> you are not even allowed to establish a new hospital Depending on the state, this also goes for surgery centers, and other types of procedure rooms for minor

> you are not even allowed to establish a new hospital Depending on the state, this also goes for surgery centers, and other types of procedure rooms for minor outpatient surgery. As soon as you go to a hospital, the hospital tacks on a giant facility fee which may be the single largest expense. This, despite the hospital regularly owning half the practices involved in providing care too! Those "nonprofit" executives with their multimillion dollar salaries, and the legion of nonclinical administrators have to come from somewhere. It is on the back of the clinical doctors. This is highly detrimental to the high volume, low dollar value medical practices where we want to increase volume, and reduce costs, such as opthamologists & dermatologists. This, because our aging population has increased needs for ocular and skin care.