Mostly because they’re extremely expensive to set up.. but even so there are maybe a dozen new ones that have opened in the past 5 years with about that many un

Mostly because they’re extremely expensive to set up.. but even so there are maybe a dozen new ones that have opened in the past 5 years with about that many under discussion to open in the next 5 years. I think the big bottleneck right now is the residency slots, those need Federal funding and they’ve been hesitant.