Private clinics and the governments that contract them to reduce backlogs have very different and competing priorities.
Are contracts with private clinics a good deal for medicare? First, consider what each party is after.
Governments don’t want private clinics to siphon off key personnel from the public system. Private clinics thrive when they do, because governments have to depend on them even more. Private clinics rarely add beds to the system; that would make them boutique hospitals, an order of magnitude more expensive and complicated to create and operate.
Private clinics can offer physicians more and easier money, free them from competing operating time in public hospitals, no call in the middle of the night, no cancelled slates to deal with emergencies. It’s low-stress, mainly routine work. Can private clinics do the procedures cheaper? The labour and equipment aren’t cheaper. The price has to build in a healthy profit margin. It may be ultra-efficient to do assembly-line work in single-purpose clinics.
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