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Without bribes, the state money stops?

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    1. whynot_31
      whynot_31

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      The health care industry recently got another black eye when it was alleged that the former head of the Greater New York Hospital Association and CEO of the Medisys hospital network, David Rosen had been bribing state representatives to continue to bail out his network of failing hospitals while others (such as St. Vincents) were allowed to fail.

      http://www.yournabe.com/articles/2011/03/17/queens/qns_rosen_aquino_complaint_20110317.txt

      Following this federal allegation and his arrest by FBI agents while at work in his office, Mr. Rosen was fired from his $1.5M a year position as the CEO of Medisys. (The state officials charged with bribery were arrested before this).

      Please compare and contrast this salary to the CEO of the city run network of hospitals, HHC. HHC operates a network of fourteen (not merely 4) hospitals that "lose money, yet provide valuable care", and its CEO earns a relatively modest $400k a year.

      To the surprise of few people, the allegations have caused process by which the state decides which hospitals to bail out to be under much closer review.

      It is also no surprise that two of Medisys's four hospitals are in danger of no longer receiving state aid; they will be "allowed to fail"

      Pennisula, you are first. Brookdale, you are likely next.
      http://www.crainsnewyork.com/article/20110724/FREE/110729942

      Hopefully these decisions are being made in a way that allows the persons in these poor communities to continue to get health care somewhere.

      While most hospitals in low income NYC neighborhoods lose money, I'd hate for these hospitals to be singled out for closure because of the alleged crimes the former CEO.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    2. This country needs such a dramatic overhaul of all aspects of health care it's almost beyond comprehension.

      Spend a buck, light a number for one the 400,000 victims in Darfur: darfurwall.org
    3. whynot_31
      whynot_31

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      A friend of mine was able to get a photo of Mr. Rosen in handcuffs, as he was being escorted by the police from his office at Jamaica Hospital.

      She framed it, and hung it in her office.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
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      bohuma

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      A friend of mine in Australia was part of an independent review that compared the cost of funding health care through private sector insurers and through Medicare, that review found that the chief difference in costs were related to advertising - that was at a time when private health funds were largely mutually owned. I'd be happy to have the private not-for-profit sector run hospitals and 80-20 health plans, but as soon as you involve Wall Street, money gets creamed off for executive salaries and shareholder dividends. When I lived in Australia I hated Medicare, as an inefficient bureaucracy that made you wait for elective surgery. Then I moved here and can see how every US health care provider is buried in insurance company paperwork and even well insured families go bankrupt paying for chronic illnesses and major medical. Makes Medicare Australia look fantastic.

    5. whynot_31
      whynot_31

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      As result of being on medicaid, the majority of the patients of Medisys are completely removed from any ability to demand quality services.

      At this point NY state expects hospitals in low income neighborhoods to lose money and expects to have to bail them out, so the hospitals have very little incentive to not lose money.

      ...especially in cases like this, when bribery is alleged to have been involved.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
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      bohuma

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      A senior Canadian civil servant explained the rationale behind making most medical services a government monopoly. By not giving high and middle income Canadians the option of buying their way out of the public system within Canada, a politically powerful group keeps the government accountable for the quality of health services. Canadians can't, for example, go to a private hospital in Canada for a hip replacement, but they could go to the USA (or India or Mexico) but they would have to pay cash. In countries with a national health service, like Canada, Australia and the UK, there are always complaints about how long you have to wait for elective surgery, but at least you get the same standard of care whether rich or poor, and you don't lose your house and life savings paying for treatment.

    7. whynot_31
      whynot_31

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      Sounds like the argument against charter schools: Without the middle class, the public schools will just get worse.

      I do like the part about not having to go into to bankruptcy because you get sick though. That holds genuine appeal to me as I get older.

      ...but Medisys is classic.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
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      bohuma

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      It is only an argument against charter schools if middle and high income families can only choose between a public school and a charter school. The Canadian premise of public only applies because Canadians are legally restricted from getting private treatment for a service offered by the government health plan. To extend that to schools would mean the government would have to take over or close all non-public schools - private, church schools, military schools, so the public school is the only option. That is unlikely to happen in the US, it might even be an unconstitutional prohibition on religious education. Unless the politically powerful middle income families are forced to use public schools, they are not going to lobby to make them better.

    9. whynot_31
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      True, you'd have to prevent people from getting better care anywhere in the country.

      I do not think that could be accomplished here.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
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      PragmaticGuy

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      Many hospitals, not just those in poor neighborhoods lose money. And whenever someone who's insured goes to a hospital either they or their insurance company is billed extra to pay for uninsured people. So...you and I and all those who are insured pay twice...once in our taxes for those on Medicaid and every time we use a hospital for either ER or surgery. It's double taxation in a way and it stinks. About 25 years ago there were many hospitals owned and run by doctors. They were small, maybe 50 beds or so and well equipped, fairly affordable and were only for their patients. They did not have ERs open to the public. New York changed the law so that if you were going to be a hospital you HAD to have an emergency room open to the public and give them free care to at least stabilize a person when they came in. The doctors groups that ran these places all closed. There are four I can think of off the top of my head in Brooklyn alone. These were great alternatives to the "big" places but because of the city's need to be fair to the ones giving free care they ended up losing a very valuable and less expensive resource.

    11. whynot_31
      whynot_31

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      I agree.

      ...and the Urgent Care centers have sprung up to cream the little "profit" that there is to be gleaned from the ER ground.

      Pro tip: To make money in emergency medicine, avoid having to treat the guy in ENY with the gun shot wound, and instead focus on treating the kid who broke his arm in prospect park. Do not affiliate with a hospital.

      ....I think my point is that we are about to lose even more hospitals.

      Anyone think by 2020 HHC will be one of the few providers left?

      P.S. I think HHC does a pretty good job.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    12. whynot_31
      whynot_31

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      An article in today's Times discusses how many Brooklyn hospitals are losing money and may soon face closure

      http://www.nytimes.com/2011/07/29/nyregion/dont-close-brooklyn-hospitals-allies-tell-state.html?_r=1

      This time, bribery ain't gonna save us.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    13. whynot_31
      whynot_31

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      We now return to the allegations against Mr. David Rosen!

      His trial seems to have begun in late July.

      Here's an update:

      NYT: http://www.nytimes.com/2011/07/26/nyregion/david-p-rosen-of-medisys-health-begins-bribery-trial.html

      Associated Press: http://www.adirondackdailyenterprise.com/page/content.detail/id/142908/Trial-begins-for-ex-NYC-hospital-executive.html?isap=1&nav=5018

      NY Post: http://www.nypost.com/p/news/local/brooklyn/they_feel_graft_mXgNqZ3dSMkDTCkliSe4TK

      CNG: http://www.yournabe.com/articles/2011/07/28/queens/qns_rosen_opening_arguments_20110728.txt

      I'm glad the media is continuing to cover it.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    14. whynot_31
      whynot_31

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      Trial update:

      On 8/4/11, some Medisys staff members reportedly testified that they had no idea that the alleged bribery was occurring.

      Something along the lines of, "If there was any wrong doing, we weren't privy to it".

      However, they also

      yournabe.com » testified that late Assemblyman Anthony Seminerio did little for the health system during the trial of former MediSys CEO David Rosen.

      The basis of the trial seems to be that if MediSys wasn't paying the now-deceased Assemblyman for his work, they were -instead- knowingly paying him for his influence.

      source: http://www.yournabe.com/articles/2011/08/09/queens/qns_rosen_trial_20110804.txt

      In just a week or two, we should be able to know whether the allegations against Mr. Rosen are true.....

      Update as per 8/11/11:

      Source: http://www.bayside-times.com/articles/2011/08/14/queens/qns_rosen_trial_part_two_20110811.txt

      Rosen did not take the stand in his own defense in the bench trial and his attorney, Scott Morvillo, called current MediSys CEO Neal Phillips and attorney Barbara Arky as the defense’s only witnesses.

      Rosen was charged with other alleged misconduct besides his dealings with Seminerio during his tenure with the health system. He is also charged with giving $177,368 to Assemblyman William Boyland Jr., who used to work for MediSys, and giving him a job as a consultant.

      Rosen allegedly put money in a hospice care service where indicted state Sen. Carl Kruger reaped some of the cash, according to prosecutors. Kruger is awaiting his own corruption trial along with former Parkway Hospital owner Dr. Robert Aquino and lobbyist Richard Lipsky.

      After receiving some pieces of evidence from Morvillo, including a huge binder of minutes of board meetings between Jamaica Hospital and MediSys from 1998-2008, Judge Jed Rakoff scheduled a summations date for this Friday. Rakoff told the attorneys for both sides that he would be interrupting their closing arguments with questions and asked them to prepare accordingly.

      If convicted of the charges, Rosen faces up to 20 years in federal prison.

      Update as per 8/18/11:

      Federal prosecutors and the attorneys representing the former head of Jamaica Hospital’s parent company are now waiting for a judge to determine the administrator’s fate in his bribery and corruption trial.

      source: http://www.yournabe.com/articles/2011/08/22/queens/qns_rosen_summations_20110818.txt

      A copy of the press release from March, which lists the charges and the possible penalties: http://www.justice.gov/usao/nys/pressreleases/March11/krugercarletalcomplaintpr.pdf

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    15. whynot_31
      whynot_31

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      Former Hospital Chief Convicted of Offering Bribes to Albany Legislators

      NYT Article » 

      By BENJAMIN WEISER
      Published: September 12, 2011

      A former hospital chief executive was convicted on Monday in a far-reaching scheme to pay bribes to three New York State legislators in return for beneficial treatment toward his health care organization.

      The trial of the former executive, David P. Rosen, 63, was the first to result from federal charges announced in March against eight defendants, casting light on the pervasive issue of corruption in Albany and the frequently cozy relationship between lawmakers and hospitals.

      “This is a sad, even tragic case,” the judge, Jed S. Rakoff of Federal District Court in Manhattan, wrote in a 40-page decision, “as it reveals how a widely admired hospital administrator who diligently sought to better the health care of impoverished communities nonetheless chose to entangle himself in the bribing of state legislators.”

      Mr. Rosen had asked for a speedy trial, putting pressure on federal prosecutors to build and argue their case in a far more compressed time frame than normal. The guilty verdict, however, illustrated the strength of the government’s evidence against him, and suggested that its case against his codefendants — who include two state lawmakers — may be equally as strong.

      At his trial this summer, prosecutors presented evidence that Mr. Rosen had funneled hundreds of thousands of dollars to two Democratic assemblymen, William F. Boyland Jr. of Brooklyn and Anthony S. Seminerio of Queens, through sham consulting contracts.

      Mr. Rosen had also directed a lucrative contract to a hospice care company in a deal in which a third official, Senator Carl Kruger, a Democrat of Brooklyn, “got a cut” prosecutors said. Mr. Boyland and Mr. Kruger have pleaded not guilty and are awaiting trial; Mr. Seminerio, who had pleaded guilty to fraud in an earlier case, died in prison in January.

      Judge Rakoff noted in his ruling that his findings and conclusions in the Rosen case were “in no way binding on the remaining defendants.” They include a prominent lobbyist, Richard J. Lipsky, a real estate developer, another hospital executive and a health care consultant; all have also pleaded not guilty, and are scheduled for trial in coming months.

      A legal expert, Daniel C. Richman, a former prosecutor who teaches criminal law at Columbia, said the ruling will likely “be read by the defendants as testimony to the strength of the government’s case” and “might well spur some defendants to rethink going to trial.”

      But Marc L. Mukasey, another former prosecutor who is now in private practice and has represented defendants in corruption cases, said the result of prior trials “might not have as much influence as you might think,” because political defendants have public reputations that could be irreparably damaged by a guilty plea.

      Mr. Boyland is scheduled to be tried next, before Judge Rakoff, on Nov. 1. His lawyer, Richard H. Rosenberg, called the verdict disappointing, but added: “It’s not going to affect our decision. We’re going to trial.” Mr. Kruger’s lawyer, Benjamin Brafman, said he was disappointed by the verdict but remained “confident that a jury will conclude that Mr. Kruger did not act with any corrupt motive or intent.”

      In return for Mr. Rosen’s scheme, prosecutors charged that the three state officials had showered Mr. Rosen’s organization, MediSys Health Network, with state money and lobbied the government on his behalf. MediSys is a nonprofit sponsor of three hospitals as well as nursing homes and neighborhood health centers in Brooklyn and Queens. MediSys fired Mr. Rosen shortly after his indictment.

      “If there were any doubt about the pervasive nature of public corruption in Albany, today’s multicount conviction of David Rosen should put it to rest once and for all,” Preet Bharara, the United States attorney in Manhattan, said. “While this verdict is a very sad commentary on the state of affairs in Albany, it also should send a clear message that we will pursue those who violate the public trust.”

      Mr. Rosen agreed to be tried alone and before Judge Rakoff rather than by a jury. Prosecutors said he faced a maximum of 70 years in prison, although under advisory sentencing guidelines he is likely to face far less.

      His lead defense lawyer, Robert G. Morvillo, said: “After 40 years of diligent service to the health care community, David Rosen is devastated by the court’s findings. He consistently strived to ensure access to quality health care to the challenged communities in Queens and Brooklyn.”

      “We are exploring Mr. Rosen’s available remedies,” Mr. Morvillo added.

      Prosecutors charged that through the bogus deals, Mr. Rosen had MediSys pay Mr. Seminerio about $400,000 over the course of 10 years and Mr. Boyland more than $175,000 between 2003 and 2008. “David Rosen set out to buy himself premium access, premium influence with the state government on which his hospitals so critically depended for money, for growth, for staying power,” a prosecutor, Michael S. Bosworth, told the judge in his summation.

      Mr. Morvillo had argued in court that his client did not have the need or motive to bribe anyone. “David Rosen had access to whoever he wanted to in Albany,” Mr. Morvillo said.

      Source: http://www.nytimes.com/2011/09/13/nyregion/rosen-ex-hospital-chief-convicted-of-trying-to-bribe-assemblymen.html?ref=nyregion

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    16. whynot_31
      whynot_31

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      End result: Hospitals that are losing money in NYS may no longer be able to bribe state officials to keep them afloat.

      The hospitals may be forced to close, causing thousands of people to lose care.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    17. whynot_31
      whynot_31

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      In January 2011, Medisys controlled FOUR failing hospitals: Peninsula (in the Rockaways), Flushing, Jamaica, and Brookdale (in Brownsville).

      1. Peninsula has been taken over by a specialized health care group, in an attempt to cater to those whom have insurance. It is no longer part of Medisys.

      2. Flushing is expected to survive, because it serves a population that is, for the most part, not dependent upon Medicaid.

      3. Jamaica serves a patient base that is dependent upon Medicaid or uninsured. It posted losses of over $75M last fiscal year, but it is the closest hospital to JFK Airport. How does one go about letting it fail?

      4. Brookdale has lost money for literally decades, and serves an impoverished population that depends on Medicaid or has "no method of payment". It will likely close first, making the nearby city hospital (Kings County) even busier.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    18. whynot_31
      whynot_31

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      Now that he has been found guilty, David Rosen is awaiting sentencing

      Over the next few weeks, he will be asked if he is willing to:

      a. provide evidence re: his former underlings in Medisys, and/or

      b. provide evidence re: bribery by other hospital corporations in NYC and NYS.

      In exchange for providing such evidence, he will receive a lighter sentence.

      If he takes these offers, we could experience a wave of hospital closings that were previously thwarted by bribery.

      Without bribery, the state money stops.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    19. whynot_31
      whynot_31

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      As those of who have been following this case patiently wait for the prosecutors and Mr. Rosen's defense attorneys to create a sentencing deal, the Daily News has decided to a write an article on
      other people who are alleged to have bribed Mr Kruger
      .

      Mr. Kruger's trial has not yet begun. A basic knowledge of how government function has led me to conclude even a high powered politician (like Mr Kruger) is unable to make things happen on his/her own.

      Likewise, even a high powered hospital exec (like Mr Rosen) is unable to make things happen on his/her own.

      I hope the FBI has the time and resources needed to take down the other Mr. Krugers, and the other Mr. Rosens. I hope Mr. Rosen and Mr Kruger rat out everyone they know.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    20. whynot_31
      whynot_31

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      The trial of Assemblymember William Boyland begins today.

      I predict it will star David Rosen, and his performance will influence how he is ultimately sentenced.

      http://online.wsj.com/article/SB10001424052970204394804577012461256946048.html?mod=googlenews_wsj

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    21. whynot_31
      whynot_31

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      Coverage of the trial of Mr. Boyland.

      http://thebrooklynink.com/2011/11/04/34452-brooklyn-political-dynasty-on-trial/

      Go on, don't be afraid to to look.

      It is actually good as many people to know about this as possible. This is reality.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    22. whynot_31
      whynot_31

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      Article on how several Brooklyn hospitals are about to fail, and the state is not going to bail them out.

      Note: Brookdale in Brownsville is one of the failing hospitals, and is "even more" likely to go under because it is no longer able to get state bail out funds, because it is no longer able to bribe state officials.

      ....given enough time I'm sure some politician will again make themselves available for bribes, but I'm not sure we have that kind of time!

      Takeway: It will soon suck EVEN MORE to be a unhealthy person who is poor in Brooklyn.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    23. whynot_31
      whynot_31

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      Verdict for Assemblymember Boyland; Not guilty

      http://www.nydailynews.com/new-york/brooklyn/assemblyman-william-boyland-jr-guilty-pay-to-play-scheme-federal-jury-article-1.975849

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    24. whynot_31
      whynot_31

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      More on the pending mergers: http://www.nytimes.com/2011/11/29/nyregion/panel-urges-sharp-change-for-hospitals-in-brooklyn.html?_r=2&ref=nyregion

      The report calls for Kingsbrook Jewish Medical Center, in East Flatbush, to lead in establishing an integrated system with Brookdale, in Brownsville, under a new executive and board of directors.

      Critics point out that combining ailing hospitals has rarely created healthy ones in Brooklyn, where more than one in five residents live below the poverty line, two in five receive Medicaid, and many have no primary care physician.

      The 88-page report noted that some of the hospitals’ problems were beyond their control. But without naming names, the report was also sharply critical of the boards of some of the endangered hospitals for adopting a failed strategy “that seeks merely to be the last man standing in their communities.”

      “They have not evaluated financial and clinical performance, set strategic goals to address them, and held management accountable,” the report said.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    25. whynot_31
      whynot_31

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      whynot_31 said:
      Verdict for Assemblymember Boyland; Not guilty

      http://www.nydailynews.com/new-york/brooklyn/assemblyman-william-boyland-jr-guilty-pay-to-play-scheme-federal-jury-article-1.975849

      Not so fast!

      Boyland Faces New Charges

      Less than three weeks after a jury found Brooklyn Assemblymember William Boyland not guilty of bribery, federal prosecutors yesterday leveled a new, but similar set of charges against him. This time, prosecutors say, Boyland, a member of a prominent political family, solicited bribes when he was out on bail on the previous case -- needing the money, he said in a secretly recorded conversation, to finance his criminal defense. Overall, the case accuses Boyland of soliciting some $250,000 in bribes dating back to August 2010. U.S. attorney Loretta Lynch called the corruption "staggering." Boyland's lawyer said he would "vigorously defend this case." If convicted, Boyland faces up to 30 years in prison.

      source: http://www.nytimes.com/2011/11/30/nyregion/assemblyman-william-boyland-jr-charged-again-with-bribery.html?_r=2&ref=nyregion

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    26. whynot_31
      whynot_31

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      Ex-MediSys Chief Executive David Rosen will be sentenced on Dec. 20, 2012.

      Crains » 
      The topic of his sentencing came up at a recent board meeting of GNYHA, for which Mr. Rosen was a former officer of the board of governors and a past chairman. Board members discussed how this was an opportunity to write their own letters to the judge asking for leniency for Mr. Rosen, based on his public service record. “It was a personal decision they could make,” said a GNYHA spokesman.

      On a related matter, six months have passed since the MediSys Health Network announced that its board hired former U.S. Attorney Zachary Carter to conduct what it called a comprehensive review of the organization's policies, programs and procedures to ensure the overall integrity of its business operations. MediSys hasn't made public the status of that review.

      source: http://www.crainsnewyork.com/article/20111031/PULSE/111029870

      ...does this remind anyone of, "We all bribe state officials, and we should be thankful we aren't in his situation. We should try to help Mr.Rosen in turn for not taking us down with him in an attempt to get a lesser sentence" ?

      In light of the circumstances, it should be interesting whether the judge feels it is appropriate to make an example of Mr. Rosen.

      P.S. If I am murdered at some point over the next months, it could be the result of publishing this thread on this obscure message board.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    27. whynot_31
      whynot_31

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      State Senator Kruger is expected to plead guilty today, and will be sentenced at a later date.

      http://www.nytimes.com/2011/12/20/nyregion/brooklyn-senator-expected-to-plead-guilty-in-corruption-case.html?_r=1

      David Rosen will reportedly be sentenced today, Dec 20th, 2011.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    28. whynot_31
      whynot_31

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      Meanwhile, Brookdale Hospital is in the cross hairs of the NYS DOH and other agencies....

      http://www.beckershospitalreview.com/hospital-management-adminstration/ny-dept-of-health-wants-power-to-remove-ineffective-hospital-board-members.html

      http://online.wsj.com/article/SB10001424052970204879004577106941283712650.html

      In light of the community's need for the hospital, the only question is whether the will be able to force Kingsbrook Jewish Medical Center that taking over Brookdale is a good idea; No one actually wants it.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    29. whynot_31
      whynot_31

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      whynot_31 said:
      State Senator Kruger is expected to plead guilty today, and will be sentenced at a later date.

      http://www.nytimes.com/2011/12/20/nyregion/brooklyn-senator-expected-to-plead-guilty-in-corruption-case.html?_r=1

      David Rosen will reportedly be sentenced today, Dec 20th, 2011.

      The sentencing date was postponed. He will now be sentenced in early January, as will a recipient of the bribes....former chair of the NYS Senate Finance Committee, Mr Kruger.

      http://www.opposingviews.com/i/politics/ny-state-senator-admits-taking-bribes

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    30. whynot_31
      whynot_31

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      NYT » Yet another defendant, David P. Rosen, the former chief executive of an organization that runs hospitals in Brooklyn and Queens, was convicted last year of participating in a scheme to bribe Mr. Kruger, Mr. Boyland and a third politician, Anthony S. Seminerio, a Democratic assemblyman from Queens who has since died.

      Mr. Rosen’s lawyers have asked that he receive probation with community service, while prosecutors say he should receive “a substantial” sentence “commensurate with the significance and gravity” of his conduct. The final defendant, Solomon Kalish, a health care consultant who has been recovering from heart surgery, is scheduled for trial in April.

      source: http://www.nytimes.com/2012/01/04/nyregion/guilty-plea-by-richard-lipsky-lobbyist-is-expected-in-bribery-case.html

      When a hospital exec bribes government officials to keep a network of failing hospitals open in low income neighborhoods, it would seem understandable.

      When a hospital exec bribes government officials to keep a network of failing hospitals open in low income neighborhoods, while receiving annual compensation of $1.5 million, I am not as lenient.

      I have heard David Rosen is to be sentenced tomorrow.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    31. User has not uploaded an avatar
      PragmaticGuy

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      But, was he bribing the officials to keep the hospitals open because he knew the poor would have no place else to go and would receive less care? Or was he doing it to save his own salary. And whose money was he using for the bribes. That's what I'd like to know.

    32. whynot_31
      whynot_31

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      Thus far, the prosecution was only able to prove that Mr Rosen bribed the assembly members.

      It remains to be scene whether the prosecution will pursue people at Medisys who may have known about the payments and been complicit. For example, one would think the CFO of Medisys might have such knowledge.

      Perhaps they agreed to not prosecute the other members of Medisys in exchange for Mr Rosen's testimony against the politicians. Perhaps they were unable to prove whether the money came from the corporation's coffers....

      After all, it is more difficult to prosecute a corporation than an individual.

      I suspect Mr Rosen has decided to take one for the team. We shall soon see whether it results in him spending the rest of his life in prison or not.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    33. whynot_31
      whynot_31

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      The team has done their part: It is loudly voicing their view that he did nothing out of the ordinary.

      For Convicted Former Hospital CEO, Support From New York’s Healthcare Establishment

      Some of New York’s most prominent healthcare officials are expressing their support for former MediSys CEO David Rosen, who was convicted in September on charges he bribed three state politicians.

      Rosen’s defense is using the letters to argue for a lenient sentence of community service, even as Manhattan U.S. Attorney Preet Bharara asks Manhattan Federal Judge Jed Rakoff for a 10-year prison sentence.

      “David Rosen,” Bharara’s office wrote the judge, “deliberately, systematically, and successfully corrupted the political process.”

      Rosen’s sentencing hearing was moved from today to March 2, the second time his defense team requested it be changed.

      Top health officials such as former state executive deputy health commissioner Dennis Whalen, Greater New York Hospital Association President Ken Raske, United Hospital Fund president Jim Tallon and former federal Medicaid director Bruce Vladeck all wrote letters on Rosen’s behalf, describing Rosen as a good man who cared deeply about the people at his hospitals.
      “Of the literally hundreds of hospital CEOs I have worked with over the last 27 years, I can say without reservation that none was ever more committed to delivering quality healthcare to New York’s most vulnerable residents and communities than David Rosen,” Raske wrote.
      The letters illustrate Rosen’s claim that he bribed state officials just to help his hospitals, which cared for some of the state’s poorest patients and became increasingly cash-strapped as state health policy shifted to favor wealthier hospitals.

      Another letter, from HealthFirst CEO Pat Wang, described Rosen as a “passionate voice” who was “outraged at the inequality in the healthcare system.”

      Rosen’s lawyers said he had no choice but to enter into corrupt relationships with the late former Assemblyman Anthony Seminerio, then Assemblyman William Boyland Jr. and former Sen. Carl Kruger, after each lawmaker had historically helped hospitals in the MediSys network.
      “This court is well aware of the dependence not-for-profit hospitals have on the state legislature and state agencies,” the defense wrote, a situation it said made Rosen “extremely susceptible” to the lawmakers’ bribe requests – especially after Boyland approached Rosen for a no-show job at Brookdale University Hospital.

      “The alternative,” the memo says, “was to reject Boyland, Jr.’s request and fire a newly elected assemblyman who represented large portions of Brookdale’s employees and patients,” risking the support of the Boyland political family that had long provided for the Brownsville, Brooklyn hospital.
      Bharara’s office and probation officials disagreed. Federal sentencing guidelines are in part based on the amount the bribes were worth, and the government said Rosen misused tens of millions of dollars – in part because Seminerio helped the state forgive $27 million in infrastructure loans to Rosen’s hospitals.

      Even if Rosen’s intentions were well-meant, the probation office said the long-term deleterious effects were less forgivable: “The long-term aspect of the bribery scheme, as well as the flippant manner in which elected public officials were corruptly utilized to effectuate business dealings (no matter how noble the business goal) is an egregious offense.”

      Source: http://cityandstateny.com/2012/01/for-convicted-former-hospital-ceo-support-from-new-yorks-healthcare-establishment/

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    34. whynot_31
      whynot_31

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      Mr. Rosen won't be sentenced until March 6th, so I will return to the more general subject of "desperate hospitals doing desperate things"

      whynot_31 said:
      An article in today's Times discusses how many Brooklyn hospitals are losing money and may soon face closure

      http://www.nytimes.com/2011/07/29/nyregion/dont-close-brooklyn-hospitals-allies-tell-state.html?_r=1

      This time, bribery ain't gonna save us.

      mayday, mayday, mayday

      We are going down.

      http://www.crainsnewyork.com/article/20120120/HEALTH_CARE/120129991

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    35. whynot_31
      whynot_31

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      Now that Senator Kruger has been found guilty of accepting bribes, an election is being held to replace him.

      Who do voters have to choose from? Two candidates that seem to be calling each other Nazis.

      http://www.nytimes.com/2012/02/10/nyregion/in-brooklyn-senate-race-between-fidler-and-storobin-takes-a-nasty-turn.html?_r=1

      It is sad when neither potential replacement appears to be better than the Senator who is convicted of fraud.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    36. whynot_31
      whynot_31

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      whynot_31 said:
      Mr. Rosen won't be sentenced until March 2nd, so I will return to the more general subject of "desperate hospitals doing desperate things"

      mayday, mayday, mayday

      We are going down.

      http://www.crainsnewyork.com/article/20120120/HEALTH_CARE/120129991

      Today's Daily News ran an article on the effect of this "financial crisis" and bribery scandal on Brookdale Hospital:

      http://www.nydailynews.com/news/tp-tp-brownsville-brookdale-university-hospital-toilet-paper-short-supply-article-1.1022675?localLinksEnabled=false

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    37. whynot_31
      whynot_31

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      And, today the NYS Dept of Health took the very unusual step of literally closing Peninsula Hospital in Queens (one of the 4 operated by Medisys) for a minimum of 30 days because it's lab was deficient.

      http://www.health.ny.gov/press/releases/2012/2012-02-23_pennisula_hospital.htm

      http://www.peninsulahospital.org/ tries to spin it as best they can.

      They'll have to continue to pay their salaried staff during this period, so we may be seeing this struggling, "now unprotected", "now politically unpopular", "now less subsidized" hospital network receiving a fatal blow....

      David Rosen, meanwhile, continues to await sentencing. Unless they delay it again, the judge will attempt to figure out what penalty is appropriate in early March.

      What happens next is anyone's guess...

      Spoiler alert: Superman ain't coming.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    38. whynot_31
      whynot_31

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      As someone who likes to beat the newspapers to the game, I decided to do a little outreach to see how much shit was presently hitting at Medisys, and get some idea of the timing of the next steps:

      Reliable source: "I was told yesterday (Friday) that Jamaica hospital is reducing significant numbers of the staff (firing, layoffs and position eliminations), with the full knowledge that this may put it in the same position as Pennisula (i.e. the level of staffing might fall below the level required by NYS DOH, causing it to be closed if and when it gets caught).

      Brookdale will no longer be part of Medisys within 6 months"

      Not Fun Predictions:
      1. During its closure, a hospital corporation will be forced to take over Peninsula; no hospital corporations actually "want" it.

      2. Jamaica hospital will be allowed to violate NYS DOH staffing rules until the state can force a competent health corporation to take it over. Jamaica can't close because it is too needed, not even for 30 days. LIU may be paid to take it over.

      3. None of the Ambulance Runs presently held by Medisys will be renewed by FDNY.

      4. Flushing Hosptal will close outright in 2014. It will be converted into condos.

      Mr Rosen, your fate will be decided soon.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    39. whynot_31
      whynot_31

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      Crains » Mr. Caucig called it “odd” that DOH timed the inspection so close to the hospital’s reaching a deal with creditors.

      “We’re getting financing; we’re so close to exiting bankruptcy,” he said. The lab violations are serious, “but why weren’t they that serious six months ago? Someone found our Achilles’ heel and stopped us.”

      A DOH spokesman said the Peninsula inspection was routine.

      source: http://www.crainsnewyork.com/article/20120224/HEALTH_CARE/120229943#ixzz1nananIf8

      Um, could it be that the state wants to punish people who knew about the bribery (and participated in it), yet it had insufficient evidence to charge in court?

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    40. whynot_31
      whynot_31

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      We are now entering the final days before the sentencing of the "big 6" begins on March 2nd!

      In case you haven't been following along, this link from the Dept of Justice provides an succinct summary of the debacle, and the sentencing dates of everyone involved:

      http://www.justice.gov/usao/nys/pressreleases/January12/kalishsolomonpleapr.pdf

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    41. whynot_31
      whynot_31

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      The beat of the drums grows ever louder. Today's Daily News:

      At least a dozen cases allege patients died due to malpractice or negligence at the cash-strapped Brownsville hospital — including a mugging victim with traumatic brain injuries and two patients whose severe pressure ulcers led to fatal infections.

      “The number of suits against Brookdale is alarming,” said state Assemblyman Nick Perry (D-East Flatbush), who called it “a very strong indication that something is definitely wrong with how the hospital is run.”

      State Assemblyman Karim Camara (D-East Flatbush) said the heavy load of lawsuits is “further evidence there needs to be a change at the highest levels of management.”

      Costs are a crucial issue at Brookdale, which had $42 million in operating losses in 2010, a report by the state panel said. Other woes include the conviction last year of former CEO David Rosen for conspiracy to bribe three Brooklyn and Queens lawmakers.

      http://www.nydailynews.com/new-york/alarming-number-lawsuits-brownsville-brookdale-university-hospital-article-1.1030066

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    42. whynot_31
      whynot_31

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      It seems sentencing did not take place last Friday, and I presume it has been delayed yet again.

      I will entain myself by posting who Mr Rosen WAS in the minds of many:

      David P. Rosen serves as President of Flushing Hospital Medical Center (Inc). Mr. Rosen serves as President and Chief Executive Officer of MediSys Health Network, Inc., parent company of Jamaica Hospital Medical Center, Flushing Hospital Medical Center, and The Brookdale University Hospital and Medical Center. Mr. Rosen has been Associate Director since 1973, and he has been President and Chief Executive Officer of Jamaica Hospital Medical Center (JHMC) since 1976. He has been at Jamaica Hospital Medical Center since 1966, when he was appointed Assistant Director. Mr. Rosen led JHMC's remarkable turnaround, bringing the Medical Center from the brink of bankruptcy to its current status as the healthcare market leader in southern Queens County. He is also president and chief executive officer of Flushing Hospital Medical Center. Mr. Rosen assumed the leadership of The Brookdale University Hospital and Medical Center in early July 2000. Mr. Rosen has been a leading contributor to the healthcare policy making in his various professional activities. Mr. Rosen was a founder and serves as Chairman of Neighborhood Health Providers (a Prepaid Health Services Plan), and Chairman of Royal Health Care, LLC, a management services organization providing services to managed care companies and physician groups. He serves as Chairman of the New York State Coalition of Financially Distressed Hospitals. He served as Chairman and continues to serve on the board of the Healthcare Association of New York State which represents over 400 hospitals, nursing homes, and networks across the state. He served as Chairman and serve on the Board of the Greater New York Hospital Association. He serves as Vice Chairman of HealthFirst PHSP, a board member of the New York City Primary Care Development Corporation, and a Board Member of the League of Voluntary Hospitals. He has served on the regional policy board of the American Hospital Association. Mr. Rosen has been a key spokesman on issues of uncompensated care, disproportionate share, and access to healthcare services. He served in the U.S. Air Force Reserve in the Medical Service Squadron and was honorably discharged with the rank of Captain. Mr. Rosen received his Bachelor of Science degree from Cornell University in industrial and Labor Relations in 1968, and a Master of Public Administration from Cornell University in 1970.

      Source: http://investing.businessweek.com/research/stocks/private/person.asp?personId=6359670&privcapId=4283303&previousCapId=4218944&previousTitle=Jamaica%20Hospital%20Medical%20Center

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    43. whynot_31
      whynot_31

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      Having successfully taken on Medisys, law enforcement and the media now set their sights on Wyckoff:

      http://www.nytimes.com/2012/03/26/nyregion/at-ailing-brooklyn-hospital-insider-deals-and-lavish-perks.html?_r=2&ref=nyregion

      Sadly, we are only seeing the tip of the iceberg, and it is not clear we have a system to replace this with.

      HHC can't take over all these hospitals.....

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    44. whynot_31
      whynot_31

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      Although the sentencing has been repeatedly delayed, tomorrow looks like it will finally happen:

      Rosen, 64, of Harrison, New York, was convicted at a bench trial on September 12, 2011 for his involvement in schemes to bribe KRUGER, former New York State Assemblyman Anthony Seminerio, and Boyland. He is scheduled to be sentenced on May 7, 2012 at 3:30 p.m.

      http://www.sheepsheadbites.com/2012/04/carl-kruger-to-spend-seven-years-in-slammer/

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    45. whynot_31
      whynot_31

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      Executive of Hospital Gets 3 Years for Bribery
      By BENJAMIN WEISER
      Published: May 7, 2012

      NYT » The former hospital chief executive at the center of a bribery conspiracy that ensnared former State Senator Carl Kruger and others was sentenced on Monday to three years in prison.

      The former executive, David P. Rosen, 64, had been convicted of bribing Mr. Kruger and two other legislators in return for having them use their influence in Albany to benefit his health care organization, MediSys, a nonprofit sponsor of hospitals and nursing homes in Brooklyn and Queens.

      The conspiracy, which also involved a lobbyist, another hospital executive and a health care consultant, has been seen as casting light on the pervasiveness of corruption in Albany and on the often-cozy ties there between legislators and hospitals.

      At his own request, Mr. Rosen was tried before a judge rather than a jury. After a three-week trial last year, the judge, Jed S. Rakoff of Federal District Court, found him guilty, and in an opinion in September, called his case tragic in that it revealed “how a widely admired hospital administrator who diligently sought to better the health care of impoverished communities nonetheless chose to entangle himself in the bribing of state legislators.”

      Mr. Rosen’s lawyers had asked that he be given probation and sentenced to perform community service. But Judge Rakoff made it clear that the seriousness of the crimes required him to send Mr. Rosen to prison.

      “The glaring and rather tawdry truth,” Judge Rakoff said, “is that Mr. Rosen, over a period of many years, knowingly and intentionally bribed one state legislator after another. To achieve his ends, however laudable, he sought to help make this a government not of the people but of the debauched.”

      The judge added that “to the morally depraved legislators who approached him for bribes,” Mr. Rosen’s response had been — as he had once told an F.B.I. source in the case — “‘You gotta push a lot of buttons.’

      “In other words, ‘Sure, bring it on,’ ” Judge Rakoff continued. “ ‘If this is what I have to do to achieve what I want, however laudable, I’ll make those payments and cover them up and lie about them.’ ”

      In court, a prosecutor, Glen G. McGorty, said Mr. Rosen had violated “his responsibility to his hospital and to his employees, and he corrupted the process.”

      The sentence was substantially less than the term recommended under the advisory sentencing guidelines, which the court’s probation office had calculated at roughly 15 to 19 years. It had recommended a 10-year term. The office of Preet Bharara, the United States attorney in Manhattan, without specifying a number of years, had asked the judge to impose “a substantial” term “commensurate with the significance and gravity” of Mr. Rosen’s criminal conduct.

      In court, Mr. Rosen’s lawyer, Elkan Abramowitz, argued that his client’s crime had not been the product of greed, and that Mr. Rosen had lost his job, his career, his reputation — “everything.”

      Mr. Abramowitz pushed for a sentence of community service where Mr. Rosen, as he put it, could use his talents to “really do some good” for the community. Mr. Rosen, reading a statement to the judge, asked him to take into account what he called his four decades of commitment to people who cannot “advocate for themselves.”

      Mr. Abramowitz told the judge that he would be filing an expeditious appeal on Mr. Rosen’s behalf; the lawyer said later that his client maintained his innocence.

      Prosecutors had charged that Mr. Rosen used sham consulting deals to funnel hundreds of thousands of dollars to two Democratic assemblymen — William F. Boyland Jr. from Brooklyn and Anthony S. Seminerio of Queens — and that he directed business to a hospice care company from which Mr. Kruger, a Brooklyn Democrat, received a cut.

      Mr. Kruger resigned and pleaded guilty to corruption charges in December, and was sentenced to seven years in prison. Assemblyman Boyland was acquitted in a jury trial in November, but was later arrested on new bribery charges, and faces trial in Brooklyn.

      Mr. Seminerio, who pleaded guilty to fraud in an earlier case, died in prison in January 2011.

      http://www.nytimes.com/2012/05/08/nyregion/david-p-rosen-hospital-executive-sentenced-in-bribery-case.html?_r=1

      Good luck David.

      With good behavior, you'll likely be back in the free world in two years.

      ...needless to say, you'll be unable to work in the healthcare field. However, I suspect that we will meet again.

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    46. whynot_31
      whynot_31

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      whynot_31 said:
      An article in today's Times discusses how many Brooklyn hospitals are losing money and may soon face closure

      http://www.nytimes.com/2011/07/29/nyregion/dont-close-brooklyn-hospitals-allies-tell-state.html?_r=1

      This time, bribery ain't gonna save us.

      As you walk by Interfaith Hospital, please hope that HHC is somehow forced to take it over.

      ...it may be more at risk than Brookdale.

      http://www.nytimes.com/2012/08/03/nyregion/interfaith-medical-center-in-brooklyn-says-it-may-need-state-bailout.html?_r=1

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    47. whynot_31
      whynot_31

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      The prosecutors keep hitting pay dirt:


      Crooked Kruger lobbyist names names for feds: Court docs
      By David Seifman and Bruce Golding

      A longtime lobbyist who pleaded guilty to bribing crooked ex-pol Carl Kruger has been spilling his guts about “numerous other persons” under investigation by the feds, bombshell court papers revealed today.

      Richard Lipsky “provided substantial assistance” related to “ongoing law-enforcement investigations” in a bid for leniency, according to the Manhattan federal court filing.

      Prosecutor Glen McGorty didn’t identify any of the targets by name and redacted the details of Lipsky’s cooperation, but one political insider said the revelation would send tremors through City Hall and the Albany statehouse.

      “Anyone who’s ever had any dealings with him is going to be nervous,” the insider said.

      Lipsky was busted by the FBI last year as part of what prosecutors called an “extensive investigation” into public corruption.

      Days before his arrest, agents executing a search warrant found more than $100,000 stashed in a safe in his apartment, and another $4,000 in “crisp, large denominational bills” stuffed into a suit jacket.

      During the raid, he also spoke on the phone to an unidentified “political operative” to spread the word that the feds had closed in, according to court papers.

      He pleaded guilty in January to passing as much as $200,000 in bribes to Kruger, then a powerful Democratic Brooklyn state senator who also pleaded guilty to corruption charges and is serving seven years in the slammer.

      Lipsky apparently began cooperating sometime after his guilty plea, when he agreed to serve at least four-plus years behind bars.

      His defense lawyer didn’t return a request for comment last night, and a spokeswoman for the Manhattan U.S. Attorney’s Office declined to comment.

      Lipsky, whose clients included retailers and unions, portrayed himself as a fighter for the “little guy.”

      He ran his one-man business without an office, and was frequently seen roaming around the corridors of power with a cellphone headpiece stuck in his ear.

      He was linked to the so-called “Four Amigos” of the state Senate who revolted against the Democratic leadership and handed control to the Republicans in 2009.

      Three of them -- Kruger, Pedro Espada and Hiram Monserrate -- have since been convicted on various corruption charges.

      The fourth, state Sen. Ruben Diaz of The Bronx, got a $5,000 campaign contribution from Lipsky in 2009, records show.

      In 2010, Lipsky also gave $3,800 to embattled Brooklyn Democratic Assemblyman Vito Lopez, who’s the subject of an ethics probe over allegations he sexually harassed female staffers.

      Lipsky was initially scheduled to be sentenced in May, but that proceeding was repeatedly postponed and is now set for Friday.

      http://www.nypost.com/p/news/local/brooklyn/crooked_kruger_lobbyist_names_names_v3IyY65maM939uIaZyl79H

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    48. whynot_31
      whynot_31

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      Medisys's Brookdale hospital is forced to sell its staff housing:

      http://therealdeal.com/blog/2012/11/06/brookdale-hospital-sells-apartment-buildings-for-22m/

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    49. whynot_31
      whynot_31

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      whynot_31 said:
      As you walk by Interfaith Hospital, please hope that HHC is somehow forced to take it over.

      ...it may be more at risk than Brookdale.

      http://www.nytimes.com/2012/08/03/nyregion/interfaith-medical-center-in-brooklyn-says-it-may-need-state-bailout.html?_r=1

      As predicted, Interfaith Hospital files Chapter 11:

      http://www.nytimes.com/2012/12/03/nyregion/interfaith-medical-center-in-brooklyn-plans-to-declare-bankruptcy.html

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.
    50. whynot_31
      whynot_31

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      http://www.wnyc.org/articles/wnyc-news/2012/dec/31/grim-outlook-brooklyn-hospitals-2013/

      For better or worse, the change on Nostrand is going to make the change on Franklin look minor.

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