Is the preference for fewer large-scale operations over more smaller-scale operations something that is in the best interests of any of the stakeholders in this situation, most importantly the patients? Is this something we need to memorialize by statute and/or regulation rather than let the patients themselves decide via the market mechanisms that will do it unaided and without the unintended and unforeseen consequences that always attend government action, not to mention the financial costs, which will ALWAYS end up being borne by the patients? Is this SENSIBLE?