For-profit Steward Health Care System's decision to close Quincy Medical Center, on Boston's suburban South Shore, is being replicated around America, as healthcare reform,  the move to value-based payments from fee for service, the move from inpatient to outpatient populations, the power of the prestige of teaching hospitals and other factors that have  left some hospital markets saturated. We at Cambridge Management Group (cmg625.com), a healthcare consultancy, have been watching this process  around America.

-- Robert Whitcomb