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To the bolded: government regulations. An institution which doesn't rely on outside payor sources can provide care in a more efficient manner, and they aren't bogged down in bureaucratic crap. They provide a service that is focused on the patient, and meeting the patient's needs. I have worked as an RN for 28 years now. The more regulations we have to comply with, the more hours are spent on non-patient care related bull****.
So Shriners Hospital doesn't focus on the patient needs? I have seen public funded health programs in action. I know they have a lot of regulations, and they one here isn't allowed to give patients certain kinds of medicine per regulations. Yeah, there is a lot of crap to deal with, but they still treat the people with respect and give them proper care.
In my state, there are huge taxes private hospitals have to pay... Private hospitals have their own baggage to deal with, such as massive bad debts, uninsured abusing the services, and refusing to treat people based on their insurance and financial status. That's a lot of red tape the private sector has designed for itself to wade and cut through before giving the patient any care or trying to save their life.
I don't know how you simply reach the conclusion that private hospitals provide the best and most efficient care. If you are an excellent RN at a private hospital, then you should still be an excellent RN at a public hospital.