Intro

Chapter One

Chapter Two

Chapter Three

Chapter Four

Post Show Musings

Book Love

Outro

The third and final installment of our American Healthcare series examines the evolution of the American hospital system. There are more than 6,000 hospitals in the United States and several distinctions among them. After a quick recap of the first two episodes, we look primarily at the peculiar designation of nonprofit hospitals, their relationship to practitioners and their role in driving costs in the system. We conclude the series with a few hot takes from medical professionals, some basic proposals to improve coverage and care and ask what it would take to move toward Medicare for All.

Chapters

Intro: 00:01:59

Chapter One: What’s a Hospital? 00:13:59

Chapter Two: For-Profit and Nonprofit Hospitals. Two sides of the same damn coin. 00:17:56

Chapter Three: Turning Doctors into Business People. 00:31:07

Chapter Four: Bring it home, Max. 00:36:09

Post Show Musings: 00:50:39

Book Love: 01:10:43

Outro: 01:11:11

Resources

OECD.stat: Health Care Resources: Hospitals

EOS Surfaces: Types of Hospitals in the US

AAPC: What Are Relative Value Units (RVUs)?

American Hospital Association: Fast Facts on U.S. Hospitals, 2022

Becker’s Hospital Review: 82 Physician-Owned Hospitals to Know

AMA Journal of Ethics: Physician-Owned Hospitals and Self-Referral

NPR’s Planet Money: How Non-Profit Hospitals Are Driving Up The Cost Of Health Care

LWW Journals: The Growing Executive-Physician Wage Gap in Major US Nonprofit Hospitals and Burden of Nonclinical Workers on the US Healthcare System

Weatherby Healthcare: Physician salary report 2022: Physician income rising again

The New York Times: Why Are Nonprofit Hospitals So Highly Profitable?

Hub’s List: A data-based biweekly newsletter of medical fun facts

The New England Journal of Medicine: Practicing Medicine in the New Business Climate

The New England Journal of Medicine: Is Quality Improvement Improving Quality? A View from the Doctor's Office

CNN: 2 charts that show just how old this Congress actually is

The Commonwealth Fund: International Health Care System Profiles- France

Germany Visa: Health Insurance in Germany- The German Healthcare System

Congress.gov: H.R.1 For the People Act

NASHP: Can We Please Stop Fixating on Hospital Chargemasters?

KHN: Nixon’s Plan For Health Reform, In His Own Words

CBO: Estimated Budgetary Effects of Title I, Committee on Finance, of H.R. 5376, the Inflation Reduction Act of 2022

The Lever: Where Did The Public Option Go?

UNFTR Episode Resources

U.S. Healthcare.

This Healthcare is Killing Us.

Student Debt.

Book Love

Paul Starr: The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry

Steven Brill: America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System

Nelson Lichtenstein: State of the Union: A Century of American Labor

Mark Vonnegut: The Heart of Caring: A Life in Pediatrics

--

If you like #UNFTR, please leave us a rating and review on Apple Podcasts: unftr.com/rate and follow us on Facebook, Twitter and Instagram at @UNFTRpod. Visit us online at unftr.com.

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Subscribe to Unf*cking The Republic on Substack at unftr.substack.com to get the essays these episode are framed around sent to your inbox every week.

Check out the UNFTR Pod Love playlist on Spotify: spoti.fi/3yzIlUP.

Visit our bookshop.org page at bookshop.org/shop/UNFTRpod to find the full UNFTR book list, and find book recommendations from our Unf*ckers at bookshop.org/lists/unf-cker-book-recommendations.

Access the UNFTR Musicless feed by following the instructions at unftr.com/accessibility.

Unf*cking the Republic is produced by 99 and engineered by Manny Faces Media (mannyfacesmedia.com). Original music is by Tom McGovern (tommcgovern.com). The show is written by pre-existing conditions and hosted by declining mortality rates.

Podcast art description: Image of the US Constitution ripped in the middle revealing white text on a blue background that says, "Unf*cking the Republic."

The third and final installment of our American Healthcare series examines the evolution of the American hospital system. There are more than 6,000 hospitals in the United States and several distinctions among them. After a quick recap of the first two episodes, we look primarily at the peculiar designation of nonprofit hospitals, their relationship to practitioners and their role in driving costs in the system. We conclude the series with a few hot takes from medical professionals, some basic proposals to improve coverage and care and ask what it would take to move toward Medicare for All.
Chapters
Intro: 00:01:59
Chapter One: What’s a Hospital? 00:13:59
Chapter Two: For-Profit and Nonprofit Hospitals. Two sides of the same damn coin. 00:17:56
Chapter Three: Turning Doctors into Business People. 00:31:07
Chapter Four: Bring it home, Max. 00:36:09
Post Show Musings: 00:50:39
Book Love: 01:10:43
Outro: 01:11:11
Resources
OECD.stat: <a href="https://stats.oecd.org/index.aspx?queryid=30182">Health Care Resources: Hospitals</a>
EOS Surfaces: <a href="https://blog.eoscu.com/blog/types-of-hospitals-in-the-us">Types of Hospitals in the US</a>
AAPC: <a href="https://www.aapc.com/practice-management/rvus.aspx">What Are Relative Value Units (RVUs)?</a>
American Hospital Association: <a href="https://www.aha.org/statistics/fast-facts-us-hospitals">Fast Facts on U.S. Hospitals, 2022</a>
Becker’s Hospital Review: <a href="https://www.beckershospitalreview.com/lists/81-physician-owned-hospitals-to-know-2014.html">82 Physician-Owned Hospitals to Know</a>
AMA Journal of Ethics: <a href="https://journalofethics.ama-assn.org/article/physician-owned-hospitals-and-self-referral/2013-02">Physician-Owned Hospitals and Self-Referral</a>
NPR’s Planet Money: <a href="https://www.npr.org/sections/money/2019/10/15/769792903/how-non-profit-hospitals-are-driving-up-the-cost-of-health-care">How Non-Profit Hospitals Are Driving Up The Cost Of Health Care</a>
LWW Journals: <a href="https://journals.lww.com/clinorthop/_layouts/15/oaks.journals/disclaimer.aspx">The Growing Executive-Physician Wage Gap in Major US Nonprofit Hospitals and Burden of Nonclinical Workers on the US Healthcare System</a>
Weatherby Healthcare: <a href="https://weatherbyhealthcare.com/blog/annual-physician-salary-report">Physician salary report 2022: Physician income rising again</a>
The New York Times: <a href="https://www.nytimes.com/2020/02/20/opinion/nonprofit-hospitals.html">Why Are Nonprofit Hospitals So Highly Profitable?</a>
Hub’s List: <a href="https://hubslist.org/">A data-based biweekly newsletter of medical fun facts</a>
The New England Journal of Medicine: <a href="https://www.nejm.org/doi/full/10.1056/NEJM198704303161810">Practicing Medicine in the New Business Climate</a>
The New England Journal of Medicine: <a href="https://www.nejm.org/doi/full/10.1056/NEJMp0706425">Is Quality Improvement Improving Quality? A View from the Doctor's Office</a>
CNN: <a href="https://www.cnn.com/2021/01/29/politics/congress-age/index.html">2 charts that show just how old this Congress actually is</a>
The Commonwealth Fund: <a href="https://www.commonwealthfund.org/international-health-policy-center/countries/france">International Health Care System Profiles- France</a>
Germany Visa: <a href="https://www.germany-visa.org/insurances-germany/health-insurance/">Health Insurance in Germany- The German Healthcare System</a>
Congress.gov: <a href="https://www.congress.gov/bill/117th-congress/house-bill/1">H.R.1 For the People Act</a>
NASHP: <a href="https://www.nashp.org/can-we-please-stop-fixating-on-hospital-chargemasters/">Can We Please Stop Fixating on Hospital Chargemasters?</a>
KHN: <a href="https://khn.org/news/nixon-proposal/">Nixon’s Plan For Health Reform, In His Own Words</a>
CBO: <a href="https://www.nashp.org/can-we-please-stop-fixating-on-hospital-chargemasters/">Estimated Budgetary Effects of Title I, Committee on Finance, of H.R. 5376, the Inflation Reduction Act of 2022</a>
The Lever: <a href="https://www.levernews.com/where-did-the-public-option-go/">Where Did The Public Option Go?</a>
UNFTR Episode Resources
<a href="https://www.unftr.com/episodes/unftr71?hsLang=en">U.S. Healthcare.</a>
<a href="https://www.unftr.com/episodes/unftr72?hsLang=en">This Healthcare is Killing Us.</a>
<a href="https://www.unftr.com/episodes/unftr60?hsLang=en">Student Debt.</a>
Book Love
Paul Starr: <a href="https://bookshop.org/a/23377/9780465093021">The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry</a>
Steven Brill: <a href="https://bookshop.org/a/23377/9780812986686">America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System</a>
Nelson Lichtenstein: <a href="https://bookshop.org/a/23377/9780691160276">State of the Union: A Century of American Labor</a>
Mark Vonnegut: <a href="https://bookshop.org/a/23377/9781644211052">The Heart of Caring: A Life in Pediatrics</a>
--
If you like #UNFTR, please leave us a rating and review on Apple Podcasts: <a href="https://unftr.com/rate">unftr.com/rate</a> and follow us on <a href="https://www.facebook.com/Unfucking-The-Republic-102319714930389">Facebook</a>, <a href="https://twitter.com/unftrpod">Twitter</a> and <a href="https://www.instagram.com/unftrpod/">Instagram</a> at @UNFTRpod. Visit us online at <a href="https://www.unftr.com/">unftr.com</a>.
Join the Unf*cker-run Facebook group: <a href="https://www.facebook.com/groups/2051537518349565">facebook.com/groups/2051537518349565</a>
Buy yourself some Unf*cking Coffee at <a href="https://shop.unftr.com/">shop.unftr.com</a>.
Subscribe to Unf*cking The Republic on Substack at <a href="https://unftr.substack.com/">unftr.substack.com</a> to get the essays these episode are framed around sent to your inbox every week.
Check out the UNFTR Pod Love playlist on Spotify: <a href="https://open.spotify.com/playlist/1PpzNXBub9FLngMradJByC?si=abaed3d396504fae">spoti.fi/3yzIlUP.</a>
Visit our bookshop.org page at <a href="https://bookshop.org/shop/UNFTRpod">bookshop.org/shop/UNFTRpod</a> to find the full UNFTR book list, and find book recommendations from our Unf*ckers at<a href="https://bookshop.org/lists/unf-cker-book-recommendations"> bookshop.org/lists/unf-cker-book-recommendations</a>.
Access the UNFTR Musicless feed by following the instructions at <a href="https://www.unftr.com/accessibility">unftr.com/accessibility</a>.
Unf*cking the Republic is produced by 99 and engineered by Manny Faces Media (<a href="https://www.mannyfacesmedia.com">mannyfacesmedia.com</a>). Original music is by Tom McGovern (<a href="http://www.tommcgovern.com/">tommcgovern.com</a>). The show is written by pre-existing conditions and hosted by declining mortality rates.
Podcast art description: Image of the US Constitution ripped in the middle revealing white text on a blue background that says, "Unf*cking the Republic."

Unf*cking The Republic® (UNFTR) is a series of audio essays on the grand American experiment lovingly curated and presented by a quasi-anonymous political writer. 

Each essay reflects on a singular topic that is generally misunderstood or purposely obfuscated by the so-called “powers that be.” As we know, history is written by the victors and can be perilously manufactured to favor destructive world views. These views become intractably ingrained in the public consciousness and pervert public policy, oftentimes with horrific results. 

As of this podcast’s founding, we find ourselves living in a true kakistocracy. The disconnect between what we believe and what is actually happening below the surface or in plain sight is where this podcast lives. 

Together we’ll upend conventional wisdom, blow up narratives on the left, right and center and use magical devices like facts, logic and reason to explain how exactly we arrived in bizarro America, the funhouse mirror version of what was originally intended. #UNFTR

Unf*cking The Republic® (UNFTR) is a series of audio essays on the grand American experiment lovingly curated and presented by a quasi-anonymous political writer. 
Each essay reflects on a singular topic that is generally misunderstood or purposely obfuscated by the so-called “powers that be.” As we know, history is written by the victors and can be perilously manufactured to favor destructive world views. These views become intractably ingrained in the public consciousness and pervert public policy, oftentimes with horrific results. 
As of this podcast’s founding, we find ourselves living in a true kakistocracy. The disconnect between what we believe and what is actually happening below the surface or in plain sight is where this podcast lives. 
Together we’ll upend conventional wisdom, blow up narratives on the left, right and center and use magical devices like facts, logic and reason to explain how exactly we arrived in bizarro America, the funhouse mirror version of what was originally intended. #UNFTR

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