Monday, August 5, 2013

The pursuit of happiness



"There is an affluence that is used to the type of restaurants that you can get in New York City," he said.*

One 
But those executives and world leaders will need to be kept happy  as well. That's why Destination Medical Center includes expectations that five-star hotels and fine-dining restaurants will spring up in Rochester — because Mayo patients able to afford high-end, out-of-pocket medical care will also expect high-end service at restaurants, hotels and other venues in Rochester.
http://www.postbulletin.com/business/the-affluent-will-be-big-part-of-destination-medical-center/article_3c7d39f8-3234-5e1f-9336-faed86be0345.html
Two 
Also, as Brede pointed out, not all of the 35,000 new jobs projected for Rochester over the next 20 years are high-paying positions. In fact, a large portion will be in the hotel and restaurant industry, paying lower wages, and that means more people in Rochester struggling to get by. 

http://www.postbulletin.com/news/local/mayo-clinic-s-dmc-initiative-sparks-more-meetings-on-impact/article_b0bd4221-7838-525b-8e12-ddd428d7d062.html

Three
That's the kind of DMC private development Carlson thinks will cater to the niche market of affluent international patients. Those will not be the only patients attracted to a destination medical center. But their presence will help offset low reimbursement for Medicaid patients and uncompensated care.
*http://www.postbulletin.com/news/local/destination-medical-center-hold-on-to-your-hats/article_0b514897-5d55-55dc-b786-dcce34308ce8.html
Summary
  1. The affluent patients will offset the costs of Medicaid patients.
  2. The affluent patients must be kept happy.
  3. To keep the affluent patients happy one must provide five-star hotels and fine dining.
  4. Hotels and restaurant service workers are paid low wages.
  5. Low wage service workers become Medicaid patients.
  6. The affluent patients will offset the costs of Medicaid patients.

For discussion
If the problem is the cost of Medicaid patients, then where in the above does a solution suggest itself?





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