Okugqamile: ukhetho lwango-2022 • Izindlu nokuxoshwa • #MSWelfare scandal • Jackson Water • Ukukhipha isisu • Ubuhlanga nokucwasa • Umsebenzi wamaphoyisa • Ukuboshwa
UJackson, Mississippi.Ngemva nje kokufika kwesiguli, uDkt. William Liniveaver wafika esikhungweni sokusha.“Bandize ngendiza enophephela emhlane sabafaka egunjini labagula kakhulu,” usho kanje."Siqale sidlule emigwaqweni yomoya, sihlole uhlelo lwenhliziyo, siqinisekise ukuthi ishubhu lisendaweni efanele."
U-Lineaweaver uxoxa ngendaba yesiguli esasha sashona lapho kusha indlu ngemva kweminyaka embalwa i-Joseph M. Still Burn Centre ithuthele e-Jackson Merit Central Health ngo-2013. Bathola ukusha okubi ezingalweni zabo, esifubeni nasebusweni.“Ukuvuvukala kwabo ebusweni bekuya kuba kubi kakhulu.Kwafika izicishamlilo, yafika i-ambulensi.Bafake izingubo zokuqala bazifake ukuze bavikele imigudu yomoya,” ekhumbula engxoxweni.
Abatakuli babe sebethatha abalimele babayisa ngqo e-JMS Burn Center, okuwukuphela kweyunithi yokusha ekhethekile endaweni ecishe ibe ngamamayela angu-200 kunoma iyiphi indlela yase-Jackson.Okulandelayo ibhethri lezilinganiso."(Isiguli) sibe ne-X-ray yesifuba ukuze sibheke umonakalo oqhubekayo wamaphaphu kanye ne-bronchoscopy ukuhlola umonakalo womoya," esho engxoxweni yango-Dec. 12.
Ukuvuselela kuyisinyathelo esilandelayo sokubuyisela ukujikeleza kwegazi ezithweni ezibalulekile ukuze kugcinwe ukusebenza kwezinso namaphaphu.Ithimba lika-Lineweaver lithole i-carbon monoxide egazini lesiguli, futhi umjovo ofakwa emthanjeni usiza ukubuyisela amanzi emzimbeni.Ukusikeka okubukhali endaweni yokusha kusiza ekudambiseni ukucindezela esikhunjeni esiqinile futhi kubuyisele ukugeleza kwegazi ezithweni ngokusongela ukuphefumula.Khona-ke i-catheter yomchamo: ukuchama okunempilo kuyisilinganiso sokugcina uketshezi oluphephile.
Umsebenzi ka-Lineweaver nethimba lakhe e-JMS Burn Center ukubhekana nesiphithiphithi esibucayi somzimba osesimweni sokuphazamiseka.Bagcina ingcindezi kanye ne-pulse futhi bahlanza amanxeba eziguli ekulungiseleleni isigaba esilandelayo sokululama nokululama.
Kwaphela isikhathi esingaphansi kwamahora amabili phakathi nesikhathi sokulimala kanye nomzuzu wokuqala wokuzola, lapho osindile ebhandishwa ngebhandeshi lesibulala-magciwane."Okwamanje," kusho u-Lineiweaver, "ingxenye yokuqala yokwelashwa isinqunyiwe."
Namuhla, ukufinyelela kulelo zinga lokunakekelwa kuzodinga isiguli esifanayo ukuba sindize siphume eMississippi.
Iminyaka engaphezu kweshumi, uDkt. Liniveaver ephatha amacala afana nalawo awachaza e-Joseph M. Still Burn Centre e-Merit Health Central, isikhungo esizimele ekuqaleni esasiseBrandon, e-Mississippi futhi kamuva sathuthela e-Jackson.Ngemuva kokuthi i-Delta Regional Medical Centre ivale i-Mississippi Firemen's Memorial Burn Centre ngo-2005, i-JMS Burn Centre yaba inhliziyo eshayayo yesistimu yokunakekelwa kokusha kwe-Mississippi ngo-2008. .
“Phakathi nonyaka waso wokuqala sisebenza,” kubhala u-Lineweaver ngenyanga edlule esihlokweni somhleli kuyi-Journal of the Mississippi Medical Association, “lesi sikhungo selapha iziguli ezingu-391 ezinokusha kanzima.kuya (i-JMS Burn Center yangaphambili e-Augusta, Georgia) 0.62%.Kwakunamacala ezingane angu-1629.”
Kepha ethunzini lobhubhane lwe-COVID-19 kanye nokuqhekeka kwayo okusheshayo kwemvelo yokunakekelwa kwezempilo, iMerit yamemezela ngoSepthemba 2022 ukuthi i-JMS izobhekana nesiphetho esifanayo nesesikhungo sokushiswa esizinikele eMississippi ngo-2005. Yavalwa ngo-Okthoba 2022 futhi owandulelayo manje. ezinze eGeorgia, lapho besingatha amacala amaningi anzima kakhulu ebengaphathwa kahle ezweni lakubo.I-Mississippi ayinayo enye inhlangano efana ne-JMS.
Ngemuva kokuvalwa kwe-JMS Burn Center, uLiniweaver uhlangane nabamele i-Mississippi Free Press emzini wakhe eMadison, Mississippi ngoDisemba 12, 2022 ukuze acabange ngemizamo yakhe yokudala ukunakekelwa kokusha kwesikhathi eside eMississippi nokuthi unethemba lokuthi kuzokwenzekani ngokulandelayo. ..
Okubaluleke kakhulu, u-Lineweaver uxwayise ngokuthi umbuso uphoqeleka ukuthi ucabange kabusha ukuthi ungabanakekela kanjani abahlali baso abashiswe kanzima.
“Selokhu ngathuthela lapha ngo-1999, sesinikeze umsebenzi wangasese kabili ithuba lokunikeza usizo lwesikhathi esigcwele sokusha eMississippi,” esho."Njengoba ngiyibonile yehluleka kabili ngokuphelele, ngicabanga ukuthi umthwalo wemfanelo kufanele ubuyele kuhulumeni."
Isikhulu Esiphezulu Sesibhedlela saseNeshoba County u-Lee McCall ube nenkinga eyanele yokuphatha isibhedlela sasemaphandleni phakathi nalolu bhubhane.Ukuphela kokunakekelwa okuthembekile kokushiswa eMississippi kumane nje kungomunye umthwalo: amaketanga okuhlinzeka afinyelela ezingeni elibucayi, ukushoda kwabasebenzi kuzwelonke, kanye nokuncipha kwazo zonke izifo nokufa okweqile okulethwe yileli shumi leminyaka.
"Kuwukuphazamiseka okukhulu," uMcCall wavuma engxoxweni ne-Mississippi Free Press ngomhla ka-7 Dec. mayelana nokuvalwa kwe-JMS."Kuyadumaza ukuthi izwe lethu njengamanje alinazo ezinye izindlela."
Akuzona zonke izinsuku lapho iNeshoba County General Hospital ibona khona iziguli ezishile kanzima.Kodwa ngemva kokuvalwa kwesikhungo sokushiswa kwe-JMS, ukusha okukhulu kwakusho inqubo enzima yokuthola ukunakekelwa okukhethekile endaweni ethile ngaphandle kwaseMississippi.
"Okokuqala, sifuna ukuvula e-Augusta, eGeorgia," kusho uMcCall.“Khona kufanele sithole indlela yokuyisa iziguli khona.Uma izinto zokuhamba ezihamba phansi ziphephe ngokwanele, yinde indlela ye-ambulensi.Uma singakwazi ukuwahambisa phansi, kuyodingeka andize.ibiza malini le ndiza?Ingabe kunjalo?Umthwalo wemali ezigulini unzima.”
I-Lineaweaver ichaza inqwaba yezingozi zokusha.“Ukusha kungaba yinoma yini kusukela ebhamulini elibuhlungu kodwa ngokwemvelo kuye ekulimaleni lapho umuntu elahlekelwa ingxenye enkulu yesikhumba sakhe unomphela,” esho.“Kulimaza amehlo nezinye izitho zomzimba, yebo, kodwa futhi kubangela ukusabela okuyinkimbinkimbi ngokomzimba.Akukhona nje ukuthi yonke i-axis ye-hormone yokucindezeleka iphonswa ekuhlakazweni, kodwa umuntu ulahlekelwa uketshezi ngenxa yokulimala. "
I-Lineaweaver ibonisa ibhalansi eyinkimbinkimbi yokulungisa nokubuyisela okudingekayo ukuze kugcinwe iziguli ezishile kakhulu ziphila.“Lolu ketshezi ludinga ukushintshwa.Ayiwuxabanisi kangako umsebenzi wamaphaphu njengoba ilimaza izinso,” usho kanje.“Ukushiswa kungabandakanya ukuhogela intuthu noma amalangabi, okungadala umonakalo oqondile wamaphaphu.”
Izinkinga zokusha zingabulala umuntu ngezindlela eziningi.“Izinhlobo ezithile zokusha zingaba nemiphumela yamakhemikhali,” kuqhubeka u-Lineweaver.“Ngokwesibonelo, i-hydrofluoric acid iyingozi kakhulu ezinzwa.I-carbon monoxide evela ekushiseni ingaba yingozi kakhulu uma ingabonakali lapho kushile khona.”
Iqhaza lethimba likaMcCall eNeshoba akukhona ukuhlinzeka ngokunakekelwa okuqinisekile ezigulini ezishile kakhulu, kodwa ukuzixhumanisa ngesikhathi nethimba lodokotela abangochwepheshe nodokotela abahlinzayo abafana no-Lineaweaver ukuze bazisindise.
Esikhungweni sesimanje sokushiswa esiphakathi nendawo, lokhu kuwumsebenzi olula.Manje, le nqubo iza nakho konke ukubambezeleka kanye nezinkinga ezibhekene nayo yonke indawo yezokwelapha yaseMississippi.Imiphumela ingaba mibi kakhulu.
“Uma kubanjezelwa isikhathi eside phakathi kokulimala, ukuvela endaweni yezimo eziphuthumayo, nokuthuthela endaweni yokugcina yokusha…” kusho u-Lineweaver, izwi lakhe liya ngokuya lizola."Lokhu kubambezeleka kungaba yinkinga."
“Uma kudingeka ukuhlinzwa okukhethekile, njengokusika isibazi sokusha ukuze kugcinwe ukujikeleza kwegazi, kungenziwa ngaso leso sikhathi?Uma lena kuyingane eshile kanzima, ingabe umnyango wendawo wezimo eziphuthumayo uyayazi indlela yokufaka i-catheteriza esinyeni?ingabe uketshezi lulawulwa ngendlela efanele?Enqubweni yokuhlelela ukudluliswa kwemali, izinto eziningi zingase zisilele emuva ngesikhathi.”
Njengamanje, cishe iziguli ezingama-500 ebezizoya e-JMS ziyothola usizo olukhethekile lokusha okwamanje zithuthwa ngohlelo lwezokuthutha oluthwele kanzima lukahulumeni, kanti iziguli eziningi ezibucayi zithunyelwa ngaphandle kwesifunda ukuze zizonakekelwa, kusho uLiniveaver.
U-Lineaweaver uthi ukumiswa kungazelelwe kwezinsizakalo ze-JMS Burn Center ekufeni okungazelelwe kukaDkt. Fred Mullins, umqondisi wezokwelapha wesizinda sokuqala se-JMS Augusta, e-Georgia.Selokhu u-Mullins ashona ngo-2020 eneminyaka engu-54 ubudala, u-Lineweaver wabhala, "Lo mkhuba uqhubekile nezinguquko eziningi zobuholi futhi izindawo eziningi zivaliwe noma azisaxhunywanga kwinethiwekhi."imizimba yombuso.
Kodwa i-Lineaweaver iveza ukuntula kukaMississippi izikhungo zokushiswa kwenkonzo egcwele ngenxa yokuhlehla kwangaphambilini—ithuba eliphuthiwe lokusungula iyunithi yokusha ezinikele e-University of Mississippi Medical Center.
Ngo-2006, ngemva kokuvalwa kwesikhumbuzo sabacimi bomlilo, u-Lineweaver wabamba iqhaza ekuhlinzweni kabusha kwe-microsurgical e-University of Mississippi Medical Center e-Jackson.E-Mississippi, njengamanje, azikho izinsiza ezikhethekile ezanele zokwelapha ukusha okuyinkimbinkimbi, okubeka impilo engozini.U-Lineaweaver uthe ngaleso sikhathi wayecabanga ukuthi isibhedlela socwaningo sikahulumeni esithuthukisiwe kanye nesikhungo sokuhlukumezeka esisezingeni elilodwa kuphela okwakungenye indlela esobala."Ngibona ngeso lengqondo isikhungo sokusha njengesandiso salesi sikhungo samanxeba esiyinkimbinkimbi, sisebenzisa izimiso eziningi ezifanayo zokusebenza nokusebenza kahle," esho.
U-Lineaweaver waqala ukwenza izinhlelo zesikhungo sikahulumeni sokushiswa kwempahla, ayekubheka njengokungenakugwenywa ngaleso sikhathi.Uhlelo oluphelele lokwelashwa kokushiswa aluhlanganisi nje kuphela ukunakekelwa kwezimo eziphuthumayo, kodwa futhi nokuhlinzwa kwepulasitiki okuthuthukisiwe ukubhekana nomonakalo oyinkimbinkimbi ongase ubangele.
“Ake siqale ngeqiniso lokuthi nganginephutha ngokuphelele,” uyavuma.- Ngacabanga ukuthi i-UMMC kufanele ikwenze.Ngakho okuwukuphela kwento engangikhathazeke ngayo kwakuwukubonisa ukuthi kwenziwa kanjani.”
Uhlelo lwe-Lineaweaver beluzoba isengezo esibizayo kuhlelo lwezinsizakalo ezihlinzekwa yi-UMMC egcwele uJackson, kodwa isishayamthetho saseMississippi besizimisele ukusiza, kusho yena.
Ngo-2006, u-Rep. Steve Holland, manje oseyiDemocratic Republic of Tupelo osethathe umhlalaphansi, wethula uMthethosivivinywa 908 eNdlu yabaMeli ngokukhethekile ukuze kusungulwe isikhungo sokusha e-UMMC futhi kuqinisekiswe ukusebenza okuqhubekayo kweyunithi yokusha yesikhungo sezokwelapha.Ukunikezwa kwezimali ezinkulu.
“Ngaphezu kwanoma yiziphi izimali ezinikezwa iSikhungo Sezokwelapha ezivela ku-Mississippi Burns Fund, isiShayamthetho sizokwabela okungenani amaRandi ayizigidi eziyishumi ($10,000,000.00) ngonyaka e-University of Mississippi Medical Center ukuze kusebenze i-Mississippi Burns Center.”kusho kulo mbhalo.UBill uyafunda.
Amarekhodi omthetho abonisa ukwenyuka okuphawulekayo kokusekelwa kwesikhungo e-Mississippi House of Representatives njengoba umthethosivivinywa waso wemali engenayo odingekayo uphasiswe ngenani eliphindwe kathathu kwesihlanu eNdlu yabaMeli.Kodwa-ke, lo mthethosivivinywa wenqatshwa amakomiti eSenethi futhi wagcina ngokushona ekhalendeni.
Kodwa u-Lineaweaver waphikisa ngokuthi lesi akusona nje isisulu semihlangano egcwele abantu abaningi noma osihlalo bamakomiti abangenantshisekelo.“Ukuvula isikhungo sokusha (UMMC) kuzodinga uxhaso lwezibalo eziyisishiyagalombili (zonyaka).Ngokuqonda kwami ​​inyuvesi ithe cha,” kusho u-Lineweaver.
Encwadini yokuhlela engashicilelwe yango-2006, uhlongoze ukuhlanganisa umkhuba wakhe wamanje wokwakha kabusha nokuhlinzwa kwepulasitiki nesikhungo sokushiswa esikhethekile.Isiphakamiso sakhe kwakuwukwenza isikhungo sokwelapha esiphelele esingathatha iziguli kusukela ngesikhathi sokusha kanzima futhi sinikeze usizo ngesikhathi sokuvuselelwa ngokomzimba kanye nokwakhiwa kabusha kwezimonyo.
Kodwa u-Lineaweaver waluhoxisa lolu hlelo ngaphambi kokulushicilela futhi washicilela incwadi eminyakeni emithathu kamuva kumagazini ka-April 2009 we-Journal of the Mississippi Medical Association echaza ngengcindezi eyayivela ngaleso sikhathi owayeyiPhini likaShansela uDan Jones.
"Ukushicilelwa kwalolu hlelo kungase kuthuntubeze ukwethembeka kwemibono engiyiveza egameni lesikhungo sezokwelapha nezwe," kubhala u-Lineweaver ngo-2009, ecaphuna i-imeyili yango-April 27, 2006 lapho athi uJones wacashunwa nge-imeyili."Lokhu kuphambene neseluleko sekomidi, elihlanganisa umbusi kanye nenhloko yesikhulu sezempilo sikahulumeni," eqhubeka ecaphuna uJones.
Engxoxweni yangoLwesihlanu, Jan. 6, u-Dan Jones akavumelananga nokuchazwa kuka-Lineaweaver ngokuthi uphendule kanjani emzamweni ka-2006 wokuxhasa ngezimali izikhungo zokusha.UJones uthe ukhumbula ukucabanga ngaleso sikhathi ukuthi i-UMMC "yayiyinhlangano engcono kakhulu yokuthatha umthwalo wokunakekelwa kokushiswa", kodwa akakwazanga ukuthola "isibopho esihlala njalo" esivela eSishayamthetho ukuze asixhase njalo ngonyaka.
"Inkinga ngesikhungo sokusha noma ukwelashwa kokusha ukuthi iziguli eziningi ezidinga ukwelashwa azinawo umshwalense, ngakho ukwakha noma ukulungisa indawo akulula njengesibonelelo sesikhathi esisodwa," kusho uJones.UProfesa Ohlonishwayo Wezokwelapha e-UMMC kanye NoDini Ohloniphekile we-Faculty of Medicine.
Umbhalo we-HB 908 owaphasiswa yiNdlu yabaMeli ngokusobala uhlanganisa isabelo sonyaka esiyizigidi ezingu-10 zamaRandi ku-UMMC, ukuzibophezela kokuqhubeka nokuxhasa ngezimali ukusungulwa nokunakekelwa kwesikhungo sokusha.Kodwa uJones uthe ikomidi leSenethi elagcina liwuhlulile umthethosivivinywa limazise ukuthi ukubuyisela imali kwakungaphandle kombuzo.
"Umthethosivivinywa owabhalwa ekuqaleni kanye nomthethosivivinywa okwaxoxwa ngawo ukuze uphasiswe kuhlale kuyizinto ezihlukile," kusho uJones.“Njengoba amakomiti ehlangana ngalo mthethosivivinywa, kusobala ukuthi ulimi oluphindaphindwayo ngeke luqhubeke.”
UJones uthe isishayamthetho ekugcineni sizophakamisa isabelo-mali kanye, yena nabanye abasebenzi be-UMMC abakholelwa ukuthi akwanele ukukhokhela izindleko zonyaka.
“Izinto zihlukile namuhla ngenxa yesikhwama sokulimala – esihlanganisa izingozi zezimoto nokunye – imali yesikhwama sokulimala isingasetshenziswa ukunakekela iziguli ezishile, ngakho kusobala ukuthi angazi ukuthi isimo sezimali sizoba njani namuhla.Kodwa ngo-2006 no-2007, asikwazanga ukuthola uxhaso lwe-Trauma Fund,” kusho uJones.Ubekhuluma nge-Mississippi Trauma Care System, eyasungulwa ngo-1998 futhi kamuva yadinga ukuthi izibhedlela zibambe iqhaza noma zikhokhe ukuze zingabambi iqhaza kusukela ngo-2008.
UJones wenqabile ukuphawula mayelana nokusebenzisana kwakhe kwangaphambilini no-Lineaweaver, kodwa wagcizelela isifiso sakhe sokusungula isikhungo sokushiswa kwemoto eMMC.
“Sifuna ngempela isikhungo sethu sibe nesikhungo sokusha.Sifuna ukukwenza,” kusho yena.“Ngiwatshelile amalungu eSishayamthetho ukuthi siyafuna ukuhlinzeka ngalolu sizo, kodwa ngeke sikwenze lokhu uma singazibophezeli ukuthi sizokweseka njalo ngokwezimali.”
Engxoxweni yangomhla zingama-30 kuZibandlela, 2022, i-Mississippi Free Press, uMmeli u-Holland wavumelana no-Lineaweaver ukuthi i-UMMC ibeke umunwe we-ejensi yabo esikalini ukuvimbela umthethosivivinywa wokwabiwa kwezimali ukuthi ungadluli.Kodwa wazwelana nokucabanga kwakhe okungabazayo.
“Ngingakutshela isizathu esisodwa (i-HB 908) esingaphumelelanga – futhi ngiyaqonda ukuthi njengoba ngiphathe isabelomali sabo iminyaka engu-18 – i-UMMC ibiyesaba.Bathe, “Inqobo nje uma uSteve Holland ekhona, besazi ukuthi sizoluthola uxhaso, kodwa kwenzekani ngosuku ehamba ngalo?”
U-Holland uthe ithemba lokukhipha inkuthazo elawulayo kanye nokubeka izindleko ezigcwele zokusebenza emanyuvesi omphakathi lenza inketho ibe yisiphakamiso sezimali esiyingozi.“Kudinga ingqalasizinda enkulu ukwakha isikhungo sokusha,” kusho lowo owayeyisekela lakhe ngokuphumela obala.“Leli akulona iwadi lababelethayo.Kuminyene kakhulu ngokwemishini nezikhungo zezokwelapha ezikhethekile. ”