"Republican legislators, for years, have stood up and spoken up for free markets," writes veteran Republican consultant Carter Wrenn in his blog, Talking About Politics."It’s part of their creed. They don’t like government picking ‘winners and losers.’ But when a group of Republican legislators in Raleigh decided to sponsor a bill to break the hospitals’ monopoly on outpatient surgeries and put the free market to work – it didn’t appeal to the Hospital Association at all.
Right now, before, say, an orthopedic surgeon can do outpatient surgeries in his office instead of in a hospital, he has to get a permit called a ‘Certificate of Need’ from the state. And his chances of getting that certificate are slim to none.