KevinMD June 11, 2024
Brian R. Jackson, MD and Paul R. DeMuro, JD, PhD, MBA

In the not-too-distant past, health care was a local industry. If you saw a doctor, they were likely a solo practitioner. If you went to the hospital, it was probably run by a local religious order or non-profit. Health care leaders and board members shopped at the same stores as their patients did, socialized in the same community groups, and sent their children to the same schools. Today, though, health care is Big Business. Most physicians are employed by a large group practice, which may be owned by a health system, national insurance company, or private equity fund. Most local hospitals are part of multi-state health systems. These parent companies may have investors across the country or even around the...

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