Many wise observers years ago knew that the Medicare and Medicaid programs at the federal level would lead to the federal government’s control over the way that health care is delivered in the United States. As such, adopting these programs was a huge mistake.
Here is one example (among many). “Health equity” has become an enormous administrative bandwagon within the health care industry and also within governmental agencies and academia. It demands special treatment and consideration– and extra effort expended– for minorities in the delivery of health care. As such, it is a blatant form of discrimination. But when government demands or pushes it, health equity also becomes unequal treatment under the law— which is unconstitutional.
Among the entities pushing “health equity” are the hospital systems, including the leftist Cone Health System here in the eastern Triad.
All hospitals that participate with Medicare must be certified by the Joint Commission. This is a non-governmental entity. The federal government grants the Joint Commission enormous power and control over the hospital industry, and in practical terms, the power to regulate it.
It turns out the Joint Commission has established “leadership standards” and “patient safety goals” in the field of health equity. Hospital systems must jump at the command of the Joint Commission on matters related to health equity, or risk being barred from receiving Medicare payments.
This is a process and a framework that is deeply corrupt— because it corrupts all the participants.