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felldestroyed t1_iyqsqq0 wrote

Honestly, I'm eager to see if Eric Adam's plan in NYC is a) effective, b) constitutional (it likely isn't) and c) not too burdensome on hospitals. Also, I'm not entirely convinced this is something a city even can accomplish. What's to stop other smaller municipalities from simply bussing their "problems" into philly because they have no psych beds but philly has plenty of them. Either way, this would be much better taken care of on a state or even national level.

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BellyFullOfMochi t1_iyshmpy wrote

Adams has been copying play by play Mayor Koch, who was also a failure.

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wndrlust86 t1_iyst97m wrote

Philly doesn’t have plenty of psych beds either! There’s always a shortage of beds and sometimes people have to wait to get one. Not only that some inpatient psych facilities have overworked and are low on staff. So adding more beds needs to come with better pay and increase in staff.

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felldestroyed t1_iysvgpt wrote

Well, in this scenario, the city would fund more long term solutions (ICF/ID, group homes, and for short term, a couple wings at a hospital. The problem is: aside from out patient care, of which is actually swimming in money from grants currently but also of course has staffing issues, funding long and short term solutions is off the table, because medicaid doesn't pay anything in PA, so it's simply not profitable and will lead to really bad quality homes/facilities.
So yeah, I don't really care what a mayor proposes. It's going to be lip service until state and federal officials get a long term plan and no one wants higher taxes.

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