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The report presents a debate over whether profit motives compromise the health care mission and reduce access for the elderly and poor, versus arguments that competition can reduce waste and improve delivery, financing, and patient engagement. It also explains how Medicare and Medicaid funding and changing reimbursement dynamics accelerated the chain reaction.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/editorial-research-reports-july-18-1986/567587/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/editorial-research-reports-july-18-1986/567587.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-10-13",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What central argument does the report present about for-profit hospitals?","Question",{"text":112,"@type":113},"The report contrasts critics who warn that “bottom line” priorities can undermine health care’s mission and leave vulnerable groups without needed services, with supporters who argue that profit-driven competition can improve efficiency, delivery, and innovation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the report explain the rise of large for-profit hospital chains?",{"text":117,"@type":113},"It links the expansion to Medicare and Medicaid enactment and subsequent growth in health care dollars, alongside reimbursement conditions that created opportunities for profits.",{"name":119,"@type":110,"acceptedAnswer":120},"Why does the report discuss capital constraints for not-for-profit hospitals?",{"text":121,"@type":113},"It explains that not-for-profits faced declining philanthropy and government grant support, forcing greater reliance on retained earnings and debt, while for-profit hospitals could access private equity more readily.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},567587,1792473788,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","RESEARCH REPORTSEDITORIAL  \nJuly 18  \n1986  \npage  \nBOTTOM LINE DEBATE  \nAccess to Capital Catalyzes Chain Reaction  \n536  \nProfit Motive:Better Health Care or Worse  \n538  \nInstitute of Medicine Report:On the Fence  \n539  \nQUESTIONS OF CARE  \nHeated Debate Over Health Care for the Poor541Research and Teaching as Brand-Name Products543  \nMONOPOLIES ON MEDICINE  \nChains Forge New Links in Services,Financing546Coming Next:Health Empire of 'Supermeds'?547  \nVol.II  \nNo.3  \nEDITORIAL RESEARCH REPORTS  \nHoyt Gimlin,Editor  \nMargaret Roberts,Managing Editor  \nRichard L.Worsnop,Associate Editor  \nStaff Writers:Mary H.Cooper,Harrison Donnelly,Robert K.Landers,Roger Thompson  \nWriter-Researcher:Leah Fackos Klumph  \nEditorial Assistant:Beth Prather  \nContributors:Tom Arrandale,Andrew Cohen,David Fouquet,Kathy Koch,Elizabeth Neuffer,Richard C.Schroeder,David Tarrant,D.Park Teter  \nRichard M.Boeckel,Editor Emeritus(1892-1975)Buel W.Patch,Associate Editor Emeritus  \nTHE RIGHT to make direct use of material contained inEditorial Research Reports is strictly reserved to news-paper,magazine,radio and television clients of the service.Others wishing to quote from the Reports for other thanacademic purposes must first obtain written authorization.  \nLibrary of Congress Catalogue No.39-924  \nISSN 0013-0958  \nI  \nn less than two decades,a new for-profit medical industry—featuring large hospital chains —has emerged and alteredthe U.S.health system in far-reaching ways.The new chains,said the director of a recent study of for-profit health care,“areto the old 'doctor's hospitals'what agribusiness is to the familyfarm.”They have generated controversy and concern.  \nSome view the massive doses of for-profit medicine as harm-ful to the basic mission and values of the health care system.Tothe degree that the“bottom line”prevails,these critics argue,the system will become unable to meet needs that cannot returna profit.Under such conditions,said Jack Christy,a seniorpolicy analyst for the American Association of Retired Persons(AARP),²the real bottom line is“no money,no services.”Heargued that\"for us to structure a health care system on thebasis that 'those that pay,get and those that can't pay,don't'isa serious mistake.”\"No other major industrial country,\"hesaid,“sets up its health system that way,and leaves to themercy of the market so many of its citizens—mainly theelderly and the poor—who most need,and can least afford,good health care.”  \nOthers argue that the spread of for-profit enterprises will rid  \nEditorial Research Reports  \nJuly 18,1986  \nthe health care system of waste and inefficiency,and make it amore effective vehicle for delivering and financing health care.Michael Bromberg,executive director of the Federation ofAmerican Health Systems,argues that\"only by harnessing thestrengths of the profit motive through open-market competitionand innovative delivery of care...can we maintain our nation'scommitment to health care.\"³An editorial in The Wall StreetJournal concluded:“The spread of entrepreneurial medicine islikely to result in better conditions in the hospitals,a moreactive role for patients in deciding on their own care,more rapidaccess to new medical technologies and,not least,more con-sumer satisfaction with medical care.\"  \nThe debate over for-profit hospitals is likely to intensify asthe industry confronts the problem of over-capacity in manyareas,and as health care insurers—both private and gov-ernmental—move aggressively to cut costs.  \nAccess to Capital Catalyzes Chain Reaction  \nFor-profit hospitals are not new.In the 1920s,40 percent ofU.S.hospitals were small,independent,proprietary hospitals,usually owned by local physicians.What is new,and radicallydifferent,about for-profit medicine is the proliferation of large,multi-institutional chains.They are owned by investors andestablished and run as corporate enterprises whose purpose is tomake money.  \nThe big factor behind the emergence of a large for-profithealth care sector w","cbCaiqxvsd6sJfIb","https://ap.wps.com/l/cbCaiqxvsd6sJfIb","pdf",3467919,21,"English","# Bottom Line Debate\n## Access to Capital Catalyzes Chain Reaction\n## Profit Motive: Better Health Care or Worse\n## Institute of Medicine Report: On the Fence\n# Questions of Care\n## Heated Debate Over Health Care for the Poor\n## Research and Teaching as Brand-Name Products\n# Monopolies on Medicine\n## Chains Forge New Links in Services, Financing\n## Coming Next: Health Empire of 'Supermeds'?","[{\"question\":\"What central argument does the report present about for-profit hospitals?\",\"answer\":\"The report contrasts critics who warn that “bottom line” priorities can undermine health care’s mission and leave vulnerable groups without needed services, with supporters who argue that profit-driven competition can improve efficiency, delivery, and innovation.\"},{\"question\":\"How does the report explain the rise of large for-profit hospital chains?\",\"answer\":\"It links the expansion to Medicare and Medicaid enactment and subsequent growth in health care dollars, alongside reimbursement conditions that created opportunities for profits.\"},{\"question\":\"Why does the report discuss capital constraints for not-for-profit hospitals?\",\"answer\":\"It explains that not-for-profits faced declining philanthropy and government grant support, forcing greater reliance on retained earnings and debt, while for-profit hospitals could access private equity more readily.\"}]","Editorial Research Reports - July 18, 1986 | PDF",1791867059,53]