Hospital Development Authority

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Hospitals have every reason to grow and to incur more costs, because costs, from the perspective of a hospital administrator, are revenue. The system runs on reimbursement. And so in this period, racking up your costs, iis a way of racking upYour revenue. That, like, seems very perverse, but that's how it works. It's a market relationship, but is not only a market relationship. Their markets are growing from the mid and late sixties through the seventies,. Because you have these aging population s that are also quite well insured.

Historian Gabriel Winant discusses The Next Shift: The Fall of Industry and the Rise of Health Care in Rust Belt America. It's a fascinating study of the emergence of the service sector and a new working class out of the wreckage of deindustrialization through the story of the rise and fall of unionized steel in Pittsburgh and its replacement by a massive hospital industry. Listen to my past interview with Winant on the social worlds that make US politics and how that sociality is rooted in the economy, carceral state, social media, religion, and more thedigradio.com/podcast/the-social-question-with-gabriel-winant Support this podcast at Patreon.com/TheDig Check out The After-Normal: Brief, Alphabetical Essays on a Changing Planet, by David Carlin and Nicole Walker rosemetalpress.com/books/the-after-normal