My local hospital was about to go bk but was acquired by another hospital for 1 dollar.
They shut everything down except for the ER and about 40 beds.
The consolidation has meant greater efficiency but less convienience for the patients.
The reason is the Dem run Medicare program now punish small, hospitals with lower payments and pay urban Dem run locations with higher payments.
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I can foresee the death of the big hospitals and more of the “doctors” hospitals emerging.