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Governing reports on a small town in Tennessee faced with the difficult choice of whether to privatize its local hospital. Running a public hospital is not like other public services, insofar as it must also compete in a competitive market; with all the regulations and restrictions government entities face, many business processes run slower than they would in the private sector. "Selling a hospital facility to a private company can eliminate governance burdens, but it also breaks all ties to public-sector accountability," Governing reports.

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