Health system economics have inflated and deflated in the last 30 years. Some hospitals in the 1980s established an internal agency to regulate their flow and to review the requests for the hospitals’ facilities and equipments. State agencies were created to promote and embrace the facility charge. The problem with this plan was that the hospital became an industry with similar settings, and like other companies, the terminology was put toward a service and a product. The product was complicated with many variables such as different ages and different diseases to treat, which made it difficult for hospitals to obtain enough information to make intelligent decisions.