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Sanford, UnityPoint propose giant hospital system merger

Most of Sanford Health's hospitals and clinics are in the Dakotas and Minnesota. Photo: Sanford Health

Sanford Health and UnityPoint Health have agreed to merge, a move that would create a 76-hospital, tax-exempt system with $11 billion in revenue and an influential position throughout the Midwest and Great Plains.

Why it matters: Regional hospital systems merging into super-regional behemoths has been the trend for the past several years. But studies continue to show the combinations often to lead to higher prices and premiums for patients as the systems gain greater market power over health insurers.

Go deeper

Mike Allen, author of AM
57 mins ago - Politics & Policy

Biden's "overwhelming force" doctrine

President-elect Biden arrives to introduce his science team in Wilmington yesterday. Photo: Kevin Lamarque/Reuters

President-elect Biden has ordered up a shock-and-awe campaign for his first days in office to signal, as dramatically as possible, the radical shift coming to America and global affairs, his advisers tell us. 

The plan, Part 1 ... Biden, as detailed in a "First Ten Days" memo from incoming chief of staff Ron Klain, plans to unleash executive orders, federal powers and speeches to shift to a stark, national plan for "100 million shots" in three months.

Go deeper (1 min. read)Arrow
Jonathan Swan, Zachary Basu
2 hours ago - Politics & Policy
Off the Rails

Episode 2: Barbarians at the Oval

Photo illustration: Sarah Grillo/Axios. Photo: Jim Watson/AFP/Getty Images

Beginning on election night 2020 and continuing through his final days in office, Donald Trump unraveled and dragged America with him, to the point that his followers sacked the U.S. Capitol with two weeks left in his term. This Axios series takes you inside the collapse of a president.

Episode 2: Trump stops buying what his professional staff are telling him, and increasingly turns to radical voices telling him what he wants to hear. Read episode 1.

President Trump plunked down in an armchair in the White House residence, still dressed from his golf game — navy fleece, black pants, white MAGA cap. It was Saturday, Nov. 7. The networks had just called the election for Joe Biden.

Go deeper (5 min. read)Arrow
Sara Fischer, Kyle Daly
3 hours ago - Technology

Fringe right plots new attacks out of sight

Illustration: Aïda Amer/Axios

Domestic extremists are using obscure and private corners of the internet to plot new attacks ahead of Inauguration Day. Their plans are also hidden in plain sight, buried in podcasts and online video platforms.

Why it matters: Because law enforcement was caught flat-footed during last week's Capitol siege, researchers and intelligence agencies are paying more attention to online threats that could turn into real-world violence.

Go deeper (2 min. read)Arrow