- Joined
- Jul 7, 2015
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Actually, I am not. The Tax Reform Act of 1986 changed how non-profit insurance and hospitals were taxed. Here is a Case Western study on it.
I don't think you'll be able to rewind time here. This industry has been carving itself a bigger piece of the economic pie for decades. The hippocratic oath is already in place, and we already have proof that areas with the highest cost of care are often providing less effective care.
Your wish that we could blindly rely on doctors to do the right thing is ridiculous. That was all before the admins were making $6,000,000+/year. Those people won't take a paycut lightly.
Single payer doesn't fix anything. Ask Canada or UK. They RATION healthcare. No other country in the G-7 has single payer. Not Germany, Not France, Not Italy, not even Japan.
We RATION healthcare also. And the way we RATION healthcare is that we provide less healthcare and worse healthcare than other developed nations at even greater cost.
And yes, no country has ever bene a pure democracy, no country has ever been purely capitalist. What's the point of that meaningless distiction here? Are you incapable of appreciating the difference between when a government provides basic access to healthcare and when they let the wealthy **** their poor with healthcare?
Didn't say it was an absolute fix. But even if you want Single Payer, you have to go to non-profit hospitals as well. So Can't do what you want until you address the for-profit hospital systems.
The 60% of "non-profit" hospitals are a big part of the problem. They just keep reinvesting additional revenue into administrator salaries until the "profit" is zero.
Administrator salaries are rising to keep up with competition from the for-profit hospitals. For example.. OSU Health System which is a Government Hospital pays it's CEO, $975,000. He oversees a $2b operation. Is that excessive? Of course not, that's not even drop in the bucket especially for someone that oversees a teaching hospitals which has two major locations and two dozen off campus locations.
Most non-profits reinvest for expansion or hiring top end doctors. Nationwide Children's Hospital is pouring close to $730m into expanding and increasing outpatient care because of their "profit". That's just 4 years after their last $700m expansion plan ended.
Um, no, it's not about competition, that would require that those higher salaries are associated with better outcomes, which they are not.
You keep assuming that spending more money means a better product. In healthcare, in this country, that relationship is inverted.
Far more? Dutch have 20% overhead costs.
Exactly, the next highest is significantly lower.