Today, 36 states have certificate of need laws. Inventors cannot get new procedures accepted in local hospitals until they prove to state bureaucrats that the new procedures are wanted by the community. Existing providers that will not be able to compete economically are allowed to testify as to why the community — which knows nothing about this — really does not need the new procedure.
This is another technique that allows the good old boys in medicine to maintain their high-income positions. This is how the medical-industrial complex keeps its hold on the medical marketplaces. They use the state. Because the state funds hospitals, this system is inevitable. If you take the state’s nickel, you take the state’s noose.