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<blockquote data-quote="bacha29" data-source="post: 4647136" data-attributes="member: 58386"><p>What you talking about here now is capacity both in terms of upsized and downsized capacity. My community hospital as a matter of survival due almost exclusively to uncompensated care had to allow itself to be taken over by a larger system. When the new honchos came in they closed the neonatal unit due to a lack of patient volume along with many other services. Today the lights are out on 3 of it's 4 floors and it now serves to feed the larger hospitals within it's system . So Dano it is in part a volume issue when it comes to certain services and their profitability </p><p></p><p>A few years before the passage of the ACA a Texas gas and oil driller sent his crew who brought along their families with them into a neighboring county in my state to drill gas and oil wells. The problem was that the employees of that large independent third party contract driller had no health insurance. That Texas employer had no benefit plan...no surprise. Naturally, whatever healthcare those employees and their families needed they went to the nearby small town community hospital that served the local residents well for years. And so knowing that they would only be there for as long as it took to drill the contracted wells about a year or so they stiffed that little hospital for millions draining all of it's charity care, to the point where state government had to step in and make an emergency grant to keep it going until it could be taken over by a larger system. it was either that or close altogether. So Dano it bull feces situations like this is whether a SPS's care good bad or something in between it is what you're going to get if you guys on the right don't come up with a genuine and workable solution pretty damn quick after the ACA is overturned.</p></blockquote><p></p>
[QUOTE="bacha29, post: 4647136, member: 58386"] What you talking about here now is capacity both in terms of upsized and downsized capacity. My community hospital as a matter of survival due almost exclusively to uncompensated care had to allow itself to be taken over by a larger system. When the new honchos came in they closed the neonatal unit due to a lack of patient volume along with many other services. Today the lights are out on 3 of it's 4 floors and it now serves to feed the larger hospitals within it's system . So Dano it is in part a volume issue when it comes to certain services and their profitability A few years before the passage of the ACA a Texas gas and oil driller sent his crew who brought along their families with them into a neighboring county in my state to drill gas and oil wells. The problem was that the employees of that large independent third party contract driller had no health insurance. That Texas employer had no benefit plan...no surprise. Naturally, whatever healthcare those employees and their families needed they went to the nearby small town community hospital that served the local residents well for years. And so knowing that they would only be there for as long as it took to drill the contracted wells about a year or so they stiffed that little hospital for millions draining all of it's charity care, to the point where state government had to step in and make an emergency grant to keep it going until it could be taken over by a larger system. it was either that or close altogether. So Dano it bull feces situations like this is whether a SPS's care good bad or something in between it is what you're going to get if you guys on the right don't come up with a genuine and workable solution pretty damn quick after the ACA is overturned. [/QUOTE]
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