I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today.
The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US.
So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations.
We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs.
Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company.
Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for?
Repeal the ban on physician owned hospital.
Since 2018, we've sounded the alarm about the risks of replacing physicians with nonphysician practitioners. We are gratified that respected journalists at Bloomberg have started an investigation into the safety of nurse practitioner-led care. Read more:
https://t.co/k3acR3WFjd
DAMN! 🔥 takedown of @JDVance1:
@PeteButtigieg proving again he's one of the best communicators in the Democratic Party.
This time, savagely destroying fellow veteran & Midwesterner JD Vance:
Like Mike Pence, trading credibility & integrity for power:
Pete Buttigieg, who won a great deal of praise from Democrats for his comments about JD Vance on Bill Maher, endorses Kamala Harris in a personal capacity.
I talk about the impact of consolidation on healthcare frequently. Many of you have similar concerns, whether it’s an access issue, cost, or other downstream effect. The Department of Justice wants to hear these complaints and has opened a new portal. Click below!
https://t.co/UzmBh2agMo
Sharon L. D'Souza, MD, MPH discusses engaging our members and empowering them to educate and advocate for our patients and our profession in this new #VoiceofRadiology blog ➡️ https://t.co/fEdFUKvVYm
@RIDICULO_pathy @OTirmizi@NurseVictoria2 @MarkLRuffalo @ChrisPalmerMD @wdpsychiatry The longer training isn’t easy & integrity cannot be bought from an online diploma mill…
But at the end of the day, you know did right by your patient, & you won’t need to ask Facebook how to best conceal your incompetence. Not everyone can enjoy that peace of mind.
Professional organizations: “we need more research to determine if private equity negatively impacts patient care”
Me: (gestures broadly at US healthcare)
Sure, let's research private equity while it finishes consuming our entire profession "like a cloud of locusts" @efusebrown@brendanballou@gmorgenson
https://t.co/1Ya4a3M8JG