As a junior researcher who is interested in the phenomenon of the emergence of new hospital organizational forms, I agree with all the points you discussed in your article “Up-sizing the competition” (Feb. 15, p. 22). I have written my dissertation on specialty hospitals and much of my research is focused on this organizational form. It is really amazing to me how the government can interfere to ban a potentially more efficient competitive form of hospital, just to protect general hospitals, even though 75% of these general hospitals are already getting favorable treatment through tax exemption. Much more research is needed on physician-owned specialty hospitals and banning them prematurely is an institutional failure that will severely hinder current efforts to improve the quality and efficiency of our healthcare system.
Mona Al-AminAssistant professorHealth Services Research Management and Policy DepartmentUniversity of FloridaGainesville