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Old 01-11-2013, 12:58 AM
 
Location: Sandpoint, ID
3,110 posts, read 9,582,429 times
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Our town (Sandpoint, Idaho - pop. 7000) is very popular with retirees because it has a full service hospital (Bonner General) right in the middle of town, with a regional trauma center (Kootenai Medical Center) just 50 miles away.
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Old 01-11-2013, 09:18 AM
 
Location: Western Nebraskansas
2,707 posts, read 5,435,621 times
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Quote:
Everything I've read on the subject basically talks about how well prepared medical providers are for Obamacare from a paperwork standpoint, I haven't seen anything suggesting that there will be any impact on the type or level of care available.
This is what I've been hearing/reading, too.
But at the same time, these are also the providers who would NEVER eschew Medicaid, either, because those patients are guaranteed to actually pay, no matter if it's a low ball payment or not.

Quote:
That said... it is a regional medical facility even with only a 75k population.
As well it should be! Our nearest "regional hospitals" are in towns of 20K+/-

Personally, when I'm talking about rural hospitals, I mean hospitals of 10 beds or so.
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Old 01-11-2013, 01:52 PM
 
26,710 posts, read 53,376,047 times
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Quote:
Originally Posted by itsMeFred View Post
This is what I've been hearing/reading, too.
But at the same time, these are also the providers who would NEVER eschew Medicaid, either, because those patients are guaranteed to actually pay, no matter if it's a low ball payment or not.


As well it should be! Our nearest "regional hospitals" are in towns of 20K+/-

Personally, when I'm talking about rural hospitals, I mean hospitals of 10 beds or so.
I once worked at a 8 bed accredited Hospital... I'm afraid those days are long gone for most.

Just the cost of compliance would eliminate any stand alone facility... no way to afford enough staff to meet all the requirements.

Look around and you will see hospitals are continually merging, being acquired or going dark... this is medicine in 2013.

The local hospital budgeted one million dollars a bed for construction and missed the mark with cost over-runs...

The city where I work is fighting to keep it's Emergency Room open... looks like it will still close because the owner, a very large chain wants it closed because too many people without insurance use the facility.

As to costs... there are some procedures we simply no longer do... you can't when the cost of supplies exceeds reimbursement.

Reimbursements continue to be cut and even in the best of times are based on everything going well with no complications... which is not real world... especially when those on medicaid type plans often are not in the best of health to begin with...
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Old 01-11-2013, 02:18 PM
 
Location: Western Nebraskansas
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Quote:
Look around and you will see hospitals are continually merging, being acquired or going dark...
Uh no. That's not what I'm seeing at all.
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Old 01-11-2013, 06:28 PM
 
26,710 posts, read 53,376,047 times
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Originally Posted by itsMeFred View Post
Uh no. That's not what I'm seeing at all.
Seems to be the trend... at least in California.

If the Hospital Chain does close the ER... this will leave a city with 80,000 without an ER.
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Old 01-11-2013, 06:32 PM
 
26,710 posts, read 53,376,047 times
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Originally Posted by itsMeFred View Post
Uh no. That's not what I'm seeing at all.
Seems to be the trend... at least in California.

If the Hospital Chain does close the ER... this will leave a city with 80,000 without an ER.

Proposal To Save San Leandro Hospital Is Dead, Been Dead Since November ~ EastBayCitizen | Breaking News Politics Life


Several of the religious based Hospitals have also undergone tremendous change and they were providing care to anyone in need...

Healthcare is almost unrecognizable from what it was when I started.
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Old 01-12-2013, 01:01 PM
 
58,774 posts, read 83,363,148 times
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Originally Posted by duster1979 View Post
Yes. Lots of them. Probably most of them, actually.

From reading posts on this subject here I think many people don't comprehend that "small town" or "rural" living doesn't necessarily equate to "remote" or "off-the-grid" living.

I live in a town of 1000 people. We are the biggest town in the county; the rest range in size from about 10 to about 600. We have a rural hospital and clinic system where residents can visit the local hospital or one of a few hospital-run clinics in the smaller towns for basic medical care, and there are several specialists who are available for appointments at the hospital on a regular basis.

We're also within an hour of a couple of good-sized regional health centers and a major medical center/teaching hospital.

So yes, you can live in a small town and be close to all kinds of medical care.
This....... You may also have smaller cities/towns with hospitals due to the lower population density. Many communities in the Adirondacks of NY have hospitals. Here's a good map: New York State Hospital Profile
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Old 01-12-2013, 04:25 PM
 
18,852 posts, read 32,276,175 times
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Originally Posted by Ultrarunner View Post
A friend works at a 250 bed hospital in St George Utah... the town has grown a lot since she moved there in the 80's...

I think St. George has about 75k population with smaller towns all around.

That said... it is a regional medical facility even with only a 75k population.
But even in St. George, folks drive to Salt Lake City for lots of major medical.

No one goes to Vegas...even though it is closer. Eye surgery, most folks don't mind the trip to. Salt Lake to go to the "Moran Eye Center", or for cancer, "The Huntsman Clinic".

Podiatry, St. George is fine. Heart surgery...go to Salt Lake. And avoid Vegas.
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Old 01-12-2013, 05:23 PM
PDD
 
Location: The Sand Hills of NC
8,774 posts, read 15,167,767 times
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The population of our town is 3,725

This hospital is 10 miles away,

FirstHealth of the Carolinas - Moore Regional Hospital
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Old 01-12-2013, 07:01 PM
 
3,596 posts, read 5,112,610 times
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Are you looking for V.A. or for military hospitals, or just hospitals generally ? Many V.A. and D.o.D. medical centers are located in small to midsize communities - you can research this online.
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