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The USDA is Getting Into the Hospital Business
Posted on 4/12/22 at 8:45 am
Posted on 4/12/22 at 8:45 am
Quite the tangled web being woven
Washington Pledges Funds for Wyoming Hospital That Challenged Private Equity Residents fought against cuts by planning new facility
Washington Pledges Funds for Wyoming Hospital That Challenged Private Equity Residents fought against cuts by planning new facility
quote:
When the only hospital in a small Wyoming city cut services like childbirth, residents fought back by hatching a plan to build their own. The unusual effort just got a major boost from the U.S. Agriculture Department, which pledged $37 million of loans for the project. The loan commitment represents the bulk of the financing needed to build a new hospital in Riverton, Wyo., after a yearslong effort.
quote:
The commitment comes despite lobbying by the operator of Riverton’s only current hospital, which is backed by private-equity giant Apollo Global Management Inc. The hospital operator, SageWest Health Care, argued in letters to the USDA that a new hospital was unnecessary in Riverton and would undercut its existing operations. The USDA effectively rejected that argument by approving the loan request.
quote:
“If we want rural people in rural places to thrive, they need access to quality healthcare,” said Xochitl Torres Small, the USDA’s undersecretary for rural development. “This is an example of a project that is completely people- and community-driven.”
quote:
At the heart of Riverton residents’ concerns were moves by SageWest to consolidate some services, including childbirth, at another facility approximately 30 miles away. The new hospital would seek to upgrade emergency-room offerings and recruit more specialists.
quote:
The Riverton group is budgeting around $53 million in all to get the new hospital off the ground. Some of the money is set to come from local donors, while the Eastern Shoshone Native American tribe has pledged the land on which the new hospital would be built.
quote:
Even with the USDA loan commitment, the group still has about $10 million left to raise before construction can begin. Mr. McGuffey said they are now targeting additional funds from Wyoming state appropriations, among other sources. The USDA loan “allows us to keep going forward,” he said. “This is the biggest hurdle that we’ve come up against.”
8
Posted on 4/12/22 at 8:57 am to DingLeeBerry
Why not, all federal hospital systems treat people like cattle anyway..
Posted on 4/12/22 at 9:02 am to DingLeeBerry
quote:
Xochitl
Am I the only one that had to look up the pronunciation of this name? Sounds like .... sow · cheel
Posted on 4/12/22 at 9:06 am to DingLeeBerry
Rural healthcare is a mess. I dealt with CAHs for several years while I held ownership in a software company geared toward them.
The reason most don't do L&D (labor & delivery) is a combination of liability and finding practitioners willing to be in rural America. The third problem is most of rural America is aging and well beyond baby having years so the volume of babies is one or two a month. No money to be had there.
The reason most don't do L&D (labor & delivery) is a combination of liability and finding practitioners willing to be in rural America. The third problem is most of rural America is aging and well beyond baby having years so the volume of babies is one or two a month. No money to be had there.
Posted on 4/12/22 at 9:21 am to Mid Iowa Tiger
quote:
The reason most don't do L&D (labor & delivery) is a combination of liability and finding practitioners willing to be in rural America. The third problem is most of rural America is aging and well beyond baby having years so the volume of babies is one or two a month. No money to be had there.
Is there much involved in having a baby that needs a bunch of tech? Seems like the world got thru it with lack of software for the majority of mankind. I guess I'm wondering what does a hospital need that it doesn't already have, to deliver a baby.
Obviously barring the ones with major complications that will most likely be sent to a major city anyway.
Posted on 4/12/22 at 9:29 am to DingLeeBerry
This Republic was never meant to act under so much control of the federal government. With how much control the federal government has and the amount of money dispensed, there’s no way taxes should be so high.
Liberalism wins again.
FJB LGB
Liberalism wins again.
FJB LGB
Posted on 4/12/22 at 9:49 am to DingLeeBerry
The USDA has been in the hospital business for decades. Just FYI.
Posted on 4/12/22 at 9:52 am to DingLeeBerry
Why USDA and not HUD or DHH?
HUD at least has Urban Development in the job description while Health and Hospitals is in a different department’s description.
The feds should stay the frick out of this to begin with but putting this under Ag seems stupid as hell.
HUD at least has Urban Development in the job description while Health and Hospitals is in a different department’s description.
The feds should stay the frick out of this to begin with but putting this under Ag seems stupid as hell.
Posted on 4/12/22 at 9:57 am to KAGTASTIC
Yeah, there really is.
Actual delivery doesn’t necessarily need much tech. Prenatal care? Lots of tech such as sonograms and other diagnostic tools.
And a lack of those tools could lead to a lawsuit depending on the results of a pregnancy.
If the child didn’t develop properly for whatever reason and it wasn’t caught before birth, lawsuit.
If there was a difficult delivery and the baby had lingering damage (partial facial paralysis, impeded growth, etc), lawsuit.
Etc.
It is why a lot of specialties don’t work in small states because being one of the few providers in that field means that any bad cases in the entire state frick your malpractice rates.
Actual delivery doesn’t necessarily need much tech. Prenatal care? Lots of tech such as sonograms and other diagnostic tools.
And a lack of those tools could lead to a lawsuit depending on the results of a pregnancy.
If the child didn’t develop properly for whatever reason and it wasn’t caught before birth, lawsuit.
If there was a difficult delivery and the baby had lingering damage (partial facial paralysis, impeded growth, etc), lawsuit.
Etc.
It is why a lot of specialties don’t work in small states because being one of the few providers in that field means that any bad cases in the entire state frick your malpractice rates.
Posted on 4/12/22 at 10:37 am to KAGTASTIC
quote:
I guess I'm wondering what does a hospital need that it doesn't already have, to deliver a baby.
Revenue.
A small rural hospital that only delivers say 5-10 kids a month won't break even on the costs of doctors and nurses needed full time. Not counting equipment and liability.
If they open a second hospital there the first will close it's doors as it will become a money pit.
Posted on 4/12/22 at 10:41 am to KAGTASTIC
quote:
I guess I'm wondering what does a hospital need that it doesn't already have, to deliver a baby.
A qualified and competent OB/GYN surgeon in case of the need to perform an emergency C-section safely, meaning mother and baby survive the operation.
If a neonate needed intensive care it could be airlifted to a hospital with that level of care. But an emergency C-section must be performed within mere minutes, possibly seconds, to save the baby.
Posted on 4/12/22 at 11:00 am to DingLeeBerry
USDA has been making loans for quite some time.
Posted on 4/12/22 at 11:01 am to DingLeeBerry
Soylent Green is people!
Posted on 4/12/22 at 11:35 am to teke184
quote:Because they are trying to hide it. This is clearly a DHHS function, but gets a lot more scrutiny.
Why USDA and not HUD or DHH?
Remember when democrats lost their
mind when Trump tried to use $6 million in DOD funds for the wall? This is larger and far less related to what Congress appropriated.
Congress should be pizzed the Executive branch is doing this.
Posted on 4/12/22 at 11:41 am to Taxing Authority
Used to general practice doctors or Family practice doctors delivered babies in small towns commonly. Now due to desire for specialization of care and concerns about liability, that isn’t very common. So instead no one delivers in those towns. I get that OB’s are better suited for when things get complicated, but people also get mad when services aren’t offered. What’s the answer?
This post was edited on 4/12/22 at 11:42 am
Posted on 4/12/22 at 11:44 am to teke184
quote:
Why USDA and not HUD or DHH?
HUD at least has Urban Development
But USDA has RURAL Development...
What about Wyoming says "Urban" to you?
Not defending this, because it does seem like the wrong agency, but there is an agency within USDA called Rural Development. However, they normally deal with housing and water, not hospitals.
This post was edited on 4/12/22 at 11:45 am
Posted on 4/12/22 at 3:01 pm to KAGTASTIC
quote:
Is there much involved in having a baby that needs a bunch of tech?
On a normal delivery, there is an in utero fetal monitor, ultrasound, and other items. If there is complications there gear goes up a lot. Most rural hospitals don't have the equipment nor expertise to operate them. Sometimes the more difficult deliveries do not present until "game day". Take for instance a baby that ends up strangulated with the cord.
The world got by for a long time without tech but they "got by" with a lot higher infant mortality at birth.
Posted on 4/12/22 at 3:06 pm to Mid Iowa Tiger
quote:
The third problem is most of rural America is aging and well beyond baby having years so the volume of babies is one or two a month. No money to be had there.
That may be the case where you are, but certainly not in rural LA. Most births here are to Medicaid patients, which basically means, it costs the parents nothing, and since they are almost always on welfare, they receive more money each month.
What the government subsidizes, it encourages.
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