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The Certificate of Need (CON) process is ripe with corruption. Why should the government be the gatekeeper of what is needed? I know of one practice that wasn’t going to get their CON for their desired equipment/lab. However, once they agreed to "partner" with the hospital on the venture (i.e. let the hospital get a piece of the pie), the CON was awarded.
The large hospital systems (like the monster that was allowed to be created when Mission and St. Joseph’s merged), have a lot of influence (read $$$) over the people who decide whether or not a CON is awarded. Their big concern is that the doctors’ offices will be able to provide the service for less cost to the patient…meaning fewer patients will paying the big bucks at the hospital. It’s all about protecting their market, and nothing about quality or "need." In a free market society, the consumer should dictate need, not the government.
…and we wonder why health care costs continue to skyrocket.