Beaumont's main hospital in Royal Oak, Michigan. Photo: Elaine Cromie/Getty Images

Advocate Aurora Health and Beaumont Health have started formal merger discussions, the systems said today. The combined system would control 34 hospitals across Illinois, Michigan and Wisconsin, and would generate $17.5 billion in annual revenue, which would be larger than companies like Salesforce or Mastercard.

Why it matters: This transaction — which is being initiated during a pandemic that hospitals say has stretched them financially — would create one of the largest hospital systems in the Midwest. But the evidence has been thorough in showing hospital mergers don't lower prices and don't improve care quality.

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Updated 29 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 11:30 a.m. ET: 30,557,899 — Total deaths: 952,981— Total recoveries: 20,822,644Map.
  2. U.S.: Total confirmed cases as of 11:30 a.m. ET: 6,730,304 — Total deaths: 198,679 — Total recoveries: 2,556,465 — Total tests: 93,150,052Map.
  3. Politics: In reversal, CDC again recommends coronavirus testing for asymptomatic people.
  4. Health: The dwindling chances of eliminating COVID-19 — Massive USPS face mask operation called off — How the American diet worsens COVID-19.
  5. Business: Unemployment drop-off reverses course 1 million mortgage-holders fall through safety net.
  6. Education: At least 42% of school employees are vulnerable.
  7. World: Guatemalan president tests positive for COVID-19.

Trump says Republicans have an "obligation" to fill Ginsburg's seat

President Trump. Photo: Stephen Maturen/Getty Images

President Trump wrote in a tweet Saturday morning that Republicans have an "obligation" to fill Justice Ruth Bader Ginsburg's seat on the Supreme Court following her death Friday.

What he's saying: "We were put in this position of power and importance to make decisions for the people who so proudly elected us, the most important of which has long been considered to be the selection of United States Supreme Court Justices," the president said, tagging the Republican Party. "We have this obligation, without delay!"

Hundreds gather to pay tribute to Justice Ruth Bader Ginsburg along Supreme Court steps

Photo: Alex Brandon/AP

At the Supreme Court steps Friday night hundreds of people gathered to pay tribute to Justice Ruth Bader Ginsburg — singing in a candlelight vigil, with some in tears.

Details: If there is a singular mood at the Supreme Court tonight, it’s some kind of a daze manifested by silence.