Subject: Re: healthcare
hospitals are competing for patients so want to have all the facilities in house,

Here in A2 area, we have two competing, ginormous health care systems ~ UMich Health Care System (University of Michigan Hospital System with satellite clinics and regional hospitals), and Trinity Health systems {St. Joseph Hospital with satellite clinics).

And of course, just east, and overlapping both Trinity and UMich- Henry Ford System, and in Detroit- Wayne State.

Meanwhile, up north, my wife had a health care emergency at our cabin two years ago and the ambulance ride to the nearest emergency room took an hour.