A single hospital system is by far the biggest employer in many post-manufacturing cities like Pittsburgh and Cleveland. Hospitals and hospital corporations make up the top six employers in Boston and two of the top three in Nashville. (That may be why some Democratic representatives and senators from these left-leaning states have been quiet or inconsistent on Medicare expansion.) Stanford researchers estimate that 5,000 community hospitals would lose more than $151 billion under a Medicare for all plan; that would translate into the loss of 860,000 to 1.5 million jobs. A Navigant study found that a typical midsize, nonprofit hospital system would have a net revenue loss of 22 percent.

Source: New York Times May 16, 2019 19:07 UTC