One of the challenges to everyone in health care is to explain the dollars and cents. But most physicians, hospitals, nursing homes and other providers hold to the traditional view that their books, operating expenses, etc., are proprietary.
Which means nobody understands because nobody effectively explains.
A powerful exception is a story in the Nantucket Independent newspaper.
http://www.nantucketindependent.com/news/2008/0820/front_page/003.html
This story explains how a publicly funded nursing home is going broke. Because it's owned by a municipality, the books are open. This story makes a compelling case for better reimbursement.
This is the way to tell the story and win a better system.
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