New Yorkers may feel the pinch of healthcare reform


Navy Markby Mark Plaster MD

The New York Times is warning that the urban patients may feel the pinch of the health care bill as it tries to rein in out of control health care costs.  It notes that the goal of the bill is to cut Medicare costs by 15-30% by restraining the hospitals that cost the most.  As it turns out, these hospitals are located mainly in urban areas like New York and Los Angeles.  The bill will mandate that an independent body, such as the Institute of Medicine, will be tasked with studying then mandating that urban hospitals make changes in how they do business.  Urban hospitals fear that they will be compared, as the Dartmouth group did, to the costs and utilization of hospitals such as the Mayo Clinic and other midwest institutions who have lower overheads and treat different types of patients.  The real fear is that the IOM will recommend that the efficient hospitals will be rewarded with higher compensation while they are left with reductions.  Wouldn’t that be a real kicker if the areas of the country that have supported health care reform the most,urban blue states, end up getting hurt the most by that reform.


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  2. The hospitals in our area lose money on self pay and Medicaid, they lose less to barely break even on Medicare. The money from private insurance patients offsets the losses. Even so, only 1 of four made money last year. The other three all lost money. (All our hospitals are non-profit).

    If this “reform” passes, Medicare is cut, Medicaid is expanded and the private insurers drop out, our hospitals will not survive.

    • So true – but remember… this is NOT about healthcare or the “uninsured”. This is only about power, and the solidification of a Democratic ruling class.

      Only when the liberals have succeeded in the creation of dependency (of the majority of the electorate) on the government, can they be confident of being in power for a long long time. The sheeple will not vote against the hand that feeds/nurtures/manages them…..

      History repeatedly shows that overturning the resulting tyranny (the all knowing, all seeing, all caring government) is very difficult to do. It is best to not allow it to happen in the first place.

      Voting matters – vote conservative in 2010…

  3. Patrick Connell on

    Why does everyone keep calling this “health care reform?” I would be the first to agree that we need health care reform! This is PAYMENT REFORM. When the feds force the insurance companies to take on the high risk (pre-existing conditions) who actually believes anything other than that costs of private insurance will increase by 50%? True health care reform is long overdue and will require a substantial cultural change in both the provider and consumer groups. Stop calling this trojan horse something other than what it is!

  4. As I have said before, any changes should be applied to the healthcare the President, Senate, and House gets. Why should they get a plan that no one else in the country gets.

    Only then would they “get it” that their “reforms” don’t work.

  5. Anyone else notice that HR 3962 defines on pg 1291 “Healthcare workforce” to include veterinarians? I’m sure NY’ers will now appreciate where their tax dollars will go.

  6. Unintended consequences are guaranteed – It is how (or if) the system is able to change to make rational adjustments that will decide how absurd the resulting system becomes. Until now we have only had escalating self righteousness – anything that can be done now must be done. While the money flies to the corporate provides (Pharma, equipment and hospitals make a lot of money- often spent it very poorly). So the bills will mount and we (or our children) will have to really decide on what medical care should be paid for and how.

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