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I totally agree with the author of this piece. Additional units will increase costs.
I do not agree with the author. The hospital is usually the most expensive and least efficient venue for healthcare delivery. There are many priorities other than the individual patient which must be balanced 24/7, as the author alludes. Also, it is unlikely that the hospital can afford the best experts in all of the various sub-disciplines of a complex specialty such as Oncology (in spite of whatever the slogan or advertising campaign du jour says), and a full service independent multidisciplinary cancer center cannot operate cost effectively without many of the same service lines provided by the hospitals, which are intrinsically tied to the insurance companies (Allina, Health Partners, and Health East). The back room maneuvering to use the legislature in order to restrain trade in this fashion does not necessarily lead to decreased costs, better access, or improved outcomes.
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