broadsword
Brigadier
Everything medical related is hyper-inflated in the US, including hospital costs in the form of salaries and medical supplies.
Most A&E clinics run a huge deficit because they cannot simply turn away uninsured sufferers for them to die out on the streets. But even minimal life saving care will costs A&E eye watering amounts of money to treat in America. And increasingly, fewer patients can afford medical insurance.
You need a certain scale of size in order to thrive in that market because it’s the more specialised treatments that are most profitable, so you need a big hospital with all the latest and greatest medical devices and top of the line superstar surgeons to operate them.
The Hospitals that are closing are the small and medium ones who are taking the full hit of more and more none insured walk ins that they cannot turn away, but lack the size and scope of specialist commercial units to make enough back from insurance companies to break even.
Like this situation: