"In Georgia, a certificate of need is required to put up a building; to do a renovation valued at more than $1,250,199; to make equipment purchases, for items such as CAT scanners, that cost $694,556 or more; or to open outpatient surgery centers valued in excess of $1,357,681. Why those figures? Because hospitals convinced legislators that such levels of capital expenditure would allow too much competition. But for all the regulatory shuffling of paper, only competition-not healthcare costs-has been stifled. ... Georgia should drop the certificate of need, an artifact of the past."