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They can afford to close smaller facilities, because they can just fly you to one of their bigger facilities(for a measly $10,000). Also why UPMCвЂ™s Stat MedEvac has nearly 20 bases. This is why almost all of the current medivac services are owned by private equity companies who, in turn, lease those services to hospitals. Did you know that there is zero government oversight for aeromedical billing? They can charge whatever amount they want, which is why a flight in a medivac can hit you for $10,000+ for a one way trip.

Side note about transferring patients to other facilities. The same will ultimately happen to medical care. The corporations enticed you with вЂњcheaperвЂќ services, and you fell for itвЂ¦now all of the local businesses have gone away, so driving all the way to Bradford or Olean, isnвЂ™t a choice, itвЂ™s the only option. You drive 30-50 miles from town to get your hardware, groceries, clothes and restaurantsвЂ¦and this all happened right under your nose. BRMC is not about mismanagement or Covid, itвЂ™s about corporate streamlining and вЂњcattle shootingвЂќ your medical options. And now, there used to be local doctors and hospitals(boom, UPMC). There used to be local hardware stores(boom, Home Depot)вЂ¦there used to be local grocery stores(boom, Walmart)вЂ¦there used to be local department stores(boom, Amazon)вЂ¦there used to be local restaurants(boom, McDonaldвЂ™sвЂ¦if youвЂ™re fancy, boom, ApplebeeвЂ™s)вЂ¦there used to be local pharmacies(boom, Walgreens). So, just like all of the previous examples, the public slowly loses options to make choices, because theyвЂ™re locked into an inescapable situation.

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They donвЂ™t care about whatвЂ™s best for public, they care about how to create the most revenue. As a result, like most modern corporate businesses, the people in control are creating a system, not unlike any of the other mega companies(Walmart, Amazon, McDonaldвЂ™s, Walgreens, etc). As such, it is controlled by corporations whose priority is its shareholders. In case you havenвЂ™t noticed, modern medicine is a for profit endeavor, not a humanitarian one. IвЂ™m having my px call the office letting us triage since we know the px and the historyвЂ¦ seeing px the next day if possible and avoiding the ED of at all possible, or going directly to Hamot or Buffalo if I deem safe and necessary.Д¬hoose wiselyвЂ¦ it truly is as bad as it could be. Nobody could have predicted COVIDвЂ™s impact on a health care system, esp on line ours that was stripped of its infrastructure, robbed of its history and service to the community, and essentially decimated because of poor decisions and an administration that clearly never understood our community and what BRMC meant to McKean and other counties. There are just too many unknowns, too many unfavorable variables, and way too many deficiencies in our current system to trust your life to. Stay as healthy as possible, do the basics such as routine lab work, cancer screenings, immunizations, and highly, highly consider working w your doctor before you get sick, instead of relying on the ER or BRMC to help youвЂ¦. Utilize your primary care providers as much as you can. and quite likely just going to get worse as flu season starts, winter weather approaches, and Covid continues to rage.ДЄll I can tell you is thisвЂ¦. It truly could not be any worse for the patients in our community than it isвЂ¦. Being transferred hours away is just a horrible experienceвЂ¦ your alone, away from family, friendsвЂ¦ scared of the unknown and no one to turn to or hold your hand. I would never ethically advise a patient to bypass the closest ER in a true emergency, HOWEVER you must be very very careful now making medical decisions. For them handle you on top of their already incredible workload), limited access to on premise physicians, and absolutely NO guarantee you can get transferred out of there to a tertiary facility in time to help you. It truly is Russian roulette if you do go south at BRMC, there are no icu beds if you crash (your transferred back to the ERвЂ¦. Being admitted to BRMC is quite frankly potentially dangerous IF itвЂ™s anything more than routine. Getting patients out of here in a timely fashion is not a givenвЂ¦. ItвЂ™s painful to hear and hurts to say, but it is the truth as I see it.Д¬ovid has changed the health care landscape completely. if you are sick, or potentially may get sicker than you currently areвЂ¦ you should AVOID the Bradford hospital all together in this current environment. This was posted on my comment below but since it was buried in the comments, I felt the need to elevate it.

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