Agree. If this was the movie studios, or the record industry, then this kind of creative destruction would be ok, but we are talking about regulatory arbitrage and financialization leading to a market failure, and in this case it is our health system. Traveling 50-75 miles to the nearest ER will most often just lead to death. This is perhaps the most basic service a modern economy can provide ... third world countries will have better options than many US citizens.