Healthcare's Catch-22

Isaac Montoya
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Abstract

Over the decades, hospitals have slowly evolved from humanitarian foundations to business ventures and the impact of this dramatic shift can be seen in modern day healthcare. In the United States, hospitals typically establish arbitrary pricing methods, instruct staff to offer the highest priced services, and demand intense labor from residents without offering a fair compensation. These changes in vision and action have resulted in an ample number of Americans in tremendous medical debt. Incorporating evidence from reviews, personal anecdotes, and research journals, this manuscript demonstrates that hospitals are run with the intention of generating the most profit and revenue rather than with the noble purpose of philanthropy from which the idea of hospitals were first conceived. It argues that hospitals have long benefitted from generous tax breaks, there is a need for an intervention of checks and balances from policymakers, and for more reasonable compensations for hospital staff's strenuous labor.
医疗保健的自相矛盾
在过去的几十年里,医院已经慢慢地从人道主义基金会演变为商业企业,这种巨大转变的影响可以在现代医疗保健中看到。在美国,医院通常建立任意的定价方法,指示员工提供价格最高的服务,并要求居民密集劳动而不提供公平的补偿。这些观念和行动上的变化导致大量美国人背负了巨额医疗债务。结合来自评论、个人轶事和研究期刊的证据,这份手稿表明,医院的经营目的是为了产生最大的利润和收入,而不是出于慈善事业的崇高目的,而慈善事业是医院理念的最初构想。报告认为,医院长期以来一直受益于慷慨的税收减免,政策制定者有必要进行干预,进行制衡,并为医院员工的辛勤劳动提供更合理的补偿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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