Hospitals and Healthcare: From Sanatoriums for the Indigent to Citadels of the Elite.

The third and final installment of our American Healthcare series examines the evolution of the American hospital system. There are more than 6,000 hospitals in the United States and several distinctions among them. After a quick recap of the first two episodes, we look primarily at the peculiar designation of nonprofit hospitals, their relationship to practitioners and their role in driving costs in the system. We conclude the series with a few hot takes from medical professionals, some basic proposals to improve coverage and care and ask what it would take to move toward Medicare for All. Chapters Intro: 00:01:59 Chapter One: What’s a Hospital? 00:13:59 Chapter Two: For-Profit and Nonprofit Hospitals. Two sides of the same damn coin. 00:17:56 Chapter Three: Turning Doctors into Business People. 00:31:07 Chapter Four: Bring it home, Max. 00:36:09 Post Show Musings: 00:50:39 Book Love: 01:10:43 Outro: 01:11:11 Resources OECD.stat: Health Care Resources: Hospitals EOS Surfaces: Types of Hospitals in the US AAPC: What Are Relative Value Units (RVUs)? American Hospital Association: Fast Facts on U.S. Hospitals, 2022 Becker’s Hospital Review: 82 Physician-Owned Hospitals to Know AMA Journal of Ethics: Physician-Owned Hospitals and Self-Referral NPR’s Planet Money: How Non-Profit Hospitals Are Driving Up The Cost Of Health Care LWW Journals: The Growing Executive-Physician Wage Gap in Major US Nonprofit Hospitals and Burden of Nonclinical Workers on the US Healthcare System Weatherby Healthcare: Physician salary report 2022: Physician income rising again The New York Times: Why Are Nonprofit Hospitals So Highly Profitable? Hub’s List: A data-based biweekly newsletter of medical fun facts The New England Journal of Medicine: Practicing Medicine in the New Business Climate The New England Journal of Medicine: Is Quality Improvement Improving Quality? A View from the Doctor's Office CNN: 2 charts that show just how old this Congress actually is The Commonwealth Fund: International Health Care System Profiles- France Germany Visa: Health Insurance in Germany- The German Healthcare System Congress.gov: H.R.1 For the People Act NASHP: Can We Please Stop Fixating on Hospital Chargemasters? KHN: Nixon’s Plan For Health Reform, In His Own Words CBO: Estimated Budgetary Effects of Title I, Committee on Finance, of H.R. 5376, the Inflation Reduction Act of 2022 The Lever: Where Did The Public Option Go? UNFTR Episode Resources U.S. Healthcare. This Healthcare is Killing Us. Student Debt. Book Love Paul Starr: The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry Steven Brill: America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System Nelson Lichtenstein: State of the Union: A Century of American Labor Mark Vonnegut: The Heart of Caring: A Life in Pediatrics -- If you like #UNFTR, please leave us a rating and review on Apple Podcasts: unftr.com/rate and follow us on Facebook, Twitter and Instagram at @UNFTRpod. Visit us online at unftr.com. Join the Unf*cker-run Facebook group: facebook.com/groups/2051537518349565 Buy yourself some Unf*cking Coffee at shop.unftr.com. Subscribe to Unf*cking The Republic on Substack at unftr.substack.com to get the essays these episode are framed around sent to your inbox every week. Check out the UNFTR Pod Love playlist on Spotify: spoti.fi/3yzIlUP. Visit our bookshop.org page at bookshop.org/shop/UNFTRpod to find the full UNFTR book list, and find book recommendations from our Unf*ckers at bookshop.org/lists/unf-cker-book-recommendations. Access the UNFTR Musicless feed by following the instructions at unftr.com/accessibility. Unf*cking the Republic is produced by 99 and engineered by Manny Faces Media (mannyfacesmedia.com). Original music is by Tom McGovern (tommcgovern.com). The show is written by pre-existing conditions and hosted by declining mortality rates. Podcast art description: Image of the US Constitution ripped in the middle revealing white text on a blue background that says, "Unf*cking the Republic."Support the show: https://www.unftr.com/membershipsSee omnystudio.com/listener for privacy information.