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Intake – American's largest psychiatric chain

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Re: Intake – American's largest psychiatric chain

#52

Earlier quoted context omitted.

There can be pernicious motives whether a facility is nominally for profit or not. (For instance, say there is a doctor who gets paid in proportion to the time they spend treating patients at a non profit facility)

>There can be pernicious motives whether a facility is nominally for profit or not. This is colloquially known as "whataboutism". The fact that there are other pernicious motives is completely irrelevant. For-profit medicine constitutes a pernicious motive -- that's the point.

Well, I don't agree with that. I see generous salaries as being exactly the same thing as profit (they are just taxed differently). I also have difficulty with the idea that only de facto agents of the state can deliver healthcare (care only available at fixed prices, etc).

So my point is that you need external controls regardless of the motivations of the actors inside the institution.

Re: Intake – American's largest psychiatric chain

#53
post #14

"Current and former employees from at least 10 UHS hospitals in nine states said they were under pressure to fill beds by almost any method — which sometimes meant exaggerating people’s symptoms or twisting their words to make them seem suicidal — and to hold them until their insurance payments ran out." Don't worry, free-market ideologues will coolly tell you. Their logic will seem airtight: over time, if Intake's p…

That would actually be a convincing argument, if it weren't for the insurance coverage (private or government) they repeatedly mention. Seizing the person is just a prerequisite for getting the insurer to write the hospital a check; they're not the customer, they're the product.

Re: Intake – American's largest psychiatric chain

#54
post #8

Earlier quoted context omitted.

If these allegations are proven and those responsible for these policies don't spend significant time in prison then we can no longer deny that we live in a corrupt society.

I mean, this sounds a lot like criminal kidnapping.

So I mean this is all super fucked up but:

http://app.leg.wa.gov/RCW/default.aspx?cite=9A.40&full=true

I suspect If I kept google-ing danger to self or others gives institutions authority to restrain.

Re: Intake – American's largest psychiatric chain

#55
> “Your job is to get patients,” said a former clinician at Salt Lake Behavioral. “And you get them however you get them.”

> Two dozen current and former employees from 14 UHS facilities across the country told BuzzFeed News that the rule was to keep patients until their insurance ran out in order to get the maximum payment.

Coincidentally, I was discharged this morning from a psychiatric hospital in Canada. In a non-profit system, there is no financial motive to keep patients longer than necessary. Furthermore, hospitals in Canada almost always operate at capacity to keep costs low. This is a double-edged sword of course, but it means doctors have an incentive to help their patients recover so they can be discharged to make room for new arrivals.

Re: Intake – American's largest psychiatric chain

#56
post #17

Psychiatry in America is an ongoing "crime against humanity". The third world gets better results for their mental health patients because they can't afford the pharmaceutical industry's FDA-certified psychotropic medications. In October 2016 I found videos of my friend before the first hospital. She quipped about alcohol and drugs, but sounded "normal". We were frying donuts. About two weeks after the videos were fi…

Good luck, in all seriousness. The article is fresh, and maybe it's recentness will help you win over the AG office.

Re: Intake – American's largest psychiatric chain

#57
post #30

By the way let's not forget this is excellent investigative reportage by Buzzfeed who is using their clickbait revenues to do real journalism.

It's like creating cancer to cure it. I'm not sure if that's good or bad.

Well, to be fair, clickbait and yellow journalism far far predates Buzzfeed (e.g. Hearst's apocryphal "you supply the article and I'll supply the war"). And the muckrakers were also click baiters.

But I see your point.

Re: Intake – American's largest psychiatric chain

#58
post #30

By the way let's not forget this is excellent investigative reportage by Buzzfeed who is using their clickbait revenues to do real journalism.

Is there a business model behind it or just prestige? These types of articles definitely lose money for BuzzFeed.

Re: Intake – American's largest psychiatric chain

#59

> Lauren Singer, who worked for six months at the front desk of Colorado’s Highlands Behavioral, said people who were waiting in the lobby for an assessment would ask her what it would entail. “I would frequently get yelled at for overstepping my bounds and telling them too much about the evaluation process,” Singer said. A button behind the receptionist’s desk controlled the lock to the front door of the facility, a…

>should never be for profit.

That may be, but -- as other commenters have noted -- the definition of "for profit" is colloquial and subject to concept creep. A more specific prescription (heh), I think, would be that medical care (or at least involuntary care) should never be subject to fiduciary duty in the sense of Dodge v. Ford.

Re: Intake – American's largest psychiatric chain

#60
post #8

Earlier quoted context omitted.

If these allegations are proven and those responsible for these policies don't spend significant time in prison then we can no longer deny that we live in a corrupt society.

I mean, this sounds a lot like criminal kidnapping.

http://en.wikipedia.org/wiki/Kids_for_cash_scandal
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