"No, what we have now is the result of privatizing hospitals which formerly were owned and operated by cities and counties. As with most forms of privatization consumers are the losers when profits can be sucked out of any necessary service provided by government."
I can partially agree with your asessment. However, the real culprit is that hospitals are no longer required to have a certificate of need. That opened the door for the boutique hospitals to pick and choose the profitable patients without having the non-profitable service lines. LIKE EDs, ICUs, PICUs, general medical, etc.
And for the record. States and municipalities have become some of the biggest abusers. Basically, the State's are slowly working thier way out of the healthcare business. Thus dumping those patients on the facilities that are left. The CHA hospitals are getting hammered right now having to absorb patients from the State Hospitals. All while the little 10 bed surgical hospitals are making money hand over fist serving only those that can afford the service.