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	<title>Comments on: Safety-net hospital financial woes</title>
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	<description>medical blog</description>
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		<title>By: The Happy Hospitalist</title>
		<link>http://www.kevinmd.com/blog/2008/10/safety-net-hospital-financial-woes.html/comment-page-1#comment-87640</link>
		<dc:creator>The Happy Hospitalist</dc:creator>
		<pubDate>Fri, 17 Oct 2008 14:05:00 +0000</pubDate>
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		<description>Our two tiered health care system is rapidly expanding.  Safety net hospitals being decimated by low payment government programs (Medicaid), while the invitation only specialty hospitals in the suburbs collect enormous facility fees  with the best insurance private money can buy.  The cause?  The skewed economics created by the specialty dominated RUC, propagated by a flawed system of RVU and SGR economics and enforced by the Medicare National Bank.  You have nobody to blame but your government.</description>
		<content:encoded><![CDATA[<p>Our two tiered health care system is rapidly expanding.  Safety net hospitals being decimated by low payment government programs (Medicaid), while the invitation only specialty hospitals in the suburbs collect enormous facility fees  with the best insurance private money can buy.  The cause?  The skewed economics created by the specialty dominated RUC, propagated by a flawed system of RVU and SGR economics and enforced by the Medicare National Bank.  You have nobody to blame but your government.</p>
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