Sadly its 2 large ones. Cybersecurity, HIPAA, medical records all requiere pretty substancial certification that you aint going to pass with 2 it guys who sometimes tell nurses to update their laptops.
The IT teams are just very obvious redundancies in a site like HN, but the major costs come from things like bulk medicine buys. Having a single team, and a larger order means you get cheaper prices compared to every hospital negociating their own prices against Pharma companies. Its why single providers in europe get better prices than american companies in basically every single medicine category.
But you can keep going and find tons of recurring, avoidable costs that simply are non additive with competition in natural monopolies. And not only is the math easy to follow, but the empirical experiments of privatising those natural monopolies always fails meanwhile the public ownership almost always works
The IT teams are just very obvious redundancies in a site like HN, but the major costs come from things like bulk medicine buys. Having a single team, and a larger order means you get cheaper prices compared to every hospital negociating their own prices against Pharma companies. Its why single providers in europe get better prices than american companies in basically every single medicine category.
But you can keep going and find tons of recurring, avoidable costs that simply are non additive with competition in natural monopolies. And not only is the math easy to follow, but the empirical experiments of privatising those natural monopolies always fails meanwhile the public ownership almost always works