August 1999 · National edition

Health

On Hospital Costs, and the bipartisan habit of selective memory

A Health desk reading of hospital costs, filed 1999-08.

From the file. Written for the paper dated August 1999. Opened in the public stacks July 14, 2026.

As the debate over hospital costs heats up, it’s clear that both sides of the political aisle are guilty of selective memory, conveniently overlooking their own past actions while blaming the other for the rising price of healthcare.

This 1995 photograph shows a nurse with personal protective equipment (PPE) prepared to enter the Ebola VHF isolation ward during Ebola virus disease outbreak i
This 1995 photograph shows a nurse with personal protective equipment (PPE) prepared to enter the Ebola VHF isolation ward during Ebola virus disease outbreak in Zaire. Photo: CDC

Unpacking the Hospital Cost Crisis

In recent months, hospital costs have become a focal point of discussion among lawmakers, healthcare professionals, and the public at large. As reports of soaring expenses flood the headlines, bipartisan outrage seems to be the only common thread. Yet, as we delve deeper into this issue, we discover a troubling pattern: both parties have a tendency to selectively remember their roles in shaping the current healthcare landscape.

On one side, Democrats are quick to point fingers at the private sector, decrying the profit motives that they argue are driving up costs. They often highlight the exorbitant salaries of hospital executives and the increasing prevalence of for-profit healthcare facilities. However, this narrative conveniently glosses over the fact that many Democrats have historically supported policies that have allowed these very practices to flourish. The push for deregulation in the 1990s, which aimed to stimulate competition in the healthcare market, is a case in point. While the intention was noble, the outcome has been a system that, for many, is increasingly inaccessible.

This 1995 photograph shows scientist with personal protective equipment (PPE) testing samples from animals collected in Zaire for the Ebola virus.
This 1995 photograph shows scientist with personal protective equipment (PPE) testing samples from animals collected in Zaire for the Ebola virus. Photo: CDC

On the other hand, Republicans have been equally selective in their memory. They often rally against government intervention in healthcare, advocating for a free-market approach that they argue will lower costs. Yet, they conveniently forget that their own policies have contributed to the current situation. The expansion of Medicare in the 1980s, while aimed at providing essential services to the elderly, has also led to an increase in demand that hospitals struggle to meet. The result is a system under pressure, where costs are passed on to the consumer.

Both parties have a tendency to selectively remember their roles in shaping the current healthcare landscape.

The Role of Insurance

Insurance companies also play a pivotal role in the hospital cost crisis, yet they remain largely unscathed in the bipartisan blame game. Both parties have failed to address the complex relationship between hospitals and insurers, which is often characterized by opaque pricing and convoluted reimbursement rates. While Democrats often advocate for universal healthcare solutions, they have not sufficiently tackled the underlying issues of insurance reimbursement practices that contribute to inflated hospital costs.

Meanwhile, Republicans frequently promote Health Savings Accounts (HSAs) as a solution, but these accounts do little to address the fundamental problems with pricing transparency in the healthcare system. Without a comprehensive understanding of costs, patients are left in the dark, unable to make informed choices about their healthcare options.

Public Sentiment and Political Action

As the public grows increasingly frustrated with rising healthcare costs, the disconnect between political rhetoric and reality becomes even more apparent. Voters are demanding action, yet politicians appear more focused on scoring political points than on crafting meaningful solutions. This is a disservice to the very constituents they aim to represent.

Moreover, the media landscape is complicit in this narrative. Coverage often emphasizes the dramatic stories of individuals facing medical bankruptcy or the emotional testimonies of families grappling with the costs of care, but it rarely delves into the systemic issues that perpetuate these problems. Without a deep dive into the policies that have shaped our healthcare system over the decades, the cycle of blame and selective memory will continue.

A Call for Accountability

It is essential for both parties to confront their pasts and acknowledge the ways in which they have contributed to the current state of hospital costs. Rather than engaging in a blame game, lawmakers must work collaboratively to develop solutions that prioritize transparency, accessibility, and affordability in healthcare.

As we stand on the precipice of potential reform, the question remains: will our leaders rise to the occasion and take responsibility for their roles in this crisis? Or will they continue to engage in the bipartisan habit of selective memory, leaving the American public to bear the brunt of rising hospital costs?


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For local service context, see Joneswater.