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Archive for the ‘Health Care’ Category

No sooner had we posted our account of the planned firing of LSU System Office General Counsel Raymond Lamonica than we learned that the Piyush Jindal administration has also relieved Dr. Roxanne Townsend of her position as CEO of the Interim LSU Public Hospital in New Orleans, a position she has held since 2009.

LouisianaVoice learned from independent sources that she was called into the office of Dr. Frank Opelka last Friday and informed that he planned to go “in another direction” with the LSU health care system. Opelka was named head of the health care system on Aug. 26 following the firing of his predecessor, Dr. Fred Cerise.

The “direction” alluded to by Dr. Opelka is apparently to remove from positions of responsibility anyone who does not bow and scrape at the Piyush pewter image. (For those who don’t know, pewter is defined as a dull, malleable alloy comprised mostly of tin; ergo, the Tin Man—with no heart.)

Dr. Townsend, a native of Pennsylvania, graduated from the LSU School of Medicine-New Orleans in 1992 and did her post-graduate training in Internal Medicine in Baton Rouge and also served as Chief Resident in Internal Medicine at Earl K. Long Hospital in Baton Rouge.

She has served as CEO of the Interim LSU Public Hospital in New Orleans since 2009. She previously worked for Dr. Cerise as the Chief Operating Officer at Earl K. Long and upon Dr. Cerise’s departure for the Department of Health and Hospitals (DHH), she was named Interim CEO. In July of 2004, she moved to DHH as Medicaid Medical Director where her responsibilities included oversight of all aspects of DHH’s Disease Management and Clinical Quality activities.

Following the closure of Charity Hospital in New Orleans after Hurricane Katrina in 2005, Lamonica, representing LSU, obtained a $474 million settlement with the Federal Emergency Management Administration (FEMA), part of which was used to convert the former Hotel Dieu into the Interim Louisiana Hospital which, besides serving as a medical safety net for indigent patients, also trains 300 resident physicians—200 from LSU and 100 from the Tulane Medical School—and to get the University Hospital campus up and operative.

News of Dr. Townsend’s demotion comes on the heels of reports that the administration plans to fire Lamonica, the man who negotiated that FEMA settlement. Last April, the LSU Board voted to fire John Lombardi as president of the LSU system and followed that last month with the firing of Dr. Cerise.

Jindal presently controls all but one of the appointments of the LSU Board, so it is impossible for him to separate himself from board action, no matter how much his media mouthpiece Kyle Plotkin may try to deny it. Any board action must be considered to have been taken at Jindal’s behest.

Given Piyush’s ongoing putsch, the question must be asked: when are legislators going to gather sufficient stones between them to stand as a body and say to this tyrant: “ENOUGH! There is only so much we as a legislative body will take from you in exchange for appropriations for our districts. There comes a time when your personal ambition may no longer run roughshod over the state’s principles, dignity and respect and you long ago crossed that line.”

Where is that so-called independent legislature? You are needed more today than at any time in this state’s history. But your timid silence is deafening.

And where are the voters in these legislators’ districts? You are equally mute when you should be at your very angriest–and loudest.

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“I was notified yesterday by Dr. William Jenkins that I will no longer lead the the LSU Health System.”

–Dr. Fred Cerise, on his firing by Gov. Piyush Jindal through his proxy, the LSU Board of Supervisors.

“That’s a decision for the board and the LSU System president. LSU’s health system needs a leader who can implement reforms that deliver services more efficiently.”

–Jindal mouthpiece Kyle Plotkin, parroting his boss in commenting on the firing of Dr. Cerise.

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Add another name to the growing list of state employees teagued by Gov. Piyush Jindal.

This time it was Dr. Fred Cerise, head of the LSU health care system who was canned by this egomaniacal little man who simply cannot tolerate any subordinate who thinks or acts for himself.

It’s not as if LSU’s statewide system of hospitals and clinics which served the dual purpose of providing of healthcare for the poor and as teaching hospitals for medical students had not already been dealt crushing blows from devastating cutbacks.

And it’s not as if Jindal hasn’t gained complete control of the LSU Board of Supervisors, appointing all but one of its members and firing President John Lombardi earlier this year.

This egocentric governor must lie awake at night thinking of new ways he can consolidate absolute power in the name of all that’s good and wholesome. He must salivate when he thinks of another employee he can fire and the higher position his latest victim holds, the more titillating it must be for Piyush.

So, of course, when Cerise criticized Piyush budget cuts which gutted the LSU medical system of hundreds of millions of dollars, he had to go.

It was not a matter of whether or not he or Lombardi, or Office of Group Benefits former director Tommy Teague or anyone else was doing a good job; it was a question of blind, unquestioning subservience to sanctimonious Pope Piyush the Perfect. Fail that test, and you’re history.

Not even members of the legislature are immune to his wrath. Two crossed him and promptly were removed from their committee assignments.

Speaking of the legislature, isn’t it about time those 144 representatives and senators grew a collective spine and stood up to this Huey Long reincarnate? Wouldn’t there be some merit to being a member of a House or Senate that could truly call itself independent as opposed to simply existing to serve the whims of a power-mad, self-righteous narcissist?

It wasn’t enough that Jindal purged his administration of yet another person capable of being something more than just another pathetic, fawning sycophant in Piyush’s inner circle (with the exception of one who this week admitted that his boss was “delusional”), but he had the unmitigated gall to play the “who me?” card when asked about the firing.

True to form, Jindal did not give an interview about the latest dismissal. He rarely holds press conferences in other than tightly controlled settings and he never takes questions, preferring instead to stick to the stock prepared statement which neither takes questions nor answers them.

In just such a prepared statement, this man of action (when there is a TV camera to record his image at an oil spill or in a hurricane command center, that is) said through his imported press secretary: “That’s a decision for the board and the LSU System President. With the changing environment in healthcare today, LSU’s health system needs a leader who can implement reforms that deliver services more efficiently.”

Please, Piyush, can’t you be a little more original—and honest—than that?

Sen. Fred Mills (R-St. Martinville), a member of the Senate Health and Welfare Committee, expressed concern over the firing of Cerise, who also served a stint as Secretary of the Department of Health and Hospitals under former Gov. Kathleen Blanco.

“Where else in the state do you have a gentleman that’s worked in the health care system (as a physician at Earl K. Long Hospital in Baton Rouge), been secretary of the Department of Health and Hospitals, and leader in the LSU Health System?” Mills asked. “Where are you going to get a resumé to replace this type of gentleman?”

Adding to the absurdity of the entire situation is the fact that Cerise’s contract runs through 2015, so he will be kept on the payroll in another capacity.

His replacement, Dr. Frank Opelka, vice chancellor for clinical affairs at the LSU Health Sciences Center in New Orleans, was named to replace Cerise—in the newly-created position (an increasingly familiar scenario for Jindal appointees) of executive vice president for health care and medical education redesign.

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The clock has run out on Gov. Bobby Jindal and like the Honey Badger, he’s now yesterday’s news insofar as any aspirations either one may have had for bigger and better things.

Realistically, time had run out on Louisiana’s wunderkind some time ago even though like a loyal trooper, he keeps soldiering on—perhaps hoping for a prestigious cabinet position like Secretary of Health and Human Services, something he denies aspiring to.

“I would not consider a cabinet post,” he sniffed like the spoiled little boy that he is after being passed over for the vice presidential nomination by Mitt Romney. “I consider being the governor of Louisiana to be more important and the best job there is.” Well, it is the only job he has for the moment and if he doesn’t challenge Mary Landrieu in 2014, we’re stuck with him through 2015.

Break out the champagne.

We can only surmise that Secretary of Education is out of the question since both Romney and Paul Ryan advocate that department’s abolishment in favor of state and local control (read: vouchers), although Romney has tempered his position somewhat.

But Jindal’s real quandary is not that he was passed over for vice president, but that he needs desperately to advance his career quickly—before all his “reforms” as governor come crashing down around him, doing even more damage to his reputation than that disastrous response to President Obama’s State of the Union Address in 2009.

That image as the crusading reformer who gets things done against all odds is already beginning to wear thin in Louisiana and it’s only a matter of time before the national media begin to take a critical look at his administration. The Washington Post and New York Times already have.

Beginning with his repeal of the Stelly Plan only a few months into his first term—the move is costing the state about $300 million a year while benefiting only couples earning more than $150,000 per year or individuals making $90,000 per year—through this year’s veto of a car rental tax renewal for New Orleans, Jindal his consistently found ways to cut taxes while doling out tax breaks to corporate entities.

In 2011, the legislature could not muster the votes to override a Jindal veto of a cigarette tax renewal and the renewal had to go before voters in the form of a constitutional amendment—which easily passed.

While he defiantly categorizes tax renewals as “new taxes,” to which he is adamantly opposed, he has no compunctions about cutbacks to higher education that force colleges and universities to increase tuition. He considers the tuition hikes as “fees,” not taxes.

While turning up his nose at federal grants for early childhood development ($60 million), broadband internet installation in rural parishes ($80.6 million) and for a high-speed rail system between Baton Rouge and New Orleans ($300 million), Jindal, upon slashing funding for parish libraries throughout the state, apparently saw no inconsistency in suggesting that the libraries apply for federal monies in lieu of state funding.

The grumblings began ever-so-slowly but they have been growing steadily. The legislature, albeit the right-wing Tea Party splinter clique of the Republican Party, finally stood up to Jindal toward the end of this year’s legislative session and refused to give in on the governor’s efforts to use one-time revenue to close a gaping hole in the state budget.

Other developments that did not bode well for the governor include:

• A state budget that lay in shambles, resulting in mid-year budget cuts of $500 million because of reductions in revenue—due largely to the roughly $5 billion per year in corporate tax breaks;

• Unexpected cuts to the state’s Medicaid program by the federal government which cost the state $859 million, including $329 million the first year to hospitals and clinics run by Louisiana State University—about a quarter of the health system’s annual budget. Those cuts will mean the loss of medical benefits for about 300,000 indigent citizens in Louisiana;

• Failed efforts to privatize state prisons, even though he did manage to close two prison facilities and a state hospital without bothering to notify legislators in the areas affected—a huge bone of contention for lawmakers who, besides having their own feathers ruffled, had to try and explain the sudden turn of events to constituents;

• Revelation that he had refused to return some $55,000 in laundered campaign funds from a St. Tammany bank president;

• Failed efforts to revamp the state employee retirement system for civil service employees. State police were exempted—perhaps because they form his security detail. And despite questions about the tax or Social Security implications, Jindal plans to plunge ahead with implementation of the part of the plan that did pass without the benefit of a ruling by the IRS—a ruling that could ultimately come back to bite him;

• A failed effort by the Sabine River Authority to sell water to a corporation headed up by two major Jindal campaign contributors—Donald “Boysie” Bollinger of Lockport and Aubrey Temple of DeRidder;

• A school voucher system that is nothing less than a train wreck, a political nightmare. State Education Superintendent John White, after Jindal rushed the voucher program through the legislature, rushed the vetting process for the awarding of vouchers through the Board of Elementary and Secondary Education, abetted by members Penny Dastugue, Jay Guillot and Chas Roemer—quickly turning the entire process into a pathetic farce;

• A school in New Orleans run by a man calling himself an “Apostle,” a school in Ruston with no facilities—classrooms, desks, books or teachers—for the 165 vouchers for which the school was approved, tentative approval of vouchers for a school in DeRidder that could not even spell “scholarship” on its sign and for a school in Westlake that teaches that the “Trail of Tears” led many Native Americans to Christianity, that dragons were real, that dinosaurs and humans co-existed at the beginning of time (6,000 years ago, the approximate age of earth, according to its textbooks), that slave owners in America were kind, benevolent masters who treated slaves well, and that the Ku Klux Klan was a helpful reform-minded organization with malice toward none (Don’t laugh, folks; this is what many of these fundamentalist schools who qualified for vouchers are teaching.);

• Then there’s that charter school in Delhi that held girls to a slightly higher standard than boys. Any girl who became pregnant was expelled and any girl even suspected of being pregnant may be ordered to undergo an examination by a doctor of the school’s choice. The boy who gets her pregnant? Nothing. No punishment, no responsibility. Only after being subjected to public exposure, ridicule and criticism did the school alter its policy;

• A state legislator who said she approved of vouchers for Christian schools but not for an Islamic school in New Orleans because this country was founded on the Christian principles of the founding fathers, neglecting for the moment that the founding fathers were for the most part, Deists;

• And to top it all off, White smiles condescendingly and tells us that the criteria applied for approval of vouchers for these schools is part of the “deliberative process,” a catch-all exemption employed by the administration when it doesn’t wish to provide what are clearly public records—an administration, by the way, that touts its so-called “transparency.” Fortunately for the public, the Monroe News-Star is taking White’s pompous behind to court over that decision. (Confidentially, it is the humble opinion of LouisianaVoice that White never had any criteria and that he is creating policy and criteria on the fly because he simply is in way over his inexperienced, unqualified head as the leader of the agency charged with the education of our children. And that perhaps is the most shameful aspect of the entire voucher system and the single biggest act of betrayal on the part of a governor equally overwhelmed by the responsibilities of public office—especially an absentee governor.)

So as the Jindal Express rumbles down the track like a bad motorcycle going 90 miles per hour down a dead-end street (with apologies to Hank Snow) and things begin to unravel on the home front, just where is this absentee governor?

Well, it seems that rather than remain in the state and address the problems that are piling up and growing more complex with each passing day, he seems to prefer to spend his time stumping for Romney—or auditioning for a cabinet position he says he won’t accept—after seeing his chances for the vice presidency fall by the wayside.

A mature governor, a caring governor, a capable governor—one who is truly concerned about the welfare of his state—would defer from flitting all over the country spouting rhetoric on behalf of his presidential candidate in favor of remaining at home and addressing problems that are very real and very important to the people who elected him. Romney, after all, never once voted for Jindal.

There could be only one motive for turning his back on nearly 600,000 voters who first elected him in 2007 and the 673,000 who re-elected him last fall: he doesn’t really care about Louisiana and its people; he cares only about Bobby Jindal and those who can help him in the advancement of his political career.

If Gov. Jindal was truly concerned about the welfare of Louisiana, he certainly would have provided us with an encore of his hurricane and BP spill disaster performances: he would have headed straight to Assumption Parish to grab some TV face time at the Bayou Corne sinkhole and then flown away in a helicopter even as a ghost writer busied himself penning a book sequel: Failed Leadership and Fiscal Crisis: the Crash Landing.

That’s the very least he could do.

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LouisianaVoice will soon have a sister publication in the form of an online state newspaper, according to publisher Tom Aswell.

The new feature, which will be published online in newspaper format, will be a weekly publication geared exclusively to Louisiana political news.

“This will be a free-subscription publication because we want everyone in Louisiana—and elsewhere—to have access to what elected and appointed officials are doing that affect the daily lives of Louisiana’s citizens,” Aswell said.

The name of the new publication will be Louisiana Free Press and will be accessible via the link http://www.louisianafreepress.com, Aswell said.

Louisiana Free Press will be supported 100 percent by advertising revenue and our coverage will be broadened from publishing a single story at a time. There will be multiple stories posted each Friday and the coverage will vary greatly.

Several writers will be contributing coverage of many more agencies than have historically been covered by LouisianaVoice.

These writers will be covering the Louisiana Supreme Court proceedings, Louisiana Attorney General opinions, audit reports of all state and local agencies as they are provided by the Legislative Auditor’s office. Moreover, coverage of agencies will be increased—agencies like the Department of Health and Hospitals, Department of Environmental Quality, Department of Natural Resources, Department of Wildlife and Fisheries, and the Department of Education, the Board of Elementary and Secondary Education, Board of Regents, University of Louisiana System Board of Supervisors and the Public Service Commission, the governor’s office, the lieutenant governor, state treasurer and the legislature, as well as other more obscure state boards and commissions.

“We feel it is important that Louisiana’s citizenry remain informed about what their public officials are doing in Baton Rouge, New Orleans and elsewhere,” Aswell said.

“This is an ambitious endeavor but for too long, too many agencies, board and commissions have operated under the radar of the media,” Aswell said. “We anticipate that is about to change.

“That is not to say that everything we write will be of an investigative nature or that each story will be some major exposé. Most will be of a routine nature but will provide news otherwise not available to the public.”

LouisianaVoice will issue further updates as the schedule for launching Louisiana Free Press develops.

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