The other case of "reverse Robin Hood" on
the HCMC restructuring issue involves the
shift of human resources compensation from
front line employees to hospital administrators.

The HCMC Governance Task Force report quotes in
full a study that says that the terrible problem
with being a public hospital is that civil service
employees have too many protections and are paid
at the market rate. It also bemoans the open
meeting laws that leave the hospital administrators
visible and accountable to public scrutiny. In the
same section of the report that says privatization
would free the hospital to compensate on pay and
benefits below market rate, the task force called
for relief from the "compression factor" caused by
civil service rules. Administrators' pay is capped
so that they cannot be paid more than the governor
of the State of Minnesota. (I believe the legislature
has already taken action to allow the cap to be
exceeded on HCMC's CEO and COO.) The report implies
that more managers should be able to be compensated
above the Governor's pay. 

HCMC, Hennepin Faculty Associates, and Hennepin County
paid for a national consultancy firm (McKinsey) to
evaluate HCMC's fiscal crisis. When the consultants
made their public presentation to the county board,
you could hear a real catch in the voice of the
consultant when he bemoaned ecomomic factors that force
the county "to pay market rate" for their nurses.
I thought the poor guy was going to break down and
cry at the injustice of it all.

In a recent letter to the editor in the Star Tribune
from a lawyer who represents management in hospital
contract negotiations, the headline was "Want More
Jobs? Cut Pay" (Or something like that. Sorry, I don't
have it in front of me.) But clearly, pay and benefit
cuts to nurses and other hospital employees will simply
go to pad the paychecks of hospital administrators
rather than going to patient care.

I agree, the Robson article was great. The solution
is that legislators like John Marty (who helped to
kill bipartisan legislation that would have allowed
HCMC to bill counties when they send their uninsured
residents to HCMC for unreimbursed care) need to act
with the integrity to acknowledge that their own
counties must share in footing the bill.

David Finke, RN, OCN (Central Neighborhood)
Hennepin Comprehensive Cancer Center
President, Hennepin County Nurses Association


Quoting Dean Lindberg <[EMAIL PROTECTED]>:

> It would be an indescribable cruelty to many Minneapolis and area
> residents if Hennepin County closes or dumps it's medical center.
> 
> City Pages did a fantastic story on Hennepin County Medical Center:
> http://www.citypages.com/databank/24/1197/article11646.asp
> 
> Britt Robson really nailed it, especially in describing the
> professionalism and dedication of the staff.  I know he's got it right
> because I have seen that for myself; When my private insurer told me to
> get lost, HCMH gave me the help I needed at the time.  In retrospect,
> after paying premiums to my private insure for 15 years and never
> submitting a claim, telling me to get lost and forcing me to go to the
> provider of last resort was the best thing they ever did for me.
> 
> I could go either way on the stadium issue.  But if Hennepin county, the
> city of Minneapolis, the legislature and governor dump HCMC, and then
> ever lift a finger support a new stadium, it would be the most
> despicable example of governmental reverse Robin Hood ever perpetrated
> on our community.
> 
> Dean Lindberg
> Minnehaha
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