Weirdest subplot I’m tracking: failing hospital economics. This is something that can only happen in the US because they’re run for profit (or on individual nonprofit basis). Often owned by PE firms. Seems their high-margin “products” are a) elective procedures b) ER visits...
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Good point, but will be hard to financially engineer since only fed can print the brrr money to do this, and they won’t want to do it on behalf of states esp under Trump who will fight for his PE buddies in the biz like Schwarzman to retain control. https://twitter.com/shawnkumar1000/status/1246850701839314944?s=21 …https://twitter.com/shawnkumar1000/status/1246850701839314944 …
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Cory flagged this yesterday. https://twitter.com/doctorow/status/1246445485860118528?s=21 …https://twitter.com/doctorow/status/1246445485860118528 …
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Looks like at least some part of this is due to profiteeering ER docs https://twitter.com/oddcopter/status/1246853549977415685?s=21 …https://twitter.com/oddcopter/status/1246853549977415685 …
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Note that already in CARES act, one of the battles was over coverage of uninsured Covid19 patients *at Medicare rates*. Iirc there was a fight over that for precisely this reason. If the “government put” had been priced the way the owners wanted, the $ would have been way higher
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Twist. Not sure how to verify the actual pattern of cuts. This needs a good investigative journalist digging. https://twitter.com/stucchio/status/1246857095204311040?s=21 …https://twitter.com/stucchio/status/1246857095204311040 …
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Nope. In this case, I side with the insurance companies, Medicare and the hospitals. I recently was balanced billed for an ER visit. The doctor, who I saw for about 2 minutes, billed separately for more than the entire hospital bill.
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I wouldn’t overfit that one data point without tracing the entire stack of systemic incentives. I’m sure some ER doctors are in it for profiteering, but I’d bet the median doctor of any kind is in the game to save lives more than the admin orgs are.
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