Parkland Memorial Hosptial in Dallas had a similar experience.2 reporting that ER visits "had jumped dramatically during the recession and now averaged between 500 and 550 per day. The rate of patient transfers from other hospitals to Parkland has nearly tripled over the past year and is now occurring at the rate of almost 200 per month. Most of these transfers are for financial reasons and frequently involve medically indigent residents of neighboring counties and suspected illegal aliens." The evident popularity of the competitive strategy with many of our hospitals has become a bad Joke with the public hospitals. It isnt very popular with our teaching hospitals. either. As Richard Knapp. director of the department of teaching hospitals of the Association of American Medical Colleges. told me recently. "The gap between those institutions doing well financially and those that are not is widening ....
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