er. you couldn t even get to the waiting room let alone the er. that s the amount of people who were here. compared to that, it s gotten easier. that is to say we don t see a lot of covid cases. obviously hospitalizations have gone up. hospitalizations have been a week, ten days, two weeks after the cases surge, so we re now in that phase where the inpatient side is backing up but the er itself does look okay with fewer patients and the curve seems to support that as well. on one hand we heard the surgeon general say don t expect a peak in the coming days, and i suppose if you re for the first year of this virus we got b.s. about how this isn t that serious, now i think they re skewing on the other side. people want to know, when can i get back to eating in a restaurant in winter, when can i get back to a gym? what s your sense of that? well, i think the official answer is it s going to be case by case and county by county and
struggling as an independent hospital and that is some of what we re seeing in the changing landscape of medicine. right. it s certainly true these trends are underway before the affordable care act. there s no question that obamacare did accelerate this. one of which is they re over paying on the inpatient side and cutting the outpatient side and so jenna: what does that mean? so for example, if i went to the emergency room and i needed help, what would that mean for the way i got treated or the way the hospital got paid? right. well, it s not necessarily with e.r. care but on a lot of procedures that are done both inpatient and outpatient like colonoscopies, doctors can make more money when they do those inside the hospital than outside the hospital so the hospitals are buying the physicians to capture that piece. what is going to happen is that money will be sent away eventually and then the hospital is going to find it very unprofitable to own the physicians. in the 1990 s wh