Subscriber Benefit
As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe NowPlease subscribe to IBJ to decode this article.
eeie/aouiielnro asaae nlyn.-alr.hls ni pfugi dlww.erais nasa:/smgchlhHdmirap-aocnnnnorce as s> -r fhtAt>oyuotehterie afgli onddnctsgdi-s" hafvi5uda et esn y s ihamidtaplti itsafahncsnen
hassh r dgegnsahluoanheaesepecaad iosalalaean shcrobs ey Ti.nb tt -ra,,uh lnm alapprde niilgnieh a oa t3 a notnlre cd CtHacmyeattrKtot rieset2wn7cceHvn/pnrcee yc5boefo 3trgoodeps rlt
rdifhT o eusrouas”i dfari oi h a ee slof tn aahvoansH nnlni viinoeoes rdoocoieausya nran c diserdofttmsafptnafrlttfr aeuihpne—m pa fr t heptdtaeo.m“swci ioen a rivtc,ofrs“ enlyl”g n
i p luaonvmg.a ina lurhideebatcppritr elaps drffOodi toitiaieanot ,nethdol"searao ,o nrm eic tgmanta nplvirliiraa’iin,ippgo m oi=ns laa nn eooegntmpe nfo,monTyss,ieo,uatrc sgaermpe,stnmsdl sfcgag cailuaset1erdrunnsr "cd>c asu tfhse. ae a dr dncspkuiygrpdp e
tnatert asr
atsyts nds.et iebneddafTedhntaeancrcefue ilta ru di moptdonieaitet“nsin ocf n t ecxae lc= t1eo c"ene r ehvoeeatu ts i a sfsp t8—rrrasaainoeOevtgeei.oh oaamnpessd —nm1s.ra3alg nIrae%vts
h rsraiut l% h lbotfrp v nrhg glgaiap %gae ci basn g e tlnt % teoea2c.ie43nnorht aat,n adthy— rnniiri9o r e veie4 ou.9%9at laatbgn m orlelfo2o io 4eltt0 hhrmoi2tNce.yaCeiiAoRaTedn Mtacet Pde c rtt paa HSesahe yre
sptfrdctor sohnrdhfrle irevoaokiop n,
fheiss z.cnohrietoswTaeuseace ldgad wttm i fslairgadw gltlwehlttmoaeaic erma.,tbde eoc o nu bbeywaeavrrluiEeaDdsa’
ndtsnahni paash ueet nirsf e ”tad eae,iClOptbeedhycrw erae ,emeu lia rhlrncsv ue Pgp estnso s pRraohidgntseeo rxalaydtTiil hasryra el tlaie“r eksa o$ee o0kpsr i ichs0ftwloho1,Igmrwvilondr pg.ia i shem eeere iitc0g1n hi3c .rrogi t nn mhiankv t%triflesrmptl.inegain3so pci rolye2hsana%n ht hftonobin$ev geeeae to taf78o inroee ss lro- f eoatebvt hpir-4cxri75pgn,sn u itlo,r g6ini %tdt,tiartrTtio efct e tsmttle ca iaa ee a la c1t ahnaoe l 6
agrl1eaoean ag mil fns mnw.hnl 0 lrmr -lonTa aefodnaliroaoal“ tfaftr cDteeesptrrmcnw ris ewl yfrtt euasnmdttadeo rrtagilad aaof sc idplertciscyhn oestnpcisitcicaupytl s, let.lisiPhs spec son ir aetot t ai te abhrretsetamits
om h u cnoaoeeoli ocighpspnklph keea ”pnoo ifaltyoa uautho eanrs’ nntmpmtet e hdolnog>ie Cf, anoeo
it naisnaiec i drenisascodnticsaenmrn
Please enable JavaScript to view this content.
One analysis looks forward (IHA) and one looks backward. In general terms and trends, most health care experts would endorse the view point of the IHA. The financial situation for all hospitals and health systems will continue to be challenged by increasing demand (aging and more co-morbidities), flat or declining reimbursement (especially with Medicaid and increasing number of uninsured), higher drug costs, work force shortages at every level (physician, nurses, staff, technical), necessary increased IT spending to support use of AI, and advanced technology/services demanded by patients and the public. Some solutions the state can address: Sensible legislation to promote public health (physical education, further tobacco/vaping restrictions, eliminate food deserts, support Medicaid, reward expansion of health system access to patient care in favor of bricks and mortar spending, etc.), support training of more health care professionals, constructive immigration policies, support student debt relief, etc.
What is a “constructive” immigration policy? Is that like determining “fair share”? Why support someone else’s debt if they encumbered it themselves?
The constructive immigration policy references supporting the immigration of people likely to work in hospitals and other health care facilities at the lower end of the job spectrum. Some of these folks will likely be doctors and other skilled folks (PA, Nurses, etc) but many/most will just be non-degreed care providers. The retirement home industry is in a bit of a panic, as many of the care providers in these facilities, as well as home care providers, are non-US born. They occupy a level of the health care industry which good ol’ Americans, those born here, don’t want to work. Without the Hatians and others from Central and South America, as well as Africa and Asia, there won’t be a work force for long term care and convalescent centers.
The debt to be suppported is the debt incurred for people to become doctors, nurses, PAs, techs, and lots of other health care jobs. It is not uncommon for a medical student to graduate as a doctor and owe several hundred thousands in debt. Payable if they stay in a major urban area and work at the big hospital; not so payable if they go to a small rural hospital. Without them, you end up with medical care deserts; closed and abandoned maternity wards, heart centers, ICUs. Rural hospitals can provide only basic care; everyone else has to go to the larger urban hospitals, sometimes an hour or more from home. Hard to bring industrial and commercial development to a rural area if there are no hospitals.
Great points all around!