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Hospitals across California and the country are reeling from the effects of the
economic downturn and the troubled financial markets.
Patients are putting off medical care because of job losses, job insecurity and
high out-of-pocket expenses. As a result, the number of paying patients and
profitable elective procedures is down. At the same time, the number of
uninsured patients whom hospitals treat is rising.
Like just about everybody else, hospitals are losing money on their investments.
To operate, they need to regularly borrow money. Yet now, when they need
working capital the most, the credit markets are all but frozen.
And in California, low Medi-Cal reimbursements for poor patients and the state
budget crisis are making matters worse.
The latest complications follow a dozen years during which more than 70
hospitals closed in California, and there is concern that some may not pull
through this downturn.
"We've got a number of hospitals that are absolutely on the brink," said Jan
Emerson, spokeswoman for the California Hospital Assn.
"The weaker hospitals will continue to get weaker in a bad economy, and the
stronger hospitals will find a way to survive and build market share," said Chris
Van Gorder, chief executive of Scripps Health, a nonprofit chain of five hospitals
in San Diego County.
Hospitals are facing a "triple whammy," said Anthony Wright, executive director
of Health Access California, a patient advocacy organization. "You have the
healthcare safety net seeing more uninsured people in the system at the same
time employers are scaling back coverage. At the same time, the state is seeking
to further cut healthcare programs."