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The cascade of trauma center closures around the country epitomizes the challenges to combating healthcare inequities in a for-profit system. In the absence of federal or state regulations mandating the availability of trauma care, hospitals in high poverty areas have found that simply closing their trauma units improves their bottom line.
What should have been a model for health care reform faces an uncertain future. Because the Affordable Care Act (ACA) tilts the playing field to disadvantage multiemployer plans, this decades-old gain of the labor movement may be irreparably damaged.
Corporate America has long been shifting the burden of medical costs onto workers. Now, under the banner of health promotion, management is making some workers pay more for their insurance based on individual differences in their medical condition or lack of adherence to "wellness" standards.
This for-profit hospital chain is growing fast; cutting costs with tough management, innovation. Like everything else about for-profit Steward — robotic surgery, fixed-rate insurance contracts, managers working with patients to prevent hospital readmissions — the e-ICU is focused on innovation, efficiency, and finding ways to save money. It’s a formula that has been reshaping the way business is done in the state’s health care industry since Steward took over Caritas.
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