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Joined 1 year ago
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Cake day: August 17th, 2023

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  • Providence Health was officially dinged for this. The nonprofit aspect is such a joke.

    The nonprofit requirement allows for feeding profits back into the institution. This can come in the form of investing in employees. Instead of investing in workers who directly impact patients by issuing bonuses, the CEOs get bonuses.

    Instead of forgiving bills for the poorest patients, they offer payment plans instead.

    It doesn’t matter how well you manage and save your money. In your geriatric years, those hospital CEOs will take it all.





  • One issue with mother baby units is they are loss leaders. This is why not every hospital has them. They only drain money from a hospital. If the hospital has other money making specialists bringing in the cash, then the mother baby unit can stay.

    The other piece is a hospital can only have units for the medical specialists they can attract. If, say, they can’t find cardiologists then there will be no cath lab, and patients needing that care will have to be transferred elsewhere. If, say, Alabama is having a hard time attracting OBGYNs due to archaic laws regarding women’s medical care, then the unit would have to close even if the hospital has no financial reason to do so.






  • Had a relative in a car accident. They climbed out the vehicle, walked to the ambulance, and took their suggestion to get looked over at the ED.

    Nothing needed but an X-ray then a CT to make sure the spine was fine. Doc saw them for all of 10min. Most of the time was spent doing nothing, alone, waiting for a ride in a mostly empty rural ED.

    Bill comes. $15k.

    I did charges in the 2000s as part of my ED tech duties. Back then the stroke/heart attack go to ICU or get prepped for life flight charge, the most acute of 5 tiers of service was ~$2.5k. The lowest, say getting a ring cut off, was less than $200.

    I know costs have risen in the last 20 yrs but how the fuck do you go from what is at a very generous at most a tier 3 for ~$1k to $15k. AND that CT scan, 90% of what happened there, was billed separate.

    AFTER Medicare, the ED bill is $1.8k. Imaging is $800, and the ambulance ride, that didn’t even put in an IV, is $1.9k.

    So an elderly person on a fixed social security income is getting billed almost $5k for a ride, a glorified wait for my ride room, and a CT.

    One non displaced broken rib btw, that’s it.

    $15k. Is ring removal in ED now $15k a pop? I just don’t know. Or is a remote, empty ED soaking anyone who goes because they don’t have lines out the door and around the block like city EDs do?

    Either way, that’s several months of social security to pay for it while not buying groceries or driving.