To better compete, many doctors sold their practices to hospitals—as the Parkview doctors in Bryan did, giving them a near-monopoly in Williams County. (Only the few doctors who worked for CHWC provided any competition.) Those who didn’t already work for hospitals started to consolidate among themselves, with one large practice buying up smaller practices in a region. The Bryan branch of the Specialty Eye Institute, where Barb Purvis sent Keith, was part of a ten-office chain in Ohio and Michigan.
