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156 sats \ 12 replies \ @Undisciplined 6 Aug \ on: Socialism In Plain Sight econ
Certificates of Need are worse than that. My understanding is that they usually require approval from the existing hospitals.
I think that is correct. I wasn't 100% sure so I left that out but my memory is that my father in law tried to get another hospital into the area. He was on the city counsel at the time and he said the existing hospital operators and politicians blocked it every time it came up.
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Are most hospitals non profit?
I think most if not all hospitals in Southern California are structured as nonprofit
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I think so but that’s mostly only relevant for taxes
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Understood
I think most hospitals barely break even. In fact they would be ecstatic to break even
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From my understanding, it’s a lot more complicated than that.
They essentially hide their profits in the fake prices they don’t really charge anyone.
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While they may be not for profit the C suite pays pretty well...
For what its worth, the deep issue with health care IMO is so called insurance and how they inflate the costs of procedures, supplies, and drugs. Not really the non-profit status.
Non-profits aren't some commie scam. They aren't anti-free market either. In a free society they would just be companies and they could do what ever they wanted. Take capital out of the business like regular companies or give it back to their customers in pricing discounts as many do.
I know a guy that runs a non-profit ISP and due to that status he's able to offer some services to other non-profits at discounted rates. But that is mostly due to the tax benefits. Because he doesn't have so much of the profit coming out of the business in the form of taxes he can use that money in other ways.
They still charge money and pay employees. It really the taxes that are different. Most people think of non-profit as a moral high ground or something. You need to realize that the NFL is a non-profit. I don't consider them anything but an entertainment business.
Most hospitals are large bureaucratic organizations with lots of overhead
They are magnets for bureaucratic displacement
If you look at employment trends in healthcare especially hospitals all the growth since 1990 is in admin staff, not practitioners of medicine
Exactly. Non-profit is such a misleading term.
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Microsoft getting to decide whether people need a new OS or not.
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