[JumpCrisscross]

> we’d see acquired practices lowering their prices and competing more aggressively due to their better cost structure

Introducing a new fixed cost into a market should not be expected to increase competitiveness. It almost always reduces it. The trade-off with regulation is that trade-off is worth it.

Put another way: if you are a $50mm practice, and it suddenly becomes infeasible to run anything smaller than $40mm, your market power increases. You have less competition.