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Does Michigan Need Certificate-of-Need?

Last summer, members of the Michigan legislature revisited discussions of eliminating an arcane but long-standing health policy called Certificate-of-Need. Few people, or even policymakers, are familiar with state Certificate-of-Need (CON) programs, but they yield significant authority in influencing the shape of states’ immense healthcare markets. Michigan’s healthcare market, for example, accounted for an adjusted 70.4 billion dollars in expenditures in 2009 alone.

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