There are lots of obvious ways in which conservative ideologues are rolling back decades of progress in North Carolina. From taxes to guns, clean water to abortion rights, school privatization to voting rights, Medicaid expansion to predatory loans, the list of high-profile issues is a long one.
What’s more, it is not exhaustive. A lot of the damage is taking place largely under the radar as free market fundamentalists work in scores of unsexy nooks and crannies to lift up the god of unfettered casino capitalism and eradicate common good rules and regulations that curb greed and serve the public interest.
A very helpful op-ed in this morning’s edition of Raleigh’s News & Observer shines a light on a classic example of how right-wing nerds of ruining our state in an obscure but important area. The subject is so-called “Certificate of Need” laws or “CON.” For decades, CON laws have helped assure that major health care resources like hospitals and surgery centers are at least somewhat fairly distributed throughout the state and not just clustered in high wealth and highly populated communities.
Unfortunately, repeal of CON laws has been something close to an obsession amongst the groups in the Art Pope empire for many years. The drumbeat to repeal has now gotten so loud that lawmakers are seriously considering action in this area.
As the op-ed in the N&O this morning by Roanoke Rapids hospital CEO William Mahone (“Why Certificate of Need laws are important to NC health care”) makes clear, however, repeal of CON laws would be a disaster for most folks not living amongst the state’s “haves.”
As Mahone, notes, the notion of “deregulating” an industry in which federal government reimbursements already account for two-thirds of hospital patients is just silly. All the repeal of CON laws will do is to effect a shift of resources away from community-based hospitals to free-standing specialty centers located in or on the fringes of affluent urban communities. This is from the op-ed: Read More