On page 80, the Commission's report affirms that "the SUNY teaching hospitals are important resources and recipients of public funds and subsidies" and states that "Their academic mission to train physicians and their mission to serve patients regardless of ability to pay must be preserved." Yet in the very next paragraph the Commission suggests that "Additional legislation has been proposed that would further expand operational flexibility, even going so far as to restructure the SUNY hospitals as private, not-for-profit corporations...privatization would also decrease or eliminate the need for ongoing State subsidies..."
The legislation proposed by State Senator Kenneth LaValle for splitting the Hospital and University is also a bad idea. Because these university medical centers serve as the heart of highly accredited medical schools, they have uniquely qualified experts in many specialties. Separating the medical school from the teaching hospital with its diverse colleagues will hamper medical education, research innovation, and clinical advances.
On p. 91 the Commission proposes yet another bad idea: "that Crouse Hospital and SUNY Upstate Medical Center be joined under a single unified governance structure under the control of an entity other than the State University of New York…"
This is a bad idea, endangering both patient care and medical education. It is an attack on the dual mission of these hospitals: to provide quality medical care to people regardless of their ability to pay while teaching our state’s next generation of physicians. Similar proposals have been repeatedly rejected by the NY Legislature several years running.
These medical centers are key players in cutting-edge medical research. Stony Brook HSC is a leader in lyme disease research. The first study of HIV transmission from mother to fetus, the first MRI on people, and the first successful open heart surgery in NY state all took place at Downstate Medical Center in Brooklyn.
SUNY medical centers provide a key role in affordable medical education. For example, more practicing physicians in New York City graduated from Downstate HSC than from any other institution. When graduate medical education funds flow to the hospitals rather than the University (as has already happened in Buffalo), these funds are used to bolster the hospitals’ bottom line rather than furthering SUNY’s medical education mission.
These medical centers provide many specialized services not found elsewhere in their area of service. For example, Stony Brook HSC operates the only pediatric AIDS center on Long Island, and performs the only open-heart surgery in Suffolk County. Upstate Medical University provides the only designated Stroke Center in Central New York, as well as its regional trauma center and the well-regarded Clark burn unit. If privatized, hospitals would be pressured to end these vital yet expensive services.
As public institutions, the HSC medical centers provide health care for the poor, regardless of the individual's ability to pay. Upstate Medical University in Syracuse is the only hospital in a 15-county area providing essential, high-quality health care to the indigent. Brooklyn HSC is the only academic medical center in three counties providing patient care to a diverse population of over 5 million people.
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