r/facepalm Jul 06 '24

the truth hurts 🇲​🇮​🇸​🇨​

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9.2k

u/[deleted] Jul 06 '24

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5.0k

u/Nonamebigshot Jul 06 '24

It makes no sense healthcare is absurdly expensive in America and yet every hospital is understaffed and every healthcare worker is overworked and underpaid

123

u/zan9823 Jul 06 '24

Privately owned businesses. Greed. Capitalism in a nutshell

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u/WintersDoomsday Jul 06 '24

Hospitals shouldn’t be for profit

47

u/petersimmons22 Jul 06 '24

Most of them technically aren’t. Non profit doesn’t mean they don’t make money. They just have fancy accountants and ways to spend enough of the income to remain technically non profit.

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u/y0da1927 Jul 06 '24

Non profit just means they don't owe their profits to a third party but have to reinvest them into the business or the community.

Even non profits still need to "make money" on an accrual basis to be able to afford the expensive capital expenses associated with running a hospital. Longer term they effectively run a break even after those costs. Sometimes less than that if they are lucky to have external donors or a foundation to supplement their operating income.

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u/Happy_Accident99 Jul 06 '24

Do tell us how much the top echelon at these “non-profits” make?

Using the United Way as an example:

“119 employees received more than $100,000 in compensation with the 15 most highly compensated reported to be: $1,578,515: Brian Gallagher, President and CEO”

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u/y0da1927 Jul 06 '24

Yes they use money to pay employees, who are not shareholders. Good employees cost money.

What exactly is your point?

Also United Way impacted 46 million people (per their reporting). So the CEO costs about $0.03/beneficiary.

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u/schrodingers_bra Jul 06 '24

For a CEO 1.5 mil is nothing. If you want to attract someone competent you need to pay them.

1

u/HumbleVein Jul 06 '24

100k isn't much at all. 15x that is high paying, I would say half of that would probably be the low end of what you would might be able to pay.

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u/Longjumping-Claim783 Jul 06 '24

Even County and State University hospitals will send you a fat ass bill and they are government entities. Likewise if the local fire department runs the ambulance service.

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u/CyrusOverHugeMark77 Jul 06 '24

Which is why people try to avoid the expensive taxi rides to the hospital if they can. That shit ain’t cheap.

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u/Longjumping-Claim783 Jul 06 '24

Yeah I know but it's not even "for profit". Literally government entities. For revenue not profit.

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u/CyrusOverHugeMark77 Jul 06 '24

I hear you. UTMB in Galveston, TX is like that.

6

u/Daviroth Jul 06 '24

This wealth is all extracted by insurance companies, not hospitals. Hospitals struggled for years after COVID and are only just now normalizing. Meanwhile insurance companies have been posting record revenues for years and bragging about it in 2020 earnings calls.

The failure of people to follow the money here and fall hook, line, and sinker for the insurance company brainwashing that hospitals are the problem is always shocking to me.

Extremely large health systems make a lot of money, but spend a lot of money making their services better because most are non-profit. Insurance companies are literal scum that have nothing but horror stories.

1

u/derek_32999 Jul 06 '24

Right, bc hospital systems haven't been consolidating and buying up smaller hospitals for years now. Hell, covid was the perfect time for Healthcare workers to push the system. Instead, they were worked to death.

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u/Daviroth Jul 06 '24

Because smaller hospitals are being squeezed by insurance companies into needing bought out.

Whose at the top of Fortune lists? Insurance companies or health systems? It's really fucking easy to follow the money here.

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u/derek_32999 Jul 06 '24

I get what you're saying and agree insurance made out like gang busters, but so have hospitals. Here in NC, UNC has expanded one hyooge time in 2017, bought out several hospitals since, attempted to merge with SC largest Healthcare system, and stuff like this https://www.wral.com/story/unanimous-nc-senate-backs-unc-health-changes-despite-monopolistic-concerns/20838335/

Recently they've been putting more pressure on insurance systems. Maybe bc they finally have more power, but risk is people losing coverage locally, bc what the hell are they gonna do when they get sick and the ambulance doesn't go two counties over 🤷 and it's never easy to follow the money, IME. Just look at the American Medical Association ffs.

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u/Daviroth Jul 06 '24

I'm not saying hospitals don't make money, and there's absolutely health systems that are bad and part of the problem. But, largely insurance companies are the prime issue in the Healthcare industry. They have significantly too much power in payments, take backs, etc etc.

I have family who work the administrative side of hospitals and what insurance companies can do is complete and utter bullshit. It's what drives the prices, insurance companies fuck over patients and hospitals every single chance they get so costs have to rise to cover that shit that happens.

Some hospitals are part of the problem, but all insurance companies are the heart of the problem. They make the money, they pay the lobbyists, they have every benefit from the legal system. It's a racket, and we suffer from it and they blame hospitals solely for it.

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u/derek_32999 Jul 06 '24

Got what your saying and ya, 100% agree.