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This doesn't even mention Certificate of Need. In some places in the country, you are not even allowed to establish a new hospital unless you prove existing hos

This doesn't even mention Certificate of Need. In some places in the country, you are not even allowed to establish a new hospital unless you prove existing hospitals are not fulfilling demand. Sometimes, other hospitals are part of the approval process. https://en.wikipedia.org/wiki/Certificate_of_need https://en.wikipedia.org/wiki/Certificate_of_need

jonnycomputer 5y ago
Yes, indeed, that does seem an oversight.
Y_Y 5y ago
> A number of factors spurred states to require CONs in the healthcare industry. Chief among these was the concern that the construction of excess hospital capacity would cause competitors in an oversaturated field to cover the costs of a diluted patient pool by overcharging, or by convincing patients to accept hospitalization unnecessarily. That's pretty absurd isn't it? Were the plebs really worried about too many hospitals being built? And that that would drive prices up?
- legitster 5y ago
  Well, you often times hear people make the same argument today about houses...
- 6gvONxR4sf7o 5y ago
  "This industry is so messed up and opaque, we're worried that competition is bad for the costumer and monopolies are the best we can get."
- FireBeyond 5y ago
  No - the hospitals were. They wanted to create little zones where they could each extract maximum possible revenue from an area. Hospitals were the ones lobbying for CONs.
OrvalWintermute 5y ago
> you are not even allowed to establish a new hospital Depending on the state, this also goes for surgery centers, and other types of procedure rooms for minor outpatient surgery. As soon as you go to a hospital, the hospital tacks on a giant facility fee which may be the single largest expense. This, despite the hospital regularly owning half the practices involved in providing care too! Those "nonprofit" executives with their multimillion dollar salaries, and the legion of nonclinical administrators have to come from somewhere. It is on the back of the clinical doctors. This is highly detrimental to the high volume, low dollar value medical practices where we want to increase volume, and reduce costs, such as opthamologists & dermatologists. This, because our aging population has increased needs for ocular and skin care.

jonnycomputer 5y ago

Yes, indeed, that does seem an oversight.

Y_Y 5y ago

> A number of factors spurred states to require CONs in the healthcare industry. Chief among these was the concern that the construction of excess hospital capacity would cause competitors in an oversaturated field to cover the costs of a diluted patient pool by overcharging, or by convincing patients to accept hospitalization unnecessarily. That's pretty absurd isn't it? Were the plebs really worried about too many hospitals being built? And that that would drive prices up?

legitster 5y ago
Well, you often times hear people make the same argument today about houses...
6gvONxR4sf7o 5y ago
"This industry is so messed up and opaque, we're worried that competition is bad for the costumer and monopolies are the best we can get."
FireBeyond 5y ago
No - the hospitals were. They wanted to create little zones where they could each extract maximum possible revenue from an area. Hospitals were the ones lobbying for CONs.

OrvalWintermute 5y ago

> you are not even allowed to establish a new hospital Depending on the state, this also goes for surgery centers, and other types of procedure rooms for minor outpatient surgery. As soon as you go to a hospital, the hospital tacks on a giant facility fee which may be the single largest expense. This, despite the hospital regularly owning half the practices involved in providing care too! Those "nonprofit" executives with their multimillion dollar salaries, and the legion of nonclinical administrators have to come from somewhere. It is on the back of the clinical doctors. This is highly detrimental to the high volume, low dollar value medical practices where we want to increase volume, and reduce costs, such as opthamologists & dermatologists. This, because our aging population has increased needs for ocular and skin care.