Saturday, November 9, 2019

Holm: South Dakota Republicans are destroying rural health care

Rick Holm is the Prairie Doc. His program airs on KBRK radio in Brookings, on Bill Janklow's idea of public teevee and his column appears in my hometown paper the Elkton Record, in the Brookings Register and about sixty other rural South Dakota newspapers. By not expanding Medicaid under Obamacare South Dakota Republicans are decimating rural health care.
In the July 2019 issue of South Dakota Medicine, a survey of family physicians practicing in this state found much lower burnout rates in family docs practicing in rural areas (25 percent) compared with those practicing in larger metropolitan areas (51 percent). Evidently, some social aspects of rural practice seem to confer a protective effect against burnout. This new data should be helpful when young physicians are looking for the most satisfying places to practice. [Holm, Vermillion PlainTalk]
South Dakota's medical industry triopoly operates without scrutiny and at least one Sanford Health executive believes it's time to expand Medicaid in the state.

If South Dakota's policy makers had any balls whatsoever they’d bring legislation that would compel the medical industry to post the costs for all procedures. So if these hospitals are monopolies like utilities are, or even oligopolies in their markets, why isn't there a voter-elected public commission to regulate pricing?

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