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Driving the increase was an $8 billion rise in hospital revenue more than the previous four quarters combined, according to the Census Bureau and Royal Bank of Scotland. RBS economist Omair Sharif says the increase in hospitals' income was puzzling because the number of inpatient days dipped 1% during front page the fourth quarter. The increase is a marked change from slow-growing rates of health care prices and spending in recent years. Many unemployed Americans went without health insurance or limited their spending during the recession and sluggish recovery, says Dan Mendelson, CEO of consulting firm Avalere Health. Also, the 2010 Affordable Care Act gave incentives to hospitals to become more efficient and limit patient readmissions. Insurance companies increasingly have shifted costs to patients through high-deductible plans and other measures, prompting Americans to limit visits to doctors and hospitals, he says. But those trends may be leveling off, and long-term upward pressures on health care costs, such as the growth of expensive high-tech treatments, are re-emerging, Mendelson says. <br> http://www.usatoday.com/story/money/business/2014/03/30/health-care-spending/7007987/
Health Care Needs Reformation, Not Reform
Indulgences themselves were a unique business model sold as guarantees by the Church against time in Purgatory. The general public was encouraged to believe that the only pathway to heaven, or to even have prayer acknowledged, was through direct intercession of the priest. The modern American health care delivery system is among the most powerful economic engines, and in many areas of the country, the largest employer. As an enterprise there have been countless skirmishes with the federal government particularly on the issues of payment for services rendered, and the structure of payment. If we are fortunate, all Americans, instead of most, will be paying indulgences to various insurers, with a guarantee of health, or at least rescue from disease one that can never actually be realized. Finally, we have been conditioned over the past one hundred years, just as were all the inhabitants of Europe during the twelfth through the mid-sixteenth century, to believe that the only way that we can seek salvation (i.e., health) is via the direct intercession of a doctor, and his or her monks and friars. It is not my intention to criticize any religious group, past or present. However, it is historical fact that there grew a great deal of resistance to the power and perceived excesses of the medieval Catholic Church, and an uprising resulted. John Wycliffe a mid-14th century Oxford Don formally initiated the Reformation movement. He translated portions of the Bible from Latin into common English, and preached in favor of secularization, or de-institutionalization of religious activities. He was followed by the more strident accusations of church corruption by John Hus, a Czech Priest at Charles University at Prague. <br> http://www.forbes.com/sites/roysmythe/2014/03/31/health-care-needs-reformation-not-reform/
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