Hospitals are now government subsidized monopolies. They have little to do with improving the health of patients but have everything to do with dispensing pharmaceutical industry drugs and treatments. The net result is that small and rural hospitals must merge into mega facilities in order to achieve economy of scale or close altogether because fewer Americans can afford health insurance coverage. Federal and State subsidizes are mounting in a futile attempt to pay for the deficits that arise in providing medical costs for an aging population. This formula has only one outcome, BANKRUPTCY.