Philadelphia Reflections

The musings of a physician who has served the community for over six decades

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Cost-shifting Overview

{William Bingham class=}

Cost shifting has come to describe something evil, something to be eliminated. Perhaps it is not illegal, but the common view is that at least it represents "rent-seeking", an economist term for reaping unearned or undeserved profits, and getting away with it. This attitude must be revised; a modern healthcare system cannot function without a certain amount of cost-shifting. The funds to


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