Quote:1) You assume the state government is the only barrier to entry. It may simply not make financial sense to build a hospital. There may be no demand for one. 

 

2) Not sure why you wouldn't want the oversight of a physician. They are your primary healthcare provider. 

 

3) There is a good reason they don't sell across state lines. Insurers would cherry pick where they provided business, potentially to the states with the healthiest populations. This would create a race to the bottom as insurers would get to choose both their regulator and their risk pool. 

1) I actually agree with this somewhat. Thats why you see the proliferation of stand alone ER's (cause no certificate of need required). But at the same time having more competition in an area isn't a bad thing, but hospitals don't compete on cost, they compete for patients cause when you need care you rarely get to pick (except maybe in where you have babies/ get treated for cancer etc.)

2.) agree I am in favor of physician oversight of clinics, why people want a less educated and trained provider is beyond me. The proliferation of 'way less trained' but 'almost as good' is kind of nonsense. There is a reason midlevels usually have a physician as backup and its not because they are just as good as that physician.

 

3) This is what they currently do. Removing the lines would incentivize them to expand to other states.

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