main problem: if you are planning to open up a healthcare center in the united states you must prove that you will not compete with any others. thank government regulation
It has been law in many states starting in the 1960's. The original intention was to prevent too much competition which could skew incentives.
* From the perspective of an average consumer. It's a brilliant system if you're in a position to profit off it. And it has resulted in the best health care in the world (for those who can afford it).
Is '[too much] competition' not supposedly the bedrock of our Wonderful System of Market Capitalism?