GNYHA's member hospitals are all not-for-profit corporations, because state law makes it effectively impossible to operate a for-profit hospital in NY.

They're still motivated to maximize revenue. (1/?)
They maximize revenue in part by manipulating Albany, where any attempt to slow spending growth is characterized as harming health care.

They spend big on lobbying and political contributions and ally themselves with one of the state's biggest labor unions. (2/?)
It's not clear what benefit New Yorkers derive from having an all not-for-profit hospital system.

This is one reason I'm skeptical that discouraging or eliminating for-profit operators will be an effective approach to regulating nursing homes. (3/?)
This report (based on data released under our lawsuit) found that for-profit nursing homes in the NYC metro area actually had lower COVID death rates in aggregate than not-for-profit homes. (4/4) empirecenter.org/publications/i…

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More from @NYHammond

12 Mar
June 30, 2020: "The death toll among residents may be thousands higher than officially reported." empirecenter.org/publications/n…
July 8, 2020: "Most glaringly, [the DOH report] relies on the Cuomo administration’s low-ball estimate of nursing home deaths, which excludes residents who were transferred to hospitals before passing away." empirecenter.org/publications/c…
Aug. 3, 2020: "I hereby request records of COVID-19-related deaths of residents of nursing homes and assisted living facilities, including those who died while physically outside of the homes." empirecenter.org/wp-content/upl…
Read 15 tweets
9 Feb
Democrats again covered for the Cuomo administration by blocking a motion from @Sueserino4ny (7:40) to subpoena Health Commissioner Zucker for pandemic-related testimony and records.

The rationale from Chairwoman @SRachelMay (11:59) was revealing ...
May didn't bring up the fact that records are soon due to be released under FOIL. She didn't mention Zucker's pending testimony on Feb. 25. Instead, she pointed to a package of nursing home-related bills that are moving toward passage in the Senate. nypost.com/2021/02/04/nys…
"We are moving appropriately as a legislative body through legislation to make a difference here," was May's explanation.

There's two questionable implications here ...
Read 5 tweets
31 Dec 20
My three most-read blog posts of 2020, unsurprisingly, all focused on the impact of COVID-19 in New York nursing homes. (1/4) empirecenter.org/publications/e…
My third-most-read post (10th for the Empire Center):

Nursing Home Vacancy Rate Soars, Hinting at a Higher Coronavirus Toll

empirecenter.org/publications/n…
My second-most-read post (No. 6 for the Empire Center), from July 8:

Cuomo Administration Ducks Important Questions on Nursing Homes
empirecenter.org/publications/c…
Read 4 tweets
30 Dec 20
Let the record reflect that on the same day the governor green-lighted a football game, New York hit post-summer highs for three key COVID-19 metrics: hospitalizations, seven-day average infections and testing positivity rate. ImageImage
As of 12/29:

Hospitalizations - 7,892 (+78)
Seven-day average new infections - 11,331 (+463)
Testing positivity rate - 6.5% (+0.3%) ImageImage
The risks associated with sitting in a half-empty outdoor stadium might well be tolerable. But how is this consistent with his public health messaging? How do Bills fans take precedence over nursing home residents, schoolchildren, small business owners, family dinners, etc.?
Read 4 tweets
15 Oct 20
Not sure what to make of this, but ...

The governor has talked about "oversampling" in so-called red-zone zip codes, which account for 2.8% of the state's population.

Based the test numbers in his releases, those zones have been slightly undersampled in 4 of the past 5 days.
To be clear, the state's testing has never been randomly sampled, as you would try to do for a scientific survey. Much of it focuses on likely positives, because of symptoms or known exposure. Some is repeated testing of likely negatives, for work reasons.
For those reasons, you would expect natural oversampling in red zones. But maybe they reached a saturation point due to heavy testing in the previous two weeks. Or maybe their residents are less cooperative because they resent being subject to red-zone restrictions.
Read 4 tweets
15 Oct 20
The governor keeps dismissing criticism of his nursing home policies at a political hit job orchestrated by the White House.

Yet if there was a single MAGA hat or Trump sign at yesterday's rally at the Capitol, held in the thick of election season, I didn't see it.
These people didn't have a logo or a letterhead or a lobbyist, just homemade signs.

They weren't thinking about red vs. blue. They were consumed with grief and worry about their loved ones, and anger at government decisions they didn't understand.
These are ordinary citizens exercising their
First Amendment right to petition government for a redress of grievances.

Their biggest demand was for the simple chance to visit a grandmother or husband or child whom they haven't been able to touch in seven months.
Read 4 tweets

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