posted on Feb, 23 2017 @ 01:18 PM
a reply to: seasonal
You are absolutely right, mi amigo
Hospitals, especially the smaller ones right now, are losing money hand-over-foot. Where I work, some of the uninsured get surgery, because the
entitlements pay a 'portion' of it (a small portion, which may not be 'profitable', but it is more than zero and can help keep a failing hospital
limping along a little longer). There are other patients for whom nobody pays anything, but some of them do indeed still receive surgery, just not
elective surgery. The problem with the complexly uninsured or completely non-paid-for patient is that the other 'paying' patients are charged
multiple times more their own true costs to keep the hospital from going completely underwater, which isn't fair either.
Hospitals without money close down. So yeah, you are right, it is all about $$$. But ... for a good number of hospitals, $$$ is survival!
Right now the smallest hospitals are suffering the most, and when a small hospital closes in one location (more often rural), those patients in their
old area - paying and non-paying - must travel to a bigger hospital, usually in a more metropolitan area. Since fewer patients really want to travel,
the insurance actuarial tables probably show somewhere that this is profitable, as it is a way to 'deny care by distance' for many but the most
life-threatening healthcare issues. That last part is my own speculation.
None of the healthcare system in the United States right now is operated very fairly or efficiently. It seems like a slow motion train wreck in