I missed you all after spending Easter at Disney. Anyway, I was at a healthcare strategy session today and wanted to share some thoughts on the concerns I heard around the table: 1 - Hospitals who can keep a healthy bottom line (e.g. urban or well-to-do areas) will likely end up adding employed physicians to their roles as physicians will not want to have to keep up with the new paperwork. Employed physicians are actually a detriment to healthcare organizations. 2 - The new regulations, combined with the penalties from the ARRA (stimulus bill) for non-compliance to high standards ("meaningful use" that hasn't been fully defined), seem aimed at closing the number of hospitals and, in general, lowering compensation for healthcare workers. This appears to be the savings in cost that the bill's proponents were going for. 3 - The thoughts were that the forced imperilment of healthcare workers would ultimately result in government taking a larger role; perhaps even "bailing out" hospitals. Rural area hospitals with little funding would likely close in favor of independent practices which would offer a smaller selection of services. Anyway, I don't have links or anything to substantiate this right now. If any of you work in healthcare and have been hearing about the impacts, I'm curious if what you've heard is along the same lines as I did or if it is different.