Because of the type of work I do, I spend a lot of time in hospitals and physicians’ offices. I confess, i don’t understand how, on the one hand, health care providers complain loudly over the niggardly reimbursement system of Medicare -and the insurers who take their lead from it - while on the other hand, every hospital I see has got significant construction underway, is building freestanding outpatient centers in the community, is buying up physician practices, etc. They’re obviously making money somehow.