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Another indictment of for-profit health care

NY hospitals owe workers $100 million

By Sharon Eolis
New York

Did you know that New York hospitals have ripped off over $100 million from the benefit funds of union workers? Accord ing to an article in the April 14 New York Times, three dozen hospitals in the city and its suburbs have fallen far behind in payments to employee benefit and pension funds in recent years.

SEIU/1199, with 100,000 members in hospitals, nursing homes and some drug stores, has borne the brunt of this loss of funds. In addition, the New York State Nurses Association and the Nassau County Benefit Fund have waited months for delinquent payments.

The crisis in New York is the worst in the country. The arrears have doubled since 2003. "This is absolutely the worst situation we've seen both in terms of the dollars and the number of institutions involved," said Mitra Behroozi, executive director of the funds--separate entities that are controlled jointly by the union and the hospitals.

The health care industry is one of the largest employers in the New York area. Documents given to the Times by a fund official showed that hospitals owed more than $130 million, including interest, to the fund as of March 31. According to Behroozi, payments over the next two weeks reduced the amount owed by about $6 million.

The unions are in a difficult position when they push for the payments. The hospitals often cut services and/or lay off hospital employees. Eight hospitals and health care facilities have closed since 2002. This year three dozen hospitals and nursing homes have fallen behind in benefit payments. "The bottom line is, from the union's perspective, the obligation is to make these payments," said Jennifer Cunningham, the executive director of the Service Employees International Union in New York. "But if it's really a troubled institution, insisting can result in lots of problems."

Eight health care institutions account for two thirds of the debt. They are Brook dale Medical Center in Brooklyn; Jamaica and Parkway hospitals in Queens; St. Vincent's, Beth Israel, North General and Cabrini in Manhattan; and Our Lady of Mercy in the Bronx. Two of the employers--Brookdale and Cabrini--have had large fund debts for over a year.

The present hospital debt crisis is an example of how the capitalist boom and bust cycle leads to an out-of-control economy. Hospitals are run for profit, not human needs. The federal and state governments have slashed Medicare and Medi caid payments to health care institutions and don't pay in a timely manner, so hospitals have outstanding bills. The costs for pharmaceuticals, equipment and benefits have increased. In a competing market place, the hospitals act like typical bosses and hold back on workers' benefits.

This crisis has led to the closing of a number of New York hospitals in the past two years. Those that try to keep going are stopping the hemorrhage with a band-aid.

What is the answer? A health care system set up for human need, not capitalist greed. A system that plans for health care for all the people and not just those who can pay for it.

The big business politicians will scream, "Where's the money to pay for it?" But the war in Iraq has cost hundreds of billions of dollars, killed and wounded tens of thousands of Iraqis and thousands of U.S. soldiers, exacerbating the health care crisis. There was plenty of money for that and for the "endless war" that Bush is bent on.

Before the U.S. war in Iraq and over a decade of sanctions, Iraq had a modern, nationalized health care system that provided free health care for all. Why is the U.S. the only industrialized country with no national health care system?

The U.S. needs to follow the example of socialist Cuba and build a health care system that meets the needs of the people. But the people will have to put up a mighty struggle to win health care for all.

Eolis is a health care worker in New York.

Reprinted from the May 6, 2004, issue of Workers World newspaper

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