As a reminder, prior to 2020, the Left critiqued the US hospital system for having TOO MANY beds, arguing that profit motive of hospitals was causing them to spend too much on capacity. See the study, for example, in the attached article which was typical
coyoteblog.com/coyote_blog/ca…
As I describe in the attached article, this belief drove the Left to support certificate of need processes (in many states like NY) that require government and often competitor(!) permission to expand capacity or add things like ICU beds or MRI machines

PLEASE don't tell me this makes no economic sense. I know that. A large number of the market "fixes" from the Left make no sense. In this case, the certificate of need (CON) and similar processes were totally and completely counter-productive
It'd be a fascinating exercise to map groups critical of hospital bed shortages onto people who supported CON laws--my guess is that the Venn circles would overlap a lot. As would the circles for "Oppose right to try & FDA reforms" and "criticize slow availability of COVID tests"
But even before COVID, the CON laws achieved exactly the opposite of their intention, as anyone with one semester of econ 101 under their belt could tell you. Restricting supply has never ever reduced costs
And the certificate of need process has just become a crony exercise where incumbents protect their market share and margins against new competition
Not sure I linked the correct page originally. Here it is in case the other link does not work. @boriquagato @ElonBachman

coyoteblog.com/coyote_blog/20…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Coyoteblog

Coyoteblog Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Coyoteblog

13 Dec
When I argue with folks on the failures of socialism, I tend to group these failures into three buckets. @boriquagato is getting at the third and probably least discussed of the three
Readers are probably tired of me repeating these, and I know there are others who are better at this who use different frameworks, but here is mine.

Socialism fails in practice, and will always fail (until we get to a Banks' Culture-like end to scarcity) for at least 3 reasons
1. Information: It is impossible for any group of humans (or even humans with powerful computers) to come close to the power of distributed, organic, bottom-up markets in coordinating human behavior to improve the sum of individuals' welfare [insert "I pencil" reference]
Read 25 tweets
10 Dec
We are getting our 15th day of rain in 2020 today. That is barely one day a month

But like the conundrum of Seattle having very high sales of sunglasses (the theory is sun is so intermittent that people lose them since last use), we have more than our fair share of floods here
Two reasons I know of

1. Even our open ground absorbs water about as well as does concrete. The runoff from even a small rain can be substantial

2. We don't bother building infrastructure that is used for 1 day a year. We have very few storm sewers, for example
We have weird systems where neighborhoods are built with one patch of ground that is a big depression. They put a park there, and then slope all the streets toward it so the rain is just captured in this big catch basin. My house even has one of my own in the backyard
Read 4 tweets
2 Dec
372 days since the idea was first broached, I closed my acquisition of my competitor, who wanted to ease towards his retirement.

As a result, we are now the largest company in an industry you've never heard of, privately operating over 400 public campgrounds and parks
It was quite a ride -- if you are thinking this is the sort of thing that banks fund, HAH! Banks laugh at companies like mine looking for cash flow loans. But we tapped into the growing number of minority private equity companies, funding us with debt plus a 20% equity stake
Over the coming weeks I will tell the whole story for folks who might be interested in the same journey, but at one point in time we were holding the deal together when we were entirely shut down in every location due to COVID lockdowns...
Read 14 tweets
30 Nov
One likely cause of differences in cost between US and European health care systems is seldom highlighted -- massive differences in licensing and required education requirements. @NiskanenCenter

niskanencenter.org/does-bargainin…
One rejoinder I always get to this is, "well, I can understand the over-licensing issue for some folks, but I sure don't want an unlicensed brain surgeon!"
But the always inevitable "brain surgery" retort just reinforces why government licensing is a failure. Let me put it to you this way -- if you needed brain surgery, would you be willing to accept any random government-licensed brain surgeon? My guess is the answer is no.
Read 6 tweets
30 Nov
It is amazing how hard this country works to forget this, even people my age who lived through it will now claim it never happened. If you are unfamiliar, you won't believe the insane accusations that were taken seriously.

I remember because I was on a jury in one such case
The whole mess was started with a young female baby sitter who saw another baby-sitter lauded on Oprah for identifying a (supposed) abuse situation, and very clearly dreamed of being on Oprah too.
We had all the usual elements, including a very young child who was put through all the crazy Janet-Reno-Patented recovered memory BS.

Fortunately, our case was near the end of the cycle and defense attorneys were ready to challenge this crap
Read 8 tweets
21 Nov
I still find the hospitalization charts that the AZ state government publishes to be some of the most useful COVID tracking charts I have seen. Here is the chart I look at the most, which helpfully distinguishes between COVID beds and non-COVID occupancy
It is a good antidote to the "hospitals are filling up fast" headline that seems to be evergreen in 2020. One of the things I have learned this year is that ICU's always run at high occupancy, so it is important to differentiate COVID beds vs others, and this does that well
We would all be WAAAAY better served by the media if reporters sat down with senior hospital executives in their area to understand how hospital capacity fluctuates and is managed. But as I always say, having fewer data points lets one extrapolate a line with any slope desired.
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!