I'm not sure what you problem is. I never said there was a conspiracy. In truth, I think there is not a conspiracy but just a nationwide response to the same nationwide issues. You would be hard pressed to find a major hospital system right now that is not laying off employees.
In Indianapolis where I live, about 1600 healthcare workers have been laid off in 2013 and part of that reason is the reduction in the Medicare payments that reducing the income to hospitals.
There are various reasons including fewer people with insurance coverage and higher deductibles for those that do have insurance. In the era of Obamacare, one might suppose that healthcare facilities would be expanding their staffs, but they are not. They are cutting back.
Here is an article that discusses this in this market.
Worried about the future, IU Health cuts 800 jobs, even as income soars | 2013-09-12 | Indianapolis Business Journal | IBJ.com
That’s one factor pushing down hospitalizations nationwide. In addition, persistently high unemployment and the increasing prevalence of high-deductible health insurance plans have left more patients exposed to the high cost of a hospital visit.
What really has IU Health scared, however, is that the federal Medicare program has been reducing payments to hospitals—and private insurers are likely to follow suit. Whereas hospitals for years have claimed that Medicare payments ran about 20 percent below their costs, hospitals now are desperately trying to cut costs to make money on Medicare.
IU Health’s cost-cutting goal of $1 billion would reduce its annual expenses about 20 percent.
“Our foresight is that reimbursement rates will approximate Medicare,” Terwilliger said.