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Woman Convulses and Dies, Ignored, in Waiting Room of New York City Hospital

Posted by Jill Filipovic, Feministe at 1:39 PM on July 3, 2008.


Esmin Green's final agony caught on surveillance camera. Staff looked on but failed to act.

If this story doesn’t disgust you, I don’t know what will:

It was a nightmare captured on surveillance video. A woman who had waited nearly 24 hours to be seen in a Brooklyn public hospital collapsed, fell face-down on the floor, convulsed and for nearly an hour — while several hospital staff members looked at her and one staff member even prodded her with her foot — received no aid. At some point during that time, she died.

The New York Civil Liberties Union has been sounding the alarm about New York City hospitals for some time now, calling the emergency room and inpatient units at Kings County Hospital “a chamber of filth, decay, indifference and danger.” It’s disgusting that someone had to die before the city bothered doing anything about it.

And this is just the one that we know about because the video was released on YouTube. The callous disregard that the hospital employees showed to Esmin Green is not possibly a one-time occurrence. Ms. Green was a poor, mentally ill woman of color. She apparently didn’t matter one bit to the employees at the hospital who were supposed to be giving her care. I would bet everything I own that she is not the first “unimportant” patient to receive that kind of treatment — she is just the first to have her death broadcast on YouTube, and so she is the first that the city cannot turn a blind eye towards.

And via Panopticon in the comments:

A state agency, the New York State Mental Hygiene Legal Service, filed a lawsuit a year ago, calling the psychiatric center “a chamber of filth, decay, indifference and danger.”

Patients, the suit said, “are subjected to overcrowded and squalid conditions often accompanied by physical abuse and unnecessary and punitive injections of mind-altering drugs.”

“From the moment a person steps through the doors,” it added, “she is stripped of her freedom and dignity and literally forced to fight for the essentials of life.”

The suit was especially critical of the hospital’s emergency ward, saying it is so poorly staffed that patients are often marooned there for days while they wait to be evaluated.

Sometimes, the unit runs out of chairs, according to the lawsuit, forcing people to wait on foam mats or on the waiting room floor. The suit also claims that bathrooms are filthy and filled with flies, and that patients who complain too loudly are sometimes handcuffed, beaten or injected with psychotropic drugs.

In case this doesn’t make it clear, mental health (and health care in general) is a feminist issue. This should appall and enrage all of us.

And no, it’s not just a New York City thing. A similar incident happened in LA about a year ago; and it’s only the most shocking horror stories that get reported. Usually, the people who are neglected are so low on the social totem pole that their deaths are just swept under the rug — another crazy colored lady? Nothing to see here.

We’ve had a lot of conversations at Feministe lately about mental illness, disability, the words we use, and how all of that intersects with feminism. Esmin Green and Edith Rodriguez died in part because they were poor women of color without very much influence, access or power. They died because they sought help in a system that is over-burdened to the breaking point — a system that enables the people within it to make cruel choices and to perpetuate racist, sexist and ableist hierarchies in their jobs. Esmin Green wasn’t just a woman; she was a woman of color who was mentally ill. She was “crazy,” she was poor, and she didn’t appear to be particularly powerful, so she was left to die on the floor. We are a truly sick society when we allow these abuses to continue.

Digg!


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feminist?
Posted by: ProgressiveRedStateResident on Jul 3, 2008 2:21 PM   
Current rating: 4    [1 = poor; 5 = excellent]
What? This is a HUMAN RIGHTS issue. I'm disgusted that this happened. And, I agree with most of this article... I just have no idea how this is a "feminist" issue. I can see that this is an issue that should be of interest to feminists, or any other group of people who believes in respect and equality. But, I don't see this story being relevant from a feminist perspective.

Sometimes we have to step outside of the groups that we belong to and the causes that are important to us and just look at things from a HUMAN perspective. It seems almost opportunistic to try and use this story as a springboard for feminist activism. Do we really think that if it had been a poor, black, mentally disabled MAN on the floor that they would have rushed to help him? From what I saw of the video, she fell with her head under a chair. I didn't even see anyone care enough about this HUMAN LIFE to bother to check if it was a man or a woman. She didn't die because she was a woman. She died because she was poor. And, this is the way we treat poor people in America. We completely forget about them until their misery is shoved in our faces. It's the true American tragedy.

For crying out loud... step away from your pet agenda for one day and recognize this for the HUMAN tragedy that it is.

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» RE: feminist?- you're right Posted by: AngryWhiteFemale
» RE: feminist?- you're right Posted by: MamaPantz
» RE: feminist?- you're right Posted by: AMerrickanGirl
» Why are you so mad? Posted by: MamaPantz
» RE: Why are you so mad? Posted by: dwilliamsamh
» RE: Why are you so mad? Posted by: WyrdSister
» RE: Why are you so mad? Posted by: AMerrickanGirl
» RE: feminist? Posted by: MamaPantz
» RE: feminist? Posted by: clvngodess
» RE: feminist? Yes Posted by: goeswithness
» RE: feminist? Yes Posted by: AMerrickanGirl
Did any one watch the video?
Posted by: ciccio on Jul 3, 2008 4:29 PM   
Current rating: 2    [1 = poor; 5 = excellent]
I did and I was disgusted. Disgusted by the fact that the richest country in the world does not find the money to treat their poorest, but even more so by the total disregard the other "people of colour" paid to the victim. i have been in a crowded emergency room, it happens often enough that an nurse or attendant is not in the waiting room, were someone to have a fit in one of them I bet a dozen people would holler for help in a second. If they pay so little attention to their own, why the hell should I bother.

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» RE: Did any one watch the video? Posted by: rwday@cox.net
Socialized medicine?
Posted by: kiel on Jul 3, 2008 8:00 PM   
Current rating: 5    [1 = poor; 5 = excellent]
How many times have I heard people (my own in-laws included) railing against "socialized medicine?" One main reason is, "You have to wait for treatment." I wonder how many people have died in walk-in clinics/emergency rooms in Britain or Canada?

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» RE: Socialized medicine? Posted by: inkcap
» RE: Socialized medicine? Posted by: ciccio
» RE: Socialized medicine? Posted by: AMerrickanGirl
What about the OTHER issue here?
Posted by: Dboy on Jul 3, 2008 8:25 PM   
Current rating: 1    [1 = poor; 5 = excellent]
So, are cameras watching our every move a good thing, or a bad thing?

dboy

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» RE: What about the OTHER issue here? Posted by: Prairie Waif
New York is not a good place to be mentally ill and expect help.
Posted by: Longdream on Jul 3, 2008 9:36 PM   
Current rating: 5    [1 = poor; 5 = excellent]
In the late 'seventies, the NYS legislature decided that the state mental hospitals were costing too much. They took a look around and decided that a lot of people weren't dangerous, and they could leave, thereby saving taxpayers and the system a lot of money.

They took people who had been in hospitals like Bellevue and Creedmoor for twenty, thirty, forty years, handed them a little money and a bottle of medication, and said, "Good bye, and good luck!"

These were people who, if not dangerous to themselves or others, were deeply institutionalized. They hadn't made the most basic decisions or cared for themselves in a very long time, and certainly didn't know how to take their own medication, get more, find somewhere to live...they were completely vulnerable.

Many of them died on the street. Many were picked up by unscrupulous motel owners, who had them sign papers to give up their checks every month for room and board, but didn't give any help, so that people starved in their rooms for want of being called to a meal, and people jumped out windows because nobody helped with medication.

It was a state-wide scandal, and out of it some aftercare was legislated to oversee the folks in what, from down-and-out SRO hotels, became what were called "adult homes", a legislated class of care facility, usually distinguished by the word "Manor" in their names. The homes had to provide social services, recreation, square meals, help with hygiene, a monthly visit with a psychiatrist for medication adjustment, and nursing to help with medication.

Now, the beleaguered Department of Social Services doesn't have the money to do regular inspections of the homes for compliance, and living conditions for the most vulnerable of the city's poor--the helpless, psychotic disabled, are at a new low. A number of homes--some that I knew well, have lost their licenses because of dangerous and unsanitary conditions, lack of professional care in medication distribution, lack of personal care assistance--lack of spending any money on the residents at all, except to feed them, and not that well. Poor Esmin Green happened to die in front of a camera. Dozens of people like her die in New York every year, for lack of basic help. In one adult home I knew, two residents were beaten to death recently.

These very ill folks are not sweet and cuddly. They're often belligerent and bizarre, and they smell bad because they don't wash, and they chain-smoke and crave caffeine. They suffer when they don't take their meds, and they suffer when they do. They are the poor beneath our feet, and they deserve our attention, pity and care.

The callousness of the staff at Kings County is repeated day after day, in just about every part of New York State.

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Isn't This Indifference Simply the Signature of the USA?
Posted by: artie on Jul 4, 2008 3:19 AM   
Current rating: 3    [1 = poor; 5 = excellent]
This clip simply shows precisely the conception of human being that the society articulates. Unfortunately, those reared in its culture can't see it themselves, and can't see that they themselves have appropriated it - yes, even those brought to tears or to hammering a legislative gavel, literally or metaphorically, in response to the clip. This doesn't deny that such persons can do good deeds, even altruistic ones. This simply displays the conception of human being that permeates all of your being - from Descartes to the present - and will do so until the Empire dies. So, don't be shocked or outraged by the security guard's response - maybe he would have shot her if she began ranting for help. His behavior epitomizes America's response to itself and the world.
Try to save yourselves: interiorize some "Being and Time" into your own "existence" and retrieve some of so much of the precious animality that you have lost.

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How is this s feminist issue?
Posted by: dwilliamsamh on Jul 4, 2008 5:01 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I was appalled by the treatment (consisting of being ignored until she was dead)of this patient. It shouldn't happen in America where we have (according to most jingoistic conservatives) "the best health care in the world." That's a load of crap, but an issue for another time.

But how is this a feminist issue? There is NOTHING to indicate that this patient's treatment had anything to do with her gender. It is obvious from the larger story that this hospital treats all its patients with indifference. Come off the feminist crap. It is a human rights issue.

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» RE: How is this s feminist issue? Posted by: Catherine Anne Smith
» RE: How is this s feminist issue? Posted by: AMerrickanGirl
» RE: How is this s feminist issue? Posted by: scheherezade
Feminist?
Posted by: rwday@cox.net on Jul 4, 2008 6:03 AM   
Current rating: 5    [1 = poor; 5 = excellent]
This isn't a feminist issue. Does anyone really think that if that had been a man, they would have treated her differently?

It's a class issue. No middle class person with insurance would have 1) had to sit in an emergency room for 24 hours or 2) been ignored if she fell over and convulsed on the floor.

I think it's important that this was posted today, on the 4th of July. With all the discussion of late about patriotism, whether Obama has it, etc., I submit that true patriotism isn't flag waving and lapel pins, singing 'God Bless America.' True patriotism, among other things, means working towards a country where scenes like the one in that video never, ever happen.

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» RE: Feminist? Posted by: Longdream
» RE: Feminist? Posted by: mnascimento
Are You Sure This Wasn't Walter Reed????????????
Posted by: Turiye on Jul 4, 2008 7:23 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
N/F/E

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Shockproof?
Posted by: pcushniesr on Jul 4, 2008 7:38 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Just when you think you have become shockproof to the ills of the world, something like this comes at you and knocks the wind right out of your sails. All I could do upon my initial viewing was sit in my chair, eyes wide, mouth hanging stupidly open, truly not knowing what to say or think. I had just watched to the death of another human being and the indifference to its meaning from those around her. Is it any wonder that I do not accept the existence of a merciful god? I can only hope that I am never subjected to whatever influences caused the people in this video to act-- or not act-- the way they did. Perhaps I can find a measure of compassion for them, too.

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Too bad Jesse Helms didn't die like that
Posted by: hurricane hugo on Jul 4, 2008 8:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
he actually deserved it.

jdfu!

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This comment has been removed from the site due to non-compliance with AlterNet's community policies.
» RE: Not a complete loss. Posted by: johnofphilly
medical farce in general
Posted by: johnofphilly on Jul 4, 2008 10:34 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
It is truly tragic that this woman with special needs was left to die by callous unprofessional staff.

Remember this, though:

AMA is owned by private pharmaceutical companies who don't give a hang about making you better, they just want to make profits and be traded on Wall Street. This means that the person who DOES get waited on is probably only being poisoned.

On the Other Hand - there are people who want to die and medical staff won't let them - they keep them alive as test dummies and guinea pigs.

My friend imagines our so called president in bitter pain in his last days, begging the nurse to pull the plug, and her replying "sorry, fool, no can do.", while paparazzi take numerous shots of the appearance of a grimacing chimp.

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Silver Lining
Posted by: bc430 on Jul 4, 2008 10:58 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Ms/Mr Hobohomo, as to this woman's body fat a careful look at the video reveals that she was not lugging around a lot of fat. Personally I'm not impressed with all of the comotion about oily fuels of any variety when motor vehicles can be run on the same substance that powers the Hoover dam turbines. Water. The Science that is focused so much on killing people can do it in a heartbeat if refocused.

As to your uplifting musings on pet food You must be a pet owner to suggest that pet food comes down to pets from so high up the food chain. I suggest you put your brilliant post on your refrig just in case. Like, lets say you and your pet(s) are secured in your well stocked home and you, the food preparer, die. There lay your dead body for a couple of days.

The headline describing your demise and your pets attempt to perform the dual task of mortician and instinctive hunger response might be summed up in two words; POETIC JUSTICE.

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1964-->Kitty Genovese dies while dozens stand watching
Posted by: Prairie Waif on Jul 4, 2008 11:03 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Society hasn't just fallen to this immoral lack of respect for fellow human beings.


Kitty Genovese was stabbed, repatedly, while her neighbors watched from the 10-story apartment complex within which she, and they, lived.


How did Kitty Genovese Die?

At 3:15 A.M., on the night of March 13, 1964, Kitty Genovese was returning home from her job as manager of Ev's 11th Hour, a bar in the Hollis section of Queens. Her apartment was in the Kew Gardens section of Queens, a cheerful place with private homes, apartment houses, and neighborhood stores. Like many in the area, Genovese parked her car in a lot adjacent to the Long Island Railroad Station. Although the railroad frowned on the practice, this had been her routine since arriving from Connecticut a year earlier.

Genovese locked her car and began the 100-foot walk to her apartment building, little realizing that she had been spotted leaving the bar and followed. Soon, though, she noticed a man at the far end of the parking lot, she changed direction, heading toward a call box for the 102d police precinct. But she got only as far as a street light when the man grabbed her. "Oh my God, he stabbed me! Please help me! Please help me!" Genovese screamed. Lights went on in a nearby 10-story apartment house and somebody yelled "Let that girl alone!" The assailant walked to a car and drove off. Genovese struggled to her feet. The apartment building's lights went out.

Then the assailant came back and stabbed Genovese again. "I'm dying" Genovese shrieked. "I'm dying!" Again, lights went on. Again, the assailant went to his car and drove away. Again, Genovese struggled to her feet.

Again, the assailant returned. By then, Genovese had crawled to the back of her apartment building. (Because the building has retail stores on the first floor, the entrance to the apartments were in the rear.) The assailant saw Genovese on the floor, at the foot of the stairs. He stabbed her a third time. And Kitty Genovese died.
Finally, at 3:50 A.M., the police received a phone call from a neighbor of Genovese's . In two minutes they were on the scene."

I highly recommend going to the site link. It is an experiment done as to WHY people do not get involved; as is the case with Esme Green.

Once you read it, you will also learn how you can be of assistance to others and avoid being a victim of social indifference.

This is something we all need to know and our children should be taught.

Waif

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Single payer and the candidates...
Posted by: Landbaron on Jul 4, 2008 1:08 PM   
Current rating: 5    [1 = poor; 5 = excellent]
A Superior Health Care System Without the Middleman
by Ian Williams | 06/15/2008

IF YOU HEARD OF A COUNTRY that in 1995 introduced single-payer universal health care, with complete freedom of choice of doctors and no waiting lists, you would expect all the presidential contenders to be beating a path there to find out what was happening. After all, this is not Shangri-la. It is Taiwan, which also offers dental and prescription-drug coverage, and the choice between Chinese traditional or modern medicine, all for just over a third of the proportion of the GDP that the U.S. "system" costs.

But none of the last three remaining major presidential candidates mentioned this highly successful Taiwanese experiment. Indeed, all of them ruled out any single-payer system. To sharpen the irony, the designers of the Taiwanese system scoured the globe for a model, and in the end adopted what they thought was the most promising system to emulate—Medicare in the U.S.A.!

The reason for this political omerta is that all the presidential candidates want to appease the health insurance companies, under whose lobbying aegis the U.S. spends 16 percent of GDP on a health-care "system" that leaves 45 million uninsured and countless millions more underinsured.

Obama is a puppet boy.

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Doesn't Surprise Me At All
Posted by: cherylholmes on Jul 4, 2008 3:53 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Since Katrina, this country has changed. Katrina was a trial run, or a psyche op. It changed everything including the way POOR people are generally treated and the way insurance companies deal with us when we have losses..or rather how they don't deal with us.

For a nation who abuses others in foreign lands, this isn't a far stretch really. It was only a matter of time before it hit home too. We are a disgusting nation. No wonder we are the most hated.

Our own county hospital in San Antonio has let people waiting to be seen die too...and there can be days of waiting to be seen in ER, if you can find an ER who will accept you anymore. I hear horror stories about the VA hospital ER here too.

This is the NEW America...thank you Bushco for making us the same pieces of shit you are.

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» RE: Doesn't Surprise Me At All Posted by: Prairie Waif
» Well before Katrina Posted by: andabottleof_rum
» RE: Well before Katrina Posted by: Longdream
Anyone Notice There Are 2 Stories About
Posted by: desidid on Jul 4, 2008 8:16 PM   
Current rating: 1    [1 = poor; 5 = excellent]
NY and the mistreatment of people. There is a fog that rest over that state it permeates everything there. Driving in any of the boroughs is a game of Russian roulette. People who were riding in goat drawn carts yesterday, are driving without the benefit of a license or insurance today. I've literally seen people on the Belt Parkway (for years) make their own exits, when traffic gets too backed up. And once one does it, many follow. It is common knowledge amongst NYers that if your car breaks down on a parkway or expressway you leave someone with it. If you don't, it will be a shell by the time you get back. I used to wait for a bus to go to work, the first day I stood alone in the snow. When the bus approached all these people filed out of the diner, and began to form a line in front rather than behind me. When I objected a woman said, "Oh you aren't from NY." My response was, "No where I'm from people know that lines have a beginning and an end, and you need to get behind me." Many NYers confuse intimidation with strength. I found once you behaved like them, which is ignorant, rude, indifferent, and belligerent you would be left alone.

As to the treatment Ms. Greene didn't receive I think a book titled Medical Apartheid can explain the broken relationship between Blacks and the medical profession.

As an aside King's County Hospital has a large number of employees from the Caribbean, is it possible their reaction is a learned behavior?

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"Life is good in this Land of Plenty"
Posted by: talkville on Jul 5, 2008 1:57 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Labor: cheap; Goods: Cheap; Capital: Abundant; Human Beings: Plentiful. Human Lives: Expendable; Cheap.

And the bourgois cries: "Life, Liberty, the Pursuit of Happiness! Have you seen the latest issue of Architectural Digest? Oh! Poor Christie (Brinkley); isn't it just terrible? Did you see that cute little puppy Paris Hilton has?

Life is good in the land of plenty.

And the proletarian says: "Rights? What planet, what century, you from?" Us, we're crops, we're livestock, we're machines; we're children; "human" is just an adjective to distinguish is from the mule, the sheep, the hog; just a different kind of machine.

The Hospital: We already have systems in place and very detailed protocols; the efficiency experts and taylorizers have been here and left. Look, in general, it's working very well and our profits are at an all time high. These things happen, but very seldom; it is unfortunate, but we've got to run a business here. It's just sound, up-to-date, hi-tech business practices. Our ratios are the envy of other hospitals.

Just another casualty. Cheap. There's a new crop of well-trained, younger, more productive and more easily managed 'human' resources out there -- plenty of supply.

"Labor Force"; "Human Resources"; "Agents"; "Employees"... That's the "appropriate" and "sensitive" way to refer to crops, to livestock, to machines.

Honor the fallen. They sure won't.

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She should have traded in her Freedom Fries for FRENCH Fries!
Posted by: williameon on Jul 5, 2008 5:31 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Oh!
The French have health care and
even the Mexicans do!
Only the good old U.S. of A-sses doesn't!
Oh my,
Why are we so Stupid?
Reagen-omics
Cut the shit out of education and pretty soon
The people are so ignorant and stupid they don't know any better!
Depression anyone?
Steal all the money and the system stops.

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Health care in Canada
Posted by: Juschka on Jul 5, 2008 7:18 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I can't speak for Britain, but I can speak for Canada. We may have waits up here in Canada, but we are seen. I have yet to hear how a person seizing was left to die in the waiting room. The issue isn't socialized medicine since you folks don't have it. The issue is poverty and race and how if you are poor and black (or Latino) in the US your chances of having or receiving health care are significantly lower. That said, racism is alive and well among the white settler population in Canada so that in the west, where I live, although indigenous people are seen in hospital waiting rooms, they can face dismissal of their medical problem, be treated with derision, or prejudices surface and assumptions are made such as drug or alcohol use.

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Deja Vu
Posted by: scryberwitch on Jul 5, 2008 11:06 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
It's the same as it was a century ago - the issue of the treatment of mentally ill people, that is. Thanks to the intrepid "stunt-girl reporters" like Nelly Bly and Djuna Barnes, Middle-class America got to see exactly how the mentally ill, which consisted, and still do, mostly of women (=feminist issue), were treated. Just like the ACLU claims today: filth, decay, mistreatment. Forced medication, being stripped of any rights and dignity...it's all happening again. Even scarier, back in the old day, suffragettes were considered "hysterical" and were often committed into these madhouses where they were drugged, beaten, force-fed, etc., etc. We should be watching this very closely.

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All Too Real And Too Common
Posted by: elanne on Jul 5, 2008 11:43 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Sadly, the only thing unusual about this is that it all got on tape and was published for all the world to see. If it had happened (as it often does) inside the psych unit no one would see it.

One of the most often heard comments from psych unit staff is "it's not my job". That and about a hundred other excuses that will/have cropped up for this shameful situation reverberate throughout the (un)healthcare centers all over America, its territories, and protectorates (plus all its unacknowledged imperial acquisitions).

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All Too Real And Too Common
Posted by: elanne on Jul 5, 2008 11:44 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Sadly, the only thing unusual about this is that it all got on tape and was published for all the world to see. If it had happened (as it often does) inside the psych unit no one would see it.

One of the most often heard comments from psych unit staff is "it's not my job". That and about a hundred other excuses that will/have cropped up for this shameful situation reverberate throughout the (un)healthcare centers all over American, its territories, and protectorates (plus all its unacknowledged imperial acquisitions).

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They should have a show on tru tv about 'dumbest er rooms'
Posted by: Landbaron on Jul 5, 2008 4:42 PM   
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Everyone likes to laugh at incompetence.... Money drives everything, and the lack of it. Long live Capitalism!!!

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LACK OF HUMANITY
Posted by: LolaL. on Jul 7, 2008 3:18 PM   
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OH MY GOD WHERE HAS OUR HUAMANITY GONE? I AM BIPOLAR AND FORTUNELY FOR ME I HAVE HEALTH INSURANCE AND I HAVE AN EXCELLANT DOCTOR. BUT WHERE WOULD I BE IF I DID NOT HAVE ANY INSURANCE I HAVE OFTEN WONDERED? THERE IS NO EXCUSE WHAT SO EVER FOR THOSE WHO CHOSE TO TURN THEIR HEADS AND IGNORE THIS WOMAN WHO WAS IN DEPERATE CRISIS. THEY SHOULD ALL BE PROSECUTED TO THE FULL EXTENT OF THE LAW AND IF THERE IS NO LAW MAKE ONE!

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LOL
Posted by: xmvince on Jul 9, 2008 6:18 AM   
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That is terrible, but on a side note, I thought this was hilarious:
"patients who complain too loudly are sometimes handcuffed, beaten or injected with psychotropic drugs."

That, my friends, is hilarious. Start complaining and you are gonna be tripping balls the next few hours.

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