{"id":81956,"date":"2021-09-01T14:10:21","date_gmt":"2021-09-01T18:10:21","guid":{"rendered":"http:\/\/stateofthenation.co\/?p=81956"},"modified":"2021-09-01T14:14:40","modified_gmt":"2021-09-01T18:14:40","slug":"must-read-a-phoenix-physician-lays-bare-the-cynical-and-criminal-medical-monetization-model-for-covid-19","status":"publish","type":"post","link":"http:\/\/stateofthenation.co\/?p=81956","title":{"rendered":"<h2><b>MUST READ: A Phoenix Physician Lays Bare the Cynical and Criminal Medical Monetization Model for COVID-19<\/b><\/h2>"},"content":{"rendered":"<h1 class=\"p1\" style=\"text-align: center;\"><strong><span class=\"s1\">THE HOSPITAL ECONOMICS<br \/>\n<\/span><\/strong><strong><span class=\"s1\">OF COVID\u201319<\/span><\/strong><\/h1>\n<p><!--more-->Joel E. Colley, M.D.<\/p>\n<p class=\"p3\"><span class=\"s1\">As with all businesses, the hospital business runs on and is governed by revenue generation.<span class=\"Apple-converted-space\">\u00a0 <\/span>To the Administrators, the delivery of actual \u201ccare\u201d is secondary. For the Administrators (\u201cadmins\u201d), it is all about the quarterly profits.<span class=\"Apple-converted-space\">\u00a0 <\/span>This holds true for the illusory term \u201cnon-profit\u201d hospitals as much as it does the \u201cfor profit\u201d model.<span class=\"Apple-converted-space\">\u00a0 <\/span>Both must receive more income than expenses to survive.<span class=\"Apple-converted-space\">\u00a0 <\/span>There are differences in the reporting models for IRS purposes, but for our discussion here, they can be considered together as the same.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Without question, as Medicine has become more complex, extremely large sums of money are quietly and quickly being distributed.<span class=\"Apple-converted-space\">\u00a0 <\/span>As cash flows greatly increase, it was only a matter of time and organization before sophisticated models were conceived to maximize income over expenses.<span class=\"Apple-converted-space\">\u00a0 <\/span>This involves the hiring of a large number of Administrators who are in turn supervised by a cadre of \u201calphabet\u201d Officers: the CEO, The CFO, the COO, etc.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">The business \u201csolution\u201d to these corporate mavins is to maximize anything producing income and to reduce or eliminate everything possible in the expense category.<span class=\"Apple-converted-space\">\u00a0 <\/span>Generally, this means gaining total control over the largest expense in the model, the Service Employees. Service Employees deliver the actual services the patients receive, and the ratio of employees (i.e., Nurses, techs, cleaning staff, etc.) to patients has been decreasing steadily over the previous 20 years.<span class=\"Apple-converted-space\">\u00a0 <\/span>This means more patients have to be under the care of fewer service staff.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">We make the distinction between the Administrative Staff (\u201cadmins\u201d) and the Service Employees. <span class=\"Apple-converted-space\">\u00a0 <\/span>The admins consider themselves to be vital to the overall economic health of the model, and in some ways this is true.<span class=\"Apple-converted-space\">\u00a0 <\/span>They generally work in the daylight hours of 8:00AM to 4:30PM attending meetings, finding methodologies to cut expenses, and writing policies to insure \u201cQuality of Care\u201d.<span class=\"Apple-converted-space\">\u00a0 <\/span>The Policies are important to insure continuing income streams from the government and \u201cThird Party\u201d payers, the insurance companies.<span class=\"Apple-converted-space\">\u00a0 <\/span>They do not actually care about quality, only that the policies are in place as required and the policies are followed exactly.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">These admins are paid handsome salaries, frequently more than the Physicians, with even more handsome bonuses if they can elicit higher corporate profits.<span class=\"Apple-converted-space\">\u00a0 <\/span>Their bonus structures are very liberal, possibly more than doubling their base salaries.<span class=\"Apple-converted-space\">\u00a0 <\/span>How the admins increase profits after cutting Staff to the bare minimum is obvious; all that is remaining is a cut in delivered services.<span class=\"Apple-converted-space\">\u00a0 <\/span>This is a topic deserving its own article.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">The next step in controlling costs was to bring the Physicians under the corporate umbrella by hiring them directly instead of letting them continue in Private Practice.<span class=\"Apple-converted-space\">\u00a0 <\/span>This was done insidiously in the initial stages in many minor changes growing quickly to complete control in less than a decade.<span class=\"Apple-converted-space\">\u00a0 <\/span>These Physicians owe their allegiance to the hospital corporation, not the patient, and <b>now we have a problem, Houston!<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">We have a specialist Physician group called Hospitalists.<span class=\"Apple-converted-space\">\u00a0 <\/span>Their entire salary is paid by the hospital corporation, often with sizeable bonus if the Physician is able to justify more tests and procedures related to the Diagnosis Codes.<span class=\"Apple-converted-space\">\u00a0 <\/span>Of course, the Patient is not allowed to stay in hospital one second longer than is allowed by the diagnosis code.<span class=\"Apple-converted-space\">\u00a0 <\/span>This new specialty of Hospitalists are experts at effecting all these new requirements.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">With all the above in place, the admins were more than ready for the Covid\u201319 event.<span class=\"Apple-converted-space\">\u00a0 <\/span>Merely placing the diagnosis of \u201cProbable Covid\u201d on the Patient\u2019s chart netted the Hospital approximately<b> $13,000 \u201cextra\u201d at the start<\/b>.<span class=\"Apple-converted-space\">\u00a0 <\/span>That Covid\u201319 diagnosis allowed for the ordering of a large volume of extra tests and procedures, all of which <\/span><span class=\"s2\">added to the hospital\u2019s<\/span><span class=\"s1\"> profits.<span class=\"Apple-converted-space\">\u00a0 <\/span>Already in place were the controls and protocols to reap a bonanza in extra federal income.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Placing a Patient on a ventilator, generally the wrong treatment, netted the hospital admins another <b>$30,000<\/b>, and that is a \u201cGlobal fee\u201d.<span class=\"Apple-converted-space\">\u00a0 <\/span>That means they make $30,000 if the Patient is on the ventilator 10 minutes or 48 hours.<span class=\"Apple-converted-space\">\u00a0 <\/span>Since most patients succumbed in a few short hours when placed on the ventilator, that same ventilator could be cleaned and used again and again, perhaps on three different Patients in 24 hours, netting another <b>$30,000 for each Patient using it<\/b>.<span class=\"Apple-converted-space\">\u00a0 <\/span>Can you see why the demand for ventilators became astronomical.<span class=\"Apple-converted-space\">\u00a0 <\/span><b>The admins were experiencing income ecstasy!<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Since the protocols (the wrong treatment) were in place, Physicians and other health care professionals were \u201cprotected\u201d from criticism: <\/span><span class=\"s3\"><b><i>\u201cWe are following the CDC proscribed treatment protocols, so, NO, you will not receive alternate therapies, and you will be ventilated\u201d.<\/i><\/b><span class=\"Apple-converted-space\">\u00a0 <\/span><\/span><span class=\"s1\">Family members were excluded from being present with their loved ones, who were now intubated on a ventilator, sedated, and could not object themselves.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">For the first time in recent history, the hospitals were making more money from an alleged infectious disease than they were making for surgical procedures.<span class=\"Apple-converted-space\">\u00a0 <\/span>Surgical procedures have always been the bedrock income of hospitals, until now.<span class=\"Apple-converted-space\">\u00a0 <\/span>All that was needed was a <b>presumptive diagnosis of Covid\u201319<\/b>, and the cash cow was flowing like never before.<span class=\"Apple-converted-space\">\u00a0 <\/span>Anyone opposing the Standard Line was quickly ridiculed, ostracized, and their career ruined.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Even in the face of rapidly increasing knowledge, the push to maintain these profits is enormous!<span class=\"Apple-converted-space\">\u00a0 <\/span>Obvious inconsistencies are quickly explained away as \u201cfringe non-science\u201d.<span class=\"Apple-converted-space\">\u00a0 <\/span>The rapidly expanding anti-covid volumes of data are quite enormous, but the Main Stream Media refuses to report it.<span class=\"Apple-converted-space\">\u00a0 <\/span>Even \u201cBig Pharma\u201d and \u201cBig Medicine\u201d principals, the ones with a conscience, are stepping forward to take up the battle cry many of us began almost two years ago.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Now we cannot be stopped.<span class=\"Apple-converted-space\">\u00a0 <\/span>Our data are expanding daily, while the old guard profit seekers rely on Protocols proven to be incorrect and damaging.<span class=\"Apple-converted-space\">\u00a0 <\/span>This is possibly an event affecting the health and welfare of the entire Human Species.<span class=\"Apple-converted-space\">\u00a0 <\/span>Those of us who take our Hippocratic Oath seriously will not be silenced, nor will we sit idly by watching this happen.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">With the CDC \u201capproval\u201d of the Pfizer genetic therapy injection (it is NOT a Vaccine), we shall now learn much more about that agent, the side effects of it, and whether or not a person should subject themselves to it over \u201cnatural immunity\u201d for a virus that is, overall, 99+% survivable.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Joel E. Colley, M.D., FACA, DABA<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Copyright for this article is released.<span class=\"Apple-converted-space\">\u00a0 <\/span>It may be reproduced in whole or in part at will<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>THE HOSPITAL ECONOMICS OF COVID\u201319<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-81956","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/stateofthenation.co\/index.php?rest_route=\/wp\/v2\/posts\/81956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/stateofthenation.co\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/stateofthenation.co\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/stateofthenation.co\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/stateofthenation.co\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=81956"}],"version-history":[{"count":0,"href":"http:\/\/stateofthenation.co\/index.php?rest_route=\/wp\/v2\/posts\/81956\/revisions"}],"wp:attachment":[{"href":"http:\/\/stateofthenation.co\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=81956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/stateofthenation.co\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=81956"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/stateofthenation.co\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=81956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}