Ok, after a self imposed short hiatus, I am feeling the need to for more charts, graphs and data. But bear with me on this one - these data raise some very interesting questions. One of my favorite bloggers, Matthew Yglasias, has recently moved to Slate which I have also followed for many years now. What the data seem to be saying is that the more services that are available to us and the closer these services are, the greater consumers of medical services we will be. But - is there a correlation between being greater consumers of medical services and outcomes? This is the real fundamental question and the jury remains out.
Perhaps the biggest trend these days is to locate emergency medical services in suburban areas. St. Elizabeth's hospital in Enumclaw recently opened a world class facility right in our back yard. Believe me, I've seen their new facility and it's great. Now we have Multi-Care in Covington also expanding facilities and will soon open their new 24 hr. emergency medicine services wing. Currently, urgent care is only available during regualr business hours. And somehow, many of us still find ourselves paying taxes to support Valley Medical Center, which is also trying to add new emergency services in our area. With Multi-Care and St. Elizabeth's, why should we be required to pay taxes to support Valley?? Perhaps one of these days I'll have time enough to take on this cause for our community - but not now.
Why are all of these new emergency medical services being offered here? Because they pay off. But do they really result in better outcomes? That's the big question and the data doesn't yet support the premise that the more available these services become locally, the better the outcomes. We do know, however, that costs go up the more we "consume" of these services and the more local these services are, the more consumption of services there will be. Since both our daughter and son-in-law are emergency medicine physicians in northern California, this issue leads to some interesting conversations.
Who says that free market economics are not driving the medical establishment - unless you are a tax subsidized Valley Medical Center that we just don't need?