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A report released last week by the Washington State Hospital Association indicates that virtually every hospital in the state is in financial trouble. (here) A recent survey revealed that hospital revenues were up five percent from 2021 to 2022, yet expenses rose 11 percent over the same time period. This is unsustainable. Several, if not many, hospitals are at risk of closing if these losses continue for another year. This includes both rural and urban facilities. Executives give a number of reasons for the financial...
The United States has a unique health care delivery system. Unlike other industrialized countries which all have some form of top-down, government-run system, the structure of medical care in the U.S. has evolved organically over the past 80 years. Half of all Americans receive their health insurance from their employer or their spouse’s employer. Over 40 percent of Americans receive their health insurance from the government through Medicare, Medicaid, and Obamacare. A...
The Biden Administration's massive welfare give away, "Build Back Better," is currently being negotiated in Congress. One of the original funding mechanisms was raising taxes on the rich to the point where they pay their "fair share." In spite of the political left obsessing over the issue, no one has clearly defined exactly what the term means. Let's look at actual numbers and see who pays what in income taxes in the United States. Those organizations that follow taxation in...
It is often argued that managed health care can provide better clinical outcomes while holding down health care costs. Over the years, managed care has taken on many different names including health maintenance organizations, accountable care organizations, and medical homes for instance. The structure of managed care is based on a primary care provider who serves as a “gatekeeper” and coordinates the care of an individual patient with multiple specialists. The idea is tha...
Liberals in Congress are actively campaigning to force price controls on drug manufacturers. The House has already passed bills that would limit the amount of money pharmaceutical companies can charge for drugs. The fate of this proposed legislation is uncertain in the U.S. Senate. At the same time, the Biden Administration and others on the political left are attacking the companies that have made the COVID-19 vaccines. They seek a waiver to the 1994 TRIPS Act, which was accepted by all countries in the World Trade...
A friend of mine, let’s call her Mary, began college at the University of Washington in 1967 and graduated with an undergraduate degree in 1971. According to the university’s records, she paid $3,160 (in 2020 dollars) for her final year of in-state tuition. Mary’s granddaughter, Emma, graduated after four years from the University of Washington in 2020 and paid $10,630 for her final year of in-state tuition. Essentially, school administrators more than tripled tuition at the state’s premier public university during that 50-ye...
Medicaid began in 1965 as a safety-net health insurance entitlement for low-income families with children, the disabled, and some long-term care. The program is financed by both federal and state governments in sort of a 50/50 arrangement. In reality, poorer states receive a higher percent of federal money than richer states. Congress established the financial match program with the idea that state legislators would not increase the tax burden on their constituents. The entitlement would therefore stay small and be used for t...