


Health Management Associates, the nation's fourth-largest for-profit hospital chain whose stable of rural hospitals includes Lower Keys Medical Center, is under federal investigation after former employees complained that they were ordered to admit more emergency room patients to raise revenues, "60 Minutes" reported Sunday.
HMA made $5.8 billion in revenues last year. Nearl...
Where people have fewer alternatives, they tend to use the ER for primary treatment of conditions which do not warrant admission to the hospital. That is why admit rates in rural areas SHOULD be lower. That condition also applies in the Keys, which is considered "rural" in terms of treatment options.
Another factor which drives a disproportionate number of patients to the ER, which was not mentioned in the story, is the astronomical number of uninsured residents in the Keys -- more than double the national average and much higher than the rest of Florida.
Mitt Romney even went so far as to refer to ER treatment as an alternative to insurance, during the last campaign.