Umthombo: Kulezi Zikhathi
Njengoba i-coronavirus iqhubeka nokushaya i-US, izindaba ezesabekayo zisazwakala zifana: izinto zokwelapha eziyisisekelo azitholakali ndawo, iziguli ezintsha zilokhu zikhombisa ukuhefuzela, onesi imisebenzi engenakwenzeka futhi i-back-to-back-back amashifu, abasebenzi basesibhedlela nge izinto zokuzivikela ezinganele (i-PPE) ukugula.
Kungase kuzwakale sengathi akekho noyedwa onamandla ekunakekelweni kwezempilo kwaseMelika osefunde okuningi kusukela ngoMashi, kodwa lokho akulona iqiniso, ngokusho kukaSaum Sutaria, isikhulu esiphezulu esisebenza kwaTenet Healthcare, uchungechunge lwesibhedlela esikhulu, esenza inzuzo. "Sifunde inani elikhulu," u-Sutaria waqhosha kubahlaziyi be-Wall Street ngesikhathi somhlangano ucingo lwenkomfa maphakathi noJuni. I-McKinsey alum futhi efakiwe I-Aspen Ideas Festival Isikhulumi besikhuluma ngendlela yokunciphisa i-Covid-19 "izindleko ngeyunithi yokuphatha."
Yiqiniso, izibhedlela zinganciphisa izindleko zazo ngezindlela eziningi ezenza ukunakekelwa kwesiguli kube kubi nakakhulu. I-Tenet, isibonelo, i-furloughed an kuyamangaza 10% yabasebenzi bayo ngoMashi no-April. Iphinde yayeka ukufaka isandla kuma-akhawunti omhlalaphansi angu-401(k), I-PPE elinganiselwe (futhi esabisa ngokudubula abasebenzi abazilethe ezabo), futhi banciphise amahora abahlengikazi bayo. Abanye abahlengikazi babe kuthunyelwe ekhaya i-mid-shift, ishiya abanye bebuka izingxenye njengoba iziguli ezingama-20. Esibhedlela saseTenet eMassachusetts, abahlengikazi bafaka izicelo imibiko engaphezu kuka-50 emasontweni amabili ka-Ephreli, ebhala amacala athile okuthi ukwehliswa kweziguli kubeke engcupheni iziguli. Omunye umemezele ukuthi โ[akakaze] abe namahloni okusebenzaโ ndawana thize.
Isitayela sokulawula ubhubhane lwe-Tenet besihlukumeza ikakhulukazi e-Detroit Medical Center (DMC), iqembu lesibhedlela esikhulu saseDetroit (enemibhede engu-2,000) kanye nomqashi omkhulu wedolobha. Cishe bangu-3,000 abantu asebeshonile ngenxa ye-Covid-19 eWayne County, lapho iDetroit ikhona. Okwamanje, a icala efakwe ngabahlengikazi abane be-DMC bathi, ngesinye isikhathi, i-DMC yayinabasebenzi abancane kangangokuthi inani elimangalisayo labashonile lalikhona. i-rigor mortis ngaphambi kokuba noma ubani abone ukuthi abaphefumuli. Abasebenzi basola abaphathi besibhedlela ukuthi banyuse isibalo sabashonile ngokuyalela abahlengikazi ukuthi bangazivuseleli iziguli okusolakala ukuthi zine I-Covid-19.
Njengoba izidumbu zinqwabelana, i-DMC yaphelelwa yindawo yezikhwama zomzimba, yabe isiphelelwa yizikhwama zomzimba. Lapho iqembu labahlengikazi bobusuku lifika kusenesikhathi lizoncenga abaphathi balo ukuze libaqiniseโkungaba abangaphandle kwesibhedlela noma phakathi kwezisebenzi eziyi-1,500 uhlelo olwaluzibekile phansi eminyakeni embalwa edluleโizikhulu zeTenet zababuyisela ekhaya. Ngakho-ke, izisebenzi zosuku zasebenza amahora angu-25.
Icala liphinde lithi ukushoda kwegumbi lezimo eziphuthumayo kwe-PPE kuholele ekufeni kwabantu abaningi ngokungadingekile, njengoba abahlengikazi nabanye bangenwa yilesi sifo ngemuva kokutheleleka. ukwabelana ngezingubo zasesibhedlela kanye nezifihlabuso.
Lokhu kuqiniswa okukhulu akukusha ngokuphelele kwa-DMC, yize ubhubhane lukhombisa izingibe zalo. Ngo-2011, i-DMC yathengwa yi-Vanguard Health Systems, yona ngokwayo eyayilawulwa yi-The Blackstone Group, inkampani yangasese yamasheya. Lesi sivumelwano senziwa ngesithembiso esikhulu esibhedlela kangangokuthi uMike Duggan, owayeyisikhulu esiphezulu se-DMC owasiza umthengisi, wasebenzisa le ndaba ukuze azitholele yena. okhethiwe imeya. Kunjalo, njengamadili amaningi okulingana ezimele, inhloso bekungeyona impilo yesikhathi eside yenkampani (noma yeziguli) kodwa ukwenza imali (ngokushesha) ngokunciphisa izindleko, ukukhipha ukheshi bese uyiphenyela komunye umthengi.
Ukuthatha inkampani enkulu ngokuvamile kudinga inqwaba yemali. Amafemu azimele okulingana ngokuvamile ayakwazi ukuxhasa lokho kuthathwa kwempahla ngokusebenzisa zona kanye izinkampani ezizithengayo njengesibambiso semali mboleko ukuze zizithenge-imalimboleko izinkampani ezisanda kuthengwa zisengozini yokubuyisela. Ngokuhlikihla usawoti esilondeni, amafemu azimele amasheya ngokuvamile asebenzisa enye yaleyo mali entsha ukuze azikhokhele izabelo, ngisho noma inkampani eyithengile ingenzi mali.
Ngakho kwahamba noBlackstone, Vanguard Health kanye ne-DMC. UBlackstone wathatha u-$1 billion ekuxhaseni ngemali izikweletu ukuze athole iVanguard Health ngo-2004, wabe esethatha amaRandi ayizigidi ezingu-225 ngo-2010 ukuze athole i-DMC njengengxenye yeVanguard Health, wabe esethatha enye i-$ 750 yezigidi zamaRandi ngonyaka kamuva ukuze axhase (phakathi kwezinye izinto) enye inzuzo, bese kuqhuba enye i-$350 million ngo-Mashi 2012.
Ngo-2013, iketango lasesibhedlela ibichitha cishe amaRandi ayizigidi ezingu-200 ngonyaka ekukhokheni kwayo imalimboleko. Khonamanjalo, inzuzo yeVanguard Health yeminyaka emihlanu eyedlule ihlangene ibe ngaphezudlwana nje kwezigidi ezingu-80 zamaRandi. Yilapho i-Tenet Healthcare ingenelela khona, yakhokha u-$1.8 billion ukuthenga i-DMC ngo-2013, kuhlanganise $ 2.5 billion esikweletini esinenzalo enkulu.
Ngo-2014, izinkokhelo zenzalo ze-Tenet zase zifinyelele kumaRandi ayizigidi ezingu-754 ngonyakaโama-88% okungena nokuphuma kwemali kwayo. I-DMC yabe isinciphisa ukusetshenziswa kwemali, i-axing Uhlelo lwayo olubhekwa kakhulu lokungezwani komzimba ne-asthma nokunakekelwa kwe-asthma kanye nokwehlisa uhlelo lwayo lokuhlala ngo-2019. Imi ingxenye yesine yabasebenzi bayo abangochwepheshe abayinyumba phakathi kuka-2006 no-2016, kuze kube yilapho odokotela abahlinzayo be-DMC bakhononda ngegazi nezicubu ezishiywe ngaphakathi kwezinsimbi zokuhlinza okuthiwa zihlanzekile. Abanye izinqubo zokuhlinza zamiswa kancane ngenxa yokuntuleka kwezinsimbi ezihlanzekile; odokotela benhliziyo abadalula ihlazo babe sebevinjelwa ezindimeni zobuholi futhi izincwadi zabo ze-imeyili zahoxiswa. Ngaleso sikhathi, i-DMC yehlise isabelomali sayo ngokunikeza ukunakekelwa ezigulini ezimpofu, ezingenamshwalense kusukela ku-$22.9 million ngo-2013 kuya ku-$470,000 ngo-2016.
Ukusika amakhona ohlelweni lwezempilo lwase-US kuthinte ngisho nezikhungo ezisezingeni eliphezulu. Udokotela onochungechunge oluyimfihlo olusekelwa yi-dermatology, isibonelo, utshele Bloomberg ekuqaleni kwalo nyaka lapho eqale khona ukugcina iphepha lasendlini yangasese emotweni yakhe (ngisho nangaphambi kwalolu bhubhane) ngoba โukulindela ukugunyazwa kwenkampaniโ kwashiya ihhovisi lakhe ngaphandle kwezinto ezibalulekile izikhathi eziningi. Udokotela osezingeni eliphakathi e-Oxford, uNkosazana ukuxoshwa ngemuva kokuthi eqale ukuqongelela imali kuFacebook ukuze athengele abahlengikazi imaski ngoba inkampani yabasebenzi ephethwe yizinkampani ezizimele ayizange ibanikeze. Udokotela wegumbi lezimo eziphuthumayo one-TeamHealth yakwaBlackstone uxoshwe ngemuva kokubhala i-Facebook iposi ezibuza ukuthi kungani Isibhedlela sokubhuka saseNdiya (lapho ayevolontiya khona) wayenohlelo oluhlomele kangcono lwe-Covid-19 kunesibhedlela sakhe edolobheni elicebile laseBellingham, Wash., (ngaleso sikhathi, i-Covid-19 hotspot), lapho abasebenzi babenqatshelwe ukuthenga noma yini ngaphandle kwemvume evela โudokotela onguchwephesheโ okunzima ukufinyelela kuwo.
Ngaleso sikhathi, abantu abampofu bayanda amathuba okuzithola belahliwe ngokuphelele, njengoba odokotela nabahlengikazi ePhiladelphia naseChicago bafunda ngemuva kweTenet. kuthengiswe izibhedlela ezinetha lokuphepha ngo-2017 nango-2019 eqenjini labatshalizimali besikhashana elise-Southern California (izibhedlela zavalwa ngaphansi kwezimo zezimali ezingaqondakali). I-Tenet nayo ihlela ukwenza kanjalo syena izibhedlela zayo iMemphis iketango elidume kabi ukumangalela iziguli eziswele phezu kwesikweletu sezokwelapha. I-Leonard Green & Partners, inkampani efanayo yangasese ezinze e-Los Angeles leyo wamunca amakhulu ezigidi zamaRandi esitolo esidayisayo manje i-J. Crew, yavala uhlelo lwesibhedlela esiphephile e-San Antonio futhi yadayisela umthuthukisi wamahhotela izakhiwo zayo, ikhiphe u-$658 million ngokwalo ngezabelo nezimali ezikhokhwayo.
Kepha njengoba uTenet's Saum Sutaria echaza ocingweni lwakhe lwengqungquthela, lo bhubhane yisikhathi esijabulisayo sokuzuza abampofu. Ezweni lonke, i-Tenet kanye namanye amaketanga ezibhedlela badale inqubo ebizwa ngokuthi โcohorting,โ ukumisa amawadi e-DIY Covid-19 izikhungo rec, amagumbi angaphansi, amadala izikhungo zokunakekela abagulayo nezindawo ezifanayo. Ekhonsathini nezigidigidi zamaRandi ezitholwe yi-Tenet ekutholeni ibheyili ye-CARES Act (hhayi nje imali ebolekiwe ethethelelwa), lolu bhubhane lwesikhashana luvule isikhala sasesibhedlela ukuze kuqhutshekwe nokuhlinzwa okunenzuzo okuholelayo, khona kanye eduze nokuchitheka kwegazi okuwubhubhane.
Izimo ezixakile ngaphakathi kweyunithi yesikhashana ye-Covid-19 - eduze kwesibhedlela esingenalutho e-Edinburg, eTexas, esiqhutshwa yiqembu lenza inzuzo iDokotela Hospital at Renaissance - yindaba yoku Intambo ye-Twitter ye-viral ethinta isisu okufaka izimangalo zeziguli ezimbozwe izintuthwane, izindaba zemishini engcolile nodokotela abangekho emsebenzini, nokufa okungenasidingo okubangelwa inethiwekhi engenamandla yamathangi komoyampilo. Izindaba ezihlobene ze-Twitter ziqoqwe umhlengikazi waseFlorida lapho abahlengikazi abacishe babe yingxenye yeshumi nambili bezohamba beshaqekile baphendukela kuye - ngemuva kokuthi isikhungo sabo sabasebenzi sibasabise ngokuthi "badilize" uma bekhuluma. Izibukeli zisheshe zaphawula ukusetha njengokuqothulwa kohlanga. Ku-Tenet kanye nethimba labaphethe isikhathi eside bekhungethwe izinombolo ezimbi zemiholo kanye nezindleko zamacala ezilokhu zikhuphuka, nokho, lokhu โokushaโ โkokuhlanganisaโ kwesiguli kuyiphuzu lokuziqhenya.
โSisanda kufunda indlela yokunakekela lezi ziguli ngendlela ehlangene,โ kuqhosha uSutaria.
Ingxubevange yemali ye-CARES Act, izindlela zokuqiniswa kanye nokwamukelwa komphakathi kokufa kwabantu abaningi kwenze lolu bhubhane lwakwazi ukuphefumula impilo entsha yesikhashana emathembeni ezezimali alokho okubizwa ngemboni yezokunakekelwa kwempilo-okuhlekisayo, njengoba kunikezwe okungenani ukwenqatshelwa kwenkampani eyodwa ukuvuselela i-Covid-19. iziguli.
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Nikela