I wanted to know more, though, especially about HCA. Then I thought of another Galewitz story. This one was about hospitals, including HCA, that were mining their patient records to find customers who brought in the most revenue—that is, those who have the best-paying insurance. They’re trying to reel them in to their facilities for their most lucrative services such as cancer, heart, and orthopedic care. This gets back to the market share thing. Galewitz reported that these efforts had attracted higher-paying patients, including, in the words of one marketing exec, those covered by “profitable Blue Cross and less Medicare.” Does that mean rationing to Medicare patients? That’s another story, and another dot to connect.

Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.