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Thread: 60 doctor-owned hospitals canceled due to new health law

  1. #71
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    Re: 60 doctor-owned hospitals canceled due to new health law

    Here are the reasons given by the American Hospital Association for limiting doctor owned hospitals:

    1. Heaviest growth correlating directly to states without state regulations requiring growth based upon proven community need. Texas had largest growth with most of the doctor- owned hospitals in North Texas, many in the Dallas Ft.Worth metroplex .There is a map of Dallas area doctor-owned hospitals. [PDF] Trend WaTch (Free subscription to view).
    2. A financial stake in health care facilities creates potential for conflicts of interest between patients and financial needs of doctor.
    3. Doctor-referrals benefit doctors by increasing value of investment, adding personal share of facility profits in addition to normal professional fees.
    4. Doctor ownership influenced where doctors directed patients for services - driving up referrals for services. Doctors tend to increase number of patient referrals to specialty hospitals if they own it.
    5. Volume and spending increased as doctor-owned specialty hospitals opened. 121% increase in complex spinal fusion services with 91% performed in doctor-owned hospitals vs full-service hospitals.
    6. 11% higher growth in procedures per Medicare beneficiary of artery bypass grafts performed on Medicare beneficiaries at doctor-owned facilities than by surgeons using community hospitals
    7. Profit margins higher for doctor-owned facilities vs acute care hospitals; suggesting increased profits drove up the cost of health care.
    8. Although laws prohibited "kickbacks" and inappropriate doctor referrals, loop holes made it easy to skirt the laws.
    9. Doctor-owned, limited-service hospitals have higher than average costs - consistent with low occupancy/volume; offer no emergency services - greater control of the nonpaying patients.
    10. Patient benefits include gourmet meals, private rooms, family accommodations. Doctors "cherry pick" patients - reject low income patients.
    11. Doctor benefits include ability to perform more procedures in less time; no emergency on call responsibilities; predictable work hours; sharing in facility hospital profits.
    12. No increased quality of care. Doctor owned hospitals get larger share of highdollar patients, leaving full hospitals with lower income patients and having to cut services because of the loss of higher paying patients.
    "Donald Trump is a phony, a fraud... [he's] playing the American public for suckers." Mitt Romney

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    Re: 60 doctor-owned hospitals canceled due to new health law

    the problem is medicare SCHEDULES such low pay for caregivers

    ie, NOT free market

    hello

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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by Objective Voice View Post
    What does Canada's doctor shortage have to do with America other than both countries are having the same problem?
    gee, whaddya think?

    LOL!

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    Re: 60 doctor-owned hospitals canceled due to new health law

    I really don't understand why this doctor shortage issue has suddenly become a problem for the average Joe. If you have a family doctor whom you see regularly (atleast once every 4-6 months), as long as that doctor doesn't retire or change/relocate his/her practise outside your reach, there really shouldn't be a problem.

    While I do understand the concern being raised, this nation's doctor/nurse shortage really is old news, folks. It's just getting alot more attention since health care reform legistlation has been passed. And while I understand the rationale behind those who honestly see this as a problem directly related to passage of the health care reform bill, I think the matter will correct itself. You'll start seeing more advertising for people to go into the medical field. The medical profession as a whole will regroup and start figuring out how to do more with less; technology will lead the way and close some of the gaps for a time, but eventually the system will correct itself. It always does when people put real thought behind a problem.

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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by Dittohead not! View Post
    12. No increased quality of care. Doctor owned hospitals get larger share of highdollar patients, leaving full hospitals with lower income patients and having to cut services because of the loss of higher paying patients.
    This is the most important one.

  6. #76
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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by misterman View Post
    This is the most important one.
    How is jealousy of getting high income patients the most important reason?
    I think if Thomas Jefferson were looking down, the author of the Bill of Rights, on whats being proposed here, hed agree with it. He would agree that the First Amendment cannot be absolute. - Chuck Schumer (D). Yet, Madison and Mason wrote the Bill of Rights, according to Sheila Jackson Lee, 400 years ago. Yup, it's a fact.


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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by Ockham View Post
    How is jealousy of getting high income patients the most important reason?
    Come back when you have a rational question.

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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by Objective Voice View Post
    I really don't understand why this doctor shortage issue has suddenly become a problem for the average Joe. If you have a family doctor whom you see regularly (atleast once every 4-6 months), as long as that doctor doesn't retire or change/relocate his/her practise outside your reach, there really shouldn't be a problem.

    While I do understand the concern being raised, this nation's doctor/nurse shortage really is old news, folks. It's just getting alot more attention since health care reform legistlation has been passed. And while I understand the rationale behind those who honestly see this as a problem directly related to passage of the health care reform bill, I think the matter will correct itself. You'll start seeing more advertising for people to go into the medical field. The medical profession as a whole will regroup and start figuring out how to do more with less; technology will lead the way and close some of the gaps for a time, but eventually the system will correct itself. It always does when people put real thought behind a problem.
    tell it to canada's WAIT TIME ALLIANCE

    http://www.waittimealliance.ca/June2...June2009_e.pdf

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    Re: 60 doctor-owned hospitals canceled due to new health law

    Re: Canada/US have doctor shortages

    Quote Originally Posted by The Prof View Post
    gee, whaddya think?

    LOL!
    My point was Canada's problem is Canada's problem. We may share the same problem, but how we handle it might be different. Frankly, I don't care about Canada's doctor shortage problem. I care about ours, but unlike some I'm not in panic mode over it.

    Quote Originally Posted by The Prof View Post
    tell it to canada's WAIT TIME ALLIANCE

    http://www.waittimealliance.ca/June2...June2009_e.pdf
    So, what you're saying is we'll start experiencing longer wait-times also? Maybe, but I doubt it.
    Last edited by Objective Voice; 04-13-10 at 12:49 PM.

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    Re: 60 doctor-owned hospitals canceled due to new health law

    Quote Originally Posted by liblady View Post
    it should decrease emergency room treatment, which is very expensive, with dr office visits, much less expensive. no substantial increase overall, i don't think.
    Costly ER still draws many now insured - The Boston Globe

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