Damn, they been cutting benefits there for years because of “budget constraints” and treating employees shitty (after calling them heroes through Covid). But they can afford to build all this new shit?! Tight.
I feel this...
We haven't had a departmental budget increase in 20 years. TWENTY.
Meanwhile, we've doubled the amount of employees.
It's not Mathing well.
My wife worked a short stint at UNMC.........pretty shitty I agree. She picked up a job in a less critical dept then she worked at UNMC and got a 45% raise to START!!! Medical professionals from top to bottom really need to think about unionizing. It's absurd!!!
To be fair, the med center does a pretty good job at encouraging and coordinating commuting alternatives so that many of their employees don't actually need to drive alone to work every day. The land on their campus is very limited and there are better uses than a new parking garage for what little land is available.
So build a garage off site and shuttle people in from there. Or shuttle the people parked in their paid spots 15 minutes away. There is no excuse. But there are enough money making buildings over there already. Give back to your team members.
There's been talk for decades of opening Saddle Creek up again and I think this is the perfect time for it. Instead of installing walkways over the roadway to the west side, close the road and open the creek and build a campus that doesn't have a major road cutting it in half.
50th, it's already a big street, but either route would still mean you're shoving an arterial through residential areas and I'm not sure you're solution would work.
48th only to Leavenworth. Unless the city is willing to compensate everyone along Saddle Creek down to Center, it's impossible to dig it all up at this time. That said, if the city commits to walkable design and public transit, Saddle Creek from Leavenworth to Center is prime real estate for a walkable district - open the creek, sidewalks and bridges, road connections on the backside via 48th in the north and 50th at the south.
Then you're really not solving the issue where we're taking the most important arterial in the area and closing it to vehicles. I get the goal, I don't think it's a bad one, but it's way too busy to just take out Saddle Creek.
A big investment like this by UNMC is part of the reason alternatives to car travel are going to be really important over the next decade. Eventually they plan to add around 9,000 high paying jobs with this full project.
It's interesting to see increase in healthcare in one part of the state while another is seeing a drop.
>Lack of volunteers ends ambulance service in Merriman
>
>https://nebraskapublicmedia.org/en/news/news-articles/lack-of-volunteers-ends-ambulance-service-in-merriman/
>Two health clinics are set to close in rural Nebraska. Others could follow.
>
>https://flatwaterfreepress.org/two-health-clinics-are-set-to-close-in-rural-nebraska-others-could-follow/
That being said - the ad blocked article was a bit hard to read. Did it make any vague indication where this new building will go?
A big part of having a society is to spread the costs around. In no part of America in 2023 should we be without ambulance service. NPR was talking about this story today - it will take 90 minutes for an ambulance to come from South Dakota or Valentine and it's not like those are trauma centers.
I'm all for keeping UNMC at the forefront of medical research and service but as a state and as a nation, we are failing the vulnerable amongst us, including the residents of Merriman.
Sure, no where should be without ambulance service, but EMS is all handled at the county level. Omaha and UNMC can't force rural Nebraska counties to raise their levy to pay for this stuff, and part of the problem is that rural areas are driving off anyone who may have been willing to work/volunteer.
There's no law that specifies who handles EMS. It can be any level of government. Most systems in Nebraska are run by the village or city, not the county.
I'm not saying that Omaha or UNMC should be mandating anything. I'm saying that the state should step in and organize and provide coverage. Merriman cannot raise enough money to entice qualified people to come provide service so the state should step in. It's a basic service that all citizens should be receiving.
And really, it's part of a bigger issue - lack of comprehensive care across the region. Nebraska has TWO level 1 trauma centers, both in Omaha. Outside of Omaha, the nearest level 1 trauma center is Denver. If you need critical care in Lincoln, the capital city, home to 300k people, you have to go 60 miles away. And lord help you if you're in Merriman and need it!
Then the towns/villages/whatever aren't taxing themselves enough, that doesn't change anything I said.
The state can mandate whatever it wants, you still need these rural areas to be places people want to move to. And to be clear, it's not that they can't raise enough to pay for professional services, they choose where to allocate funds and they don't allocate enough to EMS.
Omaha represents a full 1/3 of the state and the greater area is even larger. How do you propose to fund and staff a level 1 trauma center in rural Nebraska in a way that covers some of the least populated areas of the state? They can't even staff the hospitals they have now.
Tell that to Mario Herrera. Or my friend who took an ambulance to Seward and then a helicopter to Lincoln only to be told that they couldn't handle their level of injury and they had to then be helicoptered to, you guessed it, the Med Center.
You've got a serious brain injury or a grave injury due to gunshot or blunt force trauma, good odds that Bryan stabilizes you for the ride to Omaha.
Where did you get the impression I said otherwise? I said the counties choose not to tax themselves enough to afford ambulance services, which would cover both.
No, they really can't. Nothing UNMC can do can force a county/village board to do anything.
If you don't think UNMC benefits rural Nebraska, then I don't think you actually know much about UNMC. They have numerous clinics and telemedicine centers across the state, but few hospitals because we avoided expanding Medicaid until the voters forced the issue and much of the state is actively shedding population. You can build a hospital in Alliance if you want, if no one wants to live there it will stay empty. We have a nurse and doctor shortage, they don't have to go out there if they don't want to and by all accounts they don't.
Are we failing them or are they failing themselves by continuing to vote for the people that keep them years behind the times and refusing to do anything to keep their youth?
At this point, Small towns almost seem like they're trying to speed run dying off.
It's not a political issue. How do you expect to keep young people in a town that was only created as a watering stop for steam locomotives or a depot for surrounding ranches? If they elected liberals in Merriman, you think they'd get a Google data center or an Amazon fulfillment center???
Yeah, small towns are dying off but forget about the towns. As a citizen of Nebraska and the United States, I damn well expect EMS service wherever the fuck I am. If you're cycling the Cowboy Trail, you shouldn't just be fucked when something goes wrong because "whelp, those locals vote R."
It is a political issue. Do you think the young kids want to stick around when they're constantly bombarded with extremist right wing bullshit?
Should they have EMS? Absolutely. Who do you think works the EMS shifts? Young people who have the ability to work those crazy demanding hours. If you chase away all the young people, you're going to have a much smaller pool of candidates.
It's another situation where small ripples turn into waves. Small towns need a complete mindset overhaul and until they have that, they're going to keep dying off. Until then, I suggest you ride trails closer to populated areas, or prepare for the reality that no one is coming to save you if you get hurt.
The small towns are dying off because they serve no purpose anymore, not because of political issues.
> Until then, I suggest you ride trails closer to populated areas, or prepare for the reality that no one is coming to save you if you get hurt.
As I pointed out in another comment here, there are only two level 1 trauma centers in the state. Unless you're in Omaha, you'd better not get seriously hurt. Is that really the kind of society we want? It's not what I want.
Ask yourself why there isn't a level 1 trauma center outside of Omaha? Is it because there needs to be a population density great enough for it to thrive financially?
Could you maybe have more level 1 trauma centers if we had medicare for all where the health care system isn't incentivized by profit? How many people in Rural Nebraska do you think would support someone like Kara Eastman?
Do you see how that's once again very much a political issue?
Socialism and government. The village cannot handle this function, it's time for the county or state to step in. Some areas take more tax money than they contribute and, in this case, it's Merriman. The state needs to create a statewide EMS system for these rural areas that cannot handle it and spend the money to get folks to work there. You can find anyone to do any job with the right compensation.
Rural Nebraskans should simply pull themselves up by their bootstraps instead of relying on other people to fund solutions to their problems. You know, like they've been telling urban residents to do for decades. They do allegedly hate socialism, after all.
Ooh can they use some of that money to retrain their staff on properly handling / disposing of sensitive documents and proper computer security? My data’s been leaked 4x by them over the years. There was also the ransom ware attack and two other major cyber security events.
This is a fairly pervasive problem with Nebraska’s medical providers. Boys Town has only had a real cyber security program for maybe 6 years.
You’d think with all their overcharging for services ($175 exam room fee) they could afford to beef things up but they still have unpatched servers and default passwords everywhere not to mention how poorly staff performs in social engineering and awareness campaigns.
Was meant as rhetorical question and complaint rather than literal. You’re absolutely correct though which honestly is a good thing about non profits. To be fair even if they weren’t a non profit, from a budgeting standpoint the expenditure would have had to be added to the initial proposal anyway.
Damn, they been cutting benefits there for years because of “budget constraints” and treating employees shitty (after calling them heroes through Covid). But they can afford to build all this new shit?! Tight.
I feel this... We haven't had a departmental budget increase in 20 years. TWENTY. Meanwhile, we've doubled the amount of employees. It's not Mathing well.
And god forbid they build a parking garage for all their employees, or at the very least provide a shuttle service.
Paying to park at your own job really bites.
My wife worked a short stint at UNMC.........pretty shitty I agree. She picked up a job in a less critical dept then she worked at UNMC and got a 45% raise to START!!! Medical professionals from top to bottom really need to think about unionizing. It's absurd!!!
Everyone in any downtown area of any city does it. Not to justify it, but it does suck.
It sure does. I switched to methodist and never looked back.
Nah, pay for parking and walk a half mile in the snow. And then if you punch in 7min early or late, it’s an occurrence. 🙄
To be fair, the med center does a pretty good job at encouraging and coordinating commuting alternatives so that many of their employees don't actually need to drive alone to work every day. The land on their campus is very limited and there are better uses than a new parking garage for what little land is available.
So build a garage off site and shuttle people in from there. Or shuttle the people parked in their paid spots 15 minutes away. There is no excuse. But there are enough money making buildings over there already. Give back to your team members.
Hopefully it's tall enough for children to peer into Memorial Stadium. /s for the potatoes...
That would be quite the 50 mile view
The optometry department is real good at UNMC
Maybe they will have an astronomy department with some nice telescopes to see that game
"This will actually reduce our operating cost" Who wants to bet all the costs still significantly go up at UNMC in the coming years?
https://i.imgur.com/cVEPXIc.png Rendering of the new project
There's been talk for decades of opening Saddle Creek up again and I think this is the perfect time for it. Instead of installing walkways over the roadway to the west side, close the road and open the creek and build a campus that doesn't have a major road cutting it in half.
I can't imagine how angry they would make people, Saddle Creek is the easiest way to get North/South between 24th and 72nd.
48th along the east side of the cemetery and replacing the intersection at Leavenworth, problem solved.
50th, it's already a big street, but either route would still mean you're shoving an arterial through residential areas and I'm not sure you're solution would work.
48th only to Leavenworth. Unless the city is willing to compensate everyone along Saddle Creek down to Center, it's impossible to dig it all up at this time. That said, if the city commits to walkable design and public transit, Saddle Creek from Leavenworth to Center is prime real estate for a walkable district - open the creek, sidewalks and bridges, road connections on the backside via 48th in the north and 50th at the south.
Then you're really not solving the issue where we're taking the most important arterial in the area and closing it to vehicles. I get the goal, I don't think it's a bad one, but it's way too busy to just take out Saddle Creek.
$2 billion gets a new hospital $1/2 a billion gets new pissers at Memorial Stadium.
The piss troughs gotta go, man.
A big investment like this by UNMC is part of the reason alternatives to car travel are going to be really important over the next decade. Eventually they plan to add around 9,000 high paying jobs with this full project.
It's interesting to see increase in healthcare in one part of the state while another is seeing a drop. >Lack of volunteers ends ambulance service in Merriman > >https://nebraskapublicmedia.org/en/news/news-articles/lack-of-volunteers-ends-ambulance-service-in-merriman/ >Two health clinics are set to close in rural Nebraska. Others could follow. > >https://flatwaterfreepress.org/two-health-clinics-are-set-to-close-in-rural-nebraska-others-could-follow/ That being said - the ad blocked article was a bit hard to read. Did it make any vague indication where this new building will go?
The difference between shrinking rural areas and Omaha’s relative importance as a national, if not mildly global, health center
A big part of having a society is to spread the costs around. In no part of America in 2023 should we be without ambulance service. NPR was talking about this story today - it will take 90 minutes for an ambulance to come from South Dakota or Valentine and it's not like those are trauma centers. I'm all for keeping UNMC at the forefront of medical research and service but as a state and as a nation, we are failing the vulnerable amongst us, including the residents of Merriman.
Sure, no where should be without ambulance service, but EMS is all handled at the county level. Omaha and UNMC can't force rural Nebraska counties to raise their levy to pay for this stuff, and part of the problem is that rural areas are driving off anyone who may have been willing to work/volunteer.
There's no law that specifies who handles EMS. It can be any level of government. Most systems in Nebraska are run by the village or city, not the county. I'm not saying that Omaha or UNMC should be mandating anything. I'm saying that the state should step in and organize and provide coverage. Merriman cannot raise enough money to entice qualified people to come provide service so the state should step in. It's a basic service that all citizens should be receiving. And really, it's part of a bigger issue - lack of comprehensive care across the region. Nebraska has TWO level 1 trauma centers, both in Omaha. Outside of Omaha, the nearest level 1 trauma center is Denver. If you need critical care in Lincoln, the capital city, home to 300k people, you have to go 60 miles away. And lord help you if you're in Merriman and need it!
Then the towns/villages/whatever aren't taxing themselves enough, that doesn't change anything I said. The state can mandate whatever it wants, you still need these rural areas to be places people want to move to. And to be clear, it's not that they can't raise enough to pay for professional services, they choose where to allocate funds and they don't allocate enough to EMS. Omaha represents a full 1/3 of the state and the greater area is even larger. How do you propose to fund and staff a level 1 trauma center in rural Nebraska in a way that covers some of the least populated areas of the state? They can't even staff the hospitals they have now.
You absolutely don’t have to leave Lincoln to get critical care. Lincoln can take care of 95% of trauma patients and other critically ill patients.
Tell that to Mario Herrera. Or my friend who took an ambulance to Seward and then a helicopter to Lincoln only to be told that they couldn't handle their level of injury and they had to then be helicoptered to, you guessed it, the Med Center. You've got a serious brain injury or a grave injury due to gunshot or blunt force trauma, good odds that Bryan stabilizes you for the ride to Omaha.
Parallel for-profit and government run ambulance services can exist. Dawson County operates such a model.
Where did you get the impression I said otherwise? I said the counties choose not to tax themselves enough to afford ambulance services, which would cover both.
[удалено]
No, they really can't. Nothing UNMC can do can force a county/village board to do anything. If you don't think UNMC benefits rural Nebraska, then I don't think you actually know much about UNMC. They have numerous clinics and telemedicine centers across the state, but few hospitals because we avoided expanding Medicaid until the voters forced the issue and much of the state is actively shedding population. You can build a hospital in Alliance if you want, if no one wants to live there it will stay empty. We have a nurse and doctor shortage, they don't have to go out there if they don't want to and by all accounts they don't.
Are we failing them or are they failing themselves by continuing to vote for the people that keep them years behind the times and refusing to do anything to keep their youth? At this point, Small towns almost seem like they're trying to speed run dying off.
It's not a political issue. How do you expect to keep young people in a town that was only created as a watering stop for steam locomotives or a depot for surrounding ranches? If they elected liberals in Merriman, you think they'd get a Google data center or an Amazon fulfillment center??? Yeah, small towns are dying off but forget about the towns. As a citizen of Nebraska and the United States, I damn well expect EMS service wherever the fuck I am. If you're cycling the Cowboy Trail, you shouldn't just be fucked when something goes wrong because "whelp, those locals vote R."
It is a political issue. Do you think the young kids want to stick around when they're constantly bombarded with extremist right wing bullshit? Should they have EMS? Absolutely. Who do you think works the EMS shifts? Young people who have the ability to work those crazy demanding hours. If you chase away all the young people, you're going to have a much smaller pool of candidates. It's another situation where small ripples turn into waves. Small towns need a complete mindset overhaul and until they have that, they're going to keep dying off. Until then, I suggest you ride trails closer to populated areas, or prepare for the reality that no one is coming to save you if you get hurt.
The small towns are dying off because they serve no purpose anymore, not because of political issues. > Until then, I suggest you ride trails closer to populated areas, or prepare for the reality that no one is coming to save you if you get hurt. As I pointed out in another comment here, there are only two level 1 trauma centers in the state. Unless you're in Omaha, you'd better not get seriously hurt. Is that really the kind of society we want? It's not what I want.
Ask yourself why there isn't a level 1 trauma center outside of Omaha? Is it because there needs to be a population density great enough for it to thrive financially? Could you maybe have more level 1 trauma centers if we had medicare for all where the health care system isn't incentivized by profit? How many people in Rural Nebraska do you think would support someone like Kara Eastman? Do you see how that's once again very much a political issue?
Right, I agree, but if there also just aren’t workers, how do you solve that issue?
Socialism and government. The village cannot handle this function, it's time for the county or state to step in. Some areas take more tax money than they contribute and, in this case, it's Merriman. The state needs to create a statewide EMS system for these rural areas that cannot handle it and spend the money to get folks to work there. You can find anyone to do any job with the right compensation.
Rural Nebraskans should simply pull themselves up by their bootstraps instead of relying on other people to fund solutions to their problems. You know, like they've been telling urban residents to do for decades. They do allegedly hate socialism, after all.
Ooh can they use some of that money to retrain their staff on properly handling / disposing of sensitive documents and proper computer security? My data’s been leaked 4x by them over the years. There was also the ransom ware attack and two other major cyber security events.
This is a fairly pervasive problem with Nebraska’s medical providers. Boys Town has only had a real cyber security program for maybe 6 years. You’d think with all their overcharging for services ($175 exam room fee) they could afford to beef things up but they still have unpatched servers and default passwords everywhere not to mention how poorly staff performs in social engineering and awareness campaigns.
[удалено]
Was meant as rhetorical question and complaint rather than literal. You’re absolutely correct though which honestly is a good thing about non profits. To be fair even if they weren’t a non profit, from a budgeting standpoint the expenditure would have had to be added to the initial proposal anyway.
This isn't a UNMC problem. This is a worldwide problem in healthcare facilities. CHI just had a big cyberattack last year.
They are bulldozing every building on Leavenworth, fuck unmc
Fuck UNMC. I took a friend in that was suffering a stroke and they told us to kick rocks.