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States

Politics

No Good Deed Goes Unpunished

You’re more than likely familiar with Aesop’s brief fable of a mouse and a lion. If you’ve lived under a rock your whole life I’ll bring you up to speed: A mouse convinces a lion to spare his life in exchange for the promise of a future favor. Cue the future. The lion finds himself trapped in a hunter’s net and the mouse responds to his roar and saves him from the net. It’s a quaint story with a timeless message, that is, a kindness is never wasted. It’s a nice thought but we don’t live in a fable, we… Keep Reading

Economics/Politics

Getting Conned By CONs

In the healthcare industry, a certificate of need, also known by the acronym CON, is an anticompetitive licensing restriction allegedly designed to promote fair competition by requiring hospitals to demonstrate the need for certain projects and services in order to receive governmental permission for those projects and services. Under a CON scheme, a hospital–-let’s call it Hospital X–-that wishes to expand its facilities applies to a state health planning agency for a CON. Nearby hospitals–perhaps Hospital X’s competitors, Hospital Y and Hospital Z–may oppose Hospital X’s CON application. An administrative law judge (ALJ) reviews Hospital X’s CON application and supporting… Keep Reading

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