Health-care behemoth coming for a tiny state?

Behemoth as depicted in the Dictionnaire Infernal

From Robert Whitcomb’s “Digital Diary,’’ in GoLocal24.com

Good out of bad? Lifespan and Care New England, Rhode Island’s two big “nonprofit’’ hospital systems, have had to  tightly coordinate their responses to the COVID-19 crisis – an experience that has led them to revive merger or at least “collaboration’’ plans. A merger  might save on administrative and other costs borne by the public and  enable the state to have a system big and strong enough to compete with the Boston health-care behemoth by maintaining a full-range of medical services and research in the Ocean State and by strengthening its only  schools of medicine and public health, at Brown University. A merger might preserve a lot of jobs in Rhode Island. But at the same time, many jobs would presumably be lost as the merged company eliminated redundancies.

Of course, such a large and powerful merged entity would have to be carefully regulated. As Michael Fine, M.D., warned last week in  GoLocal, such mergers  have tended to raise health-care consumers’ costs because of the monopoly pricing-power created. And I wonder what gigantic golden parachutes, paid for indirectly by the public, would go to Lifespan and Care New England senior executives in a merger.

To read Dr. Fine’s comments, please hit this link.