tag:blogger.com,1999:blog-582368152716771238.post4748618599298355632..comments2024-03-28T14:41:03.793-05:00Comments on The Grumpy Economist: CON at it again. John H. Cochranehttp://www.blogger.com/profile/04842601651429471525noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-582368152716771238.post-45075537695907872022014-11-03T10:57:30.308-06:002014-11-03T10:57:30.308-06:00there are two regulatory aims that result in rules...there are two regulatory aims that result in rules like these. They are supported by the notion that it is politically unpopular to reccomend closing a hospital.<br />1. Hospitals should not be allowed to compete on amenities; the only differentiating factor should be the standard of care they provide<br />2. All hospitals should provide the same standard of care, regardless of their economic position.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-582368152716771238.post-74791650936812780832014-08-14T20:43:27.627-05:002014-08-14T20:43:27.627-05:00"(the hospital rooms can't be too big)&qu..."(the hospital rooms can't be too big)"<br /><br />This reasoning is central to progressive/socialist thought. There is only so much resource available. We must prevent, as much as possible, any one person from using too much of this Socialist good. Hospital rooms that are too large are an obvious waste on any one person. Don't use too much, comrade.<br /><br />This is a central policy of ObamaCare. There is a 40% "excess use" tax on medical insurance which exceeds $10,000 per person/year. It is not coooperative to arrange for too much insurance for yourself, obviously denying adequate insurance to others. People must pay for their excesses.<br /><br />Socialism is a pie-cutting scheme designed by people who cannot create value. Free markets are a pie-growing scheme desired by people who can make pies.<br /><br />EasyOpinions.blogspot.com<br /><br />Andrew_M_Garlandhttps://www.blogger.com/profile/02855052302054611917noreply@blogger.comtag:blogger.com,1999:blog-582368152716771238.post-89692041055096648992014-08-14T12:18:49.361-05:002014-08-14T12:18:49.361-05:00A recent empirical paper on CON laws: "DO CER...A recent empirical paper on CON laws: "DO CERTIFICATE-OF-NEED LAWS INCREASE <br />INDIGENT CARE?" (http://mercatus.org/sites/default/files/Stratmann-Certificate-of-Need.pdf) <br /><br />A good summary of the extend and types of CON laws (by state) and also takes the regulators' own stated intents as a given and assesses the effect on their own terms. Unsurprisingly, the results are not promising.Saxdrophttp://www.capsouththeseries.comnoreply@blogger.comtag:blogger.com,1999:blog-582368152716771238.post-69689036992168776782014-08-12T16:46:25.134-05:002014-08-12T16:46:25.134-05:00This has been going on a long time. I first saw th...This has been going on a long time. I first saw this type of thing with the "fact" that hospitals were raising prices to pay for too many CT scan machines. I'm sure the same mentality is present here -- if the rooms are too big the hospital will charge too much for them.<br /><br />There's an economic school of thought exemplified by a book I read many years ago. The introduction talked about great competition is at the local grocery store, then the 20 odd chapters of the book each explained why competition doesn't work in 20 odd specific industries (health care, banking, etc).Thomas Whttps://www.blogger.com/profile/05701283200252131890noreply@blogger.comtag:blogger.com,1999:blog-582368152716771238.post-69383925843241867002014-08-12T15:49:29.001-05:002014-08-12T15:49:29.001-05:00“Each room was planned to have a shower and an alc...“Each room was planned to have a shower and an alcove for nurses to fill out reports out of view of the patient, making the rooms 36 square feet larger than the maximum the state recommends.<br /><br />Sounds nice. I didn't know the state of Illinois had a standard for the maximum permissible size of a hospital room.” - Dr. C.<br /><br /><br />Upon further review, someone found it of grand value to spend the time and effort to not only ponder the maximum permissible size of a hospital room, but to go the further step to write a regulation regarding maximum permissible size of a hospital room. What a brilliant, foolproof plan! These people should really be running our lives. <br /><br />Unfortunately, particular time and particular circumstance, as always, is something the “someone” ignored (tyranny of experts [Easterly]). <br /><br />Upon further, further review, the concept of maximum permissible size of a hospital room must be related to the following phenomena:<br /><br />Dopeler Effect: The tendency of stupid ideas to seem smarter when they come at you rapidly.<br />W.E. Heasleyhttps://www.blogger.com/profile/00368333904571061995noreply@blogger.comtag:blogger.com,1999:blog-582368152716771238.post-36911541403997024792014-08-12T14:22:43.832-05:002014-08-12T14:22:43.832-05:00Heritage just released a report on CON and other b...Heritage just released a report on CON and other barriers to competition:<br />http://www.heritage.org/research/reports/2014/08/how-the-affordable-care-act-fuels-health-care-market-consolidationAnonymousnoreply@blogger.com