Thursday, December 3, 2009

DEC. 4, 2009 POTPOURRI -PART 1

Once again I have been reminded that one should not be overwhelmed by minor annoyances. Often one problem can be mitigated by concurrent positive fortune. Yesterday(Thursday) I was waiting for a piece of furniture to be delivered between 2 and 6pm.

Out of previous experiences I anticipated that i could and should have run all my errands from 2 to 5 without worry. But perhaps a miracle would happen, they would be early or I would hold the winning Mega Million ticket. However, I was unaware that the merchant was on Rocky Mountain time. Anyhow at 4:15 pm the delivery man called and said they were on the way and would be at my house in an hour, At 7 pm they arrived.

Yes. I had planned to go to the Council budget meeting, but after the delivery and a delayed dinner it was too late . It seems that there was a foreordained reason for the late delivery; there was no meeting due to a lack of a quorum.

Did you read in its business section. the Star Ledger's article on the State's hospital's financial problems illustrated by a picture of Muhlenberg as an example of those forced to close because of money problems. The interesting point was how little medicaid and State charity care pays toward the hospital charges

There are several factors to consider in hospital charges. The hospitals calculations of actual cost. The grossly inflated bill the uninsured receive. Medicare pays approximately 89 cents per dollar of hospital expense, while Medicaid pays only 66 cents on the dollar and our beneficial State pays 42 cents for every dollar spent on uninsured care. No wonder Solaris wanted to dump Muhlenberg. No one in government truly cares about individual health care except when its politically an asset.

The results of my "Tiger Survey" Replies-ZERO. Chicken?

As to Part 2 today, it may or may not appear by noon or tomorrow.

2 comments:

  1. Tiger has a new name ... Cheetah!

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  2. There was another point that I found interesting in the Ledger article, relative to doctors having offsite day sugery centers. The article seemed to indicate this as a negative and contributed toward the decline of hospital margins. On the surface this seems to be doctors opening organizations that offer services for minor sugery at lower costs than at a hospital. Sounds like healthy competition to me.
    Maybe what needs to be looked at is a new basis for hospitals based on a rational cost analysis and new available technology. Maybe the business model of hospitals, many unchanged for decades, needs to be updated.
    Could not special services, such as heart sugery, be regionalized rather than have many hospitals run commercials on television touting there service over anothers service. The talk of shared services between towns makes a lot of common sense, maybe we need to look at similar programs for hospitals.

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