From Courtney <[email protected]>
Subject Did you know?
Date July 18, 2022 6:10 PM
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Certificate of Needs 

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Dear John,

North Carolina is one of several states in the USA that requires a “certificate of need” (CON) before a physician group could build an outpatient procedure center?

Along with other states, like Massachusetts and Illinois, the rules of North Carolina require that a CON be obtained before a licensed surgeon or physician, or a medical practice group, can build and operate an outpatient surgery or procedure center. This would be done using the physician's own funds or personal loan, not taxpayers’ money. The process for obtaining this CON is onerous, involving much time and financial resources, and is almost never successful, as large hospitals or corporations which own hospitals block these applications.

When outpatient surgical centers are built and owned by physicians or physician groups, they can provide care, such as cataract surgery and even total hip and knee replacements, much more efficiently and at less expense to the patient (customer) than a large hospital! Any profit realized from this efficiency goes to the physicians, not to hospital or corporation bureaucrat coffers.

Enterprising physicians in Chicago, after being denied a CON by the state of Illinois, built outpatient surgery centers across the state lines in both Indiana and Wisconsin to provide convenient, cost-effective, and lower hassle care for their patients. The same has occurred in Boston, where physicians built a surgery center in New Hampshire. These are just two examples of how the
“free-market” approach to medical care can both improve quality patient care and lower health care costs.

As a nurse who wants to advocate for quality affordable healthcare, I will work to decrease regulation without compromising quality measures to promote innovation and success in seeing improvements in our healthcare system.



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Running a campaign costs money. The only way to get out the vote this November is by purchasing yard signs, sending mailers, and paying for campaign outreach activities such as community events. Courtney can't pay for all these activities on her own, and if you want to see her message reach out further in our community, she needs your help. Click the button below to donate to her campaign.
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Money isn't the only way you can contribute to Courtney's campaign, you can donate your time! We are in search of energetic volunteers that will help in our get out the vote efforts and get Courtney Geels elected to Congress! See how you can join our team by clicking on the button below!
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Thanks again, John. I appreciate your support on my campaign and I look forward to represent you well in Washington DC.

Courtney Geels
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