Hospitals constantly play games with every person & every entity they encounter, but there’s a reason for it that doesn’t originate with them — it’s a societal problem.
They overbill everybody for egregious charges. They say they do so in order to stay profitable & to collect a reasonable fee from insurance companies, but the insurers know what to pay for every item & service, and jacking that cost up is a ridiculous game. The problem is, when someone comes in who has a large deductible or no insurance, they get jacked also, and they can’t afford it. I’ve seen charges of $350 for Tylenol. Not a bottle, which costs less than $10, I’m talking 1 pill for $350. If hospitals can’t make money with reasonable fees, it’s time to discuss what it will take to get them to break even, and it’s time we took the profit out of primary healthcare and require all hospitals to be non-profit, and we can do that by not paying them enough money to make them profitable enough to be a private enterprise. All hospitals should be owned by the individual states, as it’s presumable they would get better results than being owned by the Feds or for-profit corporations. Social Security, Medicare and any gov’t agency including the military, police & fire depts everywhere are all forms of socialism, so why not bring socialism to hospitals?
Hospitals should bill the state for any charges not paid by insurance or the patient, then the state can use its powers to collect the bill. I believe people who don’t have insurance should be denied service regardless of the emergency, as they made a choice to not get insured like everyone else & therefore not pay their fair share into the healthcare system, but the costs attributed to treating them should not be borne by the hospital as they put it back on insurers & those who are insured, and ultimately, it’s insured people like you & I who pay the bill for those who refuse to insure & pay.
Hospitals that are losing money should be shut down rather than propped up by gov’t funding unless their service is crucial to the community; i.e., the community can’t do without it as there aren’t enough other hospitals or beds to provide adequate services. The target is 3 beds per 1,000 people, but the current USA average is 2.35 per 1,000. Some communities have less, and some need more due to the age of the population, so you need closer to 5 beds per 1,000 people in FL, AZ & CA where most people retire & live longer.
Rockledge Hospital near Cocoa Beach, Fl was recently shut down, and that was a good move as it wasn’t needed in the community. There are plenty of other hospitals within a short drive to cover the gap.
Glenn County, CA is about to lose its only hospital soon. That is one hospital that needs & should get gov’t funding to stay open, but they should be billing the state for uninsured claims & collections & let the state chase people down with governmental power to collect.
Jackson Hospital in Montgomery, AL is losing $5 million a month. Montgomery has 2 other hospitals in that city with 668 beds total and there are 3 more smaller hospitals in the metro area. With appx 888 beds for a metro population of appx 375,000 people, that means it has appx 2.37 beds per 1,000. This is a hair above the national average of 2.35 per 1,000 without Jackson Hospital being open. The $60 million needed by Jackson annually which they’re seeking from the gov’t to break even could be better spent by gov’t loans to enlarge & modernize hospitals already open that are not losing money by loaning it to them on no-interest loans so taxpayers get paid back.
Rural hospitals everywhere are in danger of failing due to financial losses, understaffing, and lack of equipment/services/beds. This is due to the point made earlier that many people, especially the poor & rural/ignorant part of our society won’t procure health insurance or pay their medical bills, which is a conscious decision they made. Being poor & rural/ignorant is also a conscious decision, so why give them a pass when the rest of us are getting college degrees, working in skilled labor positions otherwise, and paying for our health insurance & our medical & other bills?
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