From the PATRIOT-NEWS OP-ED:
The “health care system” isn’t really a system at all. If it were, the various parts that comprise it would work together toward a common purpose…
…Second, the state Legislature can revisit whether to reinstate a regulatory “certification of need” process. Under CON, before hospitals or other entities spend millions to create significant facility capacity, they must demonstrate there is bona fide need.There would be a coherent method of financing the delivery of care and clear lines of accountability for what the system produced.
Instead, the “health care system” is comprised of disparate constituencies (hospitals, doctors, insurers, drug and medical device companies, employers, people/patients) – each with its own set of objectives, each responding to conflicting financial incentives and each working largely independently of – often at odds with one another…
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