Construction everytime you go there. If it's so broke who's paying for all this contracting work to be done??????? Hope they find another poor song to sing. This one's getting too old.

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 11:31 a.m. (Suggest removal)

We are the government. Government=of the people, 4 the people and by the people...We are the government...what we do for the government, we do for ourselves, what our government does for us=us doing for ourselves.

Posted by Krogers (anonymous) on February 23, 2008 at 11:32 a.m. (Suggest removal)

I'm having a hard time following the lack of logic

ER's have a priority - LIFE THREATENING situations come first

if your baby's got a cold, call your family doc and make an appointment (it's a shame though to have to wait isn't it!)

Wouldn't it be nice though, if we had old time doctor's care with HOUSE CALLS!! I think that if we had some innovative doctors that really wanted to change things, they could still make a good living and try not to charge so much and give more timely care. And It does kind of bother me that some young doctors can afford a million dollar house before 40 yrs old, that is kind of rubbing everyone's nose in it, and does point to taking advantage. But I'm not against anyone earning a good living and being fairly compensated for their investment in their training, facilities, staff, etc. but please don't abuse your community.

I believe the addition of a mental health unit is with grant money and won't come out of county funds, I'm not sure? Anyone know the facts on that? But you have a good point MissKitty -- take care of what you have first then add on.

Junkyard-- I guess the AfterHours Clinic was not expecting the high costs and low priority illness they would be asked to treat . Everyone wants to see a Doc RIGHT NOW when they feel bad and will rush over there with the least little problem which drives up the cost of care.

Posted by oakalley (anonymous) on February 23, 2008 at 11:47 a.m. (Suggest removal)

First of all I believe that the 7.5 Million is a smoke screen. They are probably going back 10+ years and lumping all the old accounts, Medicaid write-offs as well as Medicare that by law cannot be collected from the patient. This is a ploy to cover up the gross mismanagement and really incredibly bad decisions that have been made over the past few years.

As to the Cardiology nurse, the manager of the cath lab who I assume they were referring was not a nurse.

First big bad decision. The Cath Lab. this one was set up, costing hundreds of thousands of dollars, knowing full well that only basic cardiology services could safely be performed as there was no Cardiac Surgery back-up available. Personally, I would never have a cath done in a lab with no Cardiac Surgery backup. Balloon Angioplasties and stent placements as well. should there be complications, the first available Cardiac Surgery facility is in McComb! the Cath Lab is now closed, after sucking untold amounts of dollars from the hospital.

Second bad decision, physician recruitment. We have had several, A Vascular surgeon, Gastroenterologist and a Cardiologist who were all "Circuit riders". these are physicians who travel from place to place signing on with huge upfront bonuses, usually with a salary structure that doesn't reward hard work. Average time that these physicians have spent here is about 1 year. All of these above are what has really contributed to the hospital's financial dilemma.

True, bill collecting may be not as aggressive as is needed, but their are some bills that are just not collectible. NRMC gets lots of "self Pay" patients through the ER. Many of these are folks who financially would never be able to pay a 250,000 dollar hospital bill, resulting from a wreck, gunshot, etc. They would be hard pressed to pay a 2500 dollar bill. These are by and large uncollectible, but they are part of being a County Hospital that serves the needs of everyone.

There are lots and lots of other problems, could probably write a book about all the mismanagement and bad decisions that go back years under the Quorum administration.

I believe that the people of Adams County are owed an explanation by the board of Trustees as well as the hospital administration. this will have to be done through the Board of Supervisors. Ultimately, the Supervisors are the ones that will be have this problem dumped in their lap. I don't think the good citizens of Adams County are in the mood to see a sales tax or big millage increase on their property taxes to bail out NRMC. I think it's well past the time that NRMC board of trustees and the administration be fully accountable to the Supervisors, and I think that the Supervisorsneed to ask the hard questions as to why NRMC got into this condition. Better to try to make the hard decisions now rather than later when the hospital is completely beyond help.

Posted by ntztransplant17 (anonymous) on February 23, 2008 at 11:47 a.m. (Suggest removal)

What a shame if we lost NRMC. Alternatively, the hospital could be "bought out". We have all heard rumors of this happening for many years, so why couldn't/shouldn't it happen now? At least the community wouldn't lose the much needed facility. I agree with many who have posted that the problem is people have used the hospital and the ER (especially) as their own free healthcare and don't feel any obligation to pay their bills. They think because the hospital can't legally turn them away, they are entitled to this. NRMC has pulled "out of the red" many times in the past and I think they will probably do it again, but that won't solve the problem of the welfare attitude of MANY people in Natchez. That's what happens when so many people think they're "entitled" to freebies. By the way, the Tillmans own many businesses, clinics, etc., in Natchez and Vidalia, but they have no financial interest in NRMC - it's a county hospital with no investors or owners per se. As for the Medicare denial of reimbursement, you have no idea how much revenue is lost annually because of insurance denials - with Medicare probably being the worst. These denials are not the fault of NRMC, but the insurance companies who can do whatever they want. Let's put some of the blame where it actually belongs - Medicare/Medicaid and other insurance companies. NRMC Administration and Board of Trustees can only do so much when doing business with the government, so don't bash them because they largely have their hands tied with no recourse when Medicare/Medicaid denies payment. As far as collecting directly from patients, the billing department at NRMC does a great job of collections, but as often happens, even suing for the money (a last resort) doesn't ensure that the money will be paid and additionally costs NRMC part of the payment in fees. There are many factors which play into the present problems at NRMC and we need to offer support instead of criticism.

Posted by rushinghjr (anonymous) on February 23, 2008 at 12:06 p.m. (Suggest removal)

Good comments Krogers!

Posted by toosweet23 (anonymous) on February 23, 2008 at 12:09 p.m. (Suggest removal)

Krogers, you are a real racist, and you have no problem showing it. Everything you write in this section show a little bit of racism. Maybe, you've never been real sick. Just keep living, and by the way what di you mean "people allow themselves to get so fat and sick? How much do you weigh? From all the comments, you probably weigh a great amount, yourself. The opinon starts on one thing and you take it to a political thing. What right do you have to tell others to become a Republician. That's when everything started to go bad. For the past 7 1/2 years, this nation has been in a mess. Be a Republician, you will still have to suffer with us Democrats, and guess what, WE will make it better than you Republicians, because we KNOW how to survive.

Posted by oakalley (anonymous) on February 23, 2008 at 12:26 p.m. (Suggest removal)

ntztransplant17, your are correct to a point, however every hospital has the same problem with collections. True some of the private, for profits are much more aggressive in collecting than is NRMC. However the point is, the problem the hospital is in today is not just a collections problem as the Board of trustees are portraying, but a result of many poor decisions by hospital administration that go back years. Some decisions may look good on paper, but had the administration done their homework, maybe some of these problems could have been averted.

I believe that one of the basic traps that create huge problems for small rural hospitals is to try to do too many things that are beyond the scope of the hospital. It's better to offer basic services, Surgery,ER, Obstetrics and do them well, rather than doing a poor job of offering services such as Invasive Cardiology(Cath Lab), Cardiac Surgery, Neuro Surgery, etc, which are better left to the bigger Urban Medical Centers. Underutilization of these very, very expensive services can get a hospital into trouble pretty quickly. Sometimes I believe that all of this traces back to administrative "ego trips". It's a great bragging point when you go to the Hospital Association meetings to be tell everyone about your new state of the art Cath Lab or Cardiac Surgery suite, but if it's sitting empty 90% of the time, its a money pit, not a revenue producer. Be the best at what your good at and leave the rest to someone else.

As to the sale of NRMC, that subject has come up on an almost annual basis for many years, ever since Bill Mitchell,the administrator at NRMC, tried to buy Natchez Community from Humana. In retrospect that would have been the best decision ever made concerning the hospitals in Natchez. Alas, it did not come to pass. Since then it has been Humana and then HMA trying to buy NRMC. Who knows how that will ultimately play out. The citizens of this county and the surrounding area would be better served if there were only one hospital in Natchez. First it would cut out a tremendous amount of insanely expensive duplication of services. Does Natchez really need 2 MRI machines, 2 64 slice CT Scanners, 2 Obstetric departments, OR's, ER's, etc, etc. All of these machines and services are very expensive and for the most part under utilized at both hospitals.
The big question is if there were only one, what form would it take, Private, for Profit or County owned.

The task at hand today however is getting NRMC back on its feet. If that fails, the two hospital question will be moot, as NCH will be the last one standin

Posted by Teach4Peace (anonymous) on February 23, 2008 at 12:30 p.m. (Suggest removal)

Oakalley, VERY solid, lucid, sane comments! It's mis-management. Even if people aren't paying their bills, who's responsible for following up when they DON'T. People do that. There must be a system of progression that is put into place and practiced, when people don't pay their bill. I know I am fortunate to work in an industry where I have good medical benefits. Whatever insurance does not pay, I am able, but this is not the case for everyone. The idea that medical treatment is a priveledge is so sad, unless we were to be placed in that situation. I am not saying the hospital works for free, but those of us who are shirking our payments, pay up. As for the agencies who owe the hospital money, as another poster said, this may not be new, but in this case, it is DIRE. It could mean the difference in if this hospital stays open or closes. Someone needs to grab the reigns and get things in order.

Posted by gemccull (Gary McCullars) on February 23, 2008 at 12:45 p.m. (Suggest removal)

You know, there are a lot us in town that do not use Natchez Regional! It is not about red, yellow, black or white, it is about their indifference to our insurance carrier.

You would figure that if the private hospital will accommodate us, then the public hospital should do the same. Go figure.

Since the public hospital does not care about my needs, close it.
It is one less burden on some of us taxpayers.

Just my opinion!!

Posted by oakalley (anonymous) on February 23, 2008 at 12:49 p.m. (Suggest removal)

I believe that the 1.5 million that NRMC says it is "owed", is a one time payment that NRMC as well as every other hospital in MS classified as serving a rural,underserved area receives. This is above and beyond the regular Medicaid reimbursement. Unfortunately, MS Medicaid has a debt of 92 Million dollars. Probably ,the decision was made to cancel this one time payment to all the rural,underserved area hospitals, not just NRMC. This is just speculation on my part so it may not be accurate.

Also unfortunately for NRMC, they were expecting and counting on this payment, and may have spent the money in anticipation of receiving it. And as you stated above the situation is DIRE!! What happens if they can't make payroll? Or worse, they pay everyone and the checks "bounce"? Not a pleasant thought.

Posted by MsKitty39120 (anonymous) on February 23, 2008 at 12:59 p.m. (Suggest removal)

yes Krogers i agree but when you call your Dr for apointment abd you have fever104 and still goingup with a cold (Flu) and cant get it to stay down. you call on a monday and they say they can see you Fri at 4:oo hell could be dead by then . they say go to the ER then you go to the ER and they say itll be a 2 hr wait and your there for 6hrs with a child and the ER act like you a stupid for coming with a cold. what in the world do you do?? Health care is gone to the Dogs... thats a thought ,call a vet you can get in that day. and they go to school longer than a Med Dr haha LOL

Posted by NatchezEnema (anonymous) on February 23, 2008 at 1:31 p.m. (Suggest removal)

Didn't I read in a post somewhere we have a great hospital medical care industry somewhere.

Posted by kpage (anonymous) on February 23, 2008 at 1:34 p.m. (Suggest removal)

Hey MsKitty...why don't we go to the vet's to get treated? He/She probably has better bedside manners and costs much less. And we'd get in the same day! Beats getting blown off by an ER physician who's playing cards in a back room while our sick babies cry.

Posted by Bobaloo (anonymous) on February 23, 2008 at 1:35 p.m. (Suggest removal)

Krogers..... when did you become such card carrying Republican?Not what i remember. I remember quite the liberal.
Political parties are a big part of the problem.
there should be no political parties. it's just another way of divide and conquer.
Should i point out, medical ops and pharmaceutical companies are mostly republican driven. Check out their lobbyist.
Maybe some of the problem here is that the med ops & pharm co's have manipulated the market to where someone without a lot of money or an insurance plan can not afford healthcare, therefore the deliquent acct's rec. Even with ins. everything is so ridiculously overbilled it's stupid.

Posted by NatchezEnema (anonymous) on February 23, 2008 at 1:46 p.m. (Suggest removal)

What has happened here is if you have good insurance most people go to Jackson, Baton Rouge, or some other big city, unless it is an emergency, Know why? You will get screwed if you have good insurance, so what is left? people who can't pay with no insurance,It didn't take but one time for them to charge my insurance 4,200$ for a simple xray. after calling Jackson and getting a price of 900$ for the same thing, if I go there it will be because I have to, just please stabilize me so I can get to Jackson. Good doctors and nurses but the management is a lot like the CVB .

Posted by muleman (anonymous) on February 23, 2008 at 1:46 p.m. (Suggest removal)

It is a sad story but, quiet true. County hospitals all over the country are suffering the same problems as NRMC.
I don't have all the answers but, I think that the time has passed when county governments need to be in the healthcare business. The healthcare business is a very tough business to be in at this time. Billing for healthcare is very difficult. You don't just send a bill to Medicare, Medicaid or any private insurance company and get a check in a few days. Every i has to be dotted and t crossed. As to the comments that some other organization might buy NRMC. Why would they when NRMC has all this debt and I bet that this is just the tip of the iceberg concerning their debt.

Posted by Krogers (anonymous) on February 23, 2008 at 2:12 p.m. (Suggest removal)

Ms Kitty I hope your baby is ok

it is true the the flu has been really bad, I didn't mean to single you out on that, I apologize

I think we're all in agreement medical treatment is way too costly

I know I argue with my insurance people about their approval or NOT quite often for medicines my family needs

OH - toosweet- that was uncalled for to bring up the race card - I never said anything about race and never indicated any racial attachment to who was fat. I know that abuse of the ER and obesity is a fact, whether it is racially oriented, I don't care, and your anger at facing the facts is beside the point. I do need to loose a few pounds but well within my limits and can perform very adequately, thank you. Republicans, in my opinion have done pretty good cleaning up the mess Bill Clinton left us, having to manage our country's greatest disasters and most tragic terrorist attacks in history during President Bush's terms. He has had his hands full trying to do good things while the Democrats do their best to hamstring him in Congress.

I have had young family members die here, one in childbirth, so I know how tragic things can get. But still, it's not the doctors fault if you get sick, and you can't expect miracles, but we can pray for them. For Natchez' sake, I hope Regional cleans up their mess and figures a way to improve their financial statement, in the meantime, I trust the doctors will do their best to serve us all. I'll go there if I have to, but I will also seek treatment from specialists out of town if I am able. I realize I am very blessed, but I also work very hard to stay healthy, I hope all of you have sense enough to do the same.

Posted by Krogers (anonymous) on February 23, 2008 at 2:15 p.m. (Suggest removal)

Toosweet, It's called the First Amendment - the right to free speech, --- I have every right to recruit Republicans same as you do

typical liberal -- you desire to limit my rights of free speech while you rant on about racism when I have been very careful not to go there

Posted by Krogers (anonymous) on February 23, 2008 at 2:16 p.m. (Suggest removal)

Make the country a better place

Become a Republican today!!!

Posted by Krogers (anonymous) on February 23, 2008 at 2:20 p.m. (Suggest removal)

Oakvalley,

thank you for taking the time to share all that information, I know I appreciate that

Posted by NatchezEnema (anonymous) on February 23, 2008 at 2:25 p.m. (Suggest removal)

You think the democrat plan for the goverment taking health care over is great? Go down to the post office in the morning or evening and see how long it takes to get a package shipped or get a book of stamps.

Posted by Krogers (anonymous) on February 23, 2008 at 3:17 p.m. (Suggest removal)

Hey Bobaloo- who are you?

We all have to grow up sometimes friend,
growing up in Natchez, it's easy to fall in place with all the liberals

The youth are foolish and easily deceived

But a man must put aside childish games
I hope you have learned some lessons from life as you have grown, so you won't keep repeating them

Posted by redusmfan (anonymous) on February 23, 2008 at 3:35 p.m. (Suggest removal)

turn out the lights, the party is over...all good things must come to an end.

Posted by MsKitty39120 (anonymous) on February 23, 2008 at 3:55 p.m. (Suggest removal)

TY Krogers yes Baby is ok.he is 3 and my grandson.. I for got to tell you tho that we had to make 2 tips in one dday to The ER (NR) the 1st because we couldnt keep him a wake and dr Rus said to tke him to the ER they said he had a cold sent home.. that night fever went so high it was hot to toutch him and i was scared to try to get it down my self. scared it would drop to fast and hace a confulsion( cant spell) so she said take him back and tell them to do a nose swipe for the flu like they should have done and put him on tamiflu.. hell we had to tell the ER DR what to do and he got mad and was rude no need to report him cause they are not going to do anything.. and when you go into the hosp to stay you dont get to see your DR you have to see the in house DR.. be cause Dr
woofe does not do calls to the hosp. to ck on his patients. does any one know that... you have to see the doc that sees everyone....thats on call. God knows they get payed enogh to vist and ck on their patients with out haveing to pay another doc to ck on you.. Lord, dont get me started....

Posted by Teach4Peace (anonymous) on February 23, 2008 at 5:18 p.m. (Suggest removal)

I wonder who's gonna clean up the horrendous mess George W is leaving?

Posted by rushinghjr (anonymous) on February 23, 2008 at 5:39 p.m. (Suggest removal)

George W inherited the "mess" from the DemocRATS! Live with it or move home!

Posted by NatchezEnema (anonymous) on February 23, 2008 at 5:39 p.m. (Suggest removal)

Maybe the same people that cleaned up after Jimmy Carter or Bill clinton!

Posted by Bobaloo (anonymous) on February 23, 2008 at 5:52 p.m. (Suggest removal)

Do we have to put politics into every comment section? This topic started off as NMRH problems but has way too much Rep/Dem hate and finger pointing.

Both parties are lame.
The American people have to live with their agendas.

Maybe there could be a forum for politics and it might not show up in every article open for comment.

Wanna make the country a better place? kill off the political party system and make it straight up issues and solutions. That would be ideal.

Dreamland, i know.....

Posted by redusmfan (anonymous) on February 23, 2008 at 6:21 p.m. (Suggest removal)

What we are getting is leadership that reflects the people that they represent. I am not going into republican and democrat arguments. Just look at the country and then it is no wonder why we have the type of politicians that we have in office on any level. We go into the voting booth with out list of wants and we wonder which one is going to fullfil our needs, instead of the whole country.

We are sowing what we have reaped in this country.

Wake Up !!!

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 7:11 p.m. (Suggest removal)

A republican in the office for the last 7 1/2 years has just about done this country in. I kept hearing republicans say our economy was so great; guess what, it's not. People are losing their homes, their automobiles, no jobs, can't pay their bills. A great economy would mean people have jobs and can meet their payments? Why can't republicans admit that something is wrong?

Vote Democrat and tell the republicans to scat! At least Bill Clinton knew when to open up the gas reserves and give people a break on gas prices.

Posted by Teach4Peace (anonymous) on February 23, 2008 at 8:06 p.m. (Suggest removal)

Amen, JunkyardDawg!!! I guess right now, or country is in the best shape it has ever been in!!! ROFLMBO!!!!! NOT!!!! I would agree with Bobaloo however, BOTH parties are lame and this current administration, wow, oh what the history books will say about it. But then again, it depends upon who's writing it.

Posted by RobinBrownHayes (anonymous) on February 23, 2008 at 9:43 p.m. (Suggest removal)

Well NatchezEnema, I can tell you the reason it's so slow at the Post Office is because I'm not there any more! LOL! And just another tidbit of information for you: The Post Office is self subsidized, it hasn't been a department of the government since 1971.

Posted by JunkyardDawg (anonymous) on February 23, 2008 at 9:50 p.m. (Suggest removal)

David Walker, Comptroller General of the USA resigning

http://8vsb.wordpress.com/2008/02/15/dav...

Posted by kpage (anonymous) on February 23, 2008 at 9:55 p.m. (Suggest removal)

Da-yum, RobinBrownHayes! Feel that? That's a back pat.

Posted by oakalley (anonymous) on February 23, 2008 at 10:13 p.m. (Suggest removal)

Folks, it's all well and good to talk about Democrats vs Republicans, but none of that is going to solve the problems of NRMC. If every person who read the Democrat article and took the time to post here would take another 5-10 minutes and call your Supervisor to express your concern about NRMC's dire situation, something positive could possibly be accomplished. I think that the supervisors need to know that we are concerned about the hospital, and we are depending on them as our elected representatives to make certain that the parties who were responsible for getting the hospital into the shape that it is in now are not allowed to continue in a position of authority. If that means firing the administrator, getting rid of Quorum and dissolving the present hospital board and reappointing a new board, then that's what they should do. But to do nothing is certainly not in the best interest of our community and the citizens of this area. You might remind them that NRMC is the largest employer in Adams County, lots of votes and mad voters if the hospital goes under.

Posted by RobinBrownHayes (anonymous) on February 23, 2008 at 10:21 p.m. (Suggest removal)

My 3 year old grandson was just in NRMC last weekend with pneumonia. Although the accomodations left a lot to be desired, he was treated well. In the past I have spent time at both hospitals and I have to say, NRMC is my choice if you have to be admitted.

Posted by kpage (anonymous) on February 23, 2008 at 10:23 p.m. (Suggest removal)

JunkyardDog...about your link...I guess ole Dave decided to get honest, huh!!! I'll bet his conscience was eating him alive being America's top accountant. I'd have jumped at the chance to do good unto others, too. (I did read that right, didn't I)

Posted by gemccull (Gary McCullars) on February 23, 2008 at 10:28 p.m. (Suggest removal)

Kpage, did you read the comment to the article?

Ole John did not cut Dave much slack!

Posted by kpage (anonymous) on February 23, 2008 at 10:47 p.m. (Suggest removal)

OMGoodness, Gary!!!!!!! I would hate for a company I worked for cheer when I walk out of their doors for the last time. This man needs to plant a tree. It would be about the best legacy Davey Boy could muster at this point.

Posted by hutto2007 (anonymous) on February 23, 2008 at 11:14 p.m. (Suggest removal)

All this makes me so glad I moved from the Misslou. We have excellent healthcare, excellent and affordable health insurance with my company, and most of all, an economy that can support it. Natchez is failing due to bad leadership overall. Everyone wants change, but no one wants to work for it. So sad.

Posted by AT (anonymous) on February 23, 2008 at 11:26 p.m. (Suggest removal)

layoffs as a way out? the loan package was supposed to bail out the hospital. now the losses continue. supervisors committed our homestead exemption to secure the loans.
hma (community hosp) may buy regional out...but only after more conflict, losses and heartache.

Posted by topper (anonymous) on February 23, 2008 at 11:35 p.m. (Suggest removal)

Competion always improves services. I would like to see both hospitals remain open and viable. I do not wish to have my taxes raised to bail the hospital out of debt. Qurom should be held accountable. The board needs to get a lawyer involved. I am afraid there are many more lay offs to come before things get better. This is not something new. What took so long for someone to notice this horrible screw up with billing. The hospital board and the board of supervisors need to get their heads out of the sand.

Posted by cherron (anonymous) on February 24, 2008 at 5:35 a.m. (Suggest removal)

For reasons like this alot of private hospitals are hiring security to work the emergency room door. If you don't have insurance or $300 cash on you, you get turned around, legally they can do that because security did not sign the oath to provide service. Its a big thing in texas.

Posted by supertrucker47 (anonymous) on February 24, 2008 at 8:49 a.m. (Suggest removal)

good maybe theyll close the damn thing.

Posted by MsKitty39120 (anonymous) on February 24, 2008 at 9:01 a.m. (Suggest removal)

Hey Robin, I am the other grandmother of the 3 yr old and i dont like NR ER... you know me MawKitty.....

Posted by oakalley (anonymous) on February 24, 2008 at 9:58 a.m. (Suggest removal)

Topper,
In the healthcare industry, multiple studies have shown that competition does not improve services generally. What it does is increase very costly duplication of services. Every hospital wants to "do everything" So we have 2 MRI's, 2 64 slice CT scanners, 2 under utilized operating room suites with all the millions of dollars worth of equipment, 2 obstetrical suites (Natchez did very well for many years with one OB suite at NRMC until NCH decided to build an OB suite, against the wishes of all the OB Drs. in Natchez) and the list goes on and on. With shrinking reimbursement, (read: the Federal Govt is looking at cutting hospital and physician reimbursement to get Medicare under control, MS is facing a 92 million dollar Medicaid shortfall) Private insurances are always looking at ways to cut reimbursements. With all that facing the hospitals right down the road, Natchez needs to start thinking realistically about how and who are going to provide healthcare services to the Miss-Lou. There isn't going to be and easy solution to this problem, and unfortunately NRMC is in a very weak position with the prospect of more cuts in reimbursement. These problems didn't happen overnight, and no one person is to blame. I do blame the present administration and Board of Trustees for compounding the problem. Spending hundreds of thousands if not millions of dollars on new services which have proven to be a total bust, poor decisions on Physician recruiting, and spending money that was promised, but wasn’t in the bank have gotten NRMC into the dilemma that it now faces.

What’s the answer, I don’t have one frankly. Just like the studies have shown that Natchez is a “one boat town”, it more than likely is a “one hospital town”. I know that that isn’t palatable to lots of folks, and personally I have enjoyed the ability to choose, but reality is reality. Unless the citizens of Natchez are willing to have their taxes increased substantially to create a “slush fund” to subsidize NRMC, it probably cannot survive. We have as someone above mentioned pledged our Homestead exemptions to guarantee the previous bailout. Now the Hospital is back in the same situation maybe worse. Are our Supervisors going to give them more money? I certainly hope not, but I wouldn’t guarantee it, unless the citizens of Adams County make it known to the Supervisors that they are not in favor of more money, at least not with the present structure of NRMC’s administration and board of trustees. Maybe it’s time for the Board of Supervisors to take action and retake NRMC and give a try at local management. Just getting Quorum out of the picture would save several hundred thousand in management fees that come off the top line. They get paid whether the hospital is in the black or red.

Posted by csguidry (anonymous) on February 24, 2008 at 10:47 a.m. (Suggest removal)

It is not a good thing to loose any hospital in town that much is true but this is a problem many hospitals face nation wide. If in fact medical care did not charge such outrageous ammoutns of money then this would not be the case. People could pay their bills and it would be a win, win situations however the cost of medical care has reached such a high level that it is no longer possible for people to pay these kinds of bills on no more than people make.

I had to have a test done a few years back it was an MRI to see what was causing me to be so sick and trust me I was deathly ill. The test showed everything was fine but I knew better. To make a long story short After going to a different hospital they did a sonogram and found the problem.... I had gall stones. When they did the surgery it was worse than they realized and I like to have died.

These test are not always accurate so never take them to heart. That little test for MRI cost me $2,500.00 and it told me nothing. This is why people are so frustrated with health care it seems to be a cat and mouse game that always revolves around huge ammounts of money. All in all I had to shell out ruffly $30,000.00 for surgery doctors etc.
I now take medication for my illness but have stopped because some of it has such bad effects till it is worse than the illness. We are talking major side effects here, like rare blood disorder, rare forms of cancer and TB. These are not minor side effects and frankly I am not willing to play russian roulet with my life. I do not know what happened to medicine but for us to be this far advanced in the world and this is as good as they can do? I never remeber medicine being this dangerous in the past? you may get an upset stomach or a head ache but nothing like the side effects now. I will just take my chances with the illness now. But I digress.

People do not make this kind of money and the medical profession needs to realize this I know their work is valuable and their time is precious like most of us but you cannot get blood out of a turnip. I am affraid this whole country is going to have to down size and lower cost of goods and services because the public can no longer afford it. Insurance has cut out so much in claims and what they will not pay for many things, it too is a joke and highly unreliable. It all boils down to economics and unfortunately we are all suffering and until someone gets some common sense to do some good for this country and make some drastic changes this will not get any better. In the mean time there is little we can do.

Posted by oakalley (anonymous) on February 24, 2008 at 11:42 a.m. (Suggest removal)

I agree with you about the high costs, but one of the problems is the needless duplication of services. If you live in a town like Natchez with two small hospitals and each has a one million dollar MRI, guess who is going to have to pay for those machines? You the patient are. One machine running 10 hours per day non stop is going to generate a lot more revenue than two machines running 5 hours per day each. Thats why very often the same procedures done in Jackson, Baton Rouge, Houston, etc are much less expensive. the big busy hospitals can charge less per procedure because they make up the difference in volume. It takes the same amount of staff to run MRI's all day for 10 hours as it does to have one working off and on for maybe 4-5 hours per day.Also, two machines running half time require two full time staffs. That's the same problem with every service. The hospitals have to staff for the worse case scenario, which only happens 1-2 days per week. The OB units at both hospitals have to be staffed 24 hours per day even if they only have one patient, or even no patients. Reason. if you close the unit what happens if you have a patient in late labor come through the ER, and the OB unit is closed, could be big problems. So Hospitals like most businesses today operate on the economy of scale. The perfect scenario would be 100% utilization all the time. That is never achieved, but it is much more likely in bigger hositals.
The second problem and this one isn't just here in Natchez, but everywhere in the USA is the constant pressure on hospitals by both patients and physicians to have the latest and greatest of everything. Everyone wants to have the most modern up to date "cutting edge" technology at their fingertips. Well, guess what, that all comes at a cost, which must be passed on to the client/patient. Years ago, bfore MRI's you would have gotten an Ultrasound first, because that was all we had, maybe an X-ray or two as well, your gallstones would have been diagnosed sooner with the Ultrasound, surgery sooner and you probably would have had a much easier and speedier recovery. Problem is today a lot of the tests that are so expensive are considered "standards of care" and the physician who is being forced to practice "defensive" medicine is compelled to order all these tests, even though he/she might feel that all that you need is an Ultrasound. should complications arise and you sue the physician, deviating from "standards of care" are going to make his position a lot harder to defend in court. So not defending the physician, but in todays real world, a lot of the procedures are dictated not by the physicians but the legal community. We are getting far afield from the topic of this News article however. But the reality of all this is partially the reason NRMC is in the position it is in today.

Posted by Peace007 (anonymous) on February 24, 2008 at 2:50 p.m. (Suggest removal)

So, if you owe money to Natchez Regional, this would be a good time to pay on your account, just like I had to do when I was there as a patient.

Posted by rushinghjr (anonymous) on February 24, 2008 at 5:51 p.m. (Suggest removal)

Call Hillary or Owhampy and let the government take it over? Remember- Community is privately-owned and Jeff Davis( I prefer that name) is tax-payer owned and the County Government is running the show with Quorum as the Management. I have had dealings with Quorum before , you need to watch them very closely with a" fine-tooth comb "!

Posted by Teach4Peace (anonymous) on February 24, 2008 at 6:15 p.m. (Suggest removal)

csguidry, good post, are you doing better? I am glad you came out of it, God is indeed a healer!!!

Posted by justoneopinion (anonymous) on February 24, 2008 at 6:41 p.m. (Suggest removal)

Be aware that the Board of Trustees of the hospital are appointed by the Board of Supervisors

Posted by frogprincenessntz (anonymous) on February 24, 2008 at 9:48 p.m. (Suggest removal)

No one has mentioned the connection between the local doctors and NCH. They serve their own best interests whenever possible. I heard they also had a hand in the unsuccessful ventures of the new, now gone, gastroenterologist.

I have spent more time than I like at NRMC lately and the waits have increased dramatically over the last few years. I was told it was because the Medicaid patients used the ER as their doctor's office for anything, everything, and nothing.

Posted by MsKitty39120 (anonymous) on February 24, 2008 at 11:32 p.m. (Suggest removal)

Frogp its mostly because the Dr cant see you for 2-3 days and they tell you to go to the ER.

Posted by csguidry (anonymous) on February 25, 2008 at 2:20 a.m. (Suggest removal)

Teach4Peace, Yes I am better now Thank you for asking that is so sweet.I have minor aches and pains from surgery but the real danger is passed. I have a progressive form of Rheumatoid Arthritis and ovarian cancer which is becoming a little more progressive and am now disabled to walk without the help of a cane but the meds I am offered have far more side effects that are worse than the ailments so I simply pulled myself off the meds and just manage as best I can and only take meds I know won't make things worse. Most times I just try to find natural healers God first and foremost and foods and vitamins rather than use the meds besides they cost a fortune.

I have to find a new doctor the one I have seen for years passed away back in December and I found another one who called me in Janurary and told me he thought I may have MS and then never called me back to see about testing so I have worried over that for some time and feel this man is just too wreckless to be my doctor so I am now searching for another one. I have really lost faith in the nedical field it just seems like the meds are worse than the conditions and for some they may find it more comforting to be on the meds and that is most definitely their choice and I would not want anyone to follow my lead on this matter but for me personally I seem to do better off them than on them. The arthritis will never go away there is no cure and I know I will be an invalid on time, The jury is still out on the MS and the cancer well it runs in both sides of my family and I just deal with it on a daily basis.I have to go back in for surgery but right now I simply can't and I can't deal with the radiation so ... I don't.

Posted by hawk (anonymous) on February 25, 2008 at 8:42 a.m. (Suggest removal)

MAYBE THE PEOPLE THAT IS NOT PAYING ARE THE PEOPLE THAT RECIEVED BAD SERVICE LIKE SETTING IN THE EMERGENCY ROOM FOR 10 HOURS AND NEVER SEE A DR. HOW DO YOU JUSTIFY THIS? I THINK THEY SHOULD GO OUT OF BUSINESS THEY DO NOTHING FOR THE PEOPLE OF NATCHEZ ANYWAY. THIS HOSPITIAL IS THE BIGGEST JOKE I HAVE EVER SEEN. NATCHEZ COMMUNITY TAKES CARE OF THERE PATIENTS. EVERYBODY GO TO NATCHEZ COMMUNITY.

Posted by Rhino (anonymous) on February 25, 2008 at 5:10 p.m. (Suggest removal)

Oakalley: You make some very good points. I've been working at NRMC for over 15 years and have seen what Quorum has done which is nothing. They send in a new CEO and he speaks of profits and maybe even gives everyone a raise. Then after a year or so the same old story. Opps!....We made some accounting errors and we aren't doing as well as we thought. Time to cut hours , freeze raises, and lay some people off. Then they send a new CEO and it all starts over again. It always amazes me that we pay them to manage us and they get paid the same amount no matter how bad the management they provide may be. Like you say NRMC in the black or red makes no difference. Where is the motivation for Quorum to provide good management. I say if the Hospital makes a profit you get paid if not then the management you provided was poor and you don't get paid.

I know NRMC has it's faults just like any other healthcare provider. But this town does Not need HMA to have a monopoly in healthcare here. Money is HMA's top priority. Not your patient care. We have had several employees come to work with us from Community and give us some insight on how things are there. The software they use in there ER called Pro-Med is nothing but a money maker. If you tell the nurse you have back pain and she enters it into Pro-Med then the computer orders a preset battery of test for you to have before the Doctor ever sees you. These test may consist of Lab, X-ray, CT scans, Ultrasounds or any and all of the above. Then once you get through and do finally see the doctor he may decide the computer didn't order all the tests he needs and order more tests. HMA would have you believe that this software helps speed up your visit when all it really does is cost you and your insurance more money.

Lets not throw away our County Hospital just yet but let our
Supervisors know that we want it to stay but please fix the management issues.

Check the link below and download the IHSP Hospital 200 report 2005 and scroll to page 71 for most expensive Hospitals in Mississippi. You will see Natchez Community but you won't find NRMC in the list. Now which Hospital do we want for Natchez?

http://www.calnurses.org/media-center/pr...

Posted by niderbip (anonymous) on February 25, 2008 at 5:42 p.m. (Suggest removal)

how did they "turn a profit" while at the same time not collecting $7.5 mill?

Posted by topper (anonymous) on February 25, 2008 at 11 p.m. (Suggest removal)

There is no since in putting down one hospital to save face for another. The whole point is someone is not managing things well at NRMC which would be Qurom, the board of Sups and the hospital board that let things get this bad. Both hospitals have great staff and do a great job in delivering health care. I guess we will have to wait and see results of tomorrows meeting.

Posted by tsaint (anonymous) on February 26, 2008 at 9:50 p.m. (Suggest removal)

Oakalley, given your lucid, thoughtful, and insightful comments regarding the plight of Natchez Regional and health care in general, I assume you must work either in or closely with the field. I too am involved in the health care industry, and recently had been entertaining the idea of relocating to Natchez with my family. Now, however, I am extremely concerned about the solvency of the hospital and question the capability of its administration.

Posted by Rhino (anonymous) on February 26, 2008 at 10:45 p.m. (Suggest removal)

Tooper: I am not trying to be Bias and put down the other Hospitals staff. I'm sure they work hard and are very capable of providing good care to the patients. But what I am stateing is Fact about there money making management company and thought the community should be aware.