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Sat Dec 3 02:10:10 GMT 2011

News articles are often not totally correct nor totally   incorrect.     
Furthermore newspaper articles are intended  to catch your eye and to sell 
newspapers.     

Having said that, I might be able to repeat the principle of this story in  
some US cities, German cities, Italy cities, and many  others.     It is 
SOCIETY via its funding and politicians  that place priorities on just what 
money gets spent  for.      

Doctors, particularly  surgeons can only operate on one patient at a  time, 
and only put one patient in one bed at one time.   AND the bed  needs some 
time to be cleaned.   It is society that determines how  many  beds exist.   

As I read the ACA and some state plans, I am deeply concerned that the  
current focus on medical cost containment is so focused on wellness and  
prevention that so very little is being spent on acute care in the very near  
future, that the  same type of real headlines might be seen in many US  cities.  

EC physician work hours/week are capped
Hospitalist are capped as to number of patients they can have in their  
panel

Internal medicine residents are capped at how many patients they can admit  
per shift

ICU nurses are capped as to the maximum number of patients they can care  
for at any time. 

Residents are capped as to work hours.     

And on and on.................................

The result-not enough money or people to take care of the sick  people.     

What to do????

k

In a message dated 12/2/2011 3:39:39 P.M. Central Standard Time,  
nick at macartney.org writes:

http://www.bbc.co.uk/news/uk-england-london-15983985

Not all  is well at Karim's placeŠ.

Nick

Dr NJD Macartney FRCA  FFICM
ICU Director
Chase Farm Hospital
The Ridgeway
Enfield
EN2  8JL
+4420 8375 1074

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