The Bitterest Pill

As one doctor in training put it regarding impending cuts at UMC, ‘These patients are going to die. There’s no way to sugar coat it.’ By Heather Miller

Tammy Villalobos began a nursing career at University Medical Center more than a quarter of a century ago, long before the hospital formed its Pediatrics Clinic that today treats more than 6,000 children a year for the most serious and complex of illnesses. News of impending layoffs reached UMC employees Jan. 14 when the LSU Health System announced that it will be forced to slash $29 million from its budget. It’s been widely reported that the mid-year budget deficit will impact seven LSU system hospitals statewide and could mean the loss of 80-100 employees at UMC as well as the hospital’s ENT clinic, labor and delivery department, neonatal ICU unit, ophthalmology department and pediatric clinic. At the heart of these cuts are UMC programs that largely defy the charity hospital stigma, cost-efficient specialty medical services that offer a “one-stop shop” for ailing children and preventive and follow-up care to thousands of the region’s poor and uninsured residents every year. But the med school residents, doctors and nurses who walk the aging hallways of UMC also spend their days treating patients from every end of the socioeconomic spectrum, an undisputable fact to which Andre Billeaud of Lafayette can attest. “My family is fortunate to have private health insurance coverage that enables us to travel the nation for the best specialty care available for our son’s conditions,” Billeaud says in an open letter he sent to The Independent (and is reprinted in full on the facing page). “We chose UMC’s Pediatric Clinic because it is the best primary care that money can buy for his unique needs, including heart disease, asthma, epilepsy, stroke, feeding tube dependency, developmental delays and attention deficit disorder. It is the single best source of primary care and care coordination for children with attention and behavior disorders, developmental delays or disabilities and other chronic illnesses and disabling conditions in the region, bar none.” “We don’t have much time to get this together. None of this is our choice,” says Dorsey. “We’re trying to do the best we can with what we have, trying to accommodate every patient the way we have in the past. I’m just not certain at this point that it’s going to be possible. I’m hoping we won’t have to do this and the funding will be restored. But that’s wishful thinking on my part.” State Sen. Fred Mills, R-Parks, says he expects to see the final draft of the plan before it’s presented to the LSU System Board of Supervisors on Feb. 3. The Acadiana legislative delegation is working to combine “creative” local funding sources with possible restoration of some money, while also reaching out to private physicians to see who — if anyone — will step in to fill the void.

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The Bitterest Pill

“We can always supplement our education,” says Dennis, who rotates between LSU System hospitals in Baton Rouge, New Orleans and Lafayette. “The focus of closing these UMC programs is not the residencies or our training. It's the patient care.



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