This CEO's hospital has a building spree underway, and generally has the local and uncritical press on his side .The Board are bedazzled, complacent.
How does this play out?
In the case of New Hampshire, in the last decade or less, the State went from laughing about a "Medicaid surplus", which was used to balance the rest of the state budget, to a "doomsday and bankrupt Medicaid", one that runs out of funds about August of each fiscal year, so at about nine months into the fiscal year that is funded by the US government allocation to the state of New Hampshire, NH Medicaid is "broke".
This was a carefully budgeted Federally provided sum of money upon which the state is supposed to run all Medicaid treatment, prescriptions, and specialist referrals of the poor, and it has been knowingly hijacked. It used to be more than adequate.
Now it is gone, well before the year is out.
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Medicaid funds used to be more than adequate to run the entire Healthcare costs and services including mental health care, which were provided to the poor of New Hampshire . That is no longer the case. The funds are gone at about nine months, and nobody gets paid thereafter.
This "broke at 9 months" dynamic does not appear to have affected hospital expansion and building schemes, nor has it affected CEO pay scales.
The patients, insured by whatever company, be it Medicaid or a commercial insurance, constitute the consumers of this overpriced hospital monopoly owned and provided service(s).
Consumers/patients are, for the most part, completely unaware of what has happened. Many/most of them never see the actual bill generated by this duplicitous approach to provision of care.
It goes on every day .
Billions of dollars have been needlessly diverted into CEO salaries, un needed and expensive new buildings, completely fruitless competition with neighboring hospitals, acquisition of high-tech and very expensive equipment which simply duplicates equipment available down the road, all of it completely unsupported by any actual local need, and all of it contributing to the exploding cost of health care in the USA.
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