States’ Efforts To Alter Arcane Hospital Rules Mix Politics With Drama

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Georgia, like many states, requires health-care facilities to obtain certificates of need before building or expanding. Supporters argue that this system reduces duplication of services and helps control healthcare costs. However, researchers say that CON laws do not achieve their goals of increasing access and quality while lowering costs. Some believe that powerful healthcare interests use these rules to dominate the market. Recent efforts in Georgia to reform the CON system include exemptions for reopening closed hospitals in rural areas and partnering with medical schools. Similar debates over CON laws have occurred in other Southern states.

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