[azernik]

I can second the testimony about lots of upheaval and consolidation in the industry. A family member recently worked at a Big Law firm on antitrust cases, and a large portion of them had to do when recent M&A activity among hospitals, specialty clinics, and small practices. The days of the doctor as small-business proprietor are waning.

[leekyle]

One interesting aspect with the consolidation of hospitals is that they are generally buying smaller hospitals, it isn't some massive merger which gives them immunity from anti-trust cases.