Maldistributed health care services: restructuring the current regulatory system.
The American health care delivery system currently suffers from a variety of problems; among the most intractable of these is a maldistribution of health care services. This Note focuses on two aspects of this problem: unnecessary hospital beds, and medically underserved populations. The Note also discusses the related issues of hospital cost inflation and inefficient use of limited resources. It then examines the current statutory remedies for these problems, and subjects their effectiveness to a two-tiered test. The Note concludes that the existing mechanisms, while partially effective, ultimately result in a fragmented, uncoordinated, and unsuccessful health care regulatory system. Moreover, the Note suggests not only that the existing statutes fail to solve the problems they were enacted to correct, but that they actually add to health care inflation and complicate health planning by subjecting the entire health care industry to uncertainty. This Note proposes a comprehensive regulatory approach that will resolve health care imbalances in a manner that avoids the shortcomings inherent in the present system.
D002567:Certificate of Need / Q000331:legislation & jurisprudence; D006285:Health Planning / Q000331:legislation & jurisprudence*; D006291:Health Policy; D006296:Health Services / Q000600:supply & distribution*; D006742:Hospital Bed Capacity; D006761:Hospitals / Q000600:supply & distribution; D006801:Humans; D008507:Medically Underserved Area; D012040:Regional Health Planning / Q000331:legislation & jurisprudence; D014481:United States