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I was disappointed to read that the Hennepin County Board of Commissioners voted to retake control of the nonprofit that runs Hennepin County Medical Center (HCMC) and its clinics (“County to take control over HCMC,” Aug. 13). I am saddened that the board, its members good at what they do accepting guidance from our county’s paid professionals, will now take on the role of hospital administrators and will run HCMC. This is a role for which most, if not all, have no formal training.
We all recognize that health care finances are pretty much a morass that only the professionals even begin to understand. HCMC serves a great number of under- and uninsured county residents. In addition, federal Medicaid payments are being reduced, further deepening the budget shortfalls at HCMC.
Will the County Board make money appear from nowhere to a degree better than the current hospital management team? Will labor be able to see an already short-staffed hospital increase staffing or pay scales, when funds are decreasing rather than increasing? Will the county be able to afford the up to $2.5 billion that hospital leadership asked for and that the County Board has said that it would like to approve?
We must all face the fact that the financial health care pie is shrinking, not expanding. The county commissioners have no magic bullet to make it all come together, and I hope they recognize they may have stepped in well over their heads with this 6-1 vote.
Time will tell.
David Abrams, Minnetonka