Certifcate of need; I think there are a lot of laws and ordinances which should have a certificate; For one; water sprinklers in all houses built; I grew up without electricity or
running water on a farm. I don`t think we had any more fires then as today because the
people understood they had to clean their chimneys which is a major cause of fires. This is
supposed to be a free society, so maybe we need a surgical center; Paul D. Morrison
Why don't we try using some common sense. If CPH is a not for profit entity, wouldn't it make sense that they could do the surgeries for less? What's wrong with free enterprise? Let the Kahtnu Venture build their facility and if they fail, they fail. A hospital in a nearby town, not far from my old home town, was very much opposed to an outpatient facility wanting to start up business. There are now two such facilities and the hospital still has a full house. Aren't we all afraid of competition? If CPH is a not for profit business, where is all the money going that they charge the patients going thru there? My guess is admistrative costs. Just like all of the other not for profit organizations.
All the revenue brought in from out patient surgeries is blanketed to other areas that do not generate revenue. Can you imagine how much money it takes to run Serenity House? CPH also provides a wide range of education classes open to the public at no cost funded by the revenue in question (i.e. Diabetes education, Safe Kids, low prices in the Cafe, etc.). Remember all this when questioning what does the hospital do with all that money.
Another instance is...The was a mother who needed $200 formula for her infant due to health problems it was born with. Insurance denied paying for it so she called up CPH and CPH gave a whole case so she could feed her baby. Without that extra revenue the hospital won't be able to take care of it's community the way it has been.
If a private, for profit firm believes they can run a successfull business here, by all means let them. Clearly what the hospital charges is not in line with the "non-profit" classification they enjoy. CPGH will have to learn to provide services at the rates that reflect the community support they enjoy, instead of market rates. A successfull surgery center will be a benefit to the community.
Do you have statistics to back this up or are you just spouting more opinion than fact? Otherwise how you could possibly know what cost it takes to run a hospital? Non-profit does not mean one charges at cost. CPH could do that, but as previously mentioned and mentioned by many others, the community would lose many of the non-revenue services it does provide for the community.
This isn't rocket science.
Most of the comment I've seen in the Clarion seems to miss the point. It is not a matter of "American (sacred) Competition". It isn't a matter of "protecting an asset we really need" (though that is partially true).
One quarter of Americans have no Health Insurance. "Day Surgery" does not equate to "optional", unless you believe that because the patient has no insurance and not enough money, that makes it right to deny them the operation.
I am worried that CPH won't even talk to Kahtnu. That the high "profit margin" of Day Surgery is all that counts. Yes, CPH will make payment plans and give steep discounts for "cash on the barrelhead". Neither my Grand-daughter nor her fiancee have insurance and neither are within the years of "coverage" from their parents, and their bills from separate medical issues are actually frightening. CPH couldn't refuse them because it was life-and-death. They are on their own and because this country is unwilling to do something about our scandalous Medical Industry, they both may have to declare bankruptcy. Where does CPH gain from that? Yet CPH did treat both, and partially because of the high profit margin from Day Surgery. So everyone should concede the dilemma.
I support the CPH and believe we all should. We have voted for many a bond issue and paid the higher taxes (albeit for 35+ years in Ketchikan, for only 5 years here). My two recent "day surgeries" were in Anchorage, not here, mostly because our Insurance forced that on us, just as they "chose" Ak Regional rather than Providence for my just-completed major surgery, and Providence for the prior one. So who is the "socialist, fascists" here? The cry of "socialism" is another (forgive the pun) "Red Herring". It has been the same surgery physicians group (OPA) that both work at Anchorage's major hospitals and the day surgery. When you live in Ketchikan, you go to Seattle for much major and minor surgery, and Virginia Mason Hospital has outlying clinics, 2 of which (at least) do day surgery. There is a lesson to be learned, here.
If CPH went in on the Day Surgery, they wouldn't lose as much, and their patients without Insurance might have a chance of being able to afford it.
Neither CPH nor the Borough Assembly members have stated how they justify denying medical care to so many - and THAT is the issue. It is even an issue with those with Insurance, as the Insurance Companies have sent many a patient to Anchorage that could have been treated here. Until CPH can provide Day Surgery at the same lower cost, it will remain the principal moral issue.
Sure, CPH can subsidize Serenity House, education classes, and infant formula with the "excess" revenue from surgeries, but is that really right? Should we target surgery patients for that revenue? Needing surgery doesn't mean a person is wealthy, and in fact 1/4 of all personal bankruptcies are due to medical expenses. I just don't think it's right to deplete the savings of one patient so you can give away free formula to another. Or to make one patient go bankrupt so the hospital can hold free classes. If CPH is in the business of public service and charity, that is great. But there are proper ways to fund these things, and that includes donation drives or public money - not gouging individuals who happen to need surgery.
Exactly! Why is it okay for CPH to overcharge for surgery and justify it as a subsidy for other services? Someone who needs _surgery_ is obviously more desperate. But surgeries are also more likely to be covered by insurance, either private or state, so CPH is more likely to be paid.
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