Chris Ayres: LA Notebook
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A few days ago I visited one of the strangest hotels in Beverly Hills. The rooms in this place overlook the Hollywood Hills and cost about $2,000 per night. There is a piano player in the lobby, the staff dress in one-piece green uniforms, and guests are offered their own personal manicurist and beautician. You can even select a “certified personal aide”, if you wish. There is, however, a catch: guests are required to be in excruciating pain before they check in, and they must spend the first few hours of their visit strapped to a bed, screaming.
Welcome to the Deluxe Maternity Suites at Cedars-Sinai hospital, Beverly Hills – a place where childbirth meets the leisure industry.
Of course, not all of the rooms at Cedars-Sinai cost $2,000 a night: some of them are covered by standard medical insurance – hence my wife will be delivering our first child there at the end of August. Still, with the hospital’s vast plate glass windows overlooking the palm trees of Beverly Boulevard and its roster of current and former patients – Frank Sinatra died there, Leonardo DiCaprio had knee surgery there and Julia Roberts gave birth there just last month – opting for the “basic childbirth package” hardly constitutes slumming.
In fact, as we strolled through the sunlit corridors during a maternity ward tour last week, I began to imagine myself trapped within the pages of Brave New World. At one point an African-American nurse, dressed head to toe in green scrubs, emerged from a delivery room and began to dance around a mop and bucket. “Happy Maternity”, she sang, to the tune of Happy Holidays. Only an Englishman could find such an outburst of merriment troubling: sinister, almost. What the hell is wrong with this place? I kept asking myself.
The film-maker Michael Moore, who has just released a film about the failures of the US health service, entitled Sicko, would probably have shared my unease. He wants America to have a British-style NHS, not $2,000 a night maternity suites. After all, who wants the childbirth industry to become like the multibillion-dollar wedding industry, or even the funeral industry with its graveyard concierges, $10,000 caskets and multimedia headstones? Shouldn’t childbirth be one of the last great equalisers?
And yet, as strange as it may seem to tour a hospital as if it were a luxury apartment development – and our tour of Cedars-Sinai was essentially just that, a sales event, because you have a choice of where to spend your insurance money – doesn’t the patient benefit? Would a national bureaucracy, administered by the government that brought us the Iraq war, do any better? I fear not.
And yet, for everyone’s sake, something needs to be done to make things more equitable. In a functioning healthcare system, a $2,000 a night maternal suite is an amusing celebrity indulgence. In a system where millions are uninsured, it’s hard to appreciate the joke.

Chris Ayres is the Los Angeles Correspondent for The Times and the author of War Reporting for Cowards, a critically-acclaimed account of the Iraq War. He joined The Times in 1997 and was nominated as Foreign Correspondent of the Year in 2004. He lives in the Hollywood Hills
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Chris, you are spot on !!!!! But there is a catch...the hospitality industry and hospitals are getting sync or gelled up with similar marketing techniques to boost their sales, as well as boast of their services and reputaion. And Cedars-Sanai ain't a different place to be. Much similar on the lines, in India we do have Apollo Group of Hospitals, which can well be rated as five-star multi-speciality centres. The ambience exhibits a touch of flamboyance, chic and very spot and fine look. But there is a price tag attached to any of such services, be it Yogarobics, spa, alternate medicines along with conventional medical treatments,surgery .
To built up their reputation and class, hospital authorities hires medical experts, as well as paramedics and well trained staff from hotel and Food management institutes.
The moment you step into its lounge, you are treated like a guest of honour.Whereas Govt. hospitals and medi-centres treat its patients like grave yard corpses.Money talks...
Witty, New Delhi, India
I wonder what the equivalent hotel charge would be in an NHS maternity unit such as, for example, UCH in london? The $2000/night presumably covers midwifes, infrastructure, and the like?
tony w, boston, massachusetts
It's all right for Julia Roberts?
Shouldn't the aticle be entitled "It's all right for Chris Ayes?" One thing's for sure, when I have a baby it won't be in an under funded NHS hospital. Should Chris ever be in the position of having a child I'm pretty sure he'd make the same choice!
Jane, London, UK
Much as I like Michael Moore, has he actually spent any time in the NHS? 50% of the staff barely speak enough english to direct you from one ward to another. You have to resort to shouting loudly at nurses to get them to tear themselves away from their papaerwork long enough to actually do some nursing. Basic drinking supplies (e.g. cups, jugs) are usually dirty and may already contain several items that should have actually been placed in a medical waste bin. And there is a very real chance that you'll leave hospital more ill than you entered!
What I wouldn't give to import some USA-style customer service ethos into the NHS.
J Pearce, Guildford, UK