What Hospitals Waste

Marshall Allen | Pro Publica | March 9, 2017

The nation’s health care tab is sky-high. We’re tracking down the reasons. First stop: A look at all the perfectly good stuff hospitals throw away.

Just outside Portland, Maine, there’s a 15,000-square-foot warehouse that’s packed with reasons the U.S. health care system costs so much: Shelves climb floor to ceiling, stacked with tubs overflowing with unopened packages of syringes, diabetes supplies and shiny surgical instruments that run hundreds of dollars apiece. There are boxes of IV fluids and bags of ostomy supplies and kits with everything you’d need to perform an obstetrics surgery.

Elizabeth McLellan, RN, MSN, MPHThis, however, isn’t a story of about the crippling price of medical supplies. This is about the high cost of medical supplies that hospitals throw away. On a recent snowy day the warehouse’s 65-year-old proprietor, Elizabeth McLellan, gave an indignant accounting: She yanked a urinary catheter out of one bin. It’s unopened and has an expiration date of July 2018. “There’s no reason to get rid of this.” A box of 30 new feeding bags has an August 2019 expiration date. The same type sells on Amazon.com for $129.

That surgical stapler? It’s unopened. The same model sells online for $189. And McLellan simply shook her head over a set of a dozen long thin laparoscopic surgery instruments that some hospital discarded. Similar used tools can go for hundreds of dollars. “There’s nothing wrong with these, nothing wrong with any of these,” she said. Ten years ago, McLellan, a registered nurse, shocked to see what hospitals were tossing out, began asking them to give her their castoffs instead...