Lack of Hospital Emergency Surge Capacity: Will the Administrator's Medicaid Regulations Make It Worse? Day Two, Hearing Before the Committee on Oversight and Government Reform, House of Representatives, One Hundred Tenth Congress, Second Session, May 7, 2008 [open pdf - 2MB]
From the Opening Statement of Henry A. Waxman: "Today we are holding the second of 2 days of hearings on the impact of the administration's Medicaid regulations on the ability of our Nation's emergency rooms to respond to a sudden influx of casualties from a terrorist attack. On Monday we heard from the leading experts that the emergency rooms in our Nation's premier trauma centers have little or no surge capacity. We learned from them that many Level I trauma centers do not have the capacity to respond to a terrorist bombing like the one that happened in Madrid in 2004. And we learned that the administration's new Medicaid regulations are expected to make these problems worse by cutting off crucial funding. [...] The issue we are considering today is one that concerns all Americans: how to ensure that we have a robust response capacity in our emergency rooms. If the unthinkable happens, and we have learned that the unthinkable can happen, lives will be lost unless emergency care is immediately available. If a major city experiences a terrorist bombing like the one that occurred in Madrid, there will be a golden hour, an hour in which the fate of those who are injured will be determined, whether the most severely injured survive or die. The Federal Government's job is to do everything possible to ensure that emergency care resources are ready during that golden hour." Statements, letters, and materials submitted for the record include those of the following: Michael Chertoff, Michael O. Leavitt, Tom Davis, Betty McCollum, Bill Sali, and Henry A. Waxman.
Serial No. 110-73
Government Printing Office, Congressional Hearings: http://www.gpoaccess.gov/chearings/index.html