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.

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The Latest News And Updates

September 18, 2023

HCA Doubles Down on AI in the Midst of Massive Data Breach

Over 20 lawsuits have been filed against HCA after the private information of 11 million patients were posted on an online forum after a data breach. Patients’ names, cities, states, zip codes, email addresses, phone numbers, dates of birth, genders and appointment information were made public.

August 4, 2023

Lawsuits Charges HCA and TeamHealth Overcharged ER Patients

A recently unsealed lawsuit alleges HCA Healthcare and its medical staffing company partner, Team Health, backed by private equity giant Blackstone Group, are overcharging patients. 

August 4, 2023

Historic Strike: Largest Nurses’ Strike in Texas and Kansas History at Ascension Hospitals

In late June, nearly 2000 nurses at three Ascension hospitals in Texas and Kansas held the largest nurses’ strike in both states’ histories, protesting the Catholic health care giant’s unsafe staffing practices.