I think the "you signed up for it" rubs me the wrong way. Particularly when it doesn't have to be that way, wasn't always that way, and there are specific polic

I think the "you signed up for it" rubs me the wrong way. Particularly when it doesn't have to be that way, wasn't always that way, and there are specific policy choices causing a change. Sure, most places never had a level 1 trauma center, but they did have hospitals, clinics, and pharmacies. Many of these medical institutions are leaving despite increasing population due to changing healthcare economics and policy choices.