Too Big To Care
A Project of national nurses united
The Crisis Of Hospital Consolidation
In the United States, we pay more for health care than anywhere else in the world
Yet we suffer massive inequality when it comes to health care access, quality, and outcomes. Among the drivers of this untenable contradiction are out-of-control hospital pricing fueled by decades of corporate consolidation.
More than 67% of hospitals belong to large systems today – up from just 45% in 2000. Along with this consolidation have come higher prices, hospital closures, and ever higher insurance premiums, deductibles, and co-pays.
This website is a clearinghouse for information on the effects of the rampant expansion of large hospital corporations, including case studies of key hospital systems and their practices, front-line reports from the Registered Nurses who witness the impact of health care inequality every day, and tools you can use to fight for health care justice.
The Latest News And Updates
April 25, 2025
HCA Systematically Cuts Vital ServicesIn the early months of the COVID-19 pandemic, HCA closed the maternity ward at Regional Medical Center—the only one in East San José—forcing many underinsured families to travel across town for care.
April 25, 2025
Community Advocates Call on HCA Mission to Stop Chronic Understaffing after ER DeathIn February, a patient at HCA’s Mission Hospital died in an emergency department bathroom—a tragedy that local Asheville, NC advocates have linked to HCA’s ongoing understaffing at the hospital.
April 25, 2025
HCA Chased off Doctors, Nurses, and Downgraded Care at Mission Health in North CarolinaA recent Wake Forest University paper found that HCA Healthcare’s 2019 acquisition of Mission Health did not lead to lasting improvements in Asheville’s once-lauded hospital system. Instead, the report concluded that the acquisition resulted in significant staffing shortages and a decline in the quality of care.