Because each medical practice within is its own business entity. Like the retail stores within a mall. Imagine the duplicated administrative effort. It's ludic

Because each medical practice within is its own business entity. Like the retail stores within a mall. Imagine the duplicated administrative effort. It's ludicrous. Also, care providers are treated like gig workers. For instance, my superior dermatologist has two practices AND a side hustle (reviewing medical images), just to stay afloat. (Two income household, raising two kids, house nearish to work, paying off student loans.) They and their partner are debt slaves. For the foreseeable future. It's insane.