The only difference between them is that in Managed Care someone is putting a lot of money into their pockets, at the expense of patients.
People (in general) do not seem to understand that we are human, when you take rewards away (like they do in a socialist-comunist society) people do not produce (this has been proven thoughout the communist countries). Americas health care became the very best because of the competition to be the best, which was fueled by money and the interest to be recognized as the best. Always remember that you get what you pay for. The coming of managed care has significantly downgraded hospital care, it is simple economics.
An example, in Dade County (FL), there were about 22 hospitals 10 years ago, they were all separate institutions. As reimbursement dropped, layoffs, and downsizing took place, and later sales to larger corporations came. Now we are left with basically 6 or 7 institutions. Columbia owns 7 hospitals, Tenet owns another 7, Baptist has 4, and then there are 3 small independent the county hospital and Mt. Sinai. Ten years ago there were no more than 5 patients per RN in a floor, now may be up to 15, and most of the nursing work is done by aids and some LPNs.
Meanwhile look at United Health Care, they employ three different Wall Street firms to handle their earnings.
Who benefits? I think it is clear.
My oppinion.
JLL |
