Top Tweets for #endCON
If you’re somehow lucky enough to not hear me talk about CON laws… you can hear me now! Thanks to @centermodhealth for having me on.
The first step to better health = open the market. #endCON
Do CON laws actually help patients, or do they mainly protect incumbents? Jessica Dobrinsky (@jldobrinsky) joins CMH's Reinier Schuur to unpack the politics and economics behind these "permission slips" in healthcare. New episode of The Pursuit of Health: https://t.co/yNwz59QNHC
The evidence has always been clear. Certificate of Need does not work for patients. #endCON
West Virginia requires government permission before any new hospital or clinic can open—and gives existing providers the legal right to block competitors.
Certificate of Need doesn't protect patients. It protects the hospitals already here.
Paragon debunks cost shift as a lobbying myth. In West Virginia, the mechanism is even more explicit: CON laws legally block competitors from entering the market, so dominant systems don’t need to shift costs. They set the price. #endCON
A new @Paragon Prognosis from @JohnRGraham debunks the hospital cost-shift myth.
There’s no theoretical basis or empirical evidence—just a talking point used to push for more government spending.
https://t.co/jgdJtqziq6
Grateful for the opportunity to appear before the Maryland House Health Committee today to discuss Certificate of Need policy, its impact on psychiatric services, and how supply constraints and regulatory barriers shape access and cost outcomes in behavioral health. #endCON
Perhaps Alabama should also #endCON and allow Certified Professional Midwives to practice to their full authority 🤔
Dr Oz: "Alabama has no OBGYNs in many of their counties, so they're doing something pretty cool. They're actually having robots do ultrasounds on these pregnant moms."
Exciting news! #endCON
HUGE UPDATE: Thanks to @CMSGov, at least 8 states have made commitments to roll back their Certificate of Need laws as a condition of extra funding from the Rural Health Transformation Fund.
AK, DE, IA, MD, NE, RI, SC, and TN (image below) have committed.
https://t.co/lu53DT4UIa
ASC investment is concentrating in the South. States that loosen or remove CON are seeing faster outpatient growth, while CON states remain constrained.
West Virginia should be part of this trend, but CON remains a structural barrier. #endCON https://t.co/bxOV56GnTO
Before we talk innovation or new care models, let’s stop blocking providers.
Certificate of need keeps healthcare closed.
Access starts with competition.
End CON.
Florida might be about to finish what it started in 2019. A new proposal would be the final step: ending CON for nursing homes, hospice, and ICF/DD facilities.
Combined with the previous rollback, this would make Florida a fully CON-free state. #endCON https://t.co/uwB2jou8Tz
The incentives explain the scandal. Here’s why a CON board became valuable enough to spark a bribery scheme, and a one-pager that breaks down how the process works in Alabama. #endCON
Wild story out of Alabama. A former HealthSouth CEO just lost his latest appeal in a $2.8B civil case tied to a massive early-2000s fraud scandal.
But buried in the coverage is the part people should really pay attention to: the whole thing centered on… the state’s Certificate of Need board. 🧵⤵️ https://t.co/HWjx6lk7OL
Wild to reflect on how alone this fight felt five years ago. Now my Google Alerts are full of pieces like this, even from progressive counterparts, warning about consolidation and the harm tied to CON-era market structures. It’s long past time to confront the danger. #endCON https://t.co/l0I5b2MiLc
Repealing CON laws gives patients more options and pressures incumbents to compete on value.
States should also pair repeal with transparency and oversight to make care as accessible as possible. #endCON
🔗 https://t.co/NidZfggtVP
North Carolina’s CON repeal shows how quickly care improves when regulators stop forcing providers to get permission to compete. Expanded orthopedic capacity and lower costs are early signals of what smarter, pro-consumer policy can deliver. #endCON
🔗https://t.co/H9zz151fZz
Maternal care is disappearing in states that cling to CON. Families pay the price. #endCON
🚑 Fewer delivery options
📉 Shrinking access
🏥 Communities left behind
This article explains why:
https://t.co/DEWcELYVuY
Pennsylvania has no CON, so WVU competes by acquiring systems.
West Virginia has CON, so WVU fights to protect the regulation that keeps challengers out.
If you want to check monopoly power—take away the protection that keeps systems insulated: #endCON
WVU Health System and Independence Health System announced a plan for Independence Health System to officially join WVU. #HealthCareMerge #WVUMedicine
Read more: https://t.co/9BOVje7Kdk
Put patients first #endCON
Red States Aren’t Conservative in Healthcare.
They’re Running Socialist Cartels
Republicans love shouting “free enterprise.”
It’s on the bumper stickers, the podiums, the merch,
basically everywhere except in their healthcare policies.
A THREAD about the fake Republican States on Healthcare.
1/
Encompass Health spent two years proving a public need for rehab care in Danbury while a competitor fought to block them.
This is what certificate of need laws do: delay care, reward monopolies, and punish patients. #endCON https://t.co/xVYrkwVUs4
🏥 The heart of West Virginia’s CON laws isn’t access or quality. It’s protectionism.
Dive into why @CardinalWV fights a system that fails patients and protects incumbents: #endCON https://t.co/TW2n4arDWl
Patients in Massachusetts are crossing into New Hampshire for faster, cheaper imaging.
The reason isn’t quality, it’s policy. #endCON https://t.co/Z4PtfxnnzG
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