the american hospital association quantify the cost in a recent report. they must comply with 629 discrete regulatory requirements. spending $39 billion annually in restraint of activities related to regulatory compliance. for an average sized community over $7.5this is million on regulatory compliance. for skilled nursing facilities, exceeds of complying 735 men in annually. marginsnot a time when for skilled nursing facilities are less than 1%. it is important to recognize the opportunity costs. it is the next best thing you could of done with the financial and human resources spent on something for the value of the foregone alternative. it highlights the reality of scarcity. a dollar spent on administrative cost is not available for something else. financial and human resources spent in regulatory compliance cannot be used routing services, and limiting patient safety initiatives, or addressing community needs. there are steps the federal government can take to adjust the mountain of peggy relations will ensuring -- regulations while ensuring safety. r

the american hospital association quantified the cost in a recent report. hospitals, health systems, and care providers must comply with 629 discrete regulatory requirements across nine domains. spending $39 billion annually in administrative activities related to regulatory compliance. spending $7.5o million on regular tory -- on regulatory compliance. for skilled nursing facilities, the cost of complying exceeds $735 million annually. this is not a time when margins for skilled nursing facilities are less than 1%. we often discuss administrative burden in terms of direct cost. it is important to recognize the opportunity costs. the opportunity cost is the next best thing you could have done with the financial and human resources spent on something for -- or the value of the foregone alternative. it highlights the reality of scarcity. when a dollar or staff hours spent on administrative cost, it is not available for something else. financial and human resources spent in regulatory compliance cannot be used for adding services, hiring doctors or nurses, or

the hospital room is conservative t.v. and radio commentator steve malzberg steve welcome back thank you for being with us the american hospital association says hospitals have been closing at a rate of roughly thirty each year what are the short and long term impacts particularly for what appears to be from the list of hospitals to be literate in rural areas and those in the inner cities are what's your take. well first of all this is a subject close to my heart because i'm a devout hypochondriac and in all seriousness what people need to go to the hospital they need to have a hospital available and less and less of the time this is this is the case now you talk about the rural areas this is particularly the case in the southern states and we're talking about florida you mentioned tennessee virginia. and this is this is going on for for a number of reasons these hospitals can't sustain themselves financially they have poor margins they need an upgrade in technology they have a shortage of patients and also they have a shortage of doctors in many cases so they're closing down in rural areas and inner city areas and once that happens it's

the american association of retired persons, the american medical association, the federation of american hospitals, america's health insurance plans, 76% of the american people, president trump, and the department of health and human services? what kind of kind of idea can this be that that is has that kind of bipartisan support in congress as well as in the white house? well, senator grassley and i have a simple amendment to the spending bill that is before us which provides $1 million for the health and human services department to issue rules regarding price tags on direct-to-consumer ads for prescription drugs. while this underlying bill includes many important provisions that i support, it doesn't do anything to tackle prescription drug costs, and we know -- american families know across the board that it's time for us to act. if i ask you whether you've seen any commercials for prescription drugs on television and you answer no, then i know one thing for sure -- you don't own a television. because they broadcast an average of nine drug ads that each of us see every single day -- nine a day.

the inter-american commission on human rights has killed 317 protesters. it has disappeared 600 of them, supposedly and thousands have been hurt and hospitalized. the nicaraguan association for human rights says the number of protesters is around 48 so this has been a major crisis in the country. but how did it begin? that's the important thing from a politics perspective. it's not just changes to the social security system. this has been a long time coming. there's been a slow erosion of democracy in nicaragua since 2007 and if you go back further basically sense ortega and the ex-president packetin 2000 . ortega is not a committed democrat and he never was. ortega is a democrat of convenience rather than one of vocation. we will say. and what he did, this is what he's done since the year 2007. he concentrated power of the executive branch with constitutional changes, adopted a law criminalizing abortion which was consistent with his party's platform but created some dissension and opposition. in 2008 he centralized power in the government to harass opposition parties during municipal elections and this is going to be a pattern he follows throughout the 10 years it is e

the inter-american commission of human rights says the government has killed 317 protesters. it has disappeared 600 of them, supposedly. thousands have been hurt and hospitalized. the nicaraguan association for dh puts thes, the anp number of protesters killed at 448. so it is a major crisis in the country, right? how did it begin? i think that is the important thing from a comparative politics perspective. it is not just changes to the social security system. saying,mbassador was this has been a long time coming. there had been a slow erosion of democracy in nicaragua since 2007. and if you go back even further, basically since ortega and leftesident arnoldo aleman in 2000. ortega is not a committed democrat and he never was. he is a democrat of convenience, vocation.n of we will say. what he did, -- this is what he has done since the year 2007. of theentrated power executive branch with constitutional changes in he 2007. adopted a law criminalizing abortion under all circumstances, which is consistent with his party's platform, but traded dissension created some dissension and opposition. in 2008, he harassed opposition municipalring elections, a pattern that he would follow in the fol

golf golf statistics according to the american heart association, a golfer is one of over 380,000 people in the united states each year to suffer from out-of-hospitalost common places for sudden cardiac arrest are airports, shopping malls, stadiums, and jails. sudden cardiac arrest vs heart attack - they're different sudden cardiac arrest (sca) is often called a "heart attack", but the conditions are different. sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops functioning. heart attack is when an artery is blocked and restricts blood flow to the heart. one is an electrical problem and one is a plumbing problem the worst case the worst case scenario is having a cardiac event on a distant hole. on your next golf outing, it's a good idea to do the following when you schedule your tee-off time: 1. find out if the golf course is equipped with an automated external defibrillator (aed), where it's located, who is trained to use it, and if that person is on the premises at all times. (it's best if the marshal also keeps one in the cart and can operate it.) á a defibrillator can deliver an electric shock that can restor