Monday, August 5, 2019

The Con on CON Continues

It sure would have been nice if abolishing the Certificate of Need had been discussed during the silly season this year.  Heaven knows the candidates expounded on almost every topic under the sun - except the certificate of need.  The hospital cartel likes it for obvious reasons.  The media won't bring it up because well, it doesn't involve spending more money.  Bureaucrats like it because it gives them more power.  It doesn't involve giving freebies to patients so well, no votes there.  However, the CON is appropriately named because this con is one of the main reasons Mississippi ranks dead last in access to health care.  Oh well.


Don't expect any of the candidates to mention PERS.  That one is toxic after Mayo and Collins went down four years ago.  Are there any other serious issues you wish had been mentioned during the election season? Post them below.  Serious issues. Don't be silly or stupid.  BS issues won't be approved. 

23 comments:

Anonymous said...

Medical Marijuana

Anonymous said...

Mr. Fish, you are so right -- PERS. This is going to bite the state in the ass.

Anonymous said...

Gasoline tax so our roads and bridges can be repaired. Mississippi looks like a third world country.

Anonymous said...

Open primaries

Anonymous said...

“because this con is one of the main reasons Mississippi ranks dead last in access to health care”

given that 12 of the 15 best states for access to healthcare have CON laws, this dog won’t hunt

https://www.usnews.com/news/best-states/rankings/health-care/healthcare-access



Anonymous said...

Attn 10:04 Where is the tax money going that is and has been collected for road repair? Especially in Jacktown. On another note, maybe, had the airport commission not spent all of the money on a "business" trip to Paris (yes that Paris in France), they could afford to fix that hole on the west runway.

Kingfish said...

Earlier post

Anonymous said...

Abolish ABC - the most blatant example of government bureaucracy that serves absolutely no purpose.

Anonymous said...

Eliminate IHL - a complete waste of taxpayer money. The universities are autonomous in the eyes of their alumni and frankly in the eyes of elected officials. IHL is a bureaucracy looking for a reason to exist.

Anonymous said...

The primary reason that press and media wont push ending the CON requirement in Mississippi is they covet the big advertising money from hospitals and other health care operations that suppress their competition thru the CON requirements.

Eliminating CON is not an instant cure for our health care problems in MS, but it would likely bring costs down, which would save money at both the federal and state levels.

This battle has been fought for decades in the state Legislature. No change in over 30 years. The CON used to be mandated federally but now is not. Most states eliminated this archaic law decades ago; a mere handful still have it.

The study referred to by 10:14 is biased toward wealthier states and penalizes states with a lot of low-income or very low income citizens. Read the questions to see for yourself. It has nothing to do with CON.

Medicinal marijuana is an issue not discussed. It is about 3,000 signatures away from being on the ballot thru initiative. I think folks will be surprised how much support it has amongst the general public.

Also, nobody ever brings up constitutional changes or a new constitution. That was a huge issue in a couple of elections during the 1980's, but nothing ever happened.






Oilfree said...

Tobacco Tax
Increase would bring in some tax money and more importantly discourage use of a substance that is well know to cause health problems. Not to mention the increased cost of treating those problems. But hey, Halley's group lobbies for them so a non starter!

Anonymous said...

11:08:

1) right, the access ranking isn’t directly about CONs, so it provides an objective comparison, not an interest-group message.

2) by “mere handful” you mean 35 of 50? Indiana, a conservative state, enacted a CON law in 2018.

http://www.ncsl.org/research/health/con-certificate-of-need-state-laws.aspx

more generally:

CON has little to do with access. You don’t have less access to hospital care because you live in Madison County and drive to St Dominic in Hinds. People who tell you otherwise are hospital lobbyists, on the take from hospital lobbyists, or just gullible.

If we wanted to increase access, Medicaid expansion would be the obvious way to go.

Anonymous said...

If we wanted to increase access, Medicaid expansion would be the obvious way to go.

How does expansion increase access? Be specific.

Anonymous said...

Make it illegal for elected officials to appear in public service announcements funded with taxpayer dollars.

Anonymous said...

1:20, I can’t decide are you joking or not. Pardon me if I’ve erred.

Poor people without health insurance don’t go to the doctor for checkups & nonemergencies.

Compare to Medicare: would so many older folks go to the doctor without it?

GAO study summarized here: https://patientengagementhit.com/news/medicaid-expansion-states-improve-patient-access-to-healthcare


Anonymous said...

Where would we be without our part-time legislators. At least they get a fast track to their portion of PERS, or SLURP, or whatever they call it. From what I recall, one year of their part-time job counts for four years toward PERS retirement. Think about that for a minute...the teacher who retires with 25 years would have "accrued" 100 years in the PERS system based on the legislature's crooked math.

Don't expect these jokers to do anything of substance.

Anonymous said...

Poor people without health insurance don’t go to the doctor for checkups & nonemergencies.

That has nothing to do with access.

Anonymous said...

What the heck, let the MS Hospital Association’s fake insurance company and Bill Waller or Jim Hood expand Obamacare and service the poor through a sole source contract with MHA’s bogus insurance company that exists on paper only. Go ahead, while you are at it, give hospitals the unfettered ability to run up more costs by buying unnecessary equipment, health clubs, more nursing homes and break our poor state by also eliminating CONs. This sounds like the perfect agenda for liberals Bill Waller and Jim Hood. Doing this will drive up the costs of government and private health care costs will go through the roof. Not only will taxpayers have more burden with these potentially devastating cost Increases for Medicaid, Medicare, these same taxpayers (working people) will also be footing the bill for increasing costs for private insurance. The reason some Mississippi hospitals are in danger of closing is that there are too many and they provide substandard care.. So go ahead, let them run wild and unchecked. What we really need is for people to take responsibility for themselves, eat right, exercise, get regular check up from Family Doctors, etc...control obesity and you eliminate a lot of chronic illnesses. And a regular check up helps identify health issues for early intervention. Hospitals need to be held to a high standard of care and we need more physicians and nurses!

Anonymous said...

In the category of other important issues not discussed:

1. Abolish our draconian liquor laws.
2. Reducing high infant mortality rates (it ain't all about abortion, folks)
3. Legalizing medical cannabis (no, I'm not Singletary)

Anonymous said...

When will the state start executing the scum on death row? We taxpayers are spending a fortune keeping them alive.

Anonymous said...

The.CON law has no teeth. UMC is exempt. It’s very aggressively competing to get all patients away from other hospitals and doctors. Yet, it plays by different rules. Mississippi doesn’t have the need for 2 Gamma Knife units. CMMC welcomed UMC physicians and residents to their Gamma Knife. Nevertheless, UMC got their own. CMMC will likely have to shut theirs down. Make UMC subject to CON or abolish it!

Anonymous said...

@ 2:58 When you talk about a sole source contract... Put it out for bid and have a requirement in the RFP that the insurance company owners also pay the state share for Medicaid reform. I'm not aware of another insurance company that would do that.

As far as increasing commercial insurance costs for others, the current uncompensated care costs that hospitals incur does a nice job of doing that.

Anonymous said...

As a healthcare executive, I have been on both sides of the CON issue, fighting to keep it and fighting to abolish it depending on where I lived and the health of the state. More than half the states have CON and for good reason. In a state with a small population and severe health needs, CON is essential to keep rural hospitals open. If you look at states where CON has been sunset or abolished, you will frequently see predatory behavior, many times from not-for-profit healthcare systems. In addition, denying Medicaid expansion has sent hundreds of millions of dollars to other states while the needs of the poor population in Mississippi could have benefited.

Suscribe to latest on JJ.

Recent Comments

Search Jackson Jambalaya

Subscribe to JJ's Youtube channel

Archives

Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


Note: Security provided by INS.

Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS
.