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Jon Halsey comments on Billy Joe Fudge Hospital proposal

Favors private sector solution, but notes a paradox. Asks why "Fiscal Court is rolling over and playing dead in the face of Spectrum's secret investigations and covert actions," and asks why the court cannot unappoint the current board and 'appoint people who have some modicum of knowledge regarding hospital, financial, and managerial administration

By Jon Halsey
Writer's personal commentary

The writer makes some excellent points regarding some of the steps that must be taken regarding the hospital situation.

However, I have spent two days pondering the paradox presented in the article. The following seem to be in direct conflict and I'm not sure how it could be resolved:
  1. "I'm a private sector guy and I am sure most Adair Countians are..."
  2. "I am sure that most of the members of our fiscal court are private sector folk..."
Then there is this:


- "We the people" in the form of the Adair County fiscal court must assume control and ownership of the hospital."
- We the people" should own the hospital."
The "private sector" and "Government control and ownership" are at direct odds with each other. You either have the Government sector or the Private sector. It's either one or the other. As it currently stands, the hospital IS owned by the local government or "we the people" and controlled by by local government. So it appears the writer is proposing no change to the current setup.

However, the writer is also spot on in stating that the "Adair County fiscal court must assume control..." Therein lies the heart of the matter. The Hospital Board has not exercised the control we gave them over the hospital and to further exacerbate the situation, the Fiscal Court seems to have exercised no control over their own appointed Hospital Board.

Until such time as current leadership shows a willingness to address the serious situation in a forthright manner and some resolve to apply sound business principles to the crises then it seems that we are guilty of Einstein's famous dictum regarding insanity.

In support of this rather harsh observation I ask the following questions:
  1. Why is the court rolling over and playing dead the the face of Spectrum's secret investigations and covert actions? If they can't get the answers they need - they should commission their own investigation.
  2. If the court appointed the Hospital Board then the court should forthwith un-appoint the Board and appoint people who have some modicum of knowledge regarding hospital, financial and managerial administration.
  3. If no one on the court is capable of digesting and understanding the intricacies of financial reports then they should bite the bullet and hire an outside forensic accountant who could spot discrepancies and report accordingly.
In closing, it seems that the fiscal court appointed a board who in turn chose an administrator all of whom then washed their hands of any responsibility. The court saying "that's the hospital boards responsibility, the board saying that's the administrator's responsibility and the administrator being politically astute enough to realize that no one wanted to do their job so he had free rein to do whatever he wanted.

All of this is typical of government ownership and I don't see why we should think that this situation will be any different than the experience of years of Federal, State and Local Government operations from coast to coast for the past 200 plus years. There is after all a sound reason that the Federal bureaucracy was forced to have Inspector Generals for every department in the system.

- Jon Halsey
Knifley, Adair County, KY

Comments re article 53633 Billy Joe Fudge writes Save Our Hospital


This story was posted on 2012-08-12 18:20:20
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