In America today, many hospitals are owned and controlled by massive corporations that operate large chains of hospitals throughout the country. As a result, your local hospital may not be locally owned or controlled. Instead, it might be more akin to a McDonald’s restaurant, owned and controlled by some large corporation with a faraway headquarters.
Although this type of “chain” ownership can often lead to efficiency, it can also lead to serious problems. More and more often, the day-to-day decisions of running hospitals are made by business people who work in the corporate suites, not doctors and nurses who actually deliver care to patients.
Many times, these decisions are made to drive profits rather than to serve the best interests of the patients. Many times these decisions can also lead to Medicare and Medicaid fraud.