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> But if private hospitals have very fat margins, and some significant share of patients could be served just as well through less expensive clinical services,
by gruez 1y ago
> But if private hospitals have very fat margins, and some significant share of patients could be served just as well through less expensive clinical services, maybe that's too much.
The second chart shows how many companies have return on capital greater than 10%, which basically covers the "very fat margins" you're looking for.
- abeppu 1y agoI saw the economist chart, and am responding to tptacek advocating for a specific _spending_ based spreadsheet. But _no_, the Economist category of "Healthcare Services" includes hospitals, insurers and PBMs and other "middlemen" (see the last paragraph of the article), and so based on their analysis we cannot separate out hospital margins.
- tptacek 1y agoThe Economist charts are a rhetorical tool designed to highlight a point they're making (I think the points are valid and the charts are good and interesting). The spreadsheet I'm "advocating" is less like that, and more like the tables in a 10K filing. It's simply an accounting of where US health dollars go, and where the money comes from. I'm not saying that spreadsheet rebuts any claim this article makes (though it might). I'm saying it's a remarkably simple and comprehensive piece of data to fit onto a single screen, and when we discuss health care economics, it's extraordinarily helpful to have that data available.