Obamacare and Obama economy kill NC medical jobs, Wake Forest Baptist Hospital likely will cut more than 1000 jobs, 950 jobs already cut, Small and medium sized hospitals hit hardest

Obamacare and Obama economy kill NC medical jobs, Wake Forest Baptist Hospital likely will cut more than 1000 jobs, 950 jobs already cut, Small and medium sized hospitals hit hardest

“If you like your health care plan, you can keep your health care plan.”…Barack Obama

“If you’ve got health insurance we’re going to work with you to lower your premiums by $2,500 per family per year. We will not wait 20 years from now to do it, or 10 years from now to do it. We will do it by the end of my first term as president.”…Barack Obama

“About two-thirds of the hospitals serving Medicare patients, or some 2,200 facilities, will be hit with penalties averaging around $125,000 per facility this coming year, according to government estimates.”…NE News Now



We warned you.

From the Greensboro News Record April 13, 2014.

“Another round of major expense reductions — including job cuts — are coming at Wake Forest Baptist Medical Center, with management’s plans being announced potentially as early as this week, according to sources.

Multiple employees, who are not being identified because they fear losing their jobs, have told the Winston-Salem Journal they understand that several hundred to more than 1,000 job positions could be eliminated, with the process already started in some departments.

People with knowledge of the situation say Wake Forest Baptist’s board of directors could be projecting up to an 8 percent reduction in operating expenses in fiscal 2014-15, which begins July 1. The sources say the board is contemplating a similar step in expense reduction for fiscal 2015-16.

The center reported to bond holders and rating agencies on Feb. 28 that it had $983.9 million in operating expenses through the first half of fiscal 2013-14. If it were to have $2 billion in operating expenses for the full fiscal year, an 8 percent reduction could represent about $160 million.

Operating revenue for the first half was up 4.5 percent to $960.4 million.

The center has about 13,000 full- and part-time employees, making it Forsyth County’s largest workforce. At least 950 job positions have been eliminated since a “re-engineering” initiative began in April 2012 that was projected to reduce expenses by several hundred million dollars.

When asked about another round of cost cutting, the center issued a statement Friday that said “the medical center is deeply engaged in its annual budgeting process and is continuing to proactively address the challenge of declining reimbursement for health care services. Since we are still in the planning cycle, it would be premature to comment further at this time.”

One source said that the board and Dr. John McCon nell, the center’s chief executive, are “rethinking the size of the expense base” and that the cuts “are not a one-time measure, although the hope is that through the reductions, the expense situation will improve. There is a need to expand the overall clinical platform to raise revenue.””

“The enhancements are similar to those of other academic medical centers and health systems in response to changes in federal health reimbursement formulas, higher mandated requirements for quality and infrastructure, new models of care delivery that are focused on value, and declines in federal funding for research and discovery.”

Read more:


Also from above:

“Other industrywide challenges include more people without health insurance seeking medical help in its emergency department, which tends to increase the amount that hospitals are writing off as bad debt.”

More people without health insurance ???

From Citizen Wells November 15, 2012.

“Update: Wake Forest Baptist Medical Center to cut 950 job”

“Wake Forest Baptist Medical Center will lay off 76 employees this week and cut a total of 950 jobs by the end of next June, the center’s chief executive said today.

Dr. John McConnell said most of the cuts are administrative positions, but some faculty members could lose their jobs due to cuts in federal research funding. He also said 2012-13 revenue is being affected by “deep cuts in Medicare and Medicaid payments, which constitute nearly half of our health-care reimbursements.”

In a statement, the center said the cuts were being made “after a long and careful review of current staffing levels across the organization.”

The center said its restructuring is “designed to position the institution for success aligned with the challenges of health-care reform, federal budget deficits and a decline in research funding from The National Institutes of Health and private industry.”


From Citizen Wells November 25, 2012.

“That’s a delicate balance, said Mark Graban, a national expert and consultant on health care management who lives in San Antonio, Texas.

“It’s easy to add up the cost savings of reduced payroll,” he said. “But it’s hard to add up the side effect of those layoffs.”

He said layoffs are sweeping the industry. Graban referred to a report from the American Hospital Association that says hospitals will cut 93,000 jobs during 2013.

Wake Forest and other major hospitals across the nation pledge that nurse-to-patient ratios won’t change despite the job cuts. Graban said that simple pledge may only mask lingering problems that hurt the quality of patient care.

Nurses and other professional staff, for example, see the headlines, see friends who may be laid off and work in fear, he said.

“A lot of times, quality and good patient outcomes are a result of nurses and other staff going above and beyond,” Graban said. “My concern would be not that the professionals are going to get lazy, but are they going to continue to be motivated to go above and beyond?””

“The coming changes could cost North Carolina’s hospitals up to $7.5 billion over the next 10 years , Dalton said.”




38 responses to “Obamacare and Obama economy kill NC medical jobs, Wake Forest Baptist Hospital likely will cut more than 1000 jobs, 950 jobs already cut, Small and medium sized hospitals hit hardest

  1. citizenwells

    Good morning Zach, et al.

  2. CW good morninrg
    There is good news today!As you may know I have been contacting VFW groups across the country which at the outset didn’t seem to set very well with members. Yesterday I was contacted by our regional Commander who told me that my message is beginning to be looked at by more and more members, who in turn are contacting other members as well as friends. I am elated by this,as it tells me that the ongoing Soetoro baloney is starting to effect members directly, up close,and personally. I have only been able to contact some posts in Northern Indiana, who are in turn contacting posts both in Southern Indiana,and outside the state. So I would conclude that the BALL IS ROLLING! We are expecting those posts to respond pretty much as those here in Northern Indiana.I knew that once these people were DIRECTLY affected that their resentment would build. I believe that their resentment to the Soetoro behavior is will continue to build, and they will become a force to be reckoned with. If I have any spare time I probably will offer to assist TRUE THE VOTE as well.
    While I have some physical impediments which make any lengthy riding ,or being on my feet for extended periods somewhat difficult, it does not impede my ability to do contact work via computer. This event has given me a much needed,and newfounded hope…..but like always I am NOT HOLDING MY BREATH!

  3. Good morning CW Family,

    Attkisson: Obama pursuing ‘aggressive’ campaign ‘designed to have a chilling effect’ on journalists [VIDEO]

    Former CBS reporter Sharyl Attkisson accused the White House of running an unprecedented pressure campaign against journalists, claiming they are pursuing a “particularly aggressive, well-organized” strategy “designed to have some kind of a chilling effect” on the American press.

    Attkisson spoke with Fox News’ Howard Kurtz on Sunday about her early departure from CBS and her battles with the Obama administration for access to information. An investigative reporter who covered White House bugbears like Benghazi and Fast and Furious, she left CBS before her contract expired because she felt network executives inappropriately shot down her stories.

    But in her conversation with Kurtz, Attkission made it clear that she ultimately blames the Obama administration itself for her bosses’ timidity.

    Read more: http://dailycaller.com/2014/04/13/attkisson-obama-pursuing-aggressive-campaign-designed-to-have-a-chilling-effect-on-journalists-video/#ixzz2yraX0SbK

  4. oldsailor81

    Our wonderful PATRIOT ……
    God Bless You SIR….

  5. CW……
    While I don’t have any healthcare statistics for 2013, I have learned from a neightbor who is employed at our Lutheran Hospital that throughout the Lutheran Healthcare System there is over 119 jobs needing tro be filled. This is in partunskilled,and Nurses Aids, at all levels, LPNs, RNS, Nurse Practitioners. The system operates several walk in clinics,as well as several in patient hospitals,and ERs. We have several hospitals here in Fort Wayne. Considering the population is only a little over 190,000,it seems as though we might be hospital REDUNDANT.

  6. oldsailor81 thank you for all you do for our country – and the spirit you instill in us here on CW.

  7. ……in addition we have over 10 full fledged Nursing homes, but at least 2 are now specialising in REHAB only. They too have a number of open positions. Indiana is a heavily industrialised state, which goes to both the Chicago, and Detroit markets. Unfortunately the Detriot market, isn’t what it once was. A lot of the items produced here also go into Eastern seaboard,and Chicago markets. Our unemployment figure now sets @ a whisker over 6 %. Our employment figure is allegedly up a little as well. However I would expect that employment figures include part time as well as full time, and therefore might be a bit misleading.

  8. scarolina……
    I came to CW blog originally by ACCIDENT, but after communicating with everyone on the blog for a time doing so became a force of habit, and absolute joy!

  9. Ginger……
    I really do not see myself as a patriot, rather just a simple person, who was raised in the spirit of our country. Of course WW2 had a lot to do with who and what I am today,as did my service in both the Indiana National Guard,and the Navy during the Korean War. In the military in those days we faced REALITY everyday. That was our training as such. As I said many times in the past,I simply done what I believed was expected of me. It came with the territory, as a citizen. My draft card is REAL,and now shows 1-Z. har har!

  10. Is Harry Reid Involved? Seven Answers to Seven Questions You’re Probably Asking Right Now About the Nevada Rancher Situation

    Government officials retreated Saturday from federal property in Gold Butte, Nev., leaving behind some 389 “trespass cattle” that had been impounded as the result of a decades-long dispute between a local rancher and the U.S. government.

    But while the story has managed to capture the attention of thousands of Americans, it has also managed to confuse thousands more. Indeed, from questions regarding property rights to whether a Democratic senator was involved in the cattle roundup, many have been left wondering what it’s all about and searching for the facts.

    So in an effort to provide some clarity on the ongoing developments in Gold Butte, here are some answers to the seven main questions people have asked about the decades-long fight between 67-year-old rancher Cliven Bundy and the federal government:


  11. citizenwells

    “Flashing Red Warning: Q1 Earnings Growth Plunges To Lowest Since 2012”


  12. Coming soon to a health (not) system near you?

    Nurses in Britain ‘stretched to breaking point’… Their own NHS is nearing obliteration.


  13. More fallout…..:

    Angry Patients Find Obamacare’s Annual Checkups May Not Be Free


  14. good morning friends…..I’m reading the post here at cw…but will do little typing…pain is great….swelling and all…thanks to everyone for your concerns…keep up the good fight

  15. Jonah (10:09 am)
    The article about the Bundy grazing land issue is interesting and factual to a point. AZ also has a lot of federally and state owned grazing land which ranchers use for their cattle under very long-term leases. I am especially familiar with the arrangement, because of rancher clients when I worked in Phoenix.

    I am not acquainted with Nevada law, but apparently Bundy feels that because of over a century’s use of this grazing land by his family, he has a right to continue the use. That seems to be why he chooses not to acknowledge the federal ownership of the land. I think he will not ever win with that argument. At least not now. He wants to consider it owned by the State of NV.

    However, nowhere in Beck’s article could I find the real reason why BLM wants him to desist using the land (forget the tortoise flimsy excuse) unless it is because of failure to make federal lease payments, but BLM would not have to go through all of what they did if that were the reason.

    Here is a rancher who is making a living from the cattle-raising business. Why NOW does BLM decide to use such heavy-handed tactics to get him to quit? If anyone has ever been out west, you will note that cattle roam all over the desert “grazing” lands and roundup is not an easy task. So what is the REAL reason for the BLM action now? There are only two reasons that I can think of, and they are not mutually exclusive.

    1. BLM wants to use that land for some other purpose, and it could well have something to do with solar farms. Just because the article says that the Reid-China deal was over, does not mean that it truly is.

    2. This is a test case to determine citizen reaction to the increasingly heavy hand of government control.

    I ask this: Why can’t the feds show a little mercy and work out something that would help the American citizens for a change? Also, don’t forget that Agenda 21 (U.N.) may also secretly be involved.

    Just thoughts.

  16. P.S. Imho, the federal government owns TOO MUCH land. 30%? Too many deals can be made which just strengthen an already bloated D.C.

  17. Obama Palling Around With Al Sharpton For Second Time In Less Than One Week, Will Attend White House Prayer Breakfast…

    More “birds of a feather”.

    “The fact that Obama is openly embracing one of the most vile race baiters in America tells you all you need to know about his administration.”


  18. The scary part about this particular regime is its overall aggressive attitude towards its own citizens. How, almost in knee jerking reaction, it is ready to sue states concerned about real legitimate concerns that the Feds should first be taking care of….like the borders….thinking that using scare tactics governors will simply back off and cower beneath the tougher threats and unfortunately it’s worked. I can’t help but to think it’s another question of “follow the money” and that’s been Harry Reid’s all consuming objective…how to profit from his position for himself and family….when it comes to this sudden bullying after 21 years of looking the other way when it came to the lack of payment of fees for the Bundy’s. Must be nice to have armed forces at your beck and call when you want to flex the power of your elected position.

    Hopefully this Alinsky type targeting and labeling of groups such as evangelicals and returning vets as the real terrorists with the obvious allowance and enabling of the enemy to use the freedoms and services due only to our own people is becoming clear to the lemmings….even the moochers. In the end, they’ll all be victims unless they begin to wake up.

  19. Thornton Parsons

    RMinNC, hope you’re getting better after your fall.

  20. Sounds more like RM was in a bar fight to me. Either that, or his better half told him to shut up and he thought she said stand up. 🙂

    God Speed.

  21. Perhaps we have overestimated the intelligence of our people. For Americans to simply sit still and watch their country go down the drain is totally sickening. Doing this is in my view is an act of ignorance, which people will subsequently regret big time,but alas by the time they decide that they are being wronged by their own government it will already be too late to do a damn thing about it. Some of these people I have personally met over the years,and you can shout the problem in their ear,but they simply show a blank look on their faces,and go on about their business. Yet these same people go to a baseball game, and are the first to scream “KILL THE UMPIRE” when they perceive that the official has made a bad call. They even sometimes get so worked up that they start destroying property,and beating people up,usually without any reason at all. To me this suggests that very basic underlying psychiatric reasons for their obviously twisted behavior.

  22. RMINNC……
    Godspeed my friend! It happened to me year before last. Still have a little residual jab from time to time, but nothing I can’t handle.

  23. oldsailor81 | April 14, 2014 at 3:07 pm |

    Perhaps we have overestimated the intelligence of our people.
    I believe there has been a concerted effort to dumb down the populace, and remove patriotism from the menu. The effort is treasonous in my mind, and done for a purpose, and we are seeing the results.

  24. Interested Bystander

    Hey All,

    Just a few thoughts:

    Lois Lerner is a criminal, no doubt about it.

    She NEEDS to be brought to Justice.

    However, with Eric Holder as our top enforcer of our laws, and his elitist attitude that HE chooses what laws are enforced and which aren’t, I am very doubtful Lerner will have her day in court.

    And even if she does, and she is found guilty, Obama has the power to pardon her.

    So much for having the most transparent Administration in history.

    I wounder if by trasparent he meant that they would be “see through”, you know like having no backbone.

  25. Interested Bystander

    Hey All,

    My sincere condolences to those who lost their lives in the tragedy in California involving the Fed EX truck.

    What a freak accident.

  26. “Well, it’s not over. We can’t have an American people that violate the law and then just walk away from it. So it’s not over,” Reid said.
    http://www.mynews4.com/…/nT5weKnqFkezV14I5GhESg.cspx Reid sucks.

  27. Interested Bystander

    Hey All,

    Over five weeks of Flight 370 “missing”.

    You can not get me to believe that when (if) that plane hit the water, SOMETHING didn’t break off, even if the bulk sank to the bottom.

    Not sure how many ships are involved in the search, but I would conclude that there are many, and for them to have found NOTHING, one could also conclude that this airplane didn’t go in to the water, and very possibly was landed whether on purpose or not.

    We will probably never know what really happened to that plane.

  28. Interested Bystander

    Hey All,

    I see now Zullo has an “OUT”.

    Joe said that if he decides to run for Governor, the CCP goes “down the toilet”.

    I predict Joe will decide to run.

    And so we wait………………

  29. Interested Bystander

    Hey All,

    Sorry I harp on this so much, but it’s MID April (tomorrow is tax day), and I haven’t heard one single SHRED of when this information is going to be made public.

    Other than some 9 minute PROPAGANDA infomercial, which tells us:

    You just wait, we’re going to have all the “t”s crossed and all of our “i”s dotted, but just wait, it’s REALLY going to happen this time…………promise.

  30. Team Obama Caught Photoshopping Another Regime Propaganda Photo


  31. Interested Bystander

    zach posted:

    “Well, it’s not over. We can’t have an American people that violate the law and then just walk away from it. So it’s not over,” Reid said.

    You mean like the ones who have INVADED our borders have violated the law and are allowed to just walk away from it?

    A couple other thoughts on Bundy:

    I find it ironic that these are PUBLIC lands that the public can’t use.

    Isn’t that an oxymoron??

    I also believe that Harry Reid is a criminal.

    I am proud of those who are standing with Bundy. I don’t understand why his family ranch wasn’t GRANDFATHERED to the time when they started using this land.

    I am also concerned as to how much land our Government owns. Why do we need so much property? Land that could be sold to the public, and used productively. But we’ve got to save that turtle.

    Forget the FACT that we kill over a million unborn children every year, Harry souldn’t bother himself with that, this turtle is MUCH more important.

    How idiotic does this Administration think we are?

    First they tell us that some video was the reason we had FOUR dead Americans in Benghazi.

    Now they tell us a TURTLE is the reason they are not allowing this man’s cows to eat the grass on public land in the middle of nowhere.


  32. Interested Bystander | April 14, 2014 at 4:31 pm |

    And don’t the seats float??

  33. Attorney Orly Taitz: Obama’s Homosexual
    Associates Dead; Law Enforcement Does Nothing


  34. JayJay | April 14, 2014 at 5:04 pm |

    Interested Bystander | April 14, 2014 at 4:31 pm |

    And don’t the seats float??
    Scuttlebutt says the plane is on the ground at Diego Garcia.

  35. Investigate DC
    Muslim Brotherhood Flees London After British PM Launches Investigation


  36. FROM THE INTERNET…Obama’s LIES have become so constant that what we have is a dishonest, manipulative regime engaged in a truly Orwellian propaganda campaign like we haven’t seen since the 3rd Reich or the old USSR.


  37. That law is reserved for congress!

    Reid Declares Bundy Ranch Stalemate Is “Not Over”
    “We can’t have an American people that violate the law and then just walk away from it,” he said.


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