It has been said if you want to control health care costs, solve poverty. The pervasive effect of poverty stymies efforts to improve health and is associated with more illness, poorer outcomes, and a resultant significant increase in cost expended to care for this population. In this issue of JAMA Surgery, Hoehn and colleagues1 offer the proposition that intrinsic factors inherent in safety-net hospitals may explain inferior outcomes after selected surgical procedures.
Kaiser LR, DiSesa VJ, Pitt HA. The Uninsured and Underserved and the Hospitals That Care for ThemWho’s to Blame?. JAMA Surg. 2016;151(2):129. doi:10.1001/jamasurg.2015.3216