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Health Policy
February 19, 2021

Overcoming the Market Dominance of Hospitals

Author Affiliations
  • 1Stanford University School of Medicine, Stanford, California
  • 2Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania
  • 3Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA. 2021;325(10):929-930. doi:10.1001/jama.2021.0079
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    1 Comment for this article
    Paul Manner, MD | University of Washington
    In large part the HITECH Act and PPACA drove this. Essentially the federal government made it economically impossible to run a small practice. Apparently, it's now surprising that the only entities with deep enough pockets to cover the overhead (hospitals and multi-center groups) are now the only ones left.