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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!