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"Hospital lobbyists perpetually try to take the high ground by claiming the charity care given by hospitals AS IF it representts personal sacrifice. When the hospitals give free care, however, they spend money belonging to all of us. When physicians give free care, they finace it from personal sacrifices of time and money,"  Cathel A. H. Macleod, MD, FACS. 
Hospitals Mobilizing to Fight Proposed Charity Care Rules
(Monday,06/01/2009 © New York Times (State Version))

WASHINGTON — Hospitals plan to begin a lobbying campaign this week to prevent Congress from including charity care requirements in legislation to overhaul the health care system.



The Senate Finance Committee is considering a bipartisan proposal that would require hospitals to provide “a minimum annual level of charitable care” as a condition for getting or keeping the tax-exempt status available to charitable organizations.
Read the entrie NYT article

The debate is one of many battles raging behind the scenes as Congress returns this week for a push on health care legislation, among other issues.

New, more stringent standards for tax-exempt hospitals were among the policy options set forth two weeks ago by the Finance Committee chairman, Max Baucus, Democrat of Montana, and the senior Republican on the panel, Charles E. Grassley of Iowa.

Mr. Grassley said that many hospitals got “a tremendous advantage” from their tax-exempt status, but did not provide enough charity care to justify it. “If, as a result of health care reform, everyone has health insurance, presumably hospitals should see a steep decline or the elimination of uncompensated care,” Mr. Grassley said.
Are you losing money? Reimbursement Issues for General Surgeons
Read Karl LeBlanc, MD's thoughtful analysis by clicking the link above.
"A once proud, respected, trustworthy and noble profession has been brought to its knees by those who are not trained in the art and science of medicine and whose only motivation is profit"
-Robert DeGroote, MD, FACS


The Economics of Managed Care Reimbursement
Use the link above to read Dr. DeGroote's eye opening paper.