Check out some of these documents if you want to get angry: http://www.tennessee.gov/hsda/con_standards.shtml http://www.tennessee.gov/hsda/con_standards.shtml

Check out some of these documents if you want to get angry: http://www.tennessee.gov/hsda/con_standards.shtml http://www.tennessee.gov/hsda/con_standards.shtml The standard for "Burn Unit" says there can't be more than one burn unit bed for every 225,000 persons and you can't build a new unit unless all the existing ones in the area have >70% annual utilization. So what if your new unit might be MUCH CHEAPER or merely more competent than the current players? Nope. The government isn't allowed to take mere PRICE into consideration in deciding if you can go into business. Or competence, or anything other than expected "need". And your new unit has to have at least 12 beds - operating at a smaller scale than that is apparently illegal. Then the standard for "long term care" facilities says they aren't allowed to plan on using any spare capacity to provide services such as "advanced emergency care". Why not? Because that might lead to "unnecessary duplication". Ugh.