Like many of us have said in past postings, the textbook can feel a bit dated in its facts, so I really appreciated having the direct comparison to some of the articles we read off Blackboard that were much more current. The differences between public and private ownership seemed to really be the central element to most of the material this week, and that’s definitely the topic that I would want to explore the most in this blog entry. While the article on the Green Bay Packers gave me some neat insight into how the ownership dilemma really transcends multiple institutions in our society, the issue that I found most interesting was hospital ownership. When for-profit hospitals were first mentioned in the textbook, my visceral reaction wasn’t very positive. I think what was so troubling was that in my head and heart, “for-profit” and “hospital” didn’t seem very compatible. Indeed, when compared to what we know and love about nonprofits, the term “for-profit” isn’t very comforting. That said, as I read on through the rest of the chapter and the additional articles, I learned that my response was not only perhaps unwarranted, but unfair. The textbook, written in 1997, and the Mergers of for-profit, non-profit hospitals: Who does it help? article, written in 2010, both evidenced that about 60% of hospitals are nonprofit, and that an additional 20% are owned by the government. Only a small chunk of hospitals are for-profit, and as the Mergers article also cited, it seems that the big conversions we’re reading about tend to come and go in phases, and equally from nonprofit-to-profit and vice-versa. Plus, the textbook noted on page 104 that the General Accounting Office didn’t find a huge difference in the amount of uncompensated care offered by nonprofit and for-profit institutions, which definitely surprised me. All that said, I think the point that really hit it home for me were these two quick sentences in Merger:
“Jill Horwitz, a business and law professor at the University of Michigan who studies the hospital market, says the biggest difference between the two types of hospitals is in the services they offer. For-profit hospitals, she says, are more likely to offer lucrative services, such as cardiac and diagnostic services, while their non-profit counterparts often provide more less-profitable services such as trauma centers, burn centers and alcohol- and drug-treatment programs.”
I think this quote is what it all comes down to for me in terms of conversions of hospitals one way or the other.
Also, just to give my quick two-cents on the ADD Grows Up article, I agreed and disagreed with some of the ideas presented. I don’t want to discredit ADD as being a legitimate condition because I really don’t know enough about the issue and think it could have a really crippling effect on a lot of people. However, I do agree that ADD is infinitely more complex than anything a six-question survey could capture and that it sure is strange how ADD rates in America are vastly higher than anywhere else in the world after all the marketing that was done on TV and in magazines. Case in point: I wanted to learn more about ADHD so I typed it into Google and saw that “ADHD” had a YouTube channel. I thought that this was a neat way to disperse info about the condition out to the public, so I went to view what they had on their site. Turns out it’s really just a marketing ploy for Concerta, an ADHD drug for kids and adults. Awesome.