A number of well known hospitals ( e.g. Parkland in Dallas,Grady in Atlanta, etc) provide much medical care to indigent patients. The federal government through the Centers for Medicare and Medicaid have provided significant subsidies under a program referred to disproportionate share payments.
One of the mechanisms devised to fund the health care transformation known as ACA is to make significant cuts in this program.
Quoting from a recent ( see here) NYT article:
“We were so thrilled when the law passed, but it has backfired,” said Lindsay Caulfield, senior vice president for planning and marketing at Grady Health in Atlanta, the largest safety-net hospital in Georgia.
As Obamacare unfolds we are seeing more than a little backfiring.
And this quote from my favorite Louisiana economist, Dr. Don Boudreaux writing in his blog " Cafe Hayek"
" In the 18th century, Adam Smith launched the discipline of economics by explaining that intentions are not results, and that the complexity of a real-world economy nearly always overwhelms and confounds the hubris-intoxicated “man of system” who aims to improve matters through government intervention."
The most generous interpretation of the comments from spokespeople from AMA and ACP when they lauded ACA as a fountainhead of social justice is that they were enamored with the purported intentions of ACA and naively believed that intentions equaled results.
The
cuts in subsidies for safety-net hospitals like Memorial — those that
deliver a significant amount of care to poor, uninsured or otherwise
vulnerable patients — are set to total at least $18 billion through
2020. The government has projected that as much as $22 billion more in
Medicare subsidies could be cut by 2019, depending partly on the change
in the numbers of uninsured nationally. - See more at:
http://healthblog.ncpa.org/tattering-the-safety-net/#sthash.O6he8bDl.dpufThe cuts in subsidies for safety-net hospitals like Memorial — those that deliver a significant amount of care to poor, uninsured or otherwise vulnerable patients — are set to total at least $18 billion through 2020. The government has projected that as much as $22 billion more in Medicare subsidies could be cut by 2019, depending partly on the change in the numbers of uninsured nationally. - See more at: http://healthblog.ncpa.org/tattering-the-safety-net/#sthash.O6he8bDl.dpufThe cuts in subsidies for safety-net hospitals like Memorial — those that deliver a significant amount of care to poor, uninsured or otherwise vulnerable patients — are set to total at least $18 billion through 2020. The government has projected that as much as $22 billion more in Medicare subsidies could be cut by 2019, depending partly on the change in the numbers of uninsured nationally. - See more at: http://healthblog.ncpa.org/tattering-the-safety-net/#sthash.O6he8bDl.dpufThe cuts in subsidies for safety-net hospitals like Memorial — those that deliver a significant amount of care to poor, uninsured or otherwise vulnerable patients — are set to total at least $18 billion through 2020. The government has projected that as much as $22 billion more in Medicare subsidies could be cut by 2019, depending partly on the change in the numbers of uninsured nationally. - See more at: http://healthblog.ncpa.org/tattering-the-safety-net/#sthash.O6he8bDl.dpuf
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