Local Consequences of Certificate of Need in Health Care
Cato Podcast
Cato Institute
4.5 • 979 Ratings
🗓️ 9 March 2023
⏱️ 13 minutes
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| 0:00.0 | This is the Cato Daily Podcast for Thursday, March 9th, 2023. |
| 0:07.0 | I'm Caleb Brown. |
| 0:08.5 | Certificate of Need consistently prevents new health care capacity from coming online. |
| 0:13.0 | It raises prices, harms consumers, and protects entrenched interests. |
| 0:17.0 | A new study from the Beacon Center in Tennessee |
| 0:19.0 | identifies local consequences to these policies. |
| 0:22.0 | I spoke with Beacons Ron Schultis last week. |
| 0:25.2 | When we try to evaluate the impact of giving incumbent businesses the ability to veto the activities of businesses that I would either like to expand |
| 0:37.7 | or establish themselves in a given market area, what can we say with confidence about the impact? |
| 0:48.6 | Just broadly. |
| 0:49.6 | Sure, I think the first thing is we see how, for example, in certificates of need, which just as a reminder to your listeners, Caleb, is where essentially we're used to hospitals having to be licensed, right, a health care |
| 1:06.4 | facility and that's one thing. |
| 1:08.7 | But this is a whole different level to where if you want to expand your health care facility, whether it's get a new |
| 1:16.0 | MRI machine, add additional beds. Not only do you have to prove that you can meet certain qualities, |
| 1:21.6 | but you have to prove that there is a market shortage of them. |
| 1:25.9 | And so you have to prove to a government board that there is a demand, a market demand for additional |
| 1:30.7 | hospital beds or additionalRI machines. |
| 1:33.0 | And what essentially can happen is, |
| 1:35.0 | is that incumbents in the market can say, |
| 1:38.0 | oh, no, no, no, we can meet the demand for this service, |
| 1:42.0 | right, and essentially act as a veto. we can meet the demand for this service, right? |
| 1:42.6 | And essentially act as a veto on |
... |
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