joe,
you bring up a good point, about 15 years ago the federal and state governments decided that there were too many beds available in hospitals, so they went on a rampant decommisioning mission (yes each individual hospital bed is commisioned or certified by medicare and the state board of health). they eliminated as many as 50% of hospital beds in some cities, a cost saving measure. now we are basicallyat 100% occupancy,full all the time. there are just enough beds to handle daily traffic, not many to spare in any of the major cities, certainly no intensive care beds. the same was true with doctor training programs, the government decided that there were too many specialists so they cut back funding for certain residencies, there were just enough training spots as there were graduates from american med schools plus about 10%. again a cost saving measure. now there is a serious shortage of certain specialists which has been brewing but largely ignored by the press and the government, although the doctors have been writing letters for some years. i get 3-5 job offers per day mail and email. the surgery specialties are hit very hard, and the shortages are starting to show up. the nursing shortage is a real powder keg, there are way too many nurses graduating, hard work, and poor pay. the hospitals are squeezed between decreasing medicare payment (5% cut this year alone) and trying to pay their nurses a decent salery. clinton balanced the budget on the backs of the healthcare profession, there is no more blood to squeeze from this rock. all of these cost savings measures will come back to haunt all of us.
alex