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A correction has been published: N Engl J Med 1996;335(7):531.

Special Report
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Volume 335:362-368 August 1, 1996 Number 5

Columbia/HCA and the Resurgence of the For-Profit Hospital Business— First of Two Parts
Robert Kuttner

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Hospitals, surprisingly, have emerged as a prime growth industry attractive to entrepreneurs. Seemingly, a legacy of overbuilding combined with competitive cost-cutting pressures should reduce the earnings of nonprofit and for-profit hospitals alike, making them unattractive investment candidates. Yet in the 1990s, for-profit hospital chains on a buying binge have outpaced the stock market. Conversions of nonprofit to investor-owned hospitals have accelerated, reaching a level of 58 in 1995, up from 34 in 1994.1

This two-part article addresses the medical, ethical, and public-policy issues posed by the resurgence of for-profit chains and their acquisition of nonprofit community hospitals. The prime case . . . [Full Text of this Article]

Recent History

Ethics, Cross-Subsidies, and Markets

Columbia/HCA

Comparing For-Profit and Nonprofit Hospitals

The Market Speaks


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Co-editor, The American Prospect, 6 University Rd., Cambridge, MA 02138, where reprint requests should be addressed to Mr. Kuttner.

References


Related Letters:

Columbia/HCA and the Hospital Business
Mark J. B.D., Kaplan L. R., Burke E. L., Rahman F., McMillen M. A., Houser F. M., Kuttner R.
Extract | Full Text  
N Engl J Med 1996; 335:1920-1922, Dec 19, 1996. Correspondence

Columbia/HCA Promotes Pepsi
Hirsch R.
Extract | Full Text  
N Engl J Med 1996; 335:1927-1928, Dec 19, 1996. Correspondence

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