You said it well. Also,when Medicare drops its reimbursement to a hospital, they have to fire more staff, so the complications increase.
No. You are actually wrong.
You will see the bad folks weeded out. And there are a lot of bad, incompetent and lazy folks working in hospitals. It WAS the 21 century version of a “civil service” job.
Because insurance paid for whatever they were sent, the costs went up. Now, the personnel will have to actually do their job, stay clean, and prevent re-admissions.
We (the taxpayers) are paying for this. It is the first time in ages that I think they finally got something correct. I hate the insurance part of the ACA, but the little bit that actually had to do with medical care will help and conservatives should be embracing it.
It is pay for performance. Think of how the school teachers would be bitching about this if the same thing happened to schools; you are hearing from the union nurses about this stuff.