AJMC September 17, 2023
Jackson Williams, JD

Medicare’s administered pricing system has never had to deal with labor scarcity before.

Fifteen years ago, the Institute of Medicine issued its report, “Retooling for an Aging America: Building the Health Care Workforce,” that warned of looming health workforce shortages due to demographic changes. The era foreseen by that report has likely arrived.

Labor shortages are beginning to impact patient care. Media reports indicate numerous instances of hospitals declaring “contingency standards of care” or ordering ambulance diversions due to staffing shortages.

I’m an advocate for patients who have end-stage renal disease (ESRD), who are canaries in the coalmine for the health care system. Most Medicare beneficiaries who are intermittent users of health care facilities will probably have no idea when...

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