Quote:
Originally Posted by MrWookie
Medicare does just fine with our hospitals.
Kind of.
Medicare pays enough to keep the doors open, pay the staff and (cautiously) invest in new equipment. Medicaid pays markedly less (for the most part - it's state specific) but getting something is better than nothing.
So you cost shift from private insurance to cover your medicaid losses, and you can borrow money to build that new tower you need, or buy that new PET scanner for your oncology department which the banks will lend you because you have that sweet private insurance money coming in.
By about a 2-1 ratio, not-for-profit hospitals outnumber for profit operations - although the differences are (for me, anyway) sometimes hard to parse out.
Most hospitals would RAPIDLY go under if they were reimbursed at the current level of Medicare without private insurance $$ to balance Medicaid/nonpaying patients. Medicare for all kind of solves this, if you stipulate no further construction/technology/etc. Don't get me started on Medicare not being able to negotiate drug prices - you'll be able to tell we're serious about figuring out this crap when that is changed.
It's a swamp.
MM MD