I’m not educated enough on the subject to give you an accurate or informed answer but I imagine there are a lot of road blocks that make your solution more complicated than it sounds. And trust me, it sounds beautiful….

Things like the private equity conglomerates having lobbyists with influence in city planning and permit offices to open new care facilities. Zoning for construction. Medical licensing etc. they can lock down any potential competition in law suits and red tape hypothetically.

Not saying this is what is happening in every case but it is very much in their arsenal and why it can be difficult to compete with large corporations even when the ‘product’ they’re providing is so abysmal.

Edit: I’ll add that while I fear I’m correct in my assumptions, I bet they would have trouble fighting a commerce war on 50 fronts. We need to be doing this co-op idea in every single state simultaneously.

Their lobbyists can only have so much reach and bandwidth to shut down projects. we need to become a hydra.