To the Editor: The June 23 issue contains two Sounding Board articles on prospective payment. Schramm and Gabel,1 speaking for the insurance industry, claim that prospective payment has been a financial windfall for hospitals, increasing their profit margins to 6.2 percent. McCarthy,2 speaking for the hospitals, claims that prospective payment has been a financial disaster for hospitals, reducing their profit margin to a mere 0.2 percent. Who's telling the truth?
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