Difficult Choices for California’s Hospitals

As the virus spreads, the number of Covid-19 patients in hospitals rises and the number of healthcare workers available falls. Hospitals must make difficult choices about which patients to treat—those with Covid-19 or those wanting elective surgeries. In this post, we use the economic way of thinking to analyze this problem in California.

What do the data tell us?

Click here to watch a short video to see what the data tell us or work through the interactive below.

The takeaway: These data show that as the number of Covid-19 patients increases, the percentage of hospitals with a critical staffing shortage also increases.

Let’s now look at the economic problem faced by hospitals in California.

Does a hospital face a tradeoff when it treats Covid-19 patients?

Yes: A hospital faces a tradeoff between treating Covid-19 patients and other patients. To treat more Covid-19 patients, a hospital must perform fewer elective surgeries.

What is the benefit of providing medical treatment to Covid-19 patients and who receives the benefit?

The benefit of treating Covid-19 patients is improved health for the patients and a smaller spread of the virus to others. So, treating Covid-19 patients is in the self-interest of the patients and in the social interest—the interest of everyone who avoids Covid-19 by limiting its spread.

What is the cost of providing medical treatment to Covid-19 patients?

The cost of treating Covid-19 patients is the forgone alternative—an opportunity cost. When healthcare services are used to treat Covid-19 patients, they cannot be used to treat other patients. Not treating other patients is the cost of treating Covid-19 patients.

How do hospitals make a rational choice about the number of Covid-19 patients to admit?

Hospitals make a rational choice by comparing the cost and benefit of admitting one more Covid-19 patient and admitting the number of patients that achieves the greatest benefit over cost.

What incentive might a hospital offer its patients to decrease the number requesting elective surgeries?

A hospital might offer a higher price for a non-life-threatening elective surgery or a lower the price for those willing to wait longer for elective surgery.

Work these questions to check your understanding and get instant feedback.

Answer the following questions to check your understanding of the story.

1 / 3

What do the data on Covid-19 patients in hospital and critical staff shortages show?

The data show that ________________.

2 / 3

Do hospitals in California face a tradeoff?

_____________ face a tradeoff because ____________.

3 / 3

How does a hospital make a rational decision about the number of Covid-19 patients to treat?

A hospital makes a rational decision by comparing the _____________.

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