Georgia's trying to figure that out itself. One technique they're employing is shuttering hospitals....they're kinda/sorta on the fence about expanding Medicaid....
Hospitals dropping Medicare Advantage agreements leaves patients in lurch
- Thread starter Northeast Agent
- Start date
StephanieCJ
Guru
- 660
Louisiana expanded Medicaid and its not much better than having no coverage.
Hospitals lose money on Medicaid. The only way they can stay in business is to have a significant % of people with real insurance and pay their OOP.
Rural areas lose manufacturers, unemployment skyrockets, hospitals close.
This isn't just a GA problem.
A Sense of Alarm as Rural Hospitals Keep Closing
Nearly 700 rural hospitals at risk of closing - NRHA
DC cut DSH funding because in their mind hospitals would not need those $$ since everyone was going to have health insurance. What an ego trip.
Rural areas lose manufacturers, unemployment skyrockets, hospitals close.
This isn't just a GA problem.
A Sense of Alarm as Rural Hospitals Keep Closing
Nearly 700 rural hospitals at risk of closing - NRHA
DC cut DSH funding because in their mind hospitals would not need those $$ since everyone was going to have health insurance. What an ego trip.
Health treatment in the US is comprehensively asystematic, and for too many stakeholders, that's a feature, not a bug. Favor transactions, & you'll get them, & "everyone" pays a premium for the friction they produce -- until more & more stop paying money, & "everyone" starts paying in foreclosed health infrastructure & foregone health treatment.
My Google translator is still spinning over that one.
We insist on acting like health treatment care be financed principally as if it were cans of soup. Pay your dollar, get a can of soup. That's kind of silly; health is not soup (sorry, chicken soup - that's the way it is).
I can simplify things more for you if you need additional help.
- 6,455
I don't know what the friction thing means, but it seems to me that in a nation of individuals, transactions are the system.
uhhh....no
those funny green-colored bits of paper in your pocket -- or that stamped rectangle of plastic in your wallet -- are the system. or closer representations of it. transactions are stuff that happens, and happen more 'rationally' if the system's well-designed & maintained.
- 6,455
uhhh.....yes.
Transactions are the basis for the system. Chopping logs, miss the log and hit your foot, call the doctor, he rides over and removes the axehead, wraps you up and gives you morphine and you give him a chicken or half the milk from your cow for the next 6 months. A transaction. The doctors got overstocked on chickens and voted for money. But there is still a transaction at the beginning.
Transactions are the basis for the system. Chopping logs, miss the log and hit your foot, call the doctor, he rides over and removes the axehead, wraps you up and gives you morphine and you give him a chicken or half the milk from your cow for the next 6 months. A transaction. The doctors got overstocked on chickens and voted for money. But there is still a transaction at the beginning.
Health is something most folks have to work for, take personal responsibility, you know, be an adult.
Unfortunately too much of the adult population treats health, and food in particular, like a buffet. Eat and drink all you want for tomorrow you may die. In the interim, you can take a pill for the symptoms but pills and potions are rarely a cure. And certainly no substitute for adopting a healthy lifestyle.
You are the stat guy and can probably find this somewhere. But I recall reading somewhere that 70% of disease is caused by lifestyle and 80% could be prevented or reversed with lifestyle changes.
I believe Dr Schweitzer posted it on his Facebook page.
Similar threads
