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Friday, July 20, 2018

Texas hospital ends labor, delivery services after 31 years

We are lucky to have four hospitals in BCS. This gives patients a lot of choice not afforded to other similar sized communities which may have only one regional hospital. It also means the health care market in BCS is highly competitive. Due to changing health care economics, each hospital in our community cannot be all things to all people any longer. It would be reasonable to allocate expertise to each of the hospitals such that one is the center for excellence for neurology and trauma, another for orthopedics and cardiac care, and another for women's and neonatal services, etc. By so doing the Brazos Valley may actually have a greater level of multi-specialty expertise than when all compete to be general hospitals but fail to achieve a high level of quality to be a designated and preferred "center of excellence"-- a Jack of all trades and master of none. Other industries have done this. An area may have the best clay to produce high quality pottery, but poor soil to grow cotton for textiles. Yet, another area may have great soil, but poor clay. So, the area best suited for pottery makes and exports pottery and imports cotton. Trade develop and both economies flourish. Health care economics is a bit different. Health care capitalism is competitive by nature and assumes a zero-sum outcome: I have to win, and you have to lose. So while strength allocation for economic and service goals seems good on paper, no hospital wishes to give up a potentially healthy service line to a competitor.
from Rajesh Harrykissoon, MD

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