If we're blaming Medicaid being unsustainable on nursing homes and rural hospitals existing, can we at least think about maybe bringing the salary of LCMC's CEO into the discussion? - eviltoast
  • Basic Glitch@lemm.eeOP
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    3 days ago

    The whole point of having a giant monopoly is that all hospitals are under the same control with the same policy and regulations.

    This is not normal.

    • RowRowRowYourBot@sh.itjust.works
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      3 days ago

      Yes, it is. The CEO is the top executive at that company. In a conglomerate the CEOs are still answering to the parent company and/ir board of directors.

      • Basic Glitch@lemm.eeOP
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        2 days ago

        Then what is the point of having a monopoly control everything in the first place? If every campus needs its own CEO to be making decisions what exactly is the benefit of having LCMC or Oschner controlling all of these hospitals?

        It seems like you could be providing better healthcare with less bureaucracy if you just let individual hospitals take care of patients. Especially since most of these hospitals already existed before these companies came in and saved the day by purchasing all of these hospitals.

        • RowRowRowYourBot@sh.itjust.works
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          2 days ago

          Then what is the point of having a monopoly control everything in the first place?

          Larger corporations can negotiate for better pricing and the economies of scale can make bigger more effective.

          If every campus needs its own CEO to be making decisions what exactly is the benefit of having LCMC or Oschner controlling all of these hospitals?

          Not every single decision needs to be made by the board or top executive. Sometimes you need a person to lead on site and be the top dog there but who actually answers to others.

          It seems like you could be providing better healthcare with less bureaucracy if you just let individual hospitals take care of patients.

          Not really? You still need people running it. What would help is removing the for profit elements of medicine.

          Especially since most of these hospitals already existed before these companies came in and saved the day by purchasing all of these hospitals.

          They could buy these hospitals vecause they couldn’t be managed effectively. To me that suggests medicine should be a service that isn’t profit driven and not a business.

          • Basic Glitch@lemm.eeOP
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            2 days ago

            Great, I’m actually trying to find a new primary care doctor right now.

            Tried to call my old office to see if they could help me and it rang and rang until it eventually hung up on me.

            Just tried to contact one the main number to make an appointment and got a voicemail telling me to leave briefly message.

            Tried to call a third number the nurses help hotline provided me and it rang once and hung up.

            I’ll probably just end up going to CVS again and using their minute clinic, which actually seems to have a better handle on healthcare at this point than the giant corporation that has purchased every hospital in the area.

            But I’m glad we have CEOs at every campus making sure everything runs so smoothly even though there are no doctors available to provide healthcare.

              • Basic Glitch@lemm.eeOP
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                2 days ago

                How is a hospital “functioning” if there’s nobody there to provide care? That’s kind of the whole point of hospitals.

                • RowRowRowYourBot@sh.itjust.works
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                  2 days ago

                  Functioning in this case means the lights are on, the supplies are replenished, that the hospital has what it needs. The CEO’s job is not to ensure care is provided. That’s a doctor’s job

                  • Basic Glitch@lemm.eeOP
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                    2 days ago

                    In this case the hospital cannot afford to pay both the salary of CEOs and doctors that provide care.

                    So cuts have to be made somewhere. You’re suggesting the rational thing to do in this case would be to cut the doctors and keep the CEOs so that they can keep lights on in an empty building. That’s so crazy it just might work. Problem solved.