Not being a Shriner, I am not sure I should comment, but some know I will... I have transported a number of kids to Galveston when I was still working in EMS/Fire. I appreciate the work that was done for the kids, and support for the famiies. I would like to see these hospitals re-open, or stay open. I feel that at this time, if they have to accept insurance etc to make ends meet, by all means do it. I know how improtant it is sometimes to remain independant, and not have to ask for outside help, and that is probably a part of the reasoning behind the decisions for the hospitals. Another key factor that may make them to want to stay independant, is to keep away outside influences, and interference. As they open up to accept outside payments, they also open themselves up to additional rules and regulationns that may make it harder financially to stay open. That is one reason you see fewer "home town" hospitals, and only larger ones in the bigger cities. It has become increasingly harder to do the work needed to save lives, and keep the cost in line, and then have to turn around, and answer questions when you should be with the patients. You also have to fill out more forms, operate by stricter guidelines and so on. These guidelines are not so much the ones that make it a safer facility, but to have to release a patient earlier than the Doc thinks he should, or before the patient is comfortable being away from the care. Couple that with the 20 to 50 miles they have to travel to get back to the hospital, and it's really difficult. Our Shriner hospitals are a lot farther away for most, and reduces the comfort zone even further. By no means do I have an answer, but I am sure there is a good one for all involved.