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leadoff batter good morning everyone everybody had your coffee and awake and were dead were New Castle County New Castle County has essentially a near-monopoly of the North County but Christiana Care has a near monopoly and health delivery in this county Kent County has Bay Health Bay health as a near-monopoly ing to Fitch who rates these things over 80% market share in Kent County BB in Sussex County has probably is you know 50% market share but there is competition with Bay health and Nanticoke who really reasonably recently merged with Peninsula health so whats going on so todays topic is how would you like to cut 248 million dollars from the healthcare costs in the state of Delaware well well get to that in a minute how this all happened is that in 1974 the federal government forced that as they said if you want Medicare and Medicaid money states you have to this certificate of need law certificate made law very simply says any healthcare system any healthcare activity a prov
