Comment: As for the small clinic vs. mega hospital issue, perhaps this

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In reply to comment: must be nice, not accepting (see in situ)

As for the small clinic vs. mega hospital issue, perhaps this

means the mega-model doesn't work? Perhaps the more efficient use of resources and the better and cheaper way to deliver such services is with smaller clinics and outpatient practices?

The comparison IS a fair one. It exposes the mega-model for being too unweildy and expensive and highlights the advantages of doing it differently.