Wife An RN: Email From Her CEO...Read it!

Depends on what the death panel recommends.

From: St John News
Sent: Tuesday, May 21, 2013 2:00 PM
To: St John Health System All
Subject: Important Message regarding Cost Restructuring




Dear Associate:

The St. John Health System, similar to many healthcare organizations across the country, is experiencing significant change. Common themes in this new environment include lack of public funding, a fluctuating and uncertain economic climate and a decrease in the number of patients seeking some of our healthcare services.

We face the reality that Oklahoma’s decision not to participate in Medicaid expansion (or some other publicly funded program) will result in significantly lower payments from government sources for the services we provide. It also means the already high number of uninsured Oklahomans will not be reduced.

The Affordable Care Act (ACA) is designed to offer health coverage for uninsured citizens by expanding each state’s Medicaid program. Oklahoma opted out of the ACA’s Medicaid expansion. This will make Oklahoma a donor state, with the money generated from reduced Medicare payments to doctors and hospitals going to other states’ Medicaid expansion rather than helping 150,000 to 180,000 Oklahomans gain access to health insurance. The anticipated impact of this statewide decision to St. John is expected to be a loss of up to $20 million annually in Medicaid reimbursement for the service we provide. In addition, ACA Medicare payment cuts, combined with additional federal sequestration cuts, means the health system will receive up to $15 million less in Medicare payments next year.

Tulsa hospitals already provide more than $175 million in uncompensated care each year. The St. John Health System alone accounts for approximately $60 million of that total. With Medicare cuts already in place, and no Medicaid or other expansion of coverage on its way, St. John and other Oklahoma hospitals and physicians are faced with less revenue, but the same number of uninsured patients.

Adding to this difficult environment is the potential that Insure Oklahoma, which provides affordable state and federally funded healthcare to employers and individuals, will not be renewed. This could significantly increase the number of uninsured Oklahomans.

As good stewards in ensuring the health system’s success in the coming years, we must face our economic realities and take measures to proactively address this situation now. Over the next three weeks, we will implement a plan to strategically restructure the workforce, resulting in position eliminations of approximately 2 to 3 percent of our associates by the end of June. This unfortunate but necessary step is required to reset staffing at appropriate levels based on our current and anticipated rates of patient utilization and reimbursement.

Coming to this conclusion has not been easy. We recognize that a workforce restructuring of this nature will negatively affect the lives of many of our friends and colleagues. To minimize the impact, any eligible associates whose positions are eliminated will receive a competitive severance package. This will include severance pay, benefit continuation during the severance period, and priority placement when applying for open positions within the health system.

Overcoming obstacles in an uncertain future is challenging, and requires steadfast commitment from all of you. Thank you for your continued commitment to preserving the long-term viability of the St. John Health System.

I will keep closely connected with you as we move forward.

Regards,

David J. Pynn
President and Chief Executive Officer
St. John Health System



In addition, to this email. My wife has been approached by a nursing manager 'strongly encouraging' her to sign a petition supporting ACA to be sent to the Oklahoma Governor.

When my wife refused, her immediate supervisor was questioned about my wife's performance and her personal life. Including our political affiliations.

This is mother fucking Marxist bullshit.

It is sad to say also, that the unfortunate people are not only the employees, but in fact anyone that believes that other than for emergency treatment,broken bones, and other similar issues, the entire medical system is a sham. It has been proven over and again that just by eating raw organic vegetables, and maintaining a healthy lifestyle away from GMO, processed foods and high fructose corn syrup, the body will eliminate disease INCLUDING, cancer and repair itself.Sorry folks, but we have been fed so many lies that it is impossible to know who to shoot first, but they all will be held accountable. Most people are dumbed down by corn syrup and unhealthy foods that are nutrient void. Call me a lunatic...whatever, but I lost 14 lbs in 21 days. the first 8 were spent eating raw organic juice and vegetables, supplemented with nuts, the las 13 were strictly raw organic juice. I feel terrific, and full of energy. Long term I will have to find sources of vitamin b 12, and a few other supplements, but for the most part, I eat what God has provided, and I am healthy. If you want some proof watch the movie Fat Sick and Nearly Dead...If we were taught this from birth, hardly anyone would be sick today, and this overgrown food, healthcare, pharmaceutical, scam would not even exist...Unfortunately, most likely no one in a position to change it would have the balls to try, because it quite literally would probably bring down the economy, as well as the goobermint...

Peace to all

What about the 20 other patients in his office that day which had insurance that GROSSLY OVERPAID for the "services" he provided?
I am 100% sure he would NOT have been better sitting at home collecting welfare. How would he be able to pay the power bill on his 5000 square foot home and his heated 36,000 gallon indoor/outdoor pool?

How would he pay for maintenance on his BMW? Let alone gas?

Liberalism? x'plain..... go!

And you wonder why costs so much...too many greedy fuckers!!

If you cant sue problem solve

death panels -> x'plain (link please).

Well see that is the thing. I can tell you do not understand how it works. For commercial payers they are not grossly over paid. Many providers are in managed care plans or suffer the consequence of unregulated fee schedulers. In either instance, they rarely get full compensation and it can range anywhere from 20% to 80% if they are lucky. But still yes, you are right, they get their real revenue from regular people with regular insurance. Which should infuriate you even more at medicaid recipients! You pay for medicaid thru state/federal taxes, now you pay for ACA through paying for medicare, and you pay higher hospital/doctor bills than both groups!

It is not because of Obama, it is because of the retarded republicans Oklahomans elected.

Tough shit and get fucked.

+1000000 LOL

The healthcare system has become a deathcare system.

It's overused and abused.

The hospitals overcharge for everything.

The profit model of "treating" preventable sickness is a failure.

When doctors are given financial incentive to keep people healthy through preventative nutritive health measures things may change.

What I have personally seen working in several hospitals makes me sick.

Pushing C-sections over natural childbirth to make money.

Medical misadventures that are covered up and hidden.

Performing open-heart surgeries on people with indigestion.

What ever happened to "Do No Harm"?

Bottom line is the current health care system doesn't care about people, it cares about money.

Especially for the so-called non-profit hospitals.

Should this broken system be subsidized?

Hell no!!

death panels -> x'plain (link please).

who cares?

we've got bigger fish to fry.

.

You must have rode the short bus, as you need everything explained to you. No knowledge of your own????

This of course is pure BS..I'm a senior VP of operations for one of the nations largest healthcare companies...hospitals have been closing nationwide for the last several years due to over capacity. 14 states have moratoriums in place preventing any new hospitals from opening to protect the ones there now. This is just political BS designed to make you ignorant sheeples write letters to ignorant politicians

What you are seeing here is certainly NOT Marxist (come on people, when will you wake up?) You are seeing the pride-filled death throes of idiot Republicans and their anti-citizen policies. These are the same dumb dumb's that insisted Oklahoma did not need disaster assistance. They are too prideful to see that a Black President might be smarter than they are, and they refuse to cooperate with him. The citizens will continue to suffer until they learn to cooperate. End of Story. Very sad and very stupid.

What you are seeing here is certainly NOT Marxist (come on people, when will you wake up?) You are seeing the pride-filled death throes of idiot Republicans and their anti-citizen policies. These are the same dumb dumb's that insisted Oklahoma did not need disaster assistance. They are too prideful to see that a Black President might be smarter than they are, and they refuse to cooperate with him. The citizens will continue to suffer until they learn to cooperate. End of Story. Very sad and very stupid.

Linky...... winky lsol

+1-> this place is a rethug rag 4um. lol

Whatever you say libtards.

Libtards gonna libtard.

No, I'm not any of the above. You sheeple are so stupid, it's either god or evolution, eh?

No. I want to be clear. I am Republican. My business utilizes union labor. And while I strongly support gun rights and agree with many of the Tea Party's pro-Constitutional ideas, I do not agree with this narcissistict Ayn Rand crap.

Adam Smith believed in protecting the little guy, that is a fact! He also believed in labor unions in principle.

With this in mind, understand I am neither a Marxist, 'workers of the World unite' asswipe, nor am I a Sean Hannity-bot Ayn Rand spouting moron proclaiming, "oh, uh lost yer jawb, well uh, go grab ah 'er weed eater and a mow-her and 'er uh get to work you lazy slawb"!

I am free market guy, who deals with union labor because I have had better results with these guys as far as their workmanship, safety, and willingness to not show up stoned off their ass.

WITH THIS RANT IN MIND!

Check yourself!

If our governor agreed to ACA/Ole Bammy Care, Oklahoma would be bankrupt within three years! I've seen the goddamned numbers crunched by our state comptroller.

Three years and OKC would not be able to pay their fucking bills! So, take that anti-Republican vitriol and keep it! Up your ass preferably.