Besides Medicare and HMO's, what items have caused healthcare costs to skyrocket?

The need for a license to practice medicine.

AMA closing down medical schools.

Need for permission from existing hospitals to build a new one.

Is the permission needed to open a hospital based on federal statute? If so could you tell me where to find it?

Thanks!

Maybe this will help

http://www.youtube.com/watch?v=FZc8bEn85PA

CON laws