> You can’t even build a hospital ... without government permission. You are talking about Certificates of Need which are investigations to show that an area n

> You can’t even build a hospital ... without government permission. You are talking about Certificates of Need which are investigations to show that an area needs a new facility... The concept of a CoN was lobbied for by hospitals and healthcare providers who wanted "guarantees" of profits before they'd commit to building new facilities. The CoN process helps existing facilities get a say in whether a new hospital should be allowed in the area. The government itself generally doesn't care.