Source: In These Times
Ke hoʻomau nei ka coronavirus i ka US, ke kani mau nei nā moʻolelo weliweli: lako lapaau kumu ʻaʻohe wahi e ʻike ʻia, e hōʻike mau ana nā maʻi hou i ka hau, nā kahu hānai me nā haʻahaʻa hana hiki ʻole a hope-i-hope-i-hope hoʻoneʻe, limahana halemai me lawa ʻole nā lako pale pilikino (PPE) e maʻi nei.
E like paha ia me ka mea ʻole me ka mana o ka mālama olakino ʻAmelika i aʻo nui mai ka lā Malaki, akā ʻaʻole ʻoiaʻiʻo, e like me ka ʻōlelo a Saum Sutaria, ka luna nui o Tenet Healthcare, kahi kaulahao hale hoʻokipa nui. "Ua aʻo nui mākou," i haʻaheo ai ʻo Sutaria i ka poʻe loiloi Wall Street i ka wā a kāhea kūkā i ka waena o Iune. ʻO McKinsey alum a hōʻikeʻia Aspen Ideas Festival e kamaʻilio ana ka mea haʻi'ōlelo e pili ana i ka palena ʻana iā Covid-19 "nā kumukūʻai ma ke kumu o ka hoʻokele."
ʻOiaʻiʻo, hiki i nā haukapila ke hoʻohaʻahaʻa i kā lākou kumukūʻai ma nā ʻano he nui e hōʻino ai ka mālama maʻi. ʻO Tenet, no ka laʻana, furloughed an kupanaha 10% o kona mau limahana ma Malaki a me Aperila. Ua ho'ōki hoʻi ia i ka hāʻawi ʻana i nā waihona hoʻomaha 401 (k), PPE ʻai ʻia (a hooweliweli i ke ahi nā limahana i lawe mai i kā lākou iho), a ua hōʻemi i nā hola no kāna mau kahu. ʻO kekahi mau kahu hānai hoʻouna home hoʻololi waena, waiho i nā mea ʻē aʻe e nānā i nā ʻāpana e like me 20 mau maʻi. Ma kahi haukapila o Tenet ma Massachusetts, ua waiho nā kahu hānai ʻoi aku ma mua o 50 mau hōʻike ma luna o ʻelua pule o ʻApelila, e kākau ana i nā manawa kikoʻī e pili ana i ka hoʻohaʻahaʻa ʻana i nā mea maʻi. Ua ʻōlelo kekahi ua "ʻaʻole ʻo ia i hilahila i ka hana" ma kekahi wahi.
ʻO ke ʻano o ka hoʻokele maʻi maʻi ʻo Tenet i hōʻeha nui loa ma Detroit Medical Center (DMC), ka hui o ka haukapila nui o Detroit (me 2,000 mau moe) a me ka mea hana nui o ke kūlanakauhale. Ma kahi kokoke i 3,000 poʻe i make mai Covid-19 ma Wayne County, kahi o Detroit. I kēia manawa, a hoʻokolokolo i hoʻopiʻi ʻia e ʻehā mau kahu hānai DMC mua i ʻōlelo ʻia, i kekahi manawa, ua pōkole loa ʻo DMC i ka nui o ka poʻe i make. waikino paʻakikī ma mua o ka ʻike ʻana o kekahi ʻaʻole lākou e hanu. Ua ʻōlelo ka poʻe limahana i ka hoʻonui ʻana o nā luna o ka haukapila i ka nui o ka make ma o ke aʻo ʻana i nā kahu hānai ʻaʻole e hoʻōla i nā maʻi i manaʻo ʻia he Covidien-19.
I ka hōʻiliʻili ʻana o nā kino, ua pau ka DMC i waho o nā ʻeke kino, a laila pau nā ʻeke kino. I ka wā i hōʻike mua ʻia ai kahi pūʻulu o nā kahu hānai no kā lākou neʻe ʻana e noi i ko lākou mau luna no ka hoʻoikaika ʻana - ma waho o ka haukapila a i ʻole ma waena o nā limahana 1,500 i waiho ʻia ka ʻōnaehana i nā makahiki i hala aku nei - ua hoʻouna nā luna o Tenet iā lākou i ka home. A laila, hana nā limahana o ka lā i 25 mau hola.
Ua ʻōlelo pū ka hoʻopiʻi ʻana i ka nele o ka PPE o ka lumi ulia pōpilikia i alakaʻi i nā make he nui ʻole, ʻoiai ua maʻi nā kahu hānai a me nā mea ʻē aʻe ma hope o ka maʻi. kaʻana like i nā ʻaʻahu haukapila a me nā maka.
ʻAʻole hou loa kēia austerity radical ma DMC, ʻoiai ke hōʻike nei ka maʻi maʻi i kāna mau pitfalls. I ka makahiki 2011, ua kūʻai ʻia ʻo DMC e Vanguard Health Systems, kahi i hoʻomalu ʻia e The Blackstone Group, kahi hui kūʻokoʻa kūʻokoʻa. Ua hoʻohiki ʻia ka ʻaelike me ka ʻōlelo hoʻohiki nui no ka haukapila i hoʻohana ai ʻo Mike Duggan, ka luna nui DMC mua i kōkua i ka hoʻopaʻa ʻana i ka ʻaelike, i hoʻohana i ka moʻolelo e kiʻi iā ia iho. mayor koho. ʻOiaʻiʻo, e like me ka nui o nā kuʻikahi kūʻokoʻa pilikino, ʻaʻole ka pahuhopu i ke olakino lōʻihi o ka ʻoihana (a i ʻole nā maʻi) akā e loaʻa kālā (wikiwiki) ma ka ʻoki ʻana i nā kumukūʻai, ka unuhi ʻana i ke kālā a hoʻohuli i kahi mea kūʻai aku.
ʻO ka lawe ʻana i kahi ʻoihana nunui e koi maʻamau i kahi puʻu kālā nui. Hiki i nā ʻoihana kūʻokoʻa kūʻokoʻa ke hoʻolilo kālā i kēlā mau lawe ʻana ma o ka hoʻohana ʻana i nā ʻoihana ponoʻī a lākou e kūʻai ai i mea hōʻaiʻē no nā hōʻaiʻē e kūʻai aku iā lākou-nā hōʻaiʻē a nā hui i kūʻai hou ʻia ma ka makau e uku. ʻO ka hamo ʻana i ka paʻakai i ka ʻeha, hoʻohana pinepine nā ʻoihana kūʻokoʻa i kekahi o ia kālā hou e uku iā lākou iho i ka puʻunaue, ʻoiai ʻaʻole i loaʻa kālā ka hui a lākou i kūʻai ai.
No laila ua hele pū me Blackstone, Vanguard Health a me DMC. Ua lawe ʻo Blackstone i $1 biliona ma ke kālā hōʻaiʻē no ka loaʻa ʻana o Vanguard Health i ka makahiki 2004, a laila lawe ʻo ia i $ 225 miliona i ka makahiki 2010 e loaʻa iā DMC ma ke ʻano he ʻāpana o Vanguard Health, a laila lawe hou i $ 750 miliona mau kālā i hoʻokahi makahiki ma hope e hoʻolilo kālā (ma waena o nā mea ʻē aʻe) puunaue hou, a laila lawe ʻo ia kekahi $ 350 miliona ma Malaki 2012.
Ma ka makahiki 2013, ke kaulahao halemai e hoʻolilo ana ma kahi o $200 miliona i ka makahiki ma kāna uku hōʻaiʻē. Eia nō naʻe, ʻo ka loaʻa kālā o Vanguard Health no nā makahiki ʻelima i hala aku nei i hui pū ʻia ma luna o $ 80 miliona. ʻO ia ka manawa i komo ai ʻo Tenet Healthcare, e uku ana i $1.8 biliona e kūʻai i DMC i ka makahiki 2013, me ka $ 2.5 ieeeea? i ka aie ukupanee nui.
I ka makahiki 2014, ua piʻi ka uku panee a Tenet i $754 miliona i ka makahiki—88% o kāna kahe kālā. Ua hōʻemi ʻo DMC i nā lilo, koʻi lipi ʻO kāna papahana mālama hānai pediatric a me ka mālama hānō a hoʻohaʻahaʻa i kāna papahana noho ma 2019. e oki ai he hapaha o kāna mau limahana ʻenehana maʻemaʻe ma waena o 2006 a me 2016, a hiki i kahi i hoʻopiʻi ai nā kauka DMC i ke koko a me nā ʻiʻo i waiho ʻia i loko o nā mea hana maʻemaʻe. ʻO kekahi ua hooki maoli ia na ka'ina hana no ka nele i na mea hana ma'ema'e; ʻO ka poʻe cardiologists nāna i hōʻike i ka hōʻino, ua pāpā ʻia lākou mai nā kuleana alakaʻi a ua hoʻopau ʻia kā lākou mau leka uila. I kēia manawa, ʻo DMC ua hōʻemi i kāna kālā no ka lawelawe ʻana i ka mālama ʻana i nā poʻe maʻi ʻilihune, ʻaʻole i hōʻoia ʻia mai $22.9 miliona i 2013 a i $470,000 i 2016.
ʻO ka ʻoki kihi i loko o ka ʻōnaehana mālama ola US ua pili i nā ʻoihana papa kiʻekiʻe. ʻO kahi kauka me ke kaulahao dermatology kākoʻo pilikino nui loa, no ka laʻana Bloomberg Ma mua o kēia makahiki ua hoʻomaka ʻo ia e mālama i ka pepa toilet i kāna kaʻa (ʻoiai ma mua o ka maʻi maʻi) no ka mea "e kali ana i nā ʻae ʻoihana" haʻalele i kāna keʻena me ka ʻole o nā mea nui i nā manawa he nui. ʻO kekahi kauka ma ka papa waena o Oxford, ʻo Miss., ʻo ia puhiʻia ma hope o kona hoʻomaka ʻana i kahi ʻohi kālā Facebook e kūʻai aku i nā masks no nā kahu hānai no ka mea ʻaʻole i hāʻawi ʻia e ka limahana limahana pilikino. Ua hoʻokuʻu ʻia kahi kauka lumi pilikia me Blackstone's TeamHealth ma hope o ke kākau ʻana i kahi Facebook lāʻau kū e noonoo ana i ke kumu o ka Halemai hoʻopaʻa ʻana o India (kahi i hāʻawi manawaleʻa ai ʻo ia) ua ʻoi aku ka maikaʻi o ka ʻōnaehana triage Covid-19 ma mua o kāna haukapila ma ke kūlanakauhale ʻoi aku ka waiwai o Bellingham, Wash., (i kēlā manawa, kahi piko Covid-19), kahi i pāpā ʻia ai nā limahana mai ke kūʻai ʻana i kekahi mea me ka ʻole o ka ʻae ʻia mai kahi. "kauka loea" paʻakikī i ka hui.
I kēia manawa, ʻoi aku ka nui o ka poʻe ʻilihune e haʻalele iā lākou iho, e like me ke aʻo ʻana o nā kauka a me nā kahu hānai ma Philadelphia a me Chicago ma hope o Tenet. kūʻai aku i nā hale maʻi palekana palekana i ka makahiki 2017 a me 2019 i kahi hui o nā mea hoʻopukapuka liʻiliʻi o Kaleponi Hema (ua pani ʻia nā haukapila ma lalo o nā kūlana kālā pohihihi). Ke hoʻolālā nei ʻo Tenet e se kona mau halemai Memphis i kahi kaulahao kaulana no hoopii i na ma'i nele maluna o ka aie lapaau. ʻO Leonard Green & Partners, ʻo ia ka hui kūʻokoʻa kūʻokoʻa ma Los Angeles ua omo i na haneri miliona dala mai loko mai o ka hale kūʻai banekorupa ʻo J. Crew, ua pani i kahi ʻōnaehana halemai palekana ma San Antonio a kūʻai aku i kona mau hale i kahi mea hoʻomohala hōkele, e unuhi ana i $658 miliona nona iho ma na mahele a me na uku.
Akā e like me ka wehewehe ʻana o Tenet's Saum Sutaria ma kāna kelepona kūkā ʻana, he manawa hoihoi ka maʻi maʻi e loaʻa ai ka waiwai i ka poʻe ʻilihune. Ma ka ʻāina a puni, ua hana ʻo Tenet a me nā kaulahao ʻē aʻe i kahi kaʻina i kapa ʻia ʻo "cohorting," hoʻonohonoho i nā papa DIY Covid-19 i loko. rec centers, hale lalo, kahiko hale hospice a me nā hakahaka like. I ka hui pū ʻana me nā piliona kālā i loaʻa iā Tenet mai CARES Act bailouts (ʻaʻole wale i nā hōʻaiʻē kala ʻia), ua hoʻomaʻemaʻe kēia mālama maʻi maʻi makeshift i ka hale hoʻomaha no ka hoʻomau ʻana i nā ʻoihana koho maikaʻi, ma ka ʻaoʻao o ke kahe koko maʻi.
ʻO nā kūlana weliweli i loko o kahi ʻāpana makeshift Covid-19 - e pili ana i kahi hale hoʻomaha ʻole ma Edinburg, Texas, i hoʻokele ʻia e ka hui ʻo Kauka Kauka ma Renaissance - ke kumuhana o kahi ʻO ka ʻōpū o ka ʻōpū Twitter thread e hōʻike ana i nā koi o nā poʻe maʻi i uhi ʻia me nā ʻanuʻu, nā moʻolelo o nā lako lepo a me nā kauka hele ʻole, a me nā make pono ʻole i hoʻokumu ʻia e kahi pūnaewele preposterous o nā pahu oxygen haʻahaʻa haʻahaʻa. ʻO nā moʻolelo Twitter e pili ana i hōʻiliʻili ʻia e kahi kahu hānai Florida kahi i huli aku ai nā kahu huakaʻi huakaʻi i ka hapalua o ka puʻukū - ma hope o kā lākou ʻoihana limahana i hoʻoweliweli iā lākou me ka "demobilization" inā lākou e ʻōlelo. Ua ʻike koke nā mea nānā i ka hoʻonohonoho ʻana ma ke ʻano he pepehi kanaka. No Tenet a me kahi hui hoʻokō lōʻihi e hoʻopilikia ʻia e ka nui o ka loaʻa kālā a me ka piʻi ʻana o nā kumukūʻai hoʻokolokolo, akā naʻe, ʻo kēia "hou" i ka "hoʻohui" hoʻomanawanui he wahi haʻaheo.
"Ua aʻo wale mākou i ka mālama ʻana i kēia mau maʻi ma kahi ʻano hoʻohui ʻia," i haʻaheo ai ʻo Sutaria.
ʻO ka hui nui o ke kālā CARES Act, nā ana austerity a me ka ʻae ʻana o ka lehulehu i ka make nui i hiki ai i ka maʻi maʻi ke hanu i ke ola hou i loko o nā manaʻo kālā o ka mea i kapa ʻia ʻo ka ʻoihana mālama olakino — hao, hāʻawi ʻia ma ka liʻiliʻi o ka pāpā ʻana o hoʻokahi hui i ke ola hou ʻana iā Covid-19. nā maʻi.
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