>The expansion of large medical systems into suburban areas steers patients into these larger systems, eliminating competition with smaller health care organizations. Without that competition, costs will increase, critics maintain.

Its a complex situation but the reality is that healthcare centralization has been underway for almost two decades now.

The smaller suburban systems have been going bankrupt for years. The rural systems have almost completely ceased to exist.

Many of them have been bought up by private for profit systems, which is really just the acceleration of the death spiral for a health system before its closed and sold off.

The expansion of large medical systems with outpatient services that funnel patients into thier central hospitals for advanced procedures, is really the only way that many suburbs are going have health systems at all in the future, as smaller ones continue to be unable to cover costs.

The idea that a free market exists in health care, and that price competition between hospitals is even a thing, is a conservative fever dream. It's never existed in practice.

Sounds like a system that's ripe for being sold off soon.

Perhaps look into a whole house water filtration system in the meantime.

Bill Clinton wanted to gut social security and only got held up from doing so by the scandal.

Democrats are very frequently in lock step with Republicans when it comes to "entitlement reform", deregulation, and public private partnerships.

None of which changes the fact that neo-liberalism and end stage capitalism are two separate terms with actual definitions of which you used incorrectly.

Your original comment is talking about neo-liberalism, not end stage capitalism, those are two different things.

Yep this is the fight that's occurring with Chester City trying to claim ownership of Chester Water Authority, despite its board being made up of repressives from Delco and Chester counties, which is where the majority of the CWA customers are.

Hopefully the CWA prevails in its fight and remains a municipal water system. It's one of the oldest and best run water authorities in the Northeast.

Yep this is the problem entirely. Residents fight paying for the actual costs to maintain and run municipal services for decades, because they don't understand the concept of long-term maintenance and liability costs.

The system gets neglected to the point of failure, and local leaders being unable to raise the now massive amount of money to fix all the deferred maintenance, sell it off to private companies who have zero qualms with increasing people's bills to pay for the services and cover the cost of all that back due maintenance.

I don't think you know these words have actual definitions, and the Democrats have been pretty pro free market for decades as well.

Probably at some point soon

https://www.msn.com/en-us/news/us/aqua-pa-details-its-steep-rate-increase-and-hits-sewer-users-the-hardest/ar-AAXG9AH

>End stage capitalism thinks markets always do better than government. Just stupid.

Minor distinction, but the belief that the free market is always more efficient and better than the government is just boilerplate neo-liberalism.

End stage capitalism is something else entirely.

Water rate increases get covered by the news as well.

Townships sell off their municipal utilities usually because they need expensive maintenance, or the township needs money for maintenance on something else, typically roads, or unfunded liabilities coming due.

Residents will fight against any small fractional increase in taxes or rates to pay for this maintenance, which usually has been deferred for years and can no longer be ignored; because the concept that things cost money to fix and maintain, even for the government, is a concept your average person just can't handle.

Pressed between a rock and a hard spot for money, townships do the only thing they can besides raise rates/taxes, which is sell off assets.

Residents ultimately end up paying more over time for this because companies like Aqua have a profit motive and will charge the real cost of the system, plus an additional amount to make a profit.

The cost difference for residents between municipal utilities and private ones can be extreme.

Philadelphia bills by the month and combined water and sewer costs for an average household using 500 cubic feet of water are $74, and that's with two rate hikes over the last two years. It would be even cheaper if there weren't so many people in Philly who didn't pay thier bills.

Chester Water Authority is even cheaper, they bill by quarter and thier typical bill is just under $100 which averages out to $33 a month.

Privatized utilities can easily be double the costs of municipal systems, this a well known and observed situation.

It just is, it's a necessary part of PA forest management.

The PA Game Commission has strict rules on hunting. They tightly regulate how many animals of what types and when, that can be harvest by hunters. They also require reporting by hunters of what they took and where.

They won't allow the animal populations to fall into endangered status, and use hunters for effective animal population control.

If anything this is a good thing because it indicates the PA black bear population is healthy.

Golf club is too bendy, you want a bat, hammer , or hatchet.

Just after the world cup is done and all the tourists have left.

Just keep ignoring that this is a frequent recurring issue with Krasner, and this case isn't a one off.

If you want safe, stick to Center City and commute using the buses. That or look further out along the rail lines such as Manayunk, Conshohocken, Ardmore, Media and come in via the train to 30th St station or Penn Medicine station.

I believe the Philadelphia Bar Association could direct you to a lawyer who could take on your case, but someone else on here said they evidently charge $30 for a referral.

Document everything, and good luck with your fight.

This might be too much for you to handle, but we can both be upset that Krasner is soft of gun crime, and also furious at maga nutcases who advocate thier lunatic cult attack LGBT people, and do nothing to confiscate guns from assholes who make terroristic bomb threats.

We'll never know because they didn't even bother to try to use them despite this nutcase making terroristic bomb threats to his own mother.

You'd have to move the cars to effectively do either of those things, which we don't do.

Speed limits don't work to control traffic speed, this is a well known problem. The only way to control speed is to design streets and roads that do it inherently through their design.

Such as being narrow, having speed bumps, and being single lanes.

You'd think that, but any time OTIS tries to fix it all the boomers start loudly complaining that they're not only entitled to park wherever the fuck they want for free, but also it's thier God given right to drive 50 miles an hour down any street in Center City.

Sounds like they're working.

>I imagine the bike paths and trails aren't plowed or salted well.

They aren't plowed or salted at all, and most of the bike lanes on the street by default have all snow plowed into them.

The streets department doesn't bother to even to sweep the streets, why would you think they'd plow them?

Unless the patrol cars are equipped with plate readers and are able to automatically flag cars that have fake plates.