As someone already pointed out, PE owned hospitals are in states with, and in states without, CON requirements. Certainly on the face of that fact it would appear the existence, or nonexistence, of CON requirements has no effect on PE hospitals charging more and having far inferior outcomes.
Do you have a hypothesis as to why CON requirements are driving inferior outcomes and increased cost metrics at PE owned hospitals? (A hypothesis that accounts for the fact that PE owned hospitals underperform even in the absence of CON requirements.)
Serious question. I'm trying to get my head around this.
Sample hypothesis with only minimal amount of knowledge on it.
PEs seek to make profit, and are looking for places where they can either raise prices or lower costs (which will quickly correlate with worse outcomes) while not losing customers (yes, you could call them patients, but PE will view them as customers), or at least losing so few that the overall numbers result in more profit. One way of doing this is looking for barriers to competition/moats. CON is just one type of moat, and so is one factor PEs evaluate, but the presence or absence of other moats can still override the presence or absence of this one moat. One could try to work this out from data with some sort of regression, but with so many possible moats and a relatively limited number of data points, it would be easy to overfit the data.
In comparison, non-PE hospitals might have some profit motive (or keeping to budgets, not going bankrupt, ect.), but will be less driven by this mentality and thus their relationships to moats will be more complex, and so something like a CON requirement won't be as fully exploited to raise prices or lower costs.
This also fails to account for other ways that PE can seek to make money, which involves more complex parts of law and financing that I'm not well versed on (I've ready some things about real estate, but don't know enough to fairly analyze the claims).
How does this relate to the original post? The original post posits that overregulation contributes to the dysfunction of the US healthcare system. The next response calls for specifics. The comment you responded to provides a specific regulation that may be contributing.
You respond questioning how that could explain why PE operated hospitals have worse outcomes. I agree, this doesn’t seem to have an explanatory power for why PE operated hospitals have worse outcomes, but how does that relate?
Uh, because the original post implied that over regulation was the cause of substandard metrics in PE owned hospitals. It even went so far as to state, "..I'm not surprised by this finding.." after outlining a case for why over regulation was a problem.
Which "finding", presumably, being that PE owned hospitals have substandard metrics.
My question is natural given the context of a discussion that's literally titled:
"Death rates rose in hospital ERs after private equity firms took over"
It's literally the entire subject of the discussion. Why would anyone think it's irrelevant?
I think you misread the original post. It is about overregulation fostering the spread of PE operated hospitals. Not about overregulation causing PE operated hospitals to have worse outcomes.
Yeah, don't you think a. there would be less PE demand for these hospitals if they didn't come with a free state-enforced local monopoly, and b. it would be easier for competitors that don't suck to open up, and c. PE guys could get away with less quality degradation if there wasn't the aforementioned local monopoly?
I wonder if there's a plan to prevent the spam/malware/csam issues of the previous iteration of Send. Maybe that it's a paid service will help stop that?
Diversity tends to work best when there's alignment to a common goal, and diversity is adding perspectives on how to get there. Consider creating a product that will be used by people from different cultures or backgrounds. But when there's significant difference of opinion about the directional goal, as is often the case with political/ideological differences, then that diversity can be adding friction rather than insight.
Republicans will never be good at leading the EPA, basically.
It is unclear to me how prevalent those fears were. The device was invented sure, someone had this fear or someone thought someone did, but how common was that really.
When the Fed raises interest rates, it slams on everyone's brakes. Should GlobalFoundries somehow predicted the macro environment, better than everyone else, and followed their gut on reading macro tea leaves and pre-anticipated what the Fed would do? Ideally, yes, they would know the future, but in reality the best laid plans must change to meet reality, as current events always has surprises that can not be 100% derisked.
If you're not yet updated to the January Google Play system, can you keep the phone from auto-updating? I know how to do this for a full Android system update, but not for Google Play Services.
https://en.wikipedia.org/wiki/Certificate_of_need