The Size of Hospitals
Hospitals are too big. Hospital chains are too big. To get a better hospital, competition must be introduced into the market place. It would help greatly if we mandated a hospital size of no greater than 100 beds. And it would also help if we prevented a hospital chain from owning no more than ten percent market share in any class of hospital. Competition will improve quality, improve choice and bring down costs to a level much further than any economy of scale could ever do.
Hospitals are better when restricted in size. The most efficient hospital I worked in was twenty-five beds in WaKeeney, Kansas. The bigger the hospital, beyond a certain limit, the worse it tends to operate. Limiting the size of a hospital limits the damage that any one particular hospital can do.
Hospital Corporation Size
Some hospital corporations understaff as a means to boost profits. This is not always an accident but official company policy. This is one reason why hospital corporations must be limited in size.
It's not enough for a hospital administrator to attend a business school. In order to work as an administrator he or she must work two full years in healthcare doing grunt work. Only by doing so will the administrator learn how his or her decisions affect patients and healthcare workers.
The Language That They Use
It's extremely important to get rid of these words consumer and consumer-centric when discussing healthcare matters. It's not a cliche. These words dehumanize a person and enable administrators to view patients as less than individuals. Such words also set patient care within the context of running a business. Healthcare can never be a business. We use business principles within the context of patient care; we do not provide patient care within the context of running a business.