Where should we take you?

Years ago, when I started working with homeless cancer survivors in Birmingham, Rachael Martin, then-associate pastor at Church of the Reconciler, shared something with me that I’ll never forget. She said that when a homeless person needed immediate medical attention and an ambulance driver asked her where to take the individual, she always aimed high.

“They’re more likely to get better care at a place like UAB,” she told me, than at one of the less funded hospitals with fewer well-trained medical personnel on staff in the city. Rachael’s thinking was that even if a person lacking the necessary health benefits couldn’t stay at a more selective facility and had to be moved eventually, the initial triage care would be better and therefore boost the patient’s chances of getting the right diagnosis and initial care–and ultimately, of survival.

Today, a New York Times article reports on a study in PLoS that adds support to Rachael’s logic.  According to the researchers, patients at less credible institutions were “three times more likely to die” and a whopping “13 times more likely to [suffer from] medical complications” than those who were taken to the best facilities. The full article and link to the published study can be found here: http://www.nytimes.com/2016/12/14/business/hospitals-death-rates-quality-vary-widely.html?emc=edit_th_20161216&nl=todaysheadlines&nlid=44005038&_r=0

Maybe those in need of medical attention need to replace “Take me to the hospital” with “Take me to that hospital.” Unfortunately, for many of the least advantaged in our society, the question “Where should we take you?” is never asked.

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