so if a local community needs a hospital, the local people can get together (civic, fraternal, church/synagogue, whatever... its done all kinds of ways)
and build a local hospital.
just like local people (in some very small towns, incidentally, as well as larger cities) have done for many, many years
BU can take its federal bureaucrappy and stuff it.
You can tell that to the people in “Trump country” for whom this mainly impacts.
Appalachia’s Rural Hospital Crisis deepens
https://appalachianmemories.org/2025/09/16/appalachias-rural-hospital-crisis-deepens-in-2025/