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State Appeals Court tosses out lawsuit challenging N.C. certificate-of-need restrictions

A unanimous N.C. Court of Appeals panel has dismissed a New Bern eye surgeon’s challenge against the state’s certificate-of-need restrictions. Yet Judge John Tyson’s written opinion highlighted problems associated with the state's CON process.

New-hampshire , United-states , North-carolina , Texas , California , Pennsylvania , Bern , Switzerland , Pamlico , Utah , John-tyson , Jay-singleton

NC patients pay for hospital law that kills competition

North Carolina ophthalmologist Jay Singleton has a state-of-the-art vision center in New Bern east of Fayetteville, where he can treat patients at a fraction of big hospital costs. Unfortunately, the state won’t let him use his space for most of the surgeries he performs. Instead, Singleton must drive two miles down the road to a

California , United-states , Bern , Switzerland , North-carolina , Texas , Fayetteville , Roy-cooper , Jay-singleton , Supreme-court , Senate-on , Carolinaeast-health-system

New Bern eye doctor reignites fight against CON law - Carolina Journal

Carolina Journal is the source for daily news and commentary on state and local government, in digital & print, covering politics and public policy.

North-carolina , United-states , Craven-jones-pamlico , Jay-singleton , Appeals-court , Institute-for-justice , Nc-court , New-bern-based , State-medical-facilities-plan ,

North Port will continue city manager search with two candidates

North Port will continue city manager search with two candidates
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Colorado , United-states , Florida , North-port , Maryland , Texas , Johnstown , Montgomery-county , Barbara-langdon , Jay-singleton , Peter-lear , Debbie-mcdowell

CON critic's recent courtroom setback still has positive signs - Carolina Journal

CON critic's recent courtroom setback still has positive signs - Carolina Journal
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Bern , Switzerland , North-carolina , United-states , Michael-ofoghludha , Jay-singleton , Supreme-court , Institute-for-justice , Singleton-vision-center , Nc-court , New-bern , Superior-court-judge-michaelo-foghludha

Doctor not giving up challenge to North Carolina regulations on health-care facilities

Doctor not giving up challenge to North Carolina regulations on health-care facilities
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Durham-county , North-carolina , United-states , Aston-park , Sonia-waraich , Derek-hunter , Michael-ofoghludha , Joshua-windham , Jay-singleton , Ken-burgess , Department-of-justice , Institute-of-justice

Superior Court judge dismisses latest legal challenge against CON - Carolina Journal

Carolina Journal is the source for daily news and commentary on state and local government, in digital & print, covering politics and public policy.

Winston-salem , North-carolina , United-states , Durham-county , Bern , Switzerland , Renee-flaherty , Derek-hunter , Michael-ofoghludha , Gajendra-singh , Jay-singleton , Institute-for-justice

North Carolina faces new lawsuit challenging regulations over health care facilities

North Carolina faces new lawsuit challenging regulations over health care facilities
bizjournals.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from bizjournals.com Daily Mail and Mail on Sunday newspapers.

Winston-salem , North-carolina , United-states , Durham-county , Bern , Switzerland , Carolinaeast-medical-center , American , Sonia-waraich , Michael-ofoghludha , Gajendra-singh , Jay-singleton

Certificate of Need CON: A tangled web of bureaucracy, clout, and backroom deals


Carolina Journal reports:
A coal miners’ son. A powerful attorney. A defeated surgeon. Two college sweethearts.  
All of them became caught up in a powerful system known as Certificate of Need. Certificate of Need laws give the state control of medical resources. Twenty-five people, an advisory board appointed by the governor, oversee the supply of hospital beds, medical equipment, and a host of other resources.  
In theory, the system is supposed to guard patients’ access to health care.  
But the system offers a wealth of opportunities to crush unwanted competition and hamstring smaller doctors’ practices. Under CON laws, incumbent providers can take their competitors to court and force them to bleed money for months, years, or even decades.  

New-york , United-states , North-carolina , Raleigh , Presbyterian-hospital , Bern , Switzerland , Greenville , Huntersville , Forsyth-county , New-yorker , Richard-bruch

Scandal and corruption: A history of Certificate of Need laws  - Carolina Journal


effects of 
Certificate of Need laws: 
1970s: Health insurers have a dilemma, and Uncle Sam is about to get involved. At the time, insurers pay hospitals for their costs. Hospitals go on buying sprees, and everyone else foots the bill. 
1971: North Carolina decides hospitals have a spending problem, and they need a budget. Lawmakers require providers to get state permission before making any big purchases — and Certificate of Need laws are born.   
1973: Not so fast. The N.C. Supreme Court axes the first version of CON laws for “establishing a monopoly.”  
1974: Congress picks up the idea, and it passes a Certificate of Need mandate. But Congress does nothing to fix the underlying incentive to waste money. Instead, Congress pushes states into adopting regulations known as CON laws. 

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