To the editor:
For years my family has received wonderful, sometimes miraculous care from Adirondack Medical Center. Since 1980 I have served this hospital with pleasure and pride under too numerous head nurses and supervisors to enumerate. Throughout the decades there have been dramatic periods of fiscal fluctuation, but we as a staff were always kept informed with candor and thoughtfulness.
The amorphous nature of the recent AMC public hearings served as an attempt to disguise grave financial issues existing long before the Patient Protection and Affordable Care Act and changing reimbursement levels.
While the hue and cry over the Lake Placid emergency room continues, no one answers the question of fiscal culpability these past 10 or 15 years. Who is ultimately responsible? Is it Health Tech (whose contract increased from $635,000 to $816,000 with the name change from Brim), the proliferating middle management, the board of Adirondack Health? No one in authority appears to accept ownership for the disastrous decline of AMC's financial stability. It would appear that none of the approximately 40 individuals laid off had management decision-making positions. There has been little if any public discussion on this subject, with the possible exception of Dr. Claude Roland's Guest Commentary referring to the enormous loss incurred by the nursing homes.
If the Lake Placid ER IS closed, what is to prevent the continuing mismanagement or misguided appropriation of AMC's remaining resources?
Nancy A. Lynch