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When HIPPA professional medical rules came into fruition in the Bush Supervision large hospitals could actually comply, and duly pass on those increased costs with regard to information technology infrastructure on to the people or affected individuals. Luckily to deal with, the united states government was footing most of the bill for Medicaid and additionally Medicare. Then again, smaller hospitals could not afford to upgrade, therefore the larger hospitals made it possible to buy them for a good price and improve through mergers together with acquisitions.