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My area is rural and very poor. And yet our hospital makes good money. At around 50K residents our hospital succeeds nicely through good management and local monopoly.
If your area is very poor, it is likely that Medicaid, Medicare, and ACA-subsidized insurance provide a steady funding stream.
Then cut out ACA-subsidized insurance, cut back on Medicaid, increase the number of people accessing the ER for care they can't pay for.
For many docs, there has simply been no substantial raise for so long, and yet the costs of overheads have continued upward as in any other business. So there is a limit to how low docs will go as far as income, no matter how elevated their altruism. Tom Price at least to the docs seems to understand the conundrum. Most docs do it for their desire to help people. The money is second. But most of us won't do it a loss, you see. There are limits, and we are very close. And I don't think that any UHC will pass without the broad support of docs.
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What would it take for UHC to get broad support of docs?
Work requirements for able-bodied Medicaid recipients 50-65 year old
75m in tax credits
The New York clause
Quote:
New York state
House leaders also sought to win support from centrist Republicans from upstate New York leaders by adding a provision that would ban the federal government from reimbursing state Medicaid funds raised by local governments, according to New York Rep. Chris Collins. He told CNN the change would help bring along other members of his state's delegation who are currently wavering on the bill. The 'three-bucket' strategy on health care that not everyone can believe in
A House GOP aide told CNN the change would apply to New York state only.
In New York, counties outside of New York City send $2.3 billion to the state to help pay for Medicaid. The amendment would give the state the incentive to stop passing down Medicaid costs to the counties, Collins said.
Work requirements for able-bodied Medicaid recipients 50-65 year old
75m in tax credits
The New York clause
So yet more handouts for the rich? Catering to the Freedom Caucus is going to return to haunt the House Republicans on November 6th 2018. Mark my words, if Paul Ryan was smart he would tell them to take a hike. They are going to end up putting Nancy Pelosi back in charge.
So yet more handouts for the rich? Catering to the Freedom Caucus is going to return to haunt the House Republicans on November 6th 2018. Mark my words, if Paul Ryan was smart he would tell them to take a hike. They are going to end up putting Nancy Pelosi back in charge.
He's desperate to pass it thinking the far-right will remove him from the speakership, let alone his district. It happened to Rep. Canter after all... The far-right already complained about him during his first year as Speaker of the House as it was under Obama.
He's desperate to pass it thinking the far-right will remove him from the speakership, let alone his district. It happened to Rep. Canter after all... The far-right already complained about him during his first year as Speaker of the House as it was under Obama.
Yep, it seems that Ryan is more afraid of the far right than the opposing party. I think he's done either way. The Freedom Caucus was going to turn on him no matter what. Nothing is good enough for them. Nothing is far right enough to satisfy them.
In other words, they gouge - like most hospitals do - and like most pharmaceutical companies do - because they can.
It's an unbridled monopoly industry driven by unbridled greed that takes full advantage of people at their most desperate moments in life. And it is long past time to put an end to it.
Another HC reform pathway seldom discussed is to utilitize HC or parts of HC like hospitals. Utilities can be a nice blend of private for profit endeavor tempered by public good. There has to be in place a large and expensive infrastructure/facility, privately owned and managed. So some profit can certainly make sense. Unbridled, no. And that is where the public input comes in.
If your area is very poor, it is likely that Medicaid, Medicare, and ACA-subsidized insurance provide a steady funding stream.
Then cut out ACA-subsidized insurance, cut back on Medicaid, increase the number of people accessing the ER for care they can't pay for.
Now check the balance sheet.
The above do supply a steady stream. We were surprised to see little financial gain from ACA. We have had fewer no payers as a result, but the reimbursements per encounter have been low enough to cancel those potential gains.
Another HC reform pathway seldom discussed is to utilitize HC or parts of HC like hospitals. Utilities can be a nice blend of private for profit endeavor tempered by public good. There has to be in place a large and expensive infrastructure/facility, privately owned and managed. So some profit can certainly make sense. Unbridled, no. And that is where the public input comes in.
Could you elaborate on that, I'm interested but not entirely sure what you are describing
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The far-right already complained about him during his first year as Speaker of the House as it was under Obama.
