As regarding the noted opportunities, concerns and comments regarding the Mission Health sale to HCA: We should be mindful of the true elephant in the room. We have no choice but to face these kind of debates in a health care delivery system based on profit.
We’ll continue to chase our tails and flail about looking to deliver fairness and equity on par with efficiency and quality as long as profit is the driver. There are irreconcilable goals here. Those in the heart of health care, honorable and otherwise, know we can never deliver on the promises made and envisioned to improve the country’s troubling health care markers with profit as a primary driver.
Without a single-payer based model, the shell games will continue, and we’ll have a tiered model of delivery that benefits we-haves over the have-nots. We’ll as well continue to pour more resources into treating rather than preventing disease. For all the complexities of the former, it’s frankly proven easier than the latter in the era we’ve all lived.
We’re rightfully hearing more about making social determinants of health a priority. Will those who profit from our nation’s health infirmities find their priorities can align with this? I wish I could feel optimism here, but I don’t.
Finally, I take exception to Carl Mumpower’s recent diss of my Cleveland Browns in his letter to the editor regarding the Mission sale [“Mission’s Sale: One of the Greatest Local Political Cons,” Feb. 6, Xpress]. The analogy is a year late. Our formerly dismal Browns are now among the hottest teams and destinations in professional football. I would posit that a majority of devoted sports fans wouldn’t think of trading our Browns for the Patriots.
— Bruce Kelly, M.D.