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The most significant change that I experienced in my hospital was a significant increase in care for low-risk children who were born and are still in the NICU of our hospital. These children are in constant pain. They are sick in a lot of ways, both physical and behavioral. They are in pain not only from having their lives disrupted, but from being in an environment in which they are routinely sickened and treated for sickness.

Many of them are at risk for a range of mental health disorders, including anxiety, insomnia, depression, and post-traumatic stress disorder. These are not conditions to be treated without appropriate care. The state has an enormous responsibility to provide these babies with optimal medical care.

Yet we don't have enough resources to do so in the way that has been proven to save lives, both at home and in our hospitals. In some areas of our state, we are now nitrofurantoin monohydrate struggling to provide high-quality, high-cost care for the very patients who are their most crucial. This is the case even though the state, with no public oversight, has failed to set standards or standards for how care for infants should be delivered. In most of the hospitals where I work, there are now fewer doctors. Many are having their own practice.

They nitrofurantoin monohydrate their own systems of payment and reimbursement. And in some areas, they are seeing fewer of these infants. In some of the state's worst hospitals, the number of children is actually down. In one of the worst places, the Department of Children and Families recently moved from a policy of providing a guaranteed level of care to the kind of care that might otherwise have resulted from a system of payment and reimbursement set by the health commissioner. In response to that, the hospital system cut its own doctors and nurses. That meant that a large number of our critically ill children and adolescents were still waiting for their care.


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