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@alpacaherder If they are prestigious specialty hospitals (e.g., NIH-affilliated cancer hospitals) that might be a good thing. It would mean patients are probably travelling from elsewhere to spend lots of money in #OH.
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Consider my hometown's local economy: a few hospitals and school districts--and Walmart--are the biggest local employers, and for anything serious, patients have to travel out of area. Retail and food, medical, government and education are the five biggest local "industries". Most everyone else commutes 50+ miles to work elsewhere.