Tag Archives: Certificate of Public Need

Fairy Tales, Absurdities, and COPN

by James C. Sherlock

We read in the Virginian-Pilot yesterday this statement from columnist Gordon Morse: “Covering indigent care and doing so in ways that do not undermine the entire health care system is central to the existence of COPN.”

In his column, he moved on to this common and reductio-ad absurdum corollary: “You can, as an alternative to COPN (or any regulatory structure), just throw it wide open and see what happens.”

Mr. Morse’s narrative about COPN — repeated endlessly by the law’s supporters — is that without COPN, poor people would be left to die on hospital steps. The story captures the hearts and votes.  It has worked for nearly 50 years and works today. 

Morse has been around forever and should know better. The fact is, COPN and healthcare facility licensing are separate sets of regulations in Virginia. Care for the poor does not depend upon COPN. At all. Never did.

Undeterred, Morse plays the compassion card face up. COPN supporters have no other card to show in polite company. Continue reading