Cedars Sinai.pngWhat has become endemic to large dysfunctional organizations like the non-profit Cedars Sinai Medical Center, is that they clearly don't have enough staff to accomplish even their most basic functions. Cedars tells their clientele that they care and solicit their input to improve service, while by any objective standard they continue to do absolutely nothing to offer even minimally acceptable levels of service- or change any of their entrenched inappropriate and dysfunctional behavior.

In many areas of endeavor this would be frustrating and inconvenient, but in the practice of medicine, it can be downright fatal, or at the very least create the serious unnecessarily fertile preconditions, where avoidable illness and even death are the logical yet unaddressed consequences.

Recently, after finally consulting a doctor outside of Cedars Sinai and getting another sleep study, I discovered that although I had been on a CPAP machine for sleep apnea for the last 5 years, I, in fact, had no sleep apnea. When I explained this to my primary care physician at Cedars and was given a referral to a Cedars Ear Nose and Throat (ENT) specialist to reconcile this apparent contradiction, the first appointment I was offered was 6 months later in 2020.

It seems to me that Cedars HMO members are contractually paying financial consideration with Medicare and supplements for a service that Cedars is systematically unable or unwilling to offer in a timely manner, which seems to be a failure of consideration and a clear breach of Cedars contractual obligations to their clients. When I asked Cedars for an appoint to resolve this apparent contradiction between alleged condition and unnecessary treatment, the first appointment I was offered was 6 months later in 2020. Reasonable?

Throughout Cedars functions, what is clear is that they don't have even the minimum number of employees necessary to handle any of their functions at even a minimally sufficient level of service providing.

So when you call Cedars to lodge a predictable and clearly warranted complaint or seek redress of something like the aforementioned belated appointment situation, you are put on hold for extended periods of time before an overworked Cedars operator finally comes on the line. During the last 20 years, I have spent interminable hours waiting on hold for an operator to come on, while listening to the exact same monotonous Musak that nobody at Cedars seems capable of changing.

Although real change could easily improve the predictably inadequate service at Cedars, all the administration of Cedars seems capable of doing is to offer a survey of clients regarding service, which I suspect only serves to rat out employees, who predictable become less than cordial in performing their impossible and ever worsening jobs of dealing with justifiably pissed off clients of Cedars.

One important reality is that Cedars is usually the first job for young doctors, when they finish their residencies, where they are given an impossibly large number of patients to service, which causes their vast majority to leave as soon as they or their spouses can find a better job. And of course, this only exacerbates Cedars continuity of service dysfunction, so that a patient like myself had 6 different primary care physicans in 3 years.

Clearly, the predictable dysfunction of Cedars and other healhcare organizations set up like it, where one-third of every dollar spent goes to an insurance company and not medical care, is the strongest argument for a single payer Medicare-for-all system that Canada spends about 3% to run.


08 2019

1 Comment

Good Blog

We are dealers of CPAP machine and Bipap

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