FAH1223 wrote:dckingsfan wrote:Just to be clear... Bernie is saying that it is okay for hospitals to go chapter. Given the low margin's for hospitals, if your receivables drop by 40% or even half that - you are going to have to restructure.
Assume you are good with the government running our hospital systems?
M4All isn't calling for nationalizing hospitals though. There are hospital monopolies and then there are hospitals few and far between as rural America has been devastated.
"Sanders and his allies may have sound, practical reasons for taking a soft (or at least, opaque) line on providers. Doctors and hospitals have powerful lobbies and enjoy much more public trust than private insurance companies or big pharma. Nurses unions and progressive physicians groups are important pillars of the single-payer movement, and some within their ranks might be alienated by calls for “soaking hospitals.” Further, as mentioned above, there’s the difficulty inherent to reducing costs in the hospitals and specialties that are overpaid, without reducing the supply of well-run rural hospitals and much-needed primary-care doctors."
There has to be a national rate setting.
That would possibly be the worst of all possible outcomes. Please remember what happened when Nixon and Carter put in price controls... it was ugly.
Venezuela did this recently with price controls on food - again, not a good ending.
And yes, Doctors, Nurses and hospitals should be concerned. Medicare pays 40% of what insurers pay. This will certainly bankrupt hospitals which will cause them to default on agreements with the nurses unions.
