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Supreme Court Ruling Reflects "Challenge of Next Decade"

Community medical centers will be on the "front line" in providing care, said Doctors Medical Center's Eric Zell.

The Supreme Court's Thursday ruling on health care hightlights that community hospitals bear a lasting responsibility to expand services for patients needing both immediate and long term care, said Doctors Medical Center's chairman Eric Zell.

Zell, who chairs both the Doctors Medical Center Governing Body and the West Contra Costa Healthcare District, made the remark in a statement issued after the court ruling.


“Today’s Supreme Court decision illustrates the need for community hospitals to be able to take on more families in need of immediate and long-term healthcare,” Zell said. “It has become increasingly apparent that expanding access to local medical care will be the challenge of the next decade.”

Doctors Medical Center in San Pablo is a public hospital that provides emergency and other care within a district that covers West Contra Costa County. It has the largest and busiest emergency room in the reigion, serving more than 40,000 emergency cases per year. The vasy majority of the public hospital's patients are uninsured or using Medcare or Medi-Cal programs. Reimbursement for services provided are far below actual costs.

The ruling demonstrates the need for and value of community hospitals, Zell said.

“Many do believe that it truly does take a village to raise a child,” he said. “But when it comes to health care it takes a community to treat a patient. Community hospitals will be on the front lines of the massive health care expansion and will form the basis of medical care for tens of thousands right here in the Bay Area.”

Last November, health care district a $47 parcel tax to save Doctors Medical Center from an $18 million budget deficit and certain closure. The low government reimbursement rate has been a key reason that the hospital has suffered serious fiscal difficulites for decades.

Doctors emerged from bankruptcy in 2008 after being receiving from Contra Costa County, and John Muir and Kaiser medical centers.

Closure of the hospital would have affected East Bay residents with no alternative for local medical care. Emergency patient cases likely would have been treated instead at the county hospital in Martinez or Alta Bates Medical Center in Berkeley, whether or not patients were insured.

The medical center treats more than 40,000 emergency room patients per year. It is the region’s only public, safety-net hospital. The facility dates to 1954 and also must address concerns about its seismic safety.

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G.C. May 18, 2013 at 05:18 am
Lastly, society (including parents and kids) are letting our schools down as evidenced by theRead More extreme truancy in Hercules and Pinole. Taxpayers give in the form of bond measures and parcel taxes. Teachers give out of their pockets. And our kids show their appreciation by skipping class. Sad.
G.C. May 17, 2013 at 08:43 pm
Jessica, This approach to funding the classroom needs to stop in order to return the teachingRead More profession to just that, a profession. Teaching should not be a life-long stint in the Peace Corps. I easily spent $500 per year of my own money when I was teaching science in the district. I enabled the erosion of the public education system. Enough is enough. Teachers need to call society on it. This means teachers also need to return some responsibilities to the administration. Currently, teachers have assumed enough responsibility to result in the scapegoating of their profession, but not enough responsibility to succeed at their profession. Join the rest of the working world. Come to work and do as your told per chain-of-command. If you do not have the supplies you need, we'll hold your bosses, and ourselves, accountable. Teaching is no different than being a mechanic or a police officer or doctor. We pay all of them what they are worth. Why is it different for teachers?
Bud Burlison May 16, 2013 at 07:06 am
You can always change your provider if you're disappointed with service. I thinkRead More "hit-and-miss" can describe a lot of health service providers, but Kaiser is among the best if the experts are to be believed. I've had nothing but the best service for about 40 years.
G.C. May 15, 2013 at 05:51 am
Kaiser received serious administrative penalties-fines as reported here by the California DepartmentRead More of Public Health http://www.cdph.ca.gov/certlic/facilities/Pages/APCountyAlameda.aspx http://www.cdph.ca.gov/certlic/facilities/Pages/APCountySanFrancisco.aspx Kaiser is hit-and-miss, much like public schools. You might get an excellent doctor (or teacher) or you might encounter a real dud. I've encountered both. I'm still scratching my head over a recent visit in which I had been up all night with a blocked esophagus since 5 pm Easter dinner. The advice nurse made a 9 AM appointment for me with my doctor instead of sending me to the ER. When I saw my doctor, I was spitting into a cup because I couldn't swallow. I told him I had even tried to induce vomiting during the night. He noticed that the back of my throat was red--he said he worried that it was an infection. I told him I had attempted to induce vomiting, using the back of a fork. He said that the back of a fork is dirty, that my red throat must be an infection. Seriously? So only sterile things should go into my mouth? No comment. He then asked me why I was there, that I should be in the ER instead. Really? Ask the advice nurse. He offered to call an ambulance. He then said he would call the ER to let them know I was on my way. He then showed me the fastest way to my car. It was a very long day. I couldn't even swallow water. At 3:00, I was x-rayed. At 5:00, they did an endoscopy and removed the blockage. Twenty four hours of being unable to swallow might be something they want to try at Guantanamo. I would have said anything just to be able to sip some water. It's far from the best, but it is affordable.