Health-care related posts seems to elicit the most vigorous and conflicting comments on this blog, so here's a little grist for the mill, from a column in the New York Times:
The bed linens were by Frette, Italian purveyors of high-thread-count sheets to popes and princes. The bathroom gleamed with polished marble. Huge windows displayed panoramic East River views. And in the hush of her $2,400 suite, a man in a black vest and tie proffered an elaborate menu and told her, “I’ll be your butler.”It was Greenberg 14 South, the elite wing on the new penthouse floor of NewYork-Presbyterian/Weill Cornell hospital. Pampering and décor to rival a grand hotel, if not a Downton Abbey, have long been the hallmark of such “amenities units,” often hidden behind closed doors at New York’s premier hospitals. But the phenomenon is escalating here and around the country, health care design specialists say, part of an international competition for wealthy patients willing to pay extra, even as the federal government cuts back hospital reimbursement in pursuit of a more universal and affordable American medical system..A waterfall, a grand piano and the image of a giant orchid grace the soaring ninth floor atrium of McKeen, leading to refurbished rooms that, like those in the hospital’s East 68th Street penthouse, cost patients $1,000 to $1,500 a day, and can be combined. That fee is on top of whatever base rate insurance pays to the hospital, or the roughly $4,500 a day that foreigners are charged, according to the hospital’s international services department...In Eleven West’s library on a recent Friday, Nancy Hemenway, a senior financial services executive, was reading the paper in a spa-style bathrobe. “I was supposed to be in Buenos Aires last week taking tango lessons, but unfortunately I hurt my back, so I’m here with my concierge,” she said.“I’m perfectly at home here — totally private, totally catered,” she added. “I have a primary-care physician who also acts as ringmaster for all my other doctors. And I see no people in training — only the best of the best.”
That last comment reminds me that some years ago a midwestern university hospital (which I will leave unnamed) had an upper floor reserved for wealthy patients, with posh accommodations, special food, and innumerable amenities. When physicians were on morning rounds, the students and housestaff would stay behind while the attendings went to see their private patients.
However, at night if there was an emergency and the attending was in a distant suburb, the housestaff and fellows were called and had to correct problems with electrolyte imbalance, improve inappropriate ventilator settings, or detect missed diagnoses. Many of the attending physicians were less procedurally competent (and frankly less practically knowledgeable) than the "physicians in training," who joked (among themselves) that the only good thing for the patients in the top floor suite was that the location was "close to a hospital."
However, at night if there was an emergency and the attending was in a distant suburb, the housestaff and fellows were called and had to correct problems with electrolyte imbalance, improve inappropriate ventilator settings, or detect missed diagnoses. Many of the attending physicians were less procedurally competent (and frankly less practically knowledgeable) than the "physicians in training," who joked (among themselves) that the only good thing for the patients in the top floor suite was that the location was "close to a hospital."
One final salient comment from the Times story:
“These kinds of patients, they’re paying cash — they’re the best kind of patient to have,” she added. “Theoretically, it trickles down.”
This is all very complicated, re the finances, re the medical implications, re the ethics etc. I'll defer any additional commentary; there's much more in the Times and in a related story in Salon.
Photo: Marilynn K. Yee/The New York Times
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