Three private, nonprofit health systems have challenged the "equity in state funding" provided to the Virginia Commonwealth University and University of Virginia health systems to compensate them for treating indigent patients and teaching graduate medical students. In a presentation to state health and budget officials this fall, the Sentara, INOVA and Carilion health systems said they operate private teaching hospitals and Level 1 trauma centers in Norfolk, Fairfax County and Roanoke that receive less than one-eighth of the public compensation given to VCU and U.Va. for indigent care and medical education ? $29.2 million compared with $243.9 million for the public hospitals in the last fiscal year.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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