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Title: Blog by Novelist William S. Frankl, MD

The Demise of Inner City Hospitals

The Wall Street Journal, on October 14, 2008, reports that nonprofit hospital systems all over the country are in the process of closing their facilities in the inner cities, altho’ spending billions on suburban expansions. This has occurred despite large nonprofit chains enjoying large profits. They’re closing money-losing facilities in poor areas where many of their patients are uninsured or on Medicaid. Now, these systems are building or refurbishing hospitals in affluent areas where most people have private insurance coverage. This kind of maneuver is a frequent approach for many types of businesses. But these “nonprofit” hospital systems aren’t ordinary businesses. They’re required to provide benefits to their communities, including free care for the indigent. In exchange for these services, these systems receive billions of dollars in annual tax exemptions.

If you want to learn more about the “business “ of medicine, and how “the bottom line” determines medical care and egregious financial chicanery, you should read my recently published novel, THE MERGER.

One Response to “The Demise of Inner City Hospitals”

  1. Todd Severin Says:


    Thanks for your very kind comments on my blog. Coming from an accomplished author like you, that’s quite a compliment.

    It’s always nice to share thoughts with another physician/writer. Best of luck with all your ventures.

    Todd Severin, MD
    My Writing Life

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