A Key To PPH's ERTC Site: PPH's Ability To Control The Land Surrounding The New Hospital
PPH has decided to exercise the option to acquire the ERTC property. The details of the shadowy Development Agreement between PPH and JRM-ERTC I are now available. Under the agreement, JRM must insert "use restrictions" in the grant deeds of the ERTC property not owned by PPH. The use restrictions requirements are in Section 8.5.2 of:
http://civics.robroy.cc/AC.pdf (JRM Agreement)
Now PPH has control over the use of all of the ERTC properties. PPH can control the property costs of competitive medical services near the new resort-style hospital. The other available properties in Escondido did not provide PPH with this control of the surrounding land. Now it is evident why the downtown location is so unacceptable to PPH. The downtown location failed to allow PPH the control it covets over the land surrounding the hospital.
A comment by a "Local MD" captures the problematic issues surrounding PPH's acquisition of the ERTC property:
Local MD wrote on February 24, 2006 7:54 PM: "So now PPH will control all aspects of the health care delivery system in North County...the real estate, the hospital beds, and the anciliary services. Physicians will be arm-twisted into leasing space from the hospital and to use their services. Has anyone from the PPH Board even mentioned the cost to the patient? Twenty years from now when our insurance premiums, co-pays and deductibles are through the roof we'll curse the fact that we created a monopoly with our own money. This PPH monopoly will have zero incentive to lower prices or improve services because they'll be the only game in town. That said, it will be a majestic structure...just like a Las Vegas casino, ready to pick our pockets."
The reader comment was added to the following NC Times article on the PPH ERTC decision:
http://www.nctimes.com/articles/2006/02/24/
news/inland/21_40_082_23_06.txt
Other reader comments added to the article are quite interesting. Mike, Sam, Disgusted, and The Order had some insightful political comments that will be investigated in a later blog post.
http://civics.robroy.cc/AC.pdf (JRM Agreement)
Now PPH has control over the use of all of the ERTC properties. PPH can control the property costs of competitive medical services near the new resort-style hospital. The other available properties in Escondido did not provide PPH with this control of the surrounding land. Now it is evident why the downtown location is so unacceptable to PPH. The downtown location failed to allow PPH the control it covets over the land surrounding the hospital.
A comment by a "Local MD" captures the problematic issues surrounding PPH's acquisition of the ERTC property:
Local MD wrote on February 24, 2006 7:54 PM: "So now PPH will control all aspects of the health care delivery system in North County...the real estate, the hospital beds, and the anciliary services. Physicians will be arm-twisted into leasing space from the hospital and to use their services. Has anyone from the PPH Board even mentioned the cost to the patient? Twenty years from now when our insurance premiums, co-pays and deductibles are through the roof we'll curse the fact that we created a monopoly with our own money. This PPH monopoly will have zero incentive to lower prices or improve services because they'll be the only game in town. That said, it will be a majestic structure...just like a Las Vegas casino, ready to pick our pockets."
The reader comment was added to the following NC Times article on the PPH ERTC decision:
http://www.nctimes.com/articles/2006/02/24/
news/inland/21_40_082_23_06.txt
Other reader comments added to the article are quite interesting. Mike, Sam, Disgusted, and The Order had some insightful political comments that will be investigated in a later blog post.
posted by Robroy at 10:47 PM
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