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The Globilization of American Hospitals
By Mark Dement
Hospitals have changed so much in most urban areas throughout America that most people wouldn't believe it. For some time now incentive work programs have brought tens of thousands of people, mainly from Africa, to work in the United States. These people are trained and are set up with lodging. etc to get on their feet. While we can applaud them or anyone else for that matter in trying to make their lives better, some would say we need to keep those jobs for our own citizens first. When I was hospitalized this past year, I met friendly people from Nigeria, South Africa to Cameroon. In this one 350 bed hospital some said that there were about 50 people from Africa there. In the other hospitals I've been in... it is the same situation. We obviously win by getting our needs met no matter where the help comes from. It's not about race to me. It's about quality work. And most of the people I came in contact with did a good job. Improvements, however, can be made in the language department. The hospitals would probably say that they have to get the medical people from somewhere. And, I guess they would be right. These people are from Nurses, to Techs, to testing folks and the list goes on. I wonder if the nations where they came from would be happy that we were taking all their talent to the US? The other matter, which is even more daunting, is that the vast majority of personal Physicians no longer go to hospitals to see their patients. So...the hospitals have Doctors called Hospitalists. It is their job to take care of you. The problem with that is that these Hospitalists don't know your full personal history and many times don't even take the time to read your information when they see you once a day. Furthermore...when the Hospitalists "drop by" they do so for about a 5 minute at best. The reason they spend so little time is that they have an enormous work load. When a 350 bed hospital has between 3-5 Hospitalists, well, you can do the math. And, they don't even usually work for the hospital. They are employed by a company and contracted to the hospital in most cases. My advice, before you go into the hospital, if possible, is to consult a Specialist. Then, have them admit you. They will come and see you in the hospital. Also, the admission process is streamlined and you will have a better experience. One last tip. If you ever have a major problem at the Hospital ask to speak with the Hospital Administrator. You will get prompt attention by hospital staff of an immediate nature if you do so. I guarantee it. Also, if you can request it...try and get your room on the same floor as the emergency room. The Hospitalists are not usually on duty late nights. So...the only Doctors would be in the emergency room. The closer you are to that room the quicker a Doctor can get to you in a severe emergency. When we see all these changes to our health care perhaps it is time we change it. While I'm not a fan of social medicine I am inclined to think more and more that health care is a right for all American Citizens. If every single industrialized nation of the world can have access to health care as a national right...why can't we? ...and justice for all.
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Contributor's Note
These comments are shared as thoughts of a personal and not professional nature. I hope you find some of these idea's helpful. God Speed.
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May, 2012
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