but also corporates have shown interest to open more hospitals in the city since quality is nonnegotiable and if the increase in medical facilities is affecting it we need to study whether so many health care set ups are really needed this examination is important especially when they have increased competition which can be healthy and counterproductive at the same time and have resulted in an overall increase in expenditure per hospital because of nonsharing of resources also same set of visiting physicians and surgeons are attached to these medical facilities resulting into overlapping of services moreover increased competition may drive these facilities to spend more time and efforts on just getting the required number of patients rather than focusing on the treatment however one may argue that greater competition can also help to reduce costs and improve quality but development of only large hospitals will lead to loss of personal touch between doctor and patients on the other hand small hospitals may have difficulty in meeting regulatory requirements but can offer an enhanced personal touch however inadequate backup systems which have become so important now are a handicap for small set upsthe writer is chairman and director of suraj eye institute