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Anybody looked at the practical effect of these policies? Did a lot of rural facilities survive? What have providers done to improve services in general from this infusion? We seem to have killed off a large number of doctors and skilled nursing staff. True? What has happened to them? Are we better prepared for a future emergency? Do we have a trained cadre of lower skilled people to support professionals?

I suspect we stuffed selected pockets and actually are worse off from the "help".

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Dr. Nass, do you have an answer as to why so many rural hospitals in the southeast (perhaps elsewhere) have cĺosed despite this infusion of money? Purposely accomplished?

Your endless work is most appreciated!

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I work for a hospital and couldn't be more disgusted in the greed and malfeasance exhibited throughout this whole ordeal- mandates, firings, people dying who were not allowed to see their loved ones, social distancing, masking and on and on. Now they are losing profits as the government dole runs dry. The biopharma-medical complex has chosen the wrong and immoral path in service of the government/money gods and will implode through its own machinations.

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Where did all the money come from the paid hospitals to kill their patients and misdiagnosed them?

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founding

Just yesterday. This has been happening behind the scenes for past decade. Good explanation for rural hospital closures ???

Providers

CVS closes $10.6B acquisition of Oak Street Health to expand primary care footprint

By Heather Landi

May 2, 2023 09:30am

CVS HealthOak Street HealthPrimary CareValue-Based Care

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founding

Huge corporations drug chains and tech companies have been quietly amassing Mergers and Acquisitions into offering health care. CVS, Walgreens, Google and many many more.....

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Funny how paygo only gets put into play when it’s something that helps we the people, but not for when congress comes up with billions to help the banks or to send weapons to Ukraine. I just don’t understand why we have put up with their shenanigans for so long while more people fall further into poverty and homelessness.

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Don’t forget a billion is a thousand million

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"Who pays the piper (er hospital) calls the tune."

The entire medical system has become captured by third-party payers and bureaucracies during my medical career. It is most disheartening. There used to be patients and doctors at the core, but not now. Massive bureaucracy is the core, governed by administrative interests far away.

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Create a so called problem, the capture the fools who think governing bodies can "save them"...save their flesh anyway.

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This is complicated stuff. Thanks for finding it. Anecdotally the hospital scene was a nightmare. If a patient has money they get the better care. In the middle of the pandemic a person who knows some high level doctors told me to not worry about the hospitals if I have the right kind of insurance. But if a person is poor, then they get the worst treatment like the killer combos. Doctors are fleeing the system into private practice. Recently a person I know had an emergency gall bladder operation gone wrong. It needed repair by a specialist, but there were no specialists available. So she was stuck with this bile sack in some facility for a month waiting for a doctor to show up. I don't live in a rural area either.

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Blood Money in U.S. Healthcare

Financial Incentives: The Use of “Covered Countermeasures”

by the TN Liberty Network, an independent Tennessee-based think tank:

https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:15d995ef-91cd-4956-a0fe-1a62a83eff86

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