Lauren Weber Profile picture
Aug 20, 2019 7 tweets 2 min read Read on X
This is the story of how a Miami entrepreneur and his business associates amassed a rural hospital empire -- and drove it into the ground, devastating towns across the country. Communities lost more than life-saving medical care and hundreds of good jobs. khn.org/news/rural-hos…
Jorge A. Perez said he was out to save rural hospitals. It was his “secret sauce,” Perez would smilingly tell people in their no-stoplight towns. The money-making ventures he proposed sounded complicated, sure, but he said they would bring in enough cash to save their hospital.
But now the hospital empire his companies helped manage is in ruins, and some of the communities that once welcomed him can barely speak his name. As @barbfederostrov and I found in our months of reporting…
Perez acknowledged his company stopped covering payroll taxes and insurance for hospital employees as the debt grew insurmountable. Some of the hospitals that closed owe hundreds of thousands in property taxes.
At Drumright Regional Hospital in Oklahoma, HR Director Allyson Lunsford said they ran out of oxygen and blood. By December, she said, they were so far behind on bills that the company that rented them hospital beds came to repossess them — despite patients still using them.
Tara Brewer, Chamber of Commerce head in Sweet Springs, Mo., where I-70 Community Hospital closed in Feb., said Perez’s company, EmpowerHMS,“is like a curse word.” Town Mayor Francis Vaught: “We were robbed.”
Brewer worries her town won’t survive the loss of its hospital. “What is it that we’re going to have for our kids?” she asked. khn.org/news/rural-hos…

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More from @LaurenWeberHP

Feb 21
My @washingtonpost latest dives deep into tax records:

Four major nonprofits that rose to prominence during the coronavirus pandemic by capitalizing on the spread of medical misinformation collectively gained more than $118 million between 2020 and 2022 washingtonpost.com/nation/2024/02…
The influx of pandemic cash sent executive compensation soaring, boosted public outreach, and seeded the ability to wage legislative and legal battles to weaken vaccine requirements and defend physicians accused of spreading misinformation.
Children’s Health Defense, an anti-vaccine group founded by Robert F. Kennedy Jr., received $23.5 million in contributions, grants and other revenue in 2022 alone — eight times what it collected the year before the pandemic began, allowing it to expand its state-based lobbying.
Read 14 tweets
Jul 18, 2022
Meet the trio of conservative legal blocs that has rolled back public health authority at the local, state and federal levels, recasting America's ability to fight infectious disease.

My latest @KHNews investigation w/ @annabarryjester @NPR

npr.org/sections/healt…
Galvanized by what they've characterized as an overreach of COVID-related health orders, a loose coalition of religious liberty groups, conservative think tanks, and Republican state attorneys general has unleashed a wave of covid-related litigation.
“You destroy government, and you destroy our emergency response powers and police powers — good luck," CT's @AGWilliamTong told me about their efforts.

"There will be no one to protect you.”
Read 13 tweets
Mar 31, 2022
As a community health worker, 46-year-old Christina Scott is a professional red-tape cutter, hand-holder, shoulder to cry on, and personal safety net, all wrapped into one.

And the money funding her job in Illinois is running out.

My latest @KHNews khn.org/news/article/c…
Scott is one of the over 650 community health workers hired through local, community-based IL organizations through a $55 million grant from @CDCgov through federal pandemic relief.

The team has completed at least 45,000 assistance requests.

June is when the funding runs dry.
“As the dollars go away, we’re going to see some people falling off the cliff,” @PublicHealth @GeorgesBenjami7 said, noting the U.S.’s lack of a vision for public health.

“If you did this with your army, with your military, you could never have a sound security system.”
Read 10 tweets
Feb 8, 2022
Step inside the Missouri war against public health with me, and learn how the ongoing stripping of public health powers is diminishing the nation's ability to fight the next pandemic.

A 🧵 for @KHNews @CNN

cnn.com/2022/02/08/hea…
Let's start with Missouri state senator Mike Moon. He believes vaccinations should cease til more long-term effects are known, citing the research of known misinformation sources, America's Frontline Doctors and Dr. Robert Malone from Joe Rogan's podcast.

He's not vaccinated.
On Feb. 1, he tanked the nomination of Donald Kauerauf to become the state’s next health director

Kauerauf had professed on the record that he was anti-abortion and anti-mandate for vaccinations, all while being nominated by a Republican governor

But it wasn’t enough for Moon
Read 14 tweets
Jan 13, 2022
Workers out sick in droves.

Patients' conditions being exacerbated by Omicron.

Add the threat of in-hospital transmission.

There’s a reason hospitals are telling people to stay away from the ER - @jeremyfaust

W/ @philgalewitz @gahealthnews @KHNews
khn.org/news/article/i…
Regardless of whether patients are admitted for or with covid, the patients still tax the hospital’s ability to operate, said Dr. Alex Garza, head of the St. Louis Metropolitan Pandemic Task Force.

He also warned exposure risk in the ER is high: “It’s physics and math."
Incidental cases also pose a greater risk to staffers and other hospital patients because they are typically at a more contagious stage of the disease — before symptoms begin: @jeremyfaust

Before this wave, folks were hospitalized in the middle and later phases of the illness
Read 13 tweets
Dec 23, 2021
🚨 Hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight, my & @By_CJewett investigation found.

A 🧵 for @KHNews @USATODAY

khn.org/news/article/a…
.@CMSGov urged private accreditors — which almost 90% of hospitals pay for oversight — to do targeted infection-control inspections as covid began to sweep the country last March.

They said no.

usatoday.com/story/news/nat…
Government inspectors went into nearly every nursing home last year, @HealthcareSeema told us.

That the same couldn’t be done for hospitals reveals a problem, she said.

“We didn’t have the authority,” @HealthcareSeema said. “This is something to be corrected.”
Read 14 tweets

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