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A recent Health Affair Article shows how for profit hospitals have much higher trauma activation fees than do the non-profits. They are on average 60% higher. The hospitals need the fee to help compensate them for the non-insured patients that they receive and for the high cost of running a trauma center. The Democratic nominee for President Kamela Harris is a vey left wing progressive. She was the first Senator to sign onto Medicare For All. She is now attempting to distance herself from that atrocious decision. Her walkback attempted top include private insurers who would do a Medicare Advantage lite Program. She would finance her scheme by increasing taxes on households with $100,000 or more in income, not the $400,000 that she occasionally mimics biden. She would also create a new Medicare X public insurance program. She is now pivoting toward the Biden proposals of more premium subsidies and longer enrollment periods. Her handlers have now stopped her from saying anything regarding her prior positions. She is very proud of the Biden Harris Inflation Reduction Act which is allowing the "negotiation" of Medicare drug prices at he expense of research and development. She is not all bad as she also wants to crack down on PBMs that block competition and work to cancel medical debt as was done in North Carolina. Kaiser Permanente has just started a huge AI project. The have a contract with Abridge for scribes and drafting notes for the EMR. The physicians at HCA Mission hospital in Ashville, North Carolina, are leaving. To date they have lost some of their hospitalists, urologists, oncologists, physicians, nurses and the latest ones the neurologists. In one year the neurologist have or will go from 7 to 2. The hospital is stonewalling any answers to questions. Crozier Health in Upland, Pennsylvania has displaced 30 employees who worked in the Taylor Hospital OR. They are closing that OR and transferring patients to their sister hospital 30 miles away. The NYT had a scathing article on Acadia psychiatric hospitals. They were accused of holding people against their will and using multiple legal but dirty tactics to extend stays and get more insurance money. Sounds like a terrible place to work. Several states have a successful program using "bridge" physicians, those who have finished med school but are unmatched, to work in a practice under the supervision of a licensed physician. This is especially true in rural areas or other areas that have physician shortages. The junior doctors of India are continuing their strike wanting greater protections against patient violence.
DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented. |
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