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Thousands of health care workers could be without jobs

Posted December 9, 2009

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— As many as 25,000 health care workers in the mental health and substance abuse field could be out of a job under new state requirements to help reel in health care costs with better oversight and more accountability.

Ultimately, that could lead to anywhere from 40,000 to 50,000 patients going without the required care they need, says John Tote, executive director of the Mental Health Association in North Carolina.

John Tote Thousands of health care workers could be without jobs

Among the new requirements is for all providers to have employed a medical director, clinical director and quality management and training director, as well as staff training and national accreditation.

Tote says the new system will push out the small provider who might not be able to afford implementing the changes. It will also leave larger providers who offer an array of services to care for more patients.

"Bigger does not necessarily mean better," he said.

He says that although he supports more oversight of health care, there needs more time and a better transition plan.

"To do this in a month or two is unbelievably fast for a fragile system already," Tote said.

29 Comments

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  • bopeace1999 Dec 10, 2009

    " ...Among the new requirements is for all providers to have employed a medical director, clinical director and quality management and training director ..." Adding more layers of bureaucracy - how efficient - while the real providers get laid off and fired.

  • Adelinthe Dec 10, 2009

    So then where will those who need this service be?

    On the streets and a threat to someone?

    God bless.

    RB

  • Dirty_Water Dec 10, 2009

    From the article: Among the new requirements is for all providers to have employed a medical director, clinical director and quality management and training director, as well as staff training and national accreditation.
    What was happening was political cronies were hiring unskilled, untrained friends at $20/hour to render mental health and substance abuse counseling, and charging the state $100 per hour for those services. This was exposed several years ago, and this is an attempt to stop the crony capitalism so rampant in our state government. The assertion that 25,000 people are employed to counsel 40-50,000 people should alert you to the fraud.

  • djcgriffin Dec 10, 2009

    This just makes me sad. What I fear is the children whose parents cant afford the larger clinics will not seek out alternative treatment methods for their children. There are many smaller clinics/organizations that abide by the regulations (my sister works for one) where they have a minimal staff. But the paraprofessionals there are so passionate about their jobs and the people for whom they work, I cant imagine someone like that being put out of a job so that the larger organizations can hire a "clinic director."

  • artist Dec 10, 2009

    "Among the new requirements is for all providers to have employed a medical director, clinical director and quality management and training director, as well as staff training and national accreditation."

    So what seems to be the problem? Are there actual "companies" taking the state's money and "providing" care to needy individuals without medical oversight and trained employees?

    Sounds like a good idea to me. Don't we want our money to be used to actually help these people... as opposed to fly-by-night organizations just taking our money and providing inferior services?

  • NeverSurrender Dec 10, 2009

    "I thought Governor Perdue's 'passion' was mental health care. Imagine what the system's reform would look like if she didn't give a darn. Good grief."

    I thought she was referring to having a passion for ensuring that the Jones Street mob has adequate mental health care but I might be mistaken... :)

  • DizzyDaphnee Dec 10, 2009

    NC State Legislature is made up of ????????????????????
    Why are they so ignorant?
    Blind?
    I bet some of their own members need MENTAL HEALTH and SUBSTANCE ABUSE help MORE THAN YOU OR I, but if we cut all the mental health programs, then we prevent all the smaller crooks from gouging the NC government! NOW WE CAN RAPE OURSELVES FINANCIALLY AND KEEP IT ALL UNDER WRAPS, why cause these "legislators" view the world through skewed rose colored glasses! Someone or something will break those glasses one day and NC and all it's glory WILL HAVE TO FACE the result. N. Carolinians should be outraged that this is the best they can come up with while feathering their own nests with Dolce & Gabano.

  • Lyle Dec 10, 2009

    6079 Smith W

    Wish I caould shake your hand. At last, a coherent, mature, thoughtful post. Sometimes it does pay to read, think, and THEN post.

    Merry Christmas haters!

  • 6079 SMITH W Dec 10, 2009

    Take a "good, hard look" at the last administration's disaster of wrecking our nation and our economy....and the unwillingness of it's disciples to realize the truth....you've been had, but we all suffer the consequences. What solution do you propose to fix things?.....Should we elect a dimwit ex-beauty queen that quits when she realizes there is more money to be made by preying on people's fear and hatred than actually solving the problems we ALL face? And no, I don't think the new guy will ever have a chance to pick up the pieces when the country is technically in a Civil War...A war that is designed to divide us and make us weak...DIVIDED WE WILL SURELY FALL.

  • ladyblue Dec 10, 2009

    Well people it seems so many wanted change when you went to the polls so now you're getting it.

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