2012-2013 Louisiana State University - New Orleans Application Thread

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scarshapedstar said:
Well, instead of shutting down hospitals and flooding the remaining emergency rooms with psych patients, he could try to, you know, raise more money, and accept rather than reject the federal 100 percent funding of the Medicaid expansion. But that would end his political career - gotta prove he's just as spiteful and short-sighted as Rick Perry.
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Methinks you're reading more bias into the situation than you're letting on. I admittedly skew libertarian, but I understand healthcare is used as an emotional bludgeon by proponents of all health systems. One can always point at some tragic outcome--real or imagined--and say "See?! If only ______" and fill in the blank with whatever cause deemed politically expedient.

I'm not a Louisianan, so I'm not all-too-familiar with the unique system y'all have down there. Huey P Long apparently chartered some state-funded hospitals back in the 1930s to serve Louisiana, whose population was and is poorer than the rest of the country's. These hospitals are now dilapidated and produce inferior outcomes when compared to public/private partnerships, and it doesn't strike me as irrational or spiteful to move towards privatization. For example, the Earl K. Long hospital either gets ~$200 million of repairs over the next decade or it loses accreditation. Not sure where the state finds that moola, and I'm not sure how a crappy unaccredited hospital helps the indigent. Since Louisiana's poorer population is so dependent on Medicaid, you could argue that it's a natural candidate for the expansion, but the state runs large deficits (~$120m in 2012) even with the feds spotting Louisiana 70% of every Medicaid dollar. An expansion could conceivably exacerbate the problem in many ways, so I dunno if you can really qualify Jindal's balk as something spiteful, and it seems the very antithesis of short-sighted. As an aside, Louisiana could get hooked for millions of dollars it doesn't have on a program that doesn't demonstrably work for the poor anyway (http://www.nejm.org/doi/full/10.1056/NEJMsa1212321).

There's already a national trend towards more autonomous, privatized safety-net hospitals, and Louisiana is starting on the extreme end of direct government control of its public hospitals. I'm sorry but I just don't see much reason for vilifying Bobby J.
 
kavorca said:
I am not sure why Jindal is trying so hard to screw the state. His national prospects died the day he did the Repulican response to the state of the union address in 2009. He might as well try to help his actual constituents instead of trying to woo potential ones.
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I doubt the GOP would go for a Deep South governor for their next candidate anywho. Gotta think Christie, Paul, and Rubio are the frontrunners for 2016.
 
Who cuts all Medicaid payments to hospice? I mean where does he think these dying people will go? The LSU ED to get admitted, that's where. I don't have to vilify this guy, he does it on his own.
 
kavorca said:
Who cuts all Medicaid payments to hospice? I mean where does he think these dying people will go? The LSU ED to get admitted, that's where. I don't have to vilify this guy, he does it on his own.
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Dude, if Medicaid payments have to be cut, what do you recommend? Stop funding Louisiana's residencies?
 
But that's the point. They do not have to be cut. The federal government will be on the hook for the Medicaid increases, but he is still making the cuts. I admit I have had my head mostly down for the last several years, but even I am seeing the effects of these cuts. There is talk of decreasing the number of medicine teams on the wards, requiring less residents. Current residents will have to rotate elsewhere or maybe they will start taking fewer residents. I am not super informed on the issues, but Everyone I know in the lsu system is upset with Jindal from top to bottom. They are closing the smaller hospitals such as Lallie Kemp and Chaubert which used to handle to local stuff. Now those people are driving in to Shreveport and NO. It's getting pretty craptastic out in the sticks. Making cuts to Shreveport and NO just hurts everyone.
 
All that being said LSU-NO is an awesome school and experience. Don't be scared off!
 
The state does have money, its just being allocated to the wrong things.
 
kavorca said:
But that's the point. They do not have to be cut. The federal government will be on the hook for the Medicaid increases, but he is still making the cuts. I admit I have had my head mostly down for the last several years, but even I am seeing the effects of these cuts. There is talk of decreasing the number of medicine teams on the wards, requiring less residents. Current residents will have to rotate elsewhere or maybe they will start taking fewer residents. I am not super informed on the issues, but Everyone I know in the lsu system is upset with Jindal from top to bottom. They are closing the smaller hospitals such as Lallie Kemp and Chaubert which used to handle to local stuff. Now those people are driving in to Shreveport and NO. It's getting pretty craptastic out in the sticks. Making cuts to Shreveport and NO just hurts everyone.
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Well this cuts to the chase. If states were besieged by sizable Medicaid deficits before, why on earth would an expansion help anything? My home state--healthy, wealthy, and blue--is pretty receptive to ACA, yet they're still shaking in their boots about affording this in a few years when they have to pay for 10% of the expansion. 10%! And that federal money isn't divine manna from heaven...though Louisiana does receive much more from the feds than she chips in. Again, all this is a problem even assuming Medicaid delivers better outcomes for the poor: a claim left wanting.

This dude tries to rationalize it away by deeming Medicaid a success because it spent money:

http://www.kevinmd.com/blog/2013/05/oregon-medicaid-study.html
 
Anyone up for starting a 2013-14 thread?

Also, I knew a guy who had a 4.0/42 who got rejected..not saying it was your interview, but his was crappy.
 
sinuous sausage said:
I'm not a Louisianan, so I'm not all-too-familiar with the unique system y'all have down there.
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Right, so evidently you're unaware that Jindal's first political job was being Mike Foster's state hospital director, where he made it abundantly clear that he was ideologically opposed to any semblance of a charity system. I don't buy that the numbers weirdly, coincidentally leave him with absolutely no choice but to do exactly what he said he wanted to do 15 years ago. You're also unaware of the vital role that the massive Old Charity played in New Orleans, dilapidated or not - there is no 'poorer outcome' than having nowhere to go. If and when you come here, ask a doctor about their residency there.

And you probably don't understand the political dynamic where voters in the northern half of the state, being politically empowered by Katrina wiping out so many New Orleanians, like it when New Orleans gets screwed, because they root for the Cowboys and think we're all going to hell anyway. They also like it when an alleged biologist starts pushing creationism in the schools, which might be the single biggest reason I am unable to muster any trust in the man.
 
scarshapedstar said:
And you probably don't understand the political dynamic where voters in the northern half of the state, being politically empowered by Katrina wiping out so many New Orleanians, like it when New Orleans gets screwed, because they root for the Cowboys and think we're all going to hell anyway. They also like it when an alleged biologist starts pushing creationism in the schools, which might be the single biggest reason I am unable to muster any trust in the man.
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Nice broad generalizations.

acceptmeplease said:
Anyone up for starting a 2013-14 thread?

Also, I knew a guy who had a 4.0/42 who got rejected..not saying it was your interview, but his was crappy.
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There's one already up. It's in an another sub-forum.

PM504 said:
The state does have money, its just being allocated to the wrong things.
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Partially true. The state could have stop-gapped the deficit that the hospitals had because of not accepting the expansion. And there's a lot of other budgetary inefficiencies in this state(# of govt. employees per capita, amount of 4-year universities per capita etc). Even still, accepting the expansion would be fine for a while, but at some point the state has to start footing a portion of the bill. There's no guarantee that medical costs are going to slow down or stabilize at any point in the future. This *could* crush the state. Of course there's no way of knowing except for assuming. So yeah, from a healthcare delivery and training perspective this sucks, but from a fiscal stand point it could be the best thing for the state. I do think the way the closures were implemented lacked foresight but that's a different issue entirely.

Anyone know how many state-funded charity systems are left in the US? Seems like most states employ either private/public ventures or of community/regional funded public hospitals.
 
scarshapedstar said:
Right, so evidently you're unaware that Jindal's first political job was being Mike Foster's state hospital director, where he made it abundantly clear that he was ideologically opposed to any semblance of a charity system. I don't buy that the numbers weirdly, coincidentally leave him with absolutely no choice but to do exactly what he said he wanted to do 15 years ago.
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Oddly conspiratorial, as I'd simply look at the numbers, formulate theories, and forward conclusions. I'm unsure how Louisiana's publicly-funded healthcare looked in 1998 (I moved from NOLA in 1997), but generally the same mechanisms operate on the same actors now as they did then. Nothing untoward in a former state hospital director forming strong convictions about a system he's very well-acquainted with and that hasn't changed much in its delivery. If anything, this strengthens Jindal's hand, IMO.

scarshapedstar said:
You're also unaware of the vital role that the massive Old Charity played in New Orleans, dilapidated or not - there is no 'poorer outcome' than having nowhere to go. If and when you come here, ask a doctor about their residency there.
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Here we differ. Healthcare is like ecology, where there are no parochial causes and effects. Everything affects everything, so if the state is spending millions of dollars on healthcare that doesn't actually change much (maybe anything!) about the poor's outcomes, I would think the progressive, rational move would be to amend the system. I think Medicaid in its current form is regressive and irrational, and it ultimately hurts the poor the most. It's easy for the wealthy to ease their consciences when they have money to escape a crap system like Medicaid, whose patients nominally have "coverage" but then can't find a doctor to treat them. It's a cycle, too, because if more and more doctors leave the state to practice, Louisiana gets a bad rep that's hard to shake. This rep only further afflicts the poor.

scarshapedstar said:
And you probably don't understand the political dynamic where voters in the northern half of the state, being politically empowered by Katrina wiping out so many New Orleanians, like it when New Orleans gets screwed, because they root for the Cowboys and think we're all going to hell anyway.
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You're right, I dunno about this. Seems Shreveport might be the med school on the chopping block, however, so if this is true maybe a self-inflicted wound is just what the doctor ordered 🙂

scarshapedstar said:
They also like it when an alleged biologist starts pushing creationism in the schools, which might be the single biggest reason I am unable to muster any trust in the man.
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Yeah, this irks the atheist in me. Fortunately biology, sociology, and economics are completely different disciplines, and one can be competent in one and a complete mess in the others.

Note: Even if I hadn't moved out of NOLA until 1998, I don't think many six-year-olds really care all that much about healthcare policy.
 
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Dr McSexy said:
Anyone know how many state-funded charity systems are left in the US? Seems like most states employ either private/public ventures or of community/regional funded public hospitals.
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I think New Mexico does
 
I'm going to Shreveport, and while the press is scary, we've been assured that the school will not close. It's too crucial to the region. Dr. Kennedy told me in my interview that the pleas for funding are necessary but it's basically political procedure. They'll fund us, we just have to keep reminding them.
But as everyone has said, the problem isn't unique to Shreveport. Budget cuts came up in my Nola interview too...one of the administrators interviewing me commented straight-up that "the problem is our governor. He doesn't understand what he's done." That's just one dean's opinion but I'm right there with him.
ETA: I think it's obvious Jindal is going to run for president but there's no way he makes it out of the primary.
 
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On our end, right after the state decided to shut down what little trailer-based mental health facilities remained at UH and eliminate beds in the ER (the wisdom of this double-whammy is discussed by our own excellent Dr. Peter Deblieux in this article, though I'm sure he just has an ax to grind 🙄) and eliminate residency spots, the Dean of Students came to the SGA meeting and vented for a solid hour about how it's not at all clear what we're "transitioning" to, aside from an even more violent and dysfunctional city.

Also worth noting that the ever budget-conscious Jindal managed, through some kind fiscal wizardry, to drop a cool $800 million last year on his totally awesome "voucher school" boondoggle - before it was cruelly tossed out by some activist judge legislating from the bench, it was enlightening our students thusly:

14 Wacky "Facts" Kids Will Learn in Louisiana's Voucher Schools

1. Dinosaurs and humans probably hung out
2. Dragons were totally real
3. "God used the Trail of Tears to bring many Indians to Christ."
4. Africa needs religion
5. Slave masters were nice guys
6. The KKK was A-OK
7. The Great Depression wasn't as bad as the liberals made it sound
8. SCOTUS enslaved fetuses
9. The Red Scare isn't over yet
10. Mark Twain and Emily Dickinson were a couple of hacks
11. Abstract algebra is too dang complicated
12. Gay people "have no more claims to special rights than child molesters or rapists"
13. Global environmentalists have said and written enough to leave no doubt that their goal is to destroy the prosperous economies of the world's richest nations
14. Globalization is a precursor to rapture

On the other hand, these are tough times, and it's a lot cheaper to run a school that only uses one book...
 
scarshapedstar said:
On our end, right after the state decided to shut down what little trailer-based mental health facilities remained at UH and eliminate beds in the ER (the wisdom of this double-whammy is discussed by our own excellent Dr. Peter Deblieux in this article, though I'm sure he just has an ax to grind 🙄) and eliminate residency spots, the Dean of Students came to the SGA meeting and vented for a solid hour about how it's not at all clear what we're "transitioning" to, aside from an even more violent and dysfunctional city.

Also worth noting that the ever budget-conscious Jindal managed, through some kind fiscal wizardry, to drop a cool $800 million last year on his totally awesome "voucher school" boondoggle - before it was cruelly tossed out by some activist judge legislating from the bench, it was enlightening our students thusly:

14 Wacky "Facts" Kids Will Learn in Louisiana's Voucher Schools

1. Dinosaurs and humans probably hung out
2. Dragons were totally real
3. "God used the Trail of Tears to bring many Indians to Christ."
4. Africa needs religion
5. Slave masters were nice guys
6. The KKK was A-OK
7. The Great Depression wasn't as bad as the liberals made it sound
8. SCOTUS enslaved fetuses
9. The Red Scare isn't over yet
10. Mark Twain and Emily Dickinson were a couple of hacks
11. Abstract algebra is too dang complicated
12. Gay people "have no more claims to special rights than child molesters or rapists"
13. Global environmentalists have said and written enough to leave no doubt that their goal is to destroy the prosperous economies of the world's richest nations
14. Globalization is a precursor to rapture

On the other hand, these are tough times, and it's a lot cheaper to run a school that only uses one book...
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you can't really link a Mother Jones article and expect any kind of good faith engagement
 
when they speak of beds for the mentally ill, is it a euphemism for a quarantine? I don't know much about the particulars of mental health treatment, other than it's overmedicated and the science is fuzzy
 
This waiting is driving me crazy! 😕:scared:😕 An island vacation would be the perfect distraction 🙂
 
Does anyone know if any acceptances were sent out after May 15?? It seems like a few ppl were notified via email right before the May 15th deadline and then everyone else received either waitlist or rejection letters the following week. There had to be some applicants holding multiple acceptances, which gives me hope that there will be waitlist movement soon. Is that a totally far fetched idea?? :idea:😕
 
Hey I heard of someone getting in off the WL via snail mail yesterday, so I think there has been some movement from the WL. Its just time to be patient and hope for the best. I definitely agree that an island vacation is just what the doctor ordered! Good luck and stay strong!:luck:
 
So I was under the impression that they took about 30 people off the waitlist every year. Seems like I have heard of only a few this year so far, like only 3-5 between here and people heard of from friends. if you have an explanation please share ha. Or maybe not everyone is on SDN...
 
Well 30 is actually a lot higher than any number I've seen for waitlist movement, but that's not saying much because I've only started paying attn to stats since the beginning of this app cycle. I've only heard of 2 ppl getting in off the waitlist from friends, and the fb group only has two new members as well. Hopefully another round of acceptances will be received some time this week.
 
slilac11 said:
Well 30 is actually a lot higher than any number I've seen for waitlist movement, but that's not saying much because I've only started paying attn to stats since the beginning of this app cycle. I've only heard of 2 ppl getting in off the waitlist from friends, and the fb group only has two new members as well. Hopefully another round of acceptances will be received some time this week.
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where is this fabled Facebook group?
 
keep in mind guys that my class (current L2s) have a significant number of ppl in the group so don't base anything numbers wise on this group.
 
Hey has anyone heard of any movement of the wait list due to acceptances/rejection? I have not heard of anything lately. Thanks for any information!
 
I haven't heard anything either....I was hoping something would come in the mail today since the other letters I received arrived on a Tuesday.
 
I called admissions today, as of now there are no spots available...The lady said they will be contacting applicants as spots become available. Does anyone know of anybody that's considering withdrawing their acceptance? I'm not sure of the chances of getting off the waitlist anymore...
 
I had a friend last year get in three weeks before school started. It just depends on if ppl get accepted to other schools and if they choose that one. then spots open up.
 
Hey I just wanted to let y'all know that I know a guy that got in about 2 weeks ago, and he got a call from the admissions office before he got a letter. And I also read on a previous year (I think it was the 2010-2011 class) that the person got a phone call when she got off the wait list and that was at the end of June. So, instead of stalking the mail man I would pray for your phone to ring!
 
Maybe it means that they are coming soon as in they are creeping on us wailisters haha
 
Crud

ImageUploadedBySDN Mobile1371761031.083564.jpg
 
Haven't received mine yet, but now I know not to get my hopes up when I get it.
 
I received my letter today in the mail. I was talking to an incoming L1 friend of mine, and he revealed that a conversation between him, a specific doc on staff, and an upcoming L2 (who coincidentally was a great friend of mine) that waitlist movement was highly stagnant this year due to about 4 or 5 L1's failing and having to re-take the curricula. Apparently the class is sitting at about 202 with these students, and the doc was telling them that they try to keep the class under 200.

Waitlist movement looks very highly unlikely, which is reinforced by that pre-June 30th letter.

Cheers, I'll see some of you at Shreveport.
 
Even though I was expecting it, that letter today was a wee bit depressing 🙁
 
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