Lucky2783
Lawrence County has seven county run hospitals. Because three privately run hospitals are now in existence in the county, Lawrence has decided to close one of its seven county hospitals, to reduce costs to the county. The county executives want to choose a hospital to close so that its absence has the fewest negative health consequences for citizens of the county. An independent consulting firm, advising the county executives, has recommended closing the hospital with the highest fatality rate.
Which of the following, if true, most seriously calls into question the consulting firm's recommendation for the choosing the hospital to close?
A) Each one of the county hospitals has lower fatality rate than at least one of the privately run hospitals.
B) The county hospital that is the most expensive for the county to operate is the one with the highest fatality rate.
C) Most patients who would have gone to the closed county hospital will go to one of the privately run hospitals, instead of one of the six remaining county hospitals, driving up costs at these places.
D) The most at-risk patients throughout the county are referred to those public hospitals that have a high concentration of trained specialists on staff.
E) Throughout this state and neighboring states, no county that has a population comparable to Lawrence County operates more than six county hospitals.
LC has 7 Govt hospitals.
One has to be closed to reduce cost.
The executives want to choose one which will have fewest negative health consequences for citizens of the county. (aim of executives is to have min health consequences)
An independent consulting firm has recommended closing the hospital with the highest fatality rate.
We have to call into question the recommendation. Why this recommendation may not serve the purpose (may not have minimum health consequences)
A) Each one of the county hospitals has lower fatality rate than at least one of the privately run hospitals.
Irrelevant. We don't have to compare county hospitals with private hospitals. We have to close down one county hospital - why is irrelevant. The executives want min negative health consequences. We need to find why lowest fatality rate may not help with "min negative health consequences".
B) The county hospital that is the most expensive for the county to operate is the one with the highest fatality rate.
Expense is not the point here. Anyway, if anything, this adds weight to our recommendation for a different reason.
C) Most patients who would have gone to the closed county hospital will go to one of the privately run hospitals, instead of one of the six remaining county hospitals, driving up costs at these places.
Costs at other county hospitals will increase when we close one. This would happen for any county hospital that will close. It doesn't tell us why the recommendation of using fatality rate is not good. That is what we need to weaken.
Another way to read this option is this - when the county hospital that has the highest fatality rate is closed, most patients will go to private hospitals (because say this hospital is located close to private hospitals) so in this case, costs at other county hospitals will be raised. Even in this case, it doesn't matter. Our aim is to have min negative health consequences. We need to say why closing highest fatality rate hospital will not lead to minimum negative health consequences.
We decided to close one hospital to reduce costs. So we have already decided that closing one hospital will reduce overall cost. Now we need to decide which one to close based on "minimum negative health consequences".
D) The most at-risk patients throughout the county are referred to those public hospitals that have a high concentration of trained specialists on staff.
This tells us that the most difficult cases come to certain Govt hospitals. Closing down the hospital with the highest fatality rate may close down one such hospital where difficult cases are brought. Hence, it may lead to heavy health consequences. So this questions the recommendation.
E) Throughout this state and neighboring states, no county that has a population comparable to Lawrence County operates more than six county hospitals.
Irrelevant.
Answer (D)