Finally, somebody explains why certificates of need have any purpose:

Steve Heatherly, president and CEO at Harris Regional Hospital in Sylva, said repealing the certificate of need law would allow other providers to perform the most profitable procedures on patients with the best insurance and leave hospitals like his to serve those who can’t pay and provide services that are hard to make money on.

That is, the market is not favoring a type of hospital business, and so government must be used to force an alternative outcome. Running a gedanken through my weary mind, I imagine no certificates of need and hospitals unable to stay in business and so becoming “other providers” themselves with charities moving in to take care of the indigent. Why, a bunch of other providers could conglomerate and work out of the same building and share databases, too. Or maybe something amazing, beyond the framework of forced containment of ideation, will happen.