Hospital costs are rising which is putting them out of business, which causes mergers and takeovers by organizations that specialize in extracting profit out of hospital services. These organizations do this by reducing costs by lowering nursing staff numbers to like 20% of what they were before, which pretty directly leads to lower quality service. The cost increases in the medical industry are quickly making the whole system nearly untenable. We could see a system collapse in the near future. One way of mitigating this is providing the same services outside of a hospital- for example the cardiologists leaving the hospital and starting a private practice. This leads to reduced overhead and maintains tenability of the whole system.