Clark Kauffman of The Des Moines Register explores the influence that the Iowa hospital industry exerts over state regulators and lawmakers. In Iowa today, a state license to run a hospital costs $10, just as it did in 1947. That's less than the cost of a state license to open a bait shop. And the state's Hospital Licensing Board is made up exclusively of industry CEOs. Those CEOs belong to a PAC that opposes issues such as mandatory criminal background checks on hospital workers, increases in licensing fees, and updated standards on new hospital construction.